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MOSES H CONE MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MOSES H CONE MEMORIAL HOSPITAL (EIN 56-0532302)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-16
IRS object ID
201532289349300218
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-16T14:13:21-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 GREEN VALLEY RD STE 500AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27408ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560532302EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MOSES H CONE MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JEFFREY JONESInCareOfNm
Business Name ControlMOSEBusinessNameControlTxt
Phone3368327000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 NORTH ELM STREETAddressLine1
Address Line2SuiteAddressLine2
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeffrey JonesPersonNm
Person TitleCFOPersonTitleTxt
Phone3368327791PhoneNum
Signature2015-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK D YARBROUGHPreparerPersonNm
PTINP00838425PTIN
Phone3368327791PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFFREY JONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 NORTH ELM STREETAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$145,515,356GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.conehealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1911FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionStrategic oversight and support of subsidiary corporations within Cone HEALTH SYSTEM, A PROVIDER OF HEALTH CARE SERVICES TO THE COMMUNITYActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee41TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$275PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$28,913,211PYProgramServiceRevenueAmt
CY Program Service Revenue$42,859,311CYProgramServiceRevenueAmt
PY Investment Income$37,029,041PYInvestmentIncomeAmt
CY Investment Income$23,354,727CYInvestmentIncomeAmt
PY Other Revenue$454,331PYOtherRevenueAmt
CY Other Revenue$780,227CYOtherRevenueAmt
PY Total Revenue$66,396,858PYTotalRevenueAmt
CY Total Revenue$66,994,265CYTotalRevenueAmt
PY Grants And Similar Paid$1,010,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,163,076PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,385,907CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$61,519,655PYOtherExpensesAmt
CY Other Expenses$64,128,419CYOtherExpensesAmt
PY Total Expenses$69,692,981PYTotalExpensesAmt
CY Total Expenses$69,524,576CYTotalExpensesAmt
PY Revenues Less Expenses-$3,296,123PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,530,311CYRevenuesLessExpensesAmt
Total Assets BOY$1,089,568,779TotalAssetsBOYAmt
Total Assets EOY$1,234,969,297TotalAssetsEOYAmt
Total Liabilities BOY$489,564,921TotalLiabilitiesBOYAmt
Total Liabilities EOY$785,879,251TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$600,003,858NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$449,090,046NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLEASING 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,479,576ExpenseAmt
Grant$10,250GrantAmt
DescSUPPORT OF CONE HEALTH SYSTEM OPERATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,016,797ExpenseAmt
Revenue$31,311,900RevenueAmt
DescHOLD PROPERTIES USED FOR CONE HEALTH SYSTEM OPERATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$13,142,246ExpenseAmt
DescHOLD DEBT AND INVESTMENTS FOR CONE HEALTH SYSTEM.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$9,619,839$11,547,411TRIAD HEALTH NETWORK
$1,314,687$0SUBSIDIZE PHYSICIAN PRACTICES
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,934,526TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$11,547,411TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$62,573,145TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee41EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFFREY JONESPersonNm
Phone3368327791PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 NORTH ELM STREETAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
Jacob B Balsley
Trustee0.00.0Yes (X)$0$0$0
Louise F Brady
Trustee0.00.0Yes (X)$0$0$0
Carole Bruce
Trustee0.00.0Yes (X)$0$0$0
John F Campbell MD
