2015-08-16T14:13:21-05:00 2014-09-30 PRICEWATERHOUSECOOPERS LLP 800 GREEN VALLEY RD STE 500 GREENSBORO NC 27408 990 2013-10-01 560532302 THE MOSES H CONE MEMORIAL HOSPITAL % JEFFREY JONES MOSE 3368327000 1200 NORTH ELM STREET Suite GREENSBORO NC 27401 Jeffrey Jones CFO 3368327791 2015-08-13 true MARK D YARBROUGH P00838425 3368327791 2013 2016-04-25 22:37:26Z JEFFREY JONES 1200 NORTH ELM STREET GREENSBORO NC 27401 145515356 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 22 15 41 0 0 275 0 28913211 42859311 37029041 23354727 454331 780227 66396858 66994265 1010250 10250 0 0 7163076 5385907 0 0 0 61519655 64128419 69692981 69524576 -3296123 -2530311 1089568779 1234969297 489564921 785879251 600003858 449090046 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 21479576 10250 SUPPORT OF CONE HEALTH SYSTEM OPERATIONS. 17016797 31311900 HOLD PROPERTIES USED FOR CONE HEALTH SYSTEM OPERATIONS. 13142246 HOLD DEBT AND INVESTMENTS FOR CONE HEALTH SYSTEM. 9619839 11547411 TRIAD HEALTH NETWORK 1314687 0 SUBSIDIZE PHYSICIAN PRACTICES 10934526 11547411 62573145 true false false false false false false false false false true true false false true false false true false false false false false false false false false true false true true false false false false false false false true false true false false false false true true true true false false true 57 0 true 41 true false false false false false false X 22 15 true true false false false false false true true false false true true true true true true true true true true 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 F Brady Trustee 0.0 0.0 X 0 0 0 Carole Bruce Trustee 0.0 0.0 X 0 0 0 John F Campbell MD Trustee 0.0 40.0 X 0 402579 51482 Edward F Cone Trustee 0.0 0.0 X 0 0 0 Dwight M Davidson III Trustee 0.0 0.0 X 0 0 0 Diane Moffett Trustee 0.0 0.0 X 0 0 0 Allen Gant Jr Trustee 0.0 0.0 X 0 0 0 Inez Tuck PhD Trustee 0.0 0.0 X 0 0 0 Nancy G 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 J 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 F Leeper Trustee 0.0 0.0 X 0 0 0 James H Maxwell MD Trustee 0.0 0.0 X 0 0 0 M Lee McAllister Trustee 0.0 0.0 X 0 0 0 Chapman McQueen MD Trustee 0.0 0.0 X 0 0 0 Henry WB Smith III MD Trustee 0.0 0.0 X 0 0 0 Peter W Whitfield MD Trustee 0.0 0.0 X 0 0 0 Terrance B Akin COO & Secretary 0.0 40.0 X 0 635700 69185 Andrew Barrow VP & Asst. 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X X X X X false false false false false false true false false John F Campbell MD Trustee 0 263169 0 101722 0 37688 0 43574 0 7908 0 454061 0 0 Terrance B Akin COO & Secretary 0 608190 0 0 0 27510 0 39894 0 29291 0 704885 0 0 Andrew Barrow VP & Asst. Treasurer 0 203744 0 0 0 15114 0 10288 0 6788 0 235934 0 0 Theresa Brodrick Exec VP & Asst. Secretary 0 317078 0 0 0 26162 0 22679 0 31142 0 397061 0 0 Noel F Burt Chief HR Officer & Asst. Sec 0 390421 0 0 0 64583 0 45202 0 7104 0 507310 0 0 Wendi Carroll Assistant Treasurer 0 156037 0 17478 0 330 0 1630 0 4703 0 180178 0 0 Timothy J Clontz Exec VP & Asst. Secretary 0 218603 0 68230 0 60225 0 51930 0 3881 0 402869 0 0 Marva Jarman Assistant Treasurer 0 162813 0 0 0 1570 0 1250 0 3524 0 169157 0 0 Jeffrey Jones Chief Financial Officer 0 386540 0 50000 0 14950 0 3825 0 23849 0 479164 0 0 David Kitzmiller Assistant Treasurer 0 119010 0 0 0 8724 0 27389 0 4082 0 159205 0 0 John M Miller Treasurer & CIO 0 216670 0 0 0 27897 0 22134 0 7626 0 274327 0 0 R Timothy Rice President & CEO 0 931611 0 0 0 33899 0 73098 0 27826 0 1066434 0 0 James Roskelly VP & Asst. Secretary 0 285170 0 83726 0 88070 0 52517 0 8064 0 517547 0 0 Judith A Shanel VP & Asst. Secretary 0 261443 0 0 0 75404 0 45127 0 7305 0 389279 0 0 Rene Smith Assistant