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MOSES H CONE MEMORIAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOSES H CONE MEMORIAL HOSPITAL (EIN 56-0532302)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201432279349302273
Schema version
2012v2.3
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)
Timestamp2014-08-15T10:02:11-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICEWATERHOUSECOOPERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1800 GREEN VALLEY ROAD SUITE 500AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27408ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560532302EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE MOSES H CONE MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFFREY JONESInCareOfName
Name ControlMOSENameControl
Phone3368327000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJeffrey JonesName
TitleCFOTitle
Phone3368327791Phone
Date Signed2014-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3366652700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEFFREY JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 NORTH ELM STREETAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts291338199GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.conehealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionStrategic oversight and support of subsidiary corporations within Cone HEALTH SYSTEM, A PROVIDER OF HEALTH CARE SERVICES TO THE COMMUNITYActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees91TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year275ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25212590ProgramServiceRevenuePriorYear
Program Service Revenue CY28913211ProgramServiceRevenueCY
Investment Income Prior Year76236463InvestmentIncomePriorYear
Investment Income Current Year37029041InvestmentIncomeCurrentYear
Other Revenue Prior Year994079OtherRevenuePriorYear
Other Revenue Current Year454331OtherRevenueCurrentYear
Total Revenue Prior Year102443132TotalRevenuePriorYear
Total Revenue Current Year66396858TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year551237GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1010250GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3782454SalariesEtcPriorYear
Salaries Etc Current Year7163076SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year55967614OtherExpensePriorYear
Other Expenses Current Year61519655OtherExpensesCurrentYear
Total Expenses Prior Year60301305TotalExpensesPriorYear
Total Expenses Current Year69692981TotalExpensesCurrentYear
Revenues Less Expenses Prior Year42141827RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3296123RevenuesLessExpensesCY
Total Assets BOY1141008738TotalAssetsBOY
Total Assets EOY1089568779TotalAssetsEOY
Total Liabilities BOY504455814TotalLiabilitiesBOY
Total Liabilities EOY489564921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY636552924NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY600003858NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLEASING 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense29978558Expense
Grants1010250Grants
DescriptionSupport of Moses Cone Health System Operations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17418402Expense
Revenue27449642Revenue
DescriptionHold properties used for Moses Cone Health System operations.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8692773Expense
DescriptionHold debt and investments for Moses Cone Health System.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense7151559Expense
Revenue1463569Revenue
DescriptionSupport of New Physician PracticesDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp7151559TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1463569TotalOfOtherProgramServiceRev
Total Program Service Expense63241293TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees91NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY JONESNamePerson
Telephone Number3368327791TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per WeekAverageHoursPerWeekReportable Comp From OrganizationReportableCompFromOrganizationKey EmployeeKeyEmployee
Jacob B Balsley
TrusteeX
Louise F Brady
TrusteeX
JANICE G BREWINGTON PHD
TrusteeX
John F Campbell MD
TrusteeX40.041994234484
Edward F Cone
TrusteeX
Dwight M Davidson III
TrusteeX
Henry E Frye
TrusteeX
Allen Gant Jr
TrusteeX
Michelle Gethers-Clark
TrusteeX
Nancy G Hemric
TrusteeX
Deborah Hooper
ChairXX
FD Hornaday
Vice ChairXX
J Wayne Keeling MD
TrusteeX
J Edward Kitchen
TrusteeX
David F Leeper
TrusteeX
James H Maxwell MD
TrusteeX
M Lee McAllister
TrusteeX
Chapman McQueen MD
TrusteeX
Henry WB Smith III MD
TrusteeX
William R Soles Jr
TrusteeX
Peter W Whitfield MD
TrusteeX
Terrance B Akin
COO & Secretary40.094278928842X
Andrew Barrow
VP & Asst. Treasurer40.01613977553X
Kenneth Boggs
Chief Financial Officer40.070383741576X
Theresa Brodrick
Exec VP & Asst. Secretary40.053745433121X
Noel F Burt
Chief HR Officer & Asst. Sec40.060973036867X
Wendi Carroll
Assistant Treasurer40.01730466085X
Timothy J Clontz
Exec VP & Asst. Secretary40.038818837337X
Marva Jarman
Assistant Treasurer40.02103514280X
Jeffrey Jones
Chief Financial Officer40.0X
David Kitzmiller
Assistant Treasurer40.016461027887X
John M Miller
Treasurer & CIO44798X40.0330903
R Timothy Rice
President & CEO40.0207240537533X
James Roskelly
VP & Asst. Secretary40.045350942804X
Judith A Shanel
VP & Asst. Secretary40.047934734875X
Rene Smith
Assistant Treasurer40.020116019473X
Steve Neorr
VP & Exec Director of THN2653740.0340338X
