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MOSES H CONE MEMORIAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MOSES H CONE MEMORIAL HOSPITAL (EIN 56-0532302)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201332279349304353
Schema version
2011v1.5
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)
Timestamp2013-08-15T17:11:46-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJeffrey JonesName
TitleCFOTitle
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3366652700Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts610136869GrossReceipts
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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees30TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24706004ProgramServiceRevenuePriorYear
Program Service Revenue CY25212590ProgramServiceRevenueCY
Investment Income Prior Year10928898InvestmentIncomePriorYear
Investment Income Current Year76236463InvestmentIncomeCurrentYear
Other Revenue Prior Year1750799OtherRevenuePriorYear
Other Revenue Current Year994079OtherRevenueCurrentYear
Total Revenue Prior Year37385701TotalRevenuePriorYear
Total Revenue Current Year102443132TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY551237GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2003873SalariesEtcPriorYear
Salaries Etc Current Year3782454SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44572423OtherExpensePriorYear
Other Expenses Current Year55967614OtherExpensesCurrentYear
Total Expenses Prior Year46576296TotalExpensesPriorYear
Total Expenses Current Year60301305TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9190595RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42141827RevenuesLessExpensesCY
Total Assets BOY980843587TotalAssetsBOY
Total Assets EOY1141008738TotalAssetsEOY
Total Liabilities BOY394680729TotalLiabilitiesBOY
Total Liabilities EOY504455814TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY586162858NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY636552924NetAssetsOrFundBalancesEOY
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
Expense17740886Expense
Revenue25212590Revenue
DescriptionHold properties used for Moses Cone Health System operations.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense20479976Expense
Grants546237Grants
DescriptionSupport of Moses Cone Health System Operations.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8189358Expense
DescriptionHold debt and investments for Moses Cone Health System.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense3886533Expense
Grants5000Grants
Revenue730071Revenue
DescriptionSupport of New Physician PracticesDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp3886533TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt5000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev730071TotalOfOtherProgramServiceRev
Total Program Service Expense50296753TotalProgramServiceExpense
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees30NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
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 ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
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 Number3368327000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 NORTH ELM STREETAddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Louise F Brady
Trustee0.0X
JANICE G BREWINGTON PHD
Trustee0.0X
John F Campbell MD
Trustee0.0X033516946430
Edward F Cone
Trustee0.0X
Jacob B Balsley
Trustee0.0X
Michelle Gethers-Clark
Trustee0.0X
Dwight M Davidson III
Trustee0.0X
J Edward Kitchen
Trustee0.0X
Henry E Frye
Trustee0.0X
Florence F Gatten
Trustee0.0X
J Wayne Keeling MD
Trustee0.0X
James H Maxwell MD
Trustee0.0X
David F Leeper
Trustee0.0X
M Lee McAllister
Trustee0.0X
Henry WB Smith III MD
Trustee & Chairman0.0XX
William R Soles Jr
Trustee0.0X
Deborah Hooper
Trustee0.0X
James K Weeks PhD
Trustee & Vice Chairman0.0XX
Peter W Whitfield MD
Trustee0.0X
R Timothy Rice
President & CEO0.00132894143434X
Terrance B Akin
COO & Secretary0.0067367834725X
Kenneth Boggs
Chief Financial Officer0.0044446144852X
Timothy J Clontz
Exec VP & Asst Sec0.0033139449018X
Noel F Burt
Chief HR Officer&Asst. Sec0.0042954945398X
James Roskelly
VP & Asst. Secretary0.0037049354702X
Marva Jarman
Asst. Treasurer0.00178183952X
David Kitzmiller
Assistant Treasurer0.0013564522646X
Rene Smith
Assistant Treasurer0.0017876517490X
Wendi Carroll
Assistant Treasurer0.01558693903X
Judith A Schanel
VP & Asst. Secretary0.0030303946833X
Theresa Brodrick
Exec VP & Asst. Secretary0.0024270434366X
John M Miller
Treasurer & CIO0.0020572120404X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5313611TotalReportableCompFrmRltdOrgs
Total Other Compensation465153TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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 Planning30133238
D L Construction
1301 Carolina St Suite 115GREENSBORONC27401Facility Planning1816000
Rivers Edge Design LLC
6629 Old US Hwy 421EAST BENDNC27018Facility Planning1049872
Quixote Group LLC
3107 Brassfield Road Suite 100GREENSBORONC27410Marketing Strategies746641
Gresham Smith Partners
511 Union St Suite 1400NASHVILLETN37219Facility Planning498368
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRental IncomeDescription
Business Code531120BusinessCode
Total Revenue Column25212590TotalRevenueColumn
Related Or Exempt Function Income25212590RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25212590TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13530872TotalRevenueColumn
Exclusion$13,530,872ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities570399328Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities506981703Securities
Other712034Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities63417625Securities
Other-712034Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column62705591TotalRevenueColumn
Exclusion$62,705,591ExclusionAmount