Trustee0.040.0Yes (X)$0$402,579$51,482
Edward F Cone
Trustee0.00.0Yes (X)$0$0$0
Dwight M Davidson III
Trustee0.00.0Yes (X)$0$0$0
Diane Moffett
Trustee0.00.0Yes (X)$0$0$0
Allen Gant Jr
Trustee0.00.0Yes (X)$0$0$0
Inez Tuck PhD
Trustee0.00.0Yes (X)$0$0$0
Nancy G Hemric
Trustee0.00.0Yes (X)$0$0$0
Deborah Hooper
Chair0.00.0Yes (X)$0$0$0Yes (X)
FD Hornaday
Vice Chair0.00.0Yes (X)$0$0$0Yes (X)
J Wayne Keeling MD
Trustee0.00.0Yes (X)$0$0$0
J Edward Kitchen
Trustee0.00.0Yes (X)$0$0$0
David F Leeper
Trustee0.00.0Yes (X)$0$0$0
James H Maxwell MD
Trustee0.00.0Yes (X)$0$0$0
M Lee McAllister
Trustee0.00.0Yes (X)$0$0$0
Chapman McQueen MD
Trustee0.00.0Yes (X)$0$0$0
Henry WB Smith III MD
Trustee0.00.0Yes (X)$0$0$0
Peter W Whitfield MD
Trustee0.00.0Yes (X)$0$0$0
Terrance B Akin
COO & Secretary0.040.0$0$635,700$69,185Yes (X)
Andrew Barrow
VP & Asst. Treasurer0.040.0$0$218,858$17,076Yes (X)
Theresa Brodrick
Exec VP & Asst. Secretary0.040.0$0$343,240$53,821Yes (X)
Noel F Burt
Chief HR Officer & Asst. Sec0.040.0$0$455,004$52,306Yes (X)
Wendi Carroll
Assistant Treasurer0.040.0$0$173,845$6,333Yes (X)
Timothy J Clontz
Exec VP & Asst. Secretary0.040.0$0$347,058$55,811Yes (X)
Marva Jarman
Assistant Treasurer0.040.0$0$164,383$4,774Yes (X)
Jeffrey Jones
Chief Financial Officer0.040.0$0$451,490$27,674Yes (X)
David Kitzmiller
Assistant Treasurer0.040.0$0$127,734$31,471Yes (X)
John M Miller
Treasurer & CIO0.040.0$0$244,567$29,760Yes (X)
R Timothy Rice
President & CEO0.040.0$0$965,510$100,924Yes (X)
James Roskelly
VP & Asst. Secretary0.040.0$0$456,966$60,581Yes (X)
Judith A Shanel
VP & Asst. Secretary0.040.0$0$336,847$52,432Yes (X)
Rene Smith
Assistant Treasurer0.040.0$0$202,582$19,987Yes (X)
Steve Neorr
VP & Exec Director of THN40.00.0$266,126$0$22,780Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$266,126TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,526,363TotReportableCompRltdOrgAmt
Total Other Compensation$656,397TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Brasfield Gorrie LLC
3021 7th AvenueBIRMINGHAMAL35233Facility Planning$40,102,505
D L Construction
1301 Carolina St Suite 115GREENSBORONC27401Facility Planning$2,403,748
Womble Carlyle Sandridge Rice
One West Fourth StWINSTONSALEMNC27101Legal Council$860,324
Hammes Company Healthcare LLC
18000 W Sarah Lane Suite 250BROOKFIELDWI53045Facility Planning$675,141
Rivers Edge Design LLC
6629 Old US Hwy 421EAST BENDNC27018Facility Planning$1,266,046
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Capitation revenue in THN531120$844,936$844,936
Medicare Shared Savings531120$10,516,068$10,516,068
Rental Income531120$31,311,900$31,311,900
Membership fees in THN531120$186,407$186,407
FieldValueIRS element (for citing)
Total Program Service Revenue$42,859,311TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,259,477TotalRevenueColumnAmt
Exclusion$9,259,477ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$92,616,341SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$78,521,091SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,095,250SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,095,250TotalRevenueColumnAmt
Exclusion$14,095,250ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Services to Affiliates900099$580,699$580,699
Financial managment incentives900099$197,568$197,568
Rooftop access for a billboard900099$1,960$1,960
FieldValueIRS element (for citing)
Other Revenue Total$780,227OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,994,265TotalRevenueColumnAmt
Related Or Exempt Func Income$43,637,578RelatedOrExemptFuncIncomeAmt
Exclusion$23,356,687ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,250TotalAmt
Program Services$10,250ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$525,278TotalAmt
Program Services$472,750ProgramServicesAmt
Management And General$52,528ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,454,218TotalAmt
Program Services$3,108,796ProgramServicesAmt
Management And General$345,422ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$235,064TotalAmt
Program Services$211,558ProgramServicesAmt
Management And General$23,506ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$820,753TotalAmt
Program Services$738,678ProgramServicesAmt
