2014-08-15T10:02:11-05:00 2013-09-30 PRICEWATERHOUSECOOPERS LLP 800 GREEN VALLEY ROAD SUITE 500 GREENSBORO NC 27408 990 2012-10-01 560532302 THE MOSES H CONE MEMORIAL HOSPITAL % JEFFREY JONES MOSE 3368327000 1200 NORTH ELM STREET Suite GREENSBORO NC 27401 Jeffrey Jones 3368327791 2014-08-13 true 3366652700 2012 2015-11-30 17:44:51Z JEFFREY JONES 1200 NORTH ELM STREET GREENSBORO NC 27401 291338199 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 23 15 91 0 0 275 25212590 28913211 76236463 37029041 994079 454331 102443132 66396858 551237 1010250 0 0 3782454 7163076 0 0 0 55967614 61519655 60301305 69692981 42141827 -3296123 1141008738 1089568779 504455814 489564921 636552924 600003858 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 29978558 1010250 Support of Moses Cone Health System Operations. 17418402 27449642 Hold properties used for Moses Cone Health System operations. 8692773 Hold debt and investments for Moses Cone Health System. 7151559 1463569 Support of New Physician Practices 7151559 1463569 63241293 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 true true false false false false true true true true false false true 57 0 true 91 false false false false false false X 23 15 false true true 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 X Louise F Brady X JANICE G BREWINGTON PHD X John F Campbell MD 40.0 X 419942 34484 Edward F Cone X Dwight M Davidson III X Henry E Frye X Allen Gant Jr X Michelle Gethers-Clark X Nancy G Hemric X Deborah Hooper X X FD Hornaday X X J Wayne Keeling MD X J Edward Kitchen X David F Leeper X James H Maxwell MD X M Lee McAllister X Chapman McQueen MD X Henry WB Smith III MD X William R Soles Jr X Peter W Whitfield MD X Terrance B Akin 40.0 X 942789 28842 Andrew Barrow 40.0 X 161397 7553 Kenneth Boggs 40.0 X 703837 41576 Theresa Brodrick 40.0 X 537454 33121 Noel F Burt 40.0 X 609730 36867 Wendi Carroll 40.0 X 173046 6085 Timothy J Clontz 40.0 X 388188 37337 Marva Jarman 40.0 X 210351 4280 Jeffrey Jones 40.0 X David Kitzmiller 40.0 X 164610 27887 John M Miller 40.0 X 330903 44798 R Timothy Rice 40.0 X 2072405 37533 James Roskelly 40.0 X 453509 42804 Judith A Shanel 40.0 X 479347 34875 Rene Smith 40.0 X 201160 19473 Steve Neorr 40.0 X 340338 26537 671241 7517765 464052 2 false true false Brasfield Gorrie LLC 3021 7th Avenue BIRMINGHAM AL 35233 Facility Planning 53065849 D L Construction 1301 Carolina St Suite 115 GREENSBORO NC 27401 Facility Planning 5007588 Carolina Income Properties X LLC 16 South Main Street LEXINGTON NC 27293 Facility Planning 799507 Hammes Company Healthcare LLC 18000 W Sarah Lane Suite 250 BROOKFIELD WI 53045 Facility Planning 669181 Rivers Edge Design LLC 6629 Old US Hwy 421 EAST BEND NC 27018 Facility Planning 570348 14 275 275 RENTAL INCOME 531120 27449642 27449642 SERVICES TO PHYSICIANS 531120 1130534 1130534 SERVICES TO EMPLOYEES 531120 333035 333035 28913211 10453933 10453933 0 0 0 0 0 249306774 2209674 223001404 1939937 26305370 269737 26575108 26575108 0 0 0 Incentives from Financial Institutions 900099 336393 336393 Escheats 900099 102938 102938 Services to Affiliated Organizations 900099 15000 15000 454331 66396858 29367542 37029041 1010250 1010250 0 0 0 310720 279648 31072 0 4990392 4491353 499039 335360 301824 33536 1094742 985268 109474 431862 388676 43186 2587774 2328997 258777 1309891 1178902 130989 320695 288625 32069 0 0 3542869 3188582 354287 2489600 2240640 248960 1335239 1201715 133524 176117 158505 17612 559926 503934 55993 0 233404 210064 23340 91117 82005 9112 0 0 6248411 5623570 624841 9598797 8638917 959880 27602839 24842555 2760284 14 13 1 BAD DEBT WRITE OFF 4165840 4165840 Recruitment and Retention 762775 686498 76278 ORGANIZATION MEMBERSHIPS 231500 208350 23150 Taxes & Licensure 179494 161545 17949 83353 75017 8335 69692981 63241293 6451688 0 6657029 1361078 4246946 1508565 0 0 0 0 0 0 0 0 8600609 11091624 0 0 304071 196236 853514870 362080090 448475167 491434780 397248784 357366817 238643002 222459929 0 0 778815 778815 36054315 3370935 1141008738 1089568779 2225496 2276108 0 0 60000 0 292370000 245730000 0 0 0 0 65590806 141120000 0 0 144209512 100438813 504455814 489564921 X 636552924 600003858 0 0 0 0 636552924 600003858 1141008738 1089568779 X -3296123 20747057 -54000000 X false true X true false X X X false false false The Moses H Cone Memorial Hospital Operating Corporation 581588823 03 true true true 26660863 ALAMANCE REGIONAL MEDICAL CENTER INC 560529994 03 true true true 1000000 Moses Cone Medical Services Corp 561714318 03 true true true 2900576 Moses Cone Physician Services Inc 800249057 03 true true true 414824 Moses Cone Affiliated Physicians Inc 300554775 03 true true true 845044 Reidsville OB & GYN Inc 800217430 03 true true true 44410 6 31865717 26904750 26904750 691466661 272164440 419302221 3288522 3250003 38519 108514463 77966946 30547517 23340474 