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
Services to Affiliated Organizations900099730071730071
INCENTIVES900099225805225805
Membership fees in ACO9000993060030600

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7603TotalRevenueColumn
Related Or Exempt Function Income5503RelatedOrExemptFunctionIncome
Exclusion$2,100ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue994079TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column102443132TotalRevenueColumn
Related Or Exempt Function Income26204569RelatedOrExemptFunctionIncome
Exclusion$76,238,563ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total551237Total
Program Services551237ProgramServices

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2973560Total
Program Services2676204ProgramServices
Management And General297356ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total168558Total
Program Services151702ProgramServices
Management And General16856ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total455286Total
Program Services409757ProgramServices
Management And General45529ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total185050Total
Program Services166545ProgramServices
Management And General18505ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1740053Total
Program Services1566048ProgramServices
Management And General174005ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total513281Total
Program Services461953ProgramServices
Management And General51328ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total174151Total
Program Services156736ProgramServices
Management And General17415ManagementAndGeneral

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)
Total2797154Total
Program Services2517439ProgramServices
Management And General279715ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1357498Total
Program Services1221748ProgramServices
Management And General135750ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2019200Total
Program Services1817280ProgramServices
Management And General201920ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total126992Total
Program Services114293ProgramServices
Management And General12699ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total455193Total
Program Services409674ProgramServices
Management And General45519ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total197320Total
Program Services177588ProgramServices
Management And General19732ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total38469Total
Program Services34622ProgramServices
Management And General3847ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6221063Total
Program Services5598957ProgramServices
Management And General622106ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total8783245Total
Program Services7904921ProgramServices
Management And General878324ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24888086Total
Program Services22399277ProgramServices
Management And General2488809ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total165Total
Program Services148ProgramServices
Management And General17ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Utilities19720177481972
Recruitment66758760082866759
TAX EXPENSE25709423138325711
STAFF/PATIENT/PHYSICIAN ED12188281096945121883

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4492515Total
Program Services13720ProgramServices
Management And General4478795ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60301305Total
Program Services50296753ProgramServices
Management And General10004552ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6658586BOY
EOY6657029EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY298061BOY
EOY4246946EOY

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)
BOY6412938BOY
EOY8600609EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY201502BOY
EOY304071EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis784233486LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec335758319LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY388303961BOY
EOY448475167EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY474028509BOY
EOY397248784EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY99582163BOY
EOY238643002EOY

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)
BOY4579052BOY
EOY36054315EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY980843587BOY
EOY1141008738EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7901238BOY
EOY2225496EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2044900BOY
EOY60000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY292745000BOY
EOY292370000EOY

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)
BOY65963992BOY
EOY65590806EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26025599BOY
EOY144209512EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY394680729BOY
EOY504455814EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY586162858BOY
EOY636552924EOY