Management And General$82,075ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$350,594TotalAmt
Program Services$315,535ProgramServicesAmt
Management And General$35,059ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$47,602TotalAmt
Program Services$42,842ProgramServicesAmt
Management And General$4,760ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$100,982TotalAmt
Program Services$90,884ProgramServicesAmt
Management And General$10,098ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,411,792TotalAmt
Program Services$1,270,613ProgramServicesAmt
Management And General$141,179ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,935,468TotalAmt
Program Services$2,641,921ProgramServicesAmt
Management And General$293,547ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,427,079TotalAmt
Program Services$1,284,371ProgramServicesAmt
Management And General$142,708ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$941,341TotalAmt
Program Services$847,207ProgramServicesAmt
Management And General$94,134ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$170,631TotalAmt
Program Services$153,568ProgramServicesAmt
Management And General$17,063ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$801,252TotalAmt
Program Services$721,127ProgramServicesAmt
Management And General$80,125ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$127,851TotalAmt
Program Services$115,066ProgramServicesAmt
Management And General$12,785ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$102,581TotalAmt
Program Services$92,323ProgramServicesAmt
Management And General$10,258ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,259,278TotalAmt
Program Services$9,233,350ProgramServicesAmt
Management And General$1,025,928ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$11,209,448TotalAmt
Program Services$10,088,503ProgramServicesAmt
Management And General$1,120,945ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,304,284TotalAmt
Program Services$28,173,856ProgramServicesAmt
Management And General$3,130,428ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Debt Management Expense$1,457,339$1,311,605$145,734
RECRUITMENT & RETENTION$656,649$590,984$65,665
MEDICAL SUPPLIES & SERVICES$556,291$500,662$55,629
TAXES & LICENSURE$210,844$189,760$21,084

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$407,707TotalAmt
Program Services$366,936ProgramServicesAmt
Management And General$40,771ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$69,524,576TotalAmt
Program Services$62,573,145ProgramServicesAmt
Management And General$6,951,431ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,361,078BOYAmt
EOY$5,108,565EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,508,565BOYAmt
EOY$4,568,410EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$11,091,624BOYAmt
EOY$20,366,446EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$196,236BOYAmt
EOY$139,913EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$909,161,565LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$393,351,219LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$491,434,780BOYAmt
EOY$515,810,346EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$357,366,817BOYAmt
EOY$417,943,671EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$222,459,929BOYAmt
EOY$257,357,226EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$778,815BOYAmt
EOY$778,815EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,370,935BOYAmt
EOY$12,895,905EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,089,568,779BOYAmt
EOY$1,234,969,297EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,276,108BOYAmt
EOY$19,285,148EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$245,730,000BOYAmt
EOY$281,685,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$141,120,000BOYAmt
EOY$200,983,065EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,438,813BOYAmt
EOY$283,926,038EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$489,564,921BOYAmt
EOY$785,879,251EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$600,003,858BOYAmt
EOY$449,069,645EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$20,401EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$600,003,858BOYAmt
EOY$449,090,046EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,089,568,779BOYAmt