8698701 14641773 491434780 222459929 C 222459929 0 INTEREST PAYABLE 1766234 SWAP HEDGE - BOND PREMIUM DISC 14789190 INTERCOMPANY PAYABLES 83683900 DEFERRED COMPENSATION LIABILITY 199490 100438813 65668418 65668418 728440 728440 66396858 63619731 63619731 6073250 6073250 69692981 OTHER REVENUE NOT ON LINE 1 SCHEDULE D, PART XI, LINE 4B GAIN/LOSS ON SALE OF EQUIPMENT $ 269,738 OPERATING REVENUE FROM TRIAD HEALTH NETWORK $ 458,703 ---------- TOTAL $ 728,440 OTHER AMOUNTS NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B GAIN/LOSS ON SALE OF EQUIPMENT $ 269,738 OPERATING EXPENSES FROM TRIAD HEALTH NETWORK $ 5,803,512 ----------- TOTAL $ 6,073,250 false US Department of the Interior Blue Ridge Parkway-National Park Se 199 Hemphill Knob Rd Asheville NC 28803 999999999 NA 10000 Alamance Regional Medical Center Inc 1240 Huffman Mill Road Burlington NC 27215 560529994 501(c)3 1000000 2 2 X X X X X true false false false false false true false false John F Campbell MD 259098 94135 66709 26574 7910 454426 Terrance B Akin 461878 400236 80675 14362 14480 971631 Andrew Barrow 135427 16952 9018 3973 3580 168950 Kenneth Boggs 362675 255793 85369 33862 7714 745413 Theresa Brodrick 256294 216093 65067 23218 9903 570575 Noel F Burt 307549 247362 54819 27871 8996 646597 Wendi Carroll 144782 26814 1450 1590 4495 179131 Timothy J Clontz 213090 110878 64220 33664 3673 425525 Marva Jarman 159888 49055 1408 1094 3186 214631 David Kitzmiller 101369 40849 22392 23233 4654 192497 John M Miller 208920 94124 27859 27859 16939 375701 R Timothy Rice 752103 1134569 185733 26537 10996 2109938 James Roskelly 253468 123737 76304 34948 7856 496313 Judith A Shanel 244609 185963 48775 27778 7097 514222 Rene Smith 160639 32673 7848 15259 4214 220633 Steve Neorr 242982 78698 18658 17403 9134 366875 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. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A Kenneth Boggs received a severance payment of $246,005.76 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 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 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 false false false true B false true true true false 0 false false false true C false true true true false 0 false false false true D false true true true false 0 false false false true A false false false false false false 0 false 0 false false B false false false false false false 0 false 0 false false C false false false false false false 0 false 0 false false D false false false false false false 0 false 0 false false A false B false C false D false A North Carolina Medical Care Commission 521309402 2011-09-21 50000000 CONSTRUCTION OF PATIENT CARE FACIL false true false A 0 0 50000000 0 0 0 0 0 0 50000000 0 0 2011 false false true true A false true true true false 0 false false false true A false false false false false false 0 false 0 false false A false Henry Smith MD Trustee 21180 Investor in JV owned by MCH false John Campbell Trustee 454425 Employed by Cone Health true M Lee McAllister Trustee 265946 Owns space occupied by LeBauer false 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 THAT THEY MAY HAVE A CONFLICT SO THAT THE DISCLOSURE IS COMPLETE PRIOR TO THE DISCUSSION. DOCUMENTS AVAILABLE TO THE PUBLIC PART VI, SECTION C, LINE 19 THE 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 OFFICIAL PART VI, SECTION B. POLICIES, LN 15A The 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 REVIEW PART VI, SECTION B, LINE 11B An 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 BALANCES PART XI, LINE 9 Contribution to Alamance Community & Health Foundation ($54,000,000) ------------- TOTAL CHANGE IN NET ASSETS OR FUND BALANCES ($54,000,000) ============= 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)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 EMPLOYEES PART VI, SECTION B. POLICIES, LN 15B Other 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 Documents Part VI, Section A, Line 4 The 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. TRIAD HEALTHCARE NETWORK LLC 1200 North Elm Street Greensboro NC 27401 300705058 Physicians NC -5344808 -4558222 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 9472570 14688980 1.00000 true false true false false false false false false false true false false false true true true true false false Alamance Community & Health Foundation b 54000000 Cash Moses H Cone Memorial Hospital Oper Corp j 26178019 Cost Moses Cone Medical Services j 1073302 Cost CDC LLC j 212434 Cost Moses H Cone Memorial Hospital Oper Corp o 709690 Cost Moses H Cone Memorial Hospital Oper Corp p 9587533 Cost Moses Cone Medical Services p 2778034 Cost Moses H Cone Memorial Hospital Oper Corp q 1436260 Cost Moses Cone Medical Services q 216917 Cost Moses Cone Physician Services Inc q 414824 Cost Moses Cone Affiliated Physicians q 845044 Cost