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)
BOY586162858BOY
EOY636552924EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY980843587BOY
EOY1141008738EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses42141827ReconcilationRevenueExpenses
Reconcilation Other Changes8248239ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
58158882303truetruetrue$3,460,641
MOSES CONE MEDICAL SERVICES INC
5617143180truetruetrue$1,430,610
MOSES CONE PHYSICIAN SERVICES INC
80024905703truetruetrue$675,339
MOSES CONE AFFILIATED PHYSICIANS INC
30055477503truetruetrue$775,898
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts6342488SumOfAmounts

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis24595719OtherCostOrOtherBasis
Book Value24595719BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis566864222OtherCostOrOtherBasis
Depreciation249170606Depreciation
Book Value317693616BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3257633OtherCostOrOtherBasis
Depreciation3246713Depreciation
Book Value10920BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98265036OtherCostOrOtherBasis
Depreciation74870345Depreciation
Book Value23394691BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis91250876OtherCostOrOtherBasis
Depreciation8470655Depreciation
Book Value82780221BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings448475167TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value238643002BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities238643002TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Interest Payable$1,691,074
Swap Hedge - Bond Premium Disc$23,114,055
INTERCOMPANY PAYABLES$119,404,383
FieldValueIRS element (for citing)
Total Of Amounts144209512TotalOfAmounts
Total Revenue102443132TotalRevenue
Total Expenses60301305TotalExpenses
Excess Or Deficit For Year42141827ExcessOrDeficitForYear
Net Unrealized GL On Investments8248240NetUnrealizedGLOnInvestments
Total Adjustments8248240TotalAdjustments
Excess Or Deficit Per FS50390067ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt103124566TotRevenueEtcAuditedFinclStmt
Revenue Subtotal103124566RevenueSubtotal
Other Revenues Not Included-681434OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-681434RevenueNotRptdOnFinStmt
Total Revenue Per Form990102443132TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt60982739TotExpensesEtcAuditedFinclStmt
Expenses Subtotal60982739ExpensesSubtotal
Other Expenses Not Included-681434OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-681434ExpensesNotRptdOnFinStmt
Total Expenses Per Form99060301305TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER REVENUE NOT ON LINE 1SCHEDULE D, PART XII, LINE 4BGAIN/LOSS ON SALE OF EQUIPMENT $ (712,034) MEMBERSHIP FEES IN ACO $ 30,600 ------------ TOTAL (681,434) ============
OTHER EXPENSES NOT ON RETURNSCHEDULE D, PART XIII, LINE 4BGAIN/LOSS ON SALE OF EQUIPMENT $ (712,034) MEMBERSHIP FEES IN ACO $ 30,600 ------------ TOTAL $ (681,434) ============

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAddress Line2AddressUS/AddressLine2Amount Of Cash GrantAmountOfCashGrant
Guilford Child Health
1046 E Wendover AveGreensboroNC274056712043726317501(c)3475487Book ValueInvestment in JV
Nat Greene Kiwanis Foundation
3625 North Elm StreetGreensboroNC27455261079240501(c)3Suite 100-A40000
US Department of the Interior
Blue Ridge Parkway-National Park SeAshevilleNC28803999999999NA199 Hemphill Knob Rd30000
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
John F Campbell MD
023880283333130354257338570381599
R Timothy Rice
0755536436356137049434023201372375
Terrance B Akin
04353171825705579134710150708403
Kenneth Boggs
031633172938551914485200489313
Timothy J Clontz
020918375744464684531637020380412
Noel F Burt
0281886101938457264333920590474947
James Roskelly
023318987837494674963350690425195
Marva Jarman
015635320262156895200179135
David Kitzmiller
01152611701333712264600158291
Rene Smith
0156438217925351435231380196255
Wendi Carroll
1392431637025615562347159772
Judith A Schanel
021651746715398074321236210349872
Theresa Brodrick
018511530000275893436600277070
John M Miller
017704315000136791898714170226125