FieldValueIRS element (for citing)
Total Reportable Comp From Org671241TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7517765TotalReportableCompFrmRltdOrgs
Total Other Compensation464052TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Brasfield Gorrie LLC
3021 7th AvenueBIRMINGHAMAL35233Facility Planning53065849
D L Construction
1301 Carolina St Suite 115GREENSBORONC27401Facility Planning5007588
Carolina Income Properties X LLC
16 South Main StreetLEXINGTONNC27293Facility Planning799507
Hammes Company Healthcare LLC
18000 W Sarah Lane Suite 250BROOKFIELDWI53045Facility Planning669181
Rivers Edge Design LLC
6629 Old US Hwy 421EAST BENDNC27018Facility Planning570348
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
All Other Contributions275AllOtherContributions
Total Contributions275TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL INCOME5311202744964227449642
SERVICES TO PHYSICIANS53112011305341130534
SERVICES TO EMPLOYEES531120333035333035
FieldValueIRS element (for citing)
Total Program Service Revenue28913211TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10453933TotalRevenueColumn
Exclusion$10,453,933ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities249306774Securities
Other2209674Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities223001404Securities
Other1939937Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities26305370Securities
Other269737Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column26575108TotalRevenueColumn
Exclusion$26,575,108ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Incentives from Financial Institutions900099336393336393
Escheats900099102938102938
Services to Affiliated Organizations9000991500015000
FieldValueIRS element (for citing)
Total Other Revenue454331TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column66396858TotalRevenueColumn
Related Or Exempt Function Income29367542RelatedOrExemptFunctionIncome
Exclusion$37,029,041ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1010250Total
Program Services1010250ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total310720Total
Program Services279648ProgramServices
Management And General31072ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4990392Total
Program Services4491353ProgramServices
Management And General499039ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total335360Total
Program Services301824ProgramServices
Management And General33536ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1094742Total
Program Services985268ProgramServices
Management And General109474ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total431862Total
Program Services388676ProgramServices
Management And General43186ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2587774Total
Program Services2328997ProgramServices
Management And General258777ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1309891Total
Program Services1178902ProgramServices
Management And General130989ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total320695Total
Program Services288625ProgramServices
Management And General32069ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3542869Total
Program Services3188582ProgramServices
Management And General354287ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2489600Total
Program Services2240640ProgramServices
Management And General248960ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1335239Total
Program Services1201715ProgramServices
Management And General133524ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total176117Total
Program Services158505ProgramServices
Management And General17612ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total559926Total
Program Services503934ProgramServices
Management And General55993ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total233404Total
Program Services210064ProgramServices
Management And General23340ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total91117Total
Program Services82005ProgramServices
Management And General9112ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6248411Total
Program Services5623570ProgramServices
Management And General624841ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total9598797Total
Program Services8638917ProgramServices
Management And General959880ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27602839Total
Program Services24842555ProgramServices
Management And General2760284ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total14Total
Program Services13ProgramServices
Management And General1ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT WRITE OFF41658404165840
Recruitment and Retention76277568649876278
ORGANIZATION MEMBERSHIPS23150020835023150
Taxes & Licensure17949416154517949

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total83353Total
Program Services75017ProgramServices
Management And General8335ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total69692981Total
Program Services63241293ProgramServices
Management And General6451688ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6657029BOY
EOY1361078EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4246946BOY
EOY1508565EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8600609BOY
EOY11091624EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY304071BOY
EOY196236EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis853514870LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec362080090LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY448475167BOY