Treasurer 0 164462 0 21265 0 16855 0 15643 0 4344 0 222569 0 0 Steve Neorr VP & Exec Director of THN 249269 0 0 0 16857 0 14872 0 7908 0 288906 0 0 0 COMPENSATION CONTINGENT ON NET EARNINGS SCHEDULE 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65820HXQ1 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 6582OHJ87 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 65821DRM5 2013-11-18 88775000 DEFEASANCE & CAPITAL EXPENDITURES false true false C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 999999999 2013-11-18 25000000 DEFEASANCE & CAPITAL EXPENDITURES false true false D NORTH CAROLINA MEDICAL CARE COMMISSION 531309402 65821DRN3 2013-11-18 16410000 DEFEASANCE & CAPITAL EXPENDITURES false 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 31846631 27592426 8943378 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 true true MORGAN STANLEY 22. false false false 0 false true B false true false false false 0 false 0 false true C false true false false false 0 false 0 false true D false true false false false 0 false 0 false true A true B true C true D true Louise Brady Trustee 853352 Husband's firm is major vendor false John Campbell MD Trustee 454060 Employed by Cone Health true CONFLICT OF INTEREST POLICY PART 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 RELATIONSHIPS PART VI, SECTION A, LINE 2 DOCTOR JOHN CAMPBELL IS AN EMPLOYEE OF CONE HEALTH SYSTEM. FORM 990 REVIEW 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. DETERMINING COMPENSATION PART 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 PUBLIC PART 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 BALANCES PART 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 COMPANY PART 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 Triad Healthcare Network LLC 1200 North Elm Street Greensboro NC 27401 300705058 PHYSICIANS NC 1439400 20401 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) 11B NA false ARMC Health Care 1240 Huffman Mill Rd Burlington NC 27215 581681363 OPERATIONS NC 501(C)(3) 11B MC PARENT true Alamance Regional Medical Center 1240 Huffman Mill Rd Burlington NC 27215 560529994 Operations NC 501(C)(3) 3 ARMC HC true Alamance Extended Care 1240 Huffman Mill Rd Burlington NC 27215 581681364 L-T Care NC 501(C)(3) 9 ARMC HC true Alamance Regional Medical Center Foundat 1240 Huffman Mill Rd Burlington NC 27215 561681560 Funding NC 501(C)(3) 11B ARMC HC true Alamance Community & Health Foundation 1240 Huffman Mill Rd Burlington NC 27215 462505818 Funding NC 501(C)(3) 11B 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 WLCHS POB LLC 1200 North Elm Street Greensboro NC 27401 561651736 Real Estate NC WLCHS Inc N/A false true CDC LLC 1200 North Elm Street Greensboro NC 27401 383707960 Physicians NC MC Med Svcs N/A false true Mebane Medical Investors LLC 10350 Ormsby Park Pl Ste 300 Louisville KY 40223 560529994 Real Estate KY ARMC HC N/A false true NSC GREENSBORO WEST LLC 1200 North Elm Street Greensboro NC 27401 PHYSICIANS NC MC Med Svcs N/A false true Wesley Long Community Health Services 1200 North Elm Street Greensboro NC 27401 561441377 Medical Services NC Parent C 6122467 14190805 1.00000 true false false false false false false false false false true false false false false true true true false false MOSES H CONE MEMORIAL HOSPITAL OPER CORP J 29763643 ACCRUAL MOSES CONE MEDICAL SERVICES INC J 681310 ACCRUAL CARDIOVASCULAR DIAGNOSTIC CENTER LLC J 212434 ACCRUAL MOSES H CONE MEMORIAL HOSPITAL OPER CORP P 9172867 ACCRUAL MOSES CONE MEDICAL SERVICES INC P 886265 ACCRUAL MOSES CONE PHYSICIAN SERVICES INC P 67099 ACCRUAL MOSES H CONE MEMORIAL HOSPITAL OPER CORP Q 1980000 ACCRUAL MOSES CONE MEDICAL SERVICES INC Q 242395 ACCRUAL