EOY$1,234,969,297EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,530,311ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,483,563NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$167,867,064OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1The Moses H Cone Memorial Hospital Operating CorporationBusinessNameLine1
FieldValueIRS element (for citing)
EIN581588823EIN
Organization Type03OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedYes (true)SupportedOrgNotifiedInd
US OrganizedYes (true)USOrganizedInd
Support$20,625,711SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$20,625,711SupportSumAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,915,924OtherCostOrOtherBasisAmt
Book Value$26,915,924BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$698,299,828OtherCostOrOtherBasisAmt
Depreciation$299,650,277DepreciationAmt
Book Value$398,649,551BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,557,295OtherCostOrOtherBasisAmt
Depreciation$3,270,619DepreciationAmt
Book Value$286,676BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,534,436OtherCostOrOtherBasisAmt
Depreciation$81,493,596DepreciationAmt
Book Value$31,040,840BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,854,082OtherCostOrOtherBasisAmt
Depreciation$8,936,727DepreciationAmt
Book Value$58,917,355BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$515,810,346TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$257,357,226BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$257,357,226TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INTEREST PAYABLE$1,987,223
SWAP HEDGE - BOND PREMIUM DISC$17,098,071
INTERCOMPANY PAYABLES$264,606,382
DEFERRED COMPENSATION LIABILITY$234,362
FieldValueIRS element (for citing)
Total Liability$283,926,038TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$54,866,155TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$54,866,155RevenueSubtotalAmt
Other Revenues Not Included$12,128,110OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$12,128,110RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$66,994,265TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$58,835,867TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$58,835,867ExpensesSubtotalAmt
Other Expenses Not Included$10,688,709OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$10,688,709ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$69,524,576TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OTHER REVENUE NOT ON LINE 1SCHEDULE D, PART XI, LINE 4B OPERATING REVENUE FROM TRIAD HEALTH NETWORK $ 12,128,110 ------------ TOTAL $ 12,128,110
OTHER AMOUNTS NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B OPERATING EXPENSES FROM TRIAD HEALTH NETWORK $ 10,688,709 ------------ TOTAL $ 10,688,709

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1US Department of the InteriorBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Blue Ridge ParkwayAddressLine1
Address Line2National Park ServiceAddressLine2
CityNACity
StateNCState
ZIP Code99999ZIPCode
FieldValueIRS element (for citing)
Recipient EIN999999999RecipientEIN
IRC SectionN/AIRCSectionDesc
Cash Grant$10,250CashGrantAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePROCEDURE FOR MONITORING THE USE OF GRANT FUNDSFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 Grantees are required to report to the board.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John F Campbell MD
Trustee$0$263,169$0$101,722$0$37,688$0$43,574$0$7,908$0$454,061$0$0
Terrance B Akin
COO & Secretary$0$608,190$0$0$0$27,510$0$39,894$0$29,291$0$704,885$0$0
Andrew Barrow
VP & Asst. Treasurer$0$203,744$0$0$0$15,114$0$10,288$0$6,788$0$235,934$0$0
Theresa Brodrick
Exec VP & Asst. Secretary$0$317,078$0$0$0$26,162$0$22,679$0$31,142$0$397,061$0$0
Noel F Burt
Chief HR Officer & Asst. Sec$0$390,421$0$0$0$64,583$0$45,202$0$7,104$0$507,310$0$0
Wendi Carroll
Assistant Treasurer$0$156,037$0$17,478$0$330$0$1,630$0$4,703$0$180,178$0$0
Timothy J Clontz
Exec VP & Asst. Secretary$0$218,603$0$68,230$0$60,225$0$51,930$0$3,881$0$402,869$0$0
Marva Jarman
Assistant Treasurer$0$162,813$0$0$0$1,570$0$1,250$0$3,524$0$169,157$0$0
Jeffrey Jones
Chief Financial Officer$0$386,540$0$50,000$0$14,950$0$3,825$0$23,849$0$479,164$0$0