EOY491434780EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY397248784BOY
EOY357366817EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY238643002BOY
EOY222459929EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY778815BOY
EOY778815EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36054315BOY
EOY3370935EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1141008738BOY
EOY1089568779EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2225496BOY
EOY2276108EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY60000BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY292370000BOY
EOY245730000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY65590806BOY
EOY141120000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY144209512BOY
EOY100438813EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY504455814BOY
EOY489564921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY636552924BOY
EOY600003858EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY636552924BOY
EOY600003858EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1141008738BOY
EOY1089568779EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3296123ReconcilationRevenueExpenses
Reconciliation Unrealized Invest20747057ReconciliationUnrealizedInvest
Reconcilation Other Changes-54000000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
The Moses H Cone Memorial Hospital Operating Corporation
58158882303truetruetrue$26,660,863
ALAMANCE REGIONAL MEDICAL CENTER INC
56052999403truetruetrue$1,000,000
Moses Cone Medical Services Corp
56171431803truetruetrue$2,900,576
Moses Cone Physician Services Inc
80024905703truetruetrue$414,824
Moses Cone Affiliated Physicians Inc
30055477503truetruetrue$845,044
Reidsville OB & GYN Inc
80021743003truetruetrue$44,410
FieldValueIRS element (for citing)
Total Number Of Supported Orgs6TotalNumberOfSupportedOrgs
Sum Of Amounts31865717SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis26904750OtherCostOrOtherBasis
Book Value26904750BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis691466661OtherCostOrOtherBasis
Depreciation272164440Depreciation
Book Value419302221BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3288522OtherCostOrOtherBasis
Depreciation3250003Depreciation
Book Value38519BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis108514463OtherCostOrOtherBasis
Depreciation77966946Depreciation
Book Value30547517BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23340474OtherCostOrOtherBasis
Depreciation8698701Depreciation
Book Value14641773BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings491434780TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value222459929BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities222459929TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTEREST PAYABLE$1,766,234
SWAP HEDGE - BOND PREMIUM DISC$14,789,190
INTERCOMPANY PAYABLES$83,683,900
DEFERRED COMPENSATION LIABILITY$199,490
FieldValueIRS element (for citing)
Total Of Amounts100438813TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt65668418TotRevenueEtcAuditedFinclStmt
Revenue Subtotal65668418RevenueSubtotal
Other Revenues Not Included728440OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt728440RevenueNotRptdOnFinStmt
Total Revenue Per Form99066396858TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt63619731TotExpensesEtcAuditedFinclStmt
Expenses Subtotal63619731ExpensesSubtotal
Other Expenses Not Included6073250OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6073250ExpensesNotRptdOnFinStmt
Total Expenses Per Form99069692981TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER REVENUE NOT ON LINE 1SCHEDULE D, PART XI, LINE 4BGAIN/LOSS ON SALE OF EQUIPMENT $ 269,738 OPERATING REVENUE FROM TRIAD HEALTH NETWORK $ 458,703 ---------- TOTAL $ 728,440
OTHER AMOUNTS NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BGAIN/LOSS ON SALE OF EQUIPMENT $ 269,738 OPERATING EXPENSES FROM TRIAD HEALTH NETWORK $ 5,803,512 ----------- TOTAL $ 6,073,250

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrant
US Department of the Interior
Blue Ridge Parkway-National Park Se199 Hemphill Knob RdAshevilleNC28803999999999NA10000
Alamance Regional Medical Center Inc
1240 Huffman Mill RoadBurlingtonNC27215560529994501(c)31000000
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
John F Campbell MD
Trustee2590989413566709265747910454426
Terrance B Akin
COO & Secretary461878400236806751436214480971631
Andrew Barrow
VP & Asst. Treasurer13542716952901839733580168950
Kenneth Boggs
Chief Financial Officer36267525579385369338627714745413
Theresa Brodrick
Exec VP & Asst. Secretary25629421609365067232189903570575
Noel F Burt
Chief HR Officer & Asst. Sec30754924736254819278718996646597
Wendi Carroll
Assistant Treasurer14478226814145015904495179131
Timothy J Clontz
Exec VP & Asst. Secretary21309011087864220336643673425525
Marva Jarman
Assistant Treasurer15988849055140810943186214631
David Kitzmiller
Assistant Treasurer1013694084922392232334654192497
John M Miller
Treasurer & CIO20892094124278592785916939375701
R Timothy Rice
President & CEO752103113456918573326537109962109938
James Roskelly
VP & Asst. Secretary25346812373776304349487856496313
Judith A Shanel
VP & Asst. Secretary24460918596348775277787097514222
Rene Smith
Assistant Treasurer160639326737848152594214220633
Steve Neorr
VP & Exec Director of THN2429827869818658174039134366875

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINE 6BTop 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.