David Kitzmiller
Assistant Treasurer$0$119,010$0$0$0$8,724$0$27,389$0$4,082$0$159,205$0$0
John M Miller
Treasurer & CIO$0$216,670$0$0$0$27,897$0$22,134$0$7,626$0$274,327$0$0
R Timothy Rice
President & CEO$0$931,611$0$0$0$33,899$0$73,098$0$27,826$0$1,066,434$0$0
James Roskelly
VP & Asst. Secretary$0$285,170$0$83,726$0$88,070$0$52,517$0$8,064$0$517,547$0$0
Judith A Shanel
VP & Asst. Secretary$0$261,443$0$0$0$75,404$0$45,127$0$7,305$0$389,279$0$0
Rene Smith
Assistant Treasurer$0$164,462$0$21,265$0$16,855$0$15,643$0$4,344$0$222,569$0$0
Steve Neorr
VP & Exec Director of THN$249,269$0$0$0$16,857$0$14,872$0$7,908$0$288,906$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceCOMPENSATION CONTINGENT ON NET EARNINGSFormAndLineReferenceDesc
ExplanationSCHEDULE J, PART I, LINE 6B TOP PAID EMPLOYEES, OTHER THAN THOSE COMPENSATED BY CAROLINAS HEALTH SYSTEM, ARE PAID UNDER MOSES H CONE MEMORIAL HOSPITAL OPERATING CORP, 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 MET, THE EMPLOYEE'S COMPENSATION WILL BE AT MARKET LEVEL, BUT IF NOT MET, THEIR COMPENSATION WILL BE BELOW THE MARKET LEVEL FOR THEIR JOB.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A52130940265820HXQ12004-10-19$47,500,000PURCHASE CAPITAL EQUIP WL BONDfalseYes (true)false
NORTH CAROLINA MEDICAL CARE COMMISSION
B5213094029999999992011-02-09$60,170,000REFINANCED 1993 SERIES AND ISSUANCfalseYes (true)false
NORTH CAROLINA MEDICAL CARE COMMISSION
C5213094026582OHJ872011-08-03$47,980,000REFINANCED 2008 SERIES AND ISSUANCfalseYes (true)false
NORTH CAROLINA MEDICAL CARE COMMISSION
D5213094029999999992011-09-21$50,000,000CONSTRUCTION OF PATIENT CARE FACILfalseYes (true)false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$47,500,000$0$0$0$829,975$834,949$0$33,276,212$12,558,864$02006Yes (true)falseYes (true)Yes (true)
B$0$0$62,559,512$0$0$0$959,512$0$0$0$61,600,000$02011Yes (true)falseYes (true)Yes (true)
C$0$0$47,980,000$0$0$0$157,229$0$0$0$47,822,771$02011Yes (true)falseYes (true)Yes (true)
D$0$0$50,000,000$0$0$0$0$0$0$50,000,000$0$02011falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
DfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
BANK OF MONTREAL
CfalseYes (true)falsefalseYes (true)Yes (true)false0falseYes (true)23.falsefalse
MORGAN STANLEY
DfalseYes (true)falsefalseYes (true)Yes (true)false0falseYes (true)22.falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION WAS PERFORMEDFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART IV, LINE 2C 09/30/2013ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A5213094029999999992011-09-21$50,000,000CONSTRUCTION OF PATIENT CARE FACILfalseYes (true)false
NORTH CAROLINA MEDICAL CARE COMMISSION
B52130940265821DRM52013-11-18$88,775,000DEFEASANCE & CAPITAL EXPENDITURESfalseYes (true)false
NORTH CAROLINA MEDICAL CARE COMMISSION
C5213094029999999992013-11-18$25,000,000DEFEASANCE & CAPITAL EXPENDITURESfalseYes (true)false
NORTH CAROLINA MEDICAL CARE COMMISSION
D53130940265821DRN32013-11-18$16,410,000DEFEASANCE & CAPITAL EXPENDITURESfalseYes (true)false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$50,000,000$0$0$0$0$0$0$50,000,000$0$02011falsefalseYes (true)Yes (true)
B$0$0$88,775,000$0$0$20,392,565$0$0$0$31,846,631$27,592,426$8,943,3782013Yes (true)Yes (true)falseYes (true)
C$0$0$25,000,000$0$0$5,742,767$0$0$0$11,486,908$7,770,325$02013Yes (true)Yes (true)Yes (true)Yes (true)
D$0$0$16,410,000$0$0$3,769,552$0$0$0$7,540,006$5,100,442$02013Yes (true)Yes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)
DfalseYes (true)Yes (true)Yes (true)false0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEY
AfalseYes (true)falseYes (true)Yes (true)22.falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Louise Brady
Trustee$853,352Husband's firm is major vendorfalse
John Campbell MD
Trustee$454,060Employed by Cone HealthYes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CONFLICT OF INTEREST POLICYPART VI, SECTION B, LINE 12C BEFORE EVERY BOARD 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.
FAMILY OR BUSINESS RELATIONSHIPSPART VI, SECTION A, LINE 2 DOCTOR JOHN CAMPBELL IS AN EMPLOYEE OF CONE HEALTH SYSTEM.
FORM 990 REVIEWPART 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.
DETERMINING COMPENSATIONPART VI, SECTION B, LINE 15A AND 15B THE CEO, COO, CFO, CHIEF NURSING OFFICER (CNO) AND CHEIF QUALITY OFFICER (CQO) ARE EMPLOYED AND PAID BY A RELATED ENTITY (CAROLINAS HEALTH SYSTEM (CHS)). CHS USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT CONTRACT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
AVAILABILITY OF DOCUMENTS TO THE PUBLICPART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROPRIETARY AND ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESPART XI, LINE 9 Donations to THN (Established as restricted funds) ($20,401) Zero Out Debt Service Transfer to MC Operating Corp ($58,500,856) Assumption of ARMC Bonds ($109,345,807) -------------- Total Change in Net Assets or Fund Balances ($167,867,064) ==============
MANAGEMENT COMPANYPART VI, SECTION A, LINE 3 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, CHIEF EXECUTIVE OFFICER: $965,510 TERRANCE B. AKIN, CHIEF OPERATING OFFICER: $635,700 JEFFREY JONES, CHIEF FINANCIAL OFFICER: $451,490 THERESA BRODRICK, EXECUTIVE VICE PRESIDENT: $343,240

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Triad Healthcare Network LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 North Elm StreetAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
EIN300705058EIN
Primary ActivitiesPHYSICIANSPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Total Income$1,439,400TotalIncomeAmt
End Of Year Assets$20,401EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MC ParentBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Moses H Cone Memorial Hospital Oper Cor
1200 North Elm StreetGreensboroNC27401581588823OperationsNC501(C)(3)3MC PARENTYes (true)
Moses Cone Medical Services
1200 North Elm StreetGreensboroNC27401561714318PhysiciansNC501(C)(3)3MC PARENTYes (true)
Moses Cone Physician Services Inc
1200 North Elm StreetGreensboroNC27401800249057PhysiciansNC501(C)(3)3MC PARENTYes (true)
Moses Cone Affiliated Physicians
1200 North Elm StreetGreensboroNC27401300554775PhysiciansNC501(C)(3)3MC PARENTYes (true)
Reidsville OB & GYN
1200 North Elm StreetGreensboroNC27401800217430PhysiciansNC501(C)(3)3MC Affil PhyYes (true)
MC - WL Community Health Foundation
1200 North Elm StreetGreensboroNC27401562001399FundingNC501(C)(3)11BNAfalse
ARMC Health Care
1240 Huffman Mill RdBurlingtonNC27215581681363OPERATIONSNC501(C)(3)11BMC PARENTYes (true)
Alamance Regional Medical Center
1240 Huffman Mill RdBurlingtonNC27215560529994OperationsNC501(C)(3)3ARMC HCYes (true)
Alamance Extended Care
1240 Huffman Mill RdBurlingtonNC27215581681364L-T CareNC501(C)(3)9ARMC HCYes (true)
Alamance Regional Medical Center Foundat
1240 Huffman Mill RdBurlingtonNC27215561681560FundingNC501(C)(3)11BARMC HCYes (true)
Alamance Community & Health Foundation
1240 Huffman Mill RdBurlingtonNC27215462505818FundingNC501(C)(3)11BMC PARENTYes (true)
PACE of Southern Piedmont Inc
1200 North Elm StreetGreensboroNC27401274683614OPERATIONSNC501(C)(3)3MC OperatingYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
WLCHS POB LLC
1200 North Elm StreetGreensboroNC27401561651736Real EstateNCWLCHS IncN/AfalseYes (true)
CDC LLC
1200 North Elm StreetGreensboroNC27401383707960PhysiciansNCMC Med SvcsN/AfalseYes (true)
Mebane Medical Investors LLC
10350 Ormsby Park Pl Ste 300LouisvilleKY40223560529994Real EstateKYARMC HCN/AfalseYes (true)
NSC GREENSBORO WEST LLC
1200 North Elm StreetGreensboroNC27401PHYSICIANSNCMC Med SvcsN/AfalseYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Wesley Long Community Health ServicesBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 North Elm StreetAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
EIN561441377EIN
Primary ActivitiesMedical ServicesPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ParentBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$6,122,467ShareOfTotalIncomeAmt
Share Of EOY Assets$14,190,805ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MOSES H CONE MEMORIAL HOSPITAL OPER CORP
J$29,763,643ACCRUAL
MOSES CONE MEDICAL SERVICES INC
J$681,310ACCRUAL
CARDIOVASCULAR DIAGNOSTIC CENTER LLC
J$212,434ACCRUAL
MOSES H CONE MEMORIAL HOSPITAL OPER CORP
P$9,172,867ACCRUAL
MOSES CONE MEDICAL SERVICES INC
P$886,265ACCRUAL
MOSES CONE PHYSICIAN SERVICES INC
P$67,099ACCRUAL
MOSES H CONE MEMORIAL HOSPITAL OPER CORP
Q$1,980,000ACCRUAL
MOSES CONE MEDICAL SERVICES INC
Q$242,395ACCRUAL