SEVERANCE PAYMENTSCHEDULE J, PART I, LINE 4AKenneth Boggs received a severance payment of $246,005.76

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
North Carolina Medical Care Commission
A52130940265820HXQ12004-10-1947500000PURCHASE CAPITAL EQUIP WL BONDfalsetruefalse
North Carolina Medical Care Commission
B5213094022011-02-0960170000REFINANCED 1993 SERIES AND ISSUANCfalsetruefalse
North Carolina Medical Care Commission
C5213094026582OHJ872011-08-0347980000REFINANCED 2008 SERIES AND ISSUANCfalsetruefalse
North Carolina Medical Care Commission
D5213094022011-09-2150000000CONSTRUCTION OF PATIENT CARE FACILfalsetruefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00475000000008299758349490332762121255886402006truefalsetruetrue
B00625595120009595120006160000002011truefalsetruetrue
C00479800000001572290004782277102011truefalsetruetrue
D005000000000000050000000002011falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsetruetruetruefalse0falsefalsefalsetrue
Bfalsetruetruetruefalse0falsefalsefalsetrue
Cfalsetruetruetruefalse0falsefalsefalsetrue
Dfalsetruetruetruefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsefalsefalsefalsefalse0falsefalse
0
Bfalsefalsefalsefalsefalsefalsefalse0falsefalse
0
Cfalsefalsefalsefalsefalsefalsefalse0falsefalse
0
Dfalsefalsefalsefalsefalsefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse
Dfalse

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1North Carolina Medical Care CommissionBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
Date Issued2011-09-21DateIssued
Issue Price50000000IssuePrice
Description Of PurposeCONSTRUCTION OF PATIENT CARE FACILDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds50000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures50000000CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2011YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Henry Smith MD
Trustee21180Investor in JV owned by MCHfalse
John Campbell
Trustee454425Employed by Cone Healthtrue
M Lee McAllister
Trustee265946Owns space occupied by LeBauerfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CONFLICT OF INTEREST POLICYPART VI, SECTION B, LINE 12CBEFORE EVERY BOARD OR COMMITTEE MEETING THE CHAIR WILL ASK EVERY MEMBER TO REVIEW THE AGENDA AND TO DISCLOSE ANY AREA THAT THEY MAY HAVE A CONFLICT SO THAT THE DISCLOSURE IS COMPLETE PRIOR TO THE DISCUSSION.
DOCUMENTS AVAILABLE TO THE PUBLICPART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLIC RECORD AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. The quarterly and annual financial statements are also published on DAC and with the NMISRS.
DETERMINING COMPENSATION - CEO, EXECUTIVE DIRECTOR, OR MANAGEMENT OFFICIALPART VI, SECTION B. POLICIES, LN 15AThe CEO of the organization is employed and paid by a related entity. The related entity uses the following methods to establish compensation: Compensation committee; independent compensation consultant; written employment contract; compensation survey or study; and aprroval by the Board or compensation committee.
FORM 990 REVIEWPART VI, SECTION B, LINE 11BAn electronic version of the return will be made available 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 they may have.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESPART XI, LINE 9Contribution to Alamance Community & Health Foundation ($54,000,000) ------------- TOTAL CHANGE IN NET ASSETS OR FUND BALANCES ($54,000,000) =============
MANAGEMENT COMPANYPART VI, SECTION A, LINE 3Cone 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)and provide access to its purchasing contracts for their supply chain 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: $924,957.65 Terrance B. Akin, Chief Operating Officer: $583,123.87 Theresa Brodrick, Executive Vice President: $323,194.46
DETERMINING COMPENSATION - OFFICERS OR KEY EMPLOYEESPART VI, SECTION B. POLICIES, LN 15BOther officers of the organization are employed and paid by a related entity. The related entity 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. The HR Committee of the Board reviews and approves the overall salary increase that will be applied for the upcoming year. Then our HR department conducts an independent review of all Department Heads ("DH") and above employee's market data. Four different independent firms' data is looked at. The factors used are: -Job Title, Area (i.e. National, Regional, etc.), Scope, Revenue, FTE's and number of Beds. -The results are averaged and compared. The average to what the DH and above are currently making are reviewed to come up with a suggestion of what the DH and above salary should be for the coming year. -The results for each Key Employee are reviewed and approved by their superior, who then reviews each with the team of Executive Vice Presidents for their approval.
Significant Changes to Governing DocumentsPart VI, Section A, Line 4The following changes were made to the Bylaws: 1. The Bylaws were updated to reflect the addition of ARMC - ARMC and service area defined - ARMC added as a constituent entity 2. Supermajority numbers were updated to 16 of 22 Voting Trustees 3. 4 Alamance Trustees were added to the Board 4. 4 Community Trustees were added to represent ARMC 5. Community Trustees terms and re-election redefined 6. Officer Trustees and Community Trustees redefined to include ARMC/Reidsville Rockingham. - ARMC/Reidsville Trustees redefined as "Community Trustees" 7. Supermajority vote requirements defined for specific changes to Articles and Bylaws: - Governance documents cannot be amended without supermajority vote - Integration Agreement for ARMC cannot be amended without unanimous consent of Alamance Trustees. - After 2022, any ARMC protective provision may be amended or revoked by a majority vote of Board of Trustees and unanimous vote of alamance trustees.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TRIAD HEALTHCARE NETWORK LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 North Elm StreetAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
EIN300705058EIN
Primary ActivitiesPhysiciansPrimaryActivities
Legal Domicile StateNCLegalDomicileState
Total Income-5344808TotalIncome
EOY Assets-4558222EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MC PARENTBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Moses H Cone Memorial Hospital Oper Cor
1200 North Elm StreetGreensboroNC27401581588823OperationsNC501(C)(3)3MC PARENTtrue
Moses Cone Medical Services
1200 North Elm StreetGreensboroNC27401561714318PhysiciansNC501(C)(3)3MC PARENTtrue
Moses Cone Physician Services Inc
1200 North Elm StreetGreensboroNC27401800249057PhysiciansNC501(C)(3)3MC PARENTtrue
Moses Cone Affiliated Physicians
1200 North Elm StreetGreensboroNC27401300554775PhysiciansNC501(C)(3)3MC PARENTtrue
Reidsville OB & GYN
1200 North Elm StreetGreensboroNC27401800217430PhysiciansNC501(C)(3)3MC Affil Phytrue
MC - WL Community Health Foundation
1200 North Elm StreetGreensboroNC27401562001399FundingNC501(C)(3)11BNAfalse
ARMC Health Care
1240 Huffman Mill RdBurlingtonNC27215581681363OPERATIONSNC501(C)(3)11BMC PARENTtrue
Alamance Regional Medical Center
1240 Huffman Mill RdBurlingtonNC27215560529994OperationsNC501(C)(3)3ARMC HCtrue
Alamance Extended Care
1240 Huffman Mill RdBurlingtonNC27215581681364L-T CareNC501(C)(3)9ARMC HCtrue
Alamance Regional Medical Center Foundat
1240 Huffman Mill RdBurlingtonNC27215561681560FundingNC501(C)(3)11BARMC HCtrue
Alamance Community & Health Foundation
1240 Huffman Mill RdBurlingtonNC27215462505818FundingNC501(C)(3)11BMC PARENTtrue
PACE of Southern Piedmont Inc
1200 North Elm StreetGreensboroNC27401274683614OPERATIONSNC501(C)(3)3MC Operatingtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
WLCHS POB LLC
1200 North Elm StreetGreensboroNC27401561651736Real EstateNCWLCHS IncN/Afalsetrue
CDC LLC
1200 North Elm StreetGreensboroNC27401383707960PhysiciansNCMC Med SvcsN/Afalsetrue
Mebane Medical Investors LLC
10350 Ormsby Park Pl Ste 300LouisvilleKY40223560529994Real EstateKYARMC HCN/Afalsetrue
NSC GREENSBORO WEST LLC
1200 North Elm StreetGreensboroNC27401PHYSICIANSNCMC Med SvcsN/Afalsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 North Elm StreetAddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
EIN561441377EIN
Primary ActivityMedical ServicesPrimaryActivity
Legal Domicile StateNCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ParentBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income9472570ShareOfTotalIncome
Share Of EOY Assets14688980ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Alamance Community & Health Foundation
b54000000Cash
Moses H Cone Memorial Hospital Oper Corp
j26178019Cost
Moses Cone Medical Services
j1073302Cost
CDC LLC
j212434Cost
Moses H Cone Memorial Hospital Oper Corp
o709690Cost
Moses H Cone Memorial Hospital Oper Corp
p9587533Cost
Moses Cone Medical Services
p2778034Cost
Moses H Cone Memorial Hospital Oper Corp
q1436260Cost
Moses Cone Medical Services
q216917Cost
Moses Cone Physician Services Inc
q414824Cost
Moses Cone Affiliated Physicians
q845044Cost