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION CONTINGENT ON NET EARNINGSIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 6BReturnReference
ExplanationTop paid employees 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
52130940265820HXQ12004-10-1947500000PURCHASE CAPITAL EQUIP WL BONDfalsetruefalse
NORTH CAROLINA MEDICAL CARE COMMISSION
5213094029999999992011-02-0960170000REFINANCED 1993 SERIES AND ISSUANCfalsetruefalse
NORTH CAROLINA MEDICAL CARE COMMISSION
5213094026582OHJ872011-08-0347980000REFINANCED 2008 SERIES AND ISSUANCfalsetruefalse
NORTH CAROLINA MEDICAL CARE COMMISSION
5213094029999999992011-09-2150000000CONSTRUCTION OF PATIENT CARE FACILfalsetruefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount 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
0047500000000829975834949033276212002006truefalsetruetrue
0062559512000959512000002011truefalsetruetrue
0047980000000157229000002011truefalsetruetrue
005000000000000048032609019673912011falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruefalse0.000000.000000.00000true
falsetruetruetruefalse0.000000.000000.00000true
falsetruetruetruefalse0.000000.000000.00000true
falsetruetruetruefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalsefalsefalse0falsefalse
0
falsefalsefalsefalsefalsefalse0falsefalse
0
falsefalsefalsefalsefalsefalse0falsefalse
0
falsefalsefalsefalsefalsefalse0falsefalse

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
CUSIP Number999999999CUSIPNumber
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)
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 Expenditures22158140CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent27841860AmountUnspent
Year Of Subst Completion2011YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
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)
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Louise Brady
Trustee245240Spouse's firm is major vendorfalse
John Cambell
Trustee381599Employed by MCHS; Top 5 paidfalse
James Maxwell
Trustee281286Trustee owns share of Greensbofalse
M Lee McAllister
Trustee256690Partner in Weaver Investments;false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 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.
COMPENSATION POLICYPART VI, SECTION B, LINE 15THE HR COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW. MARKET DATA IS OBTAINED FROM AN OUTSIDE FIRM, AND COMPARED TO TOTAL COMPENSATION PAID. THE HR COMMITTEE DOES A PERFORMANCE REVIEW OF BASE PERFORMANCE AND EXECUTIVE PAY. THEN THE HR COMMITTEE MAKES A RECOMMENDATION TO THE FULL BOARD, WHICH THEN VOTES ON THE CEO PAY PACKAGE.
FORM 990 REVIEWPART VI, SECTION B, LINE 11BTHE BOARD OF TRUSTEES APPROVED THE AUDIT AND FINANCE COMMITTEE AS THE GOVERNING BODY TO REVIEW THE ENTIRE FORM 990 DOCUMENT. THE FORM 990 DOCUMENTS ARE MADE AVAILABLE TO EVERY BOARD MEMBER.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESPART XI, LINE 5NET UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ 8,248,239 ------------- TOTAL CHANGE IN NET ASSETS OR FUND BALANCES $ 8,248,239 =============
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:John F. Campbell, M.D. TITLE:Trustee HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:R. Timothy Rice TITLE:President & CEO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Terrance B. Akin TITLE:COO & Secretary HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Kenneth Boggs TITLE:Chief Financial Officer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Timothy J. Clontz TITLE:Exec VP & Asst Sec HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Noel F. Burt TITLE:Chief HR Officer&Asst. Sec HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:James Roskelly TITLE:VP & Asst. Secretary HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Marva Jarman TITLE:Asst. Treasurer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:David Kitzmiller TITLE:Assistant Treasurer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Rene Smith TITLE:Assistant Treasurer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Wendi Carroll TITLE:Assistant Treasurer HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Judith A. Schanel TITLE:VP & Asst. Secretary HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Theresa Brodrick TITLE:Exec VP & Asst. Secretary HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:John M. Miller TITLE:Treasurer & CIO HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Moses H Cone Memorial Hospital OP Corp
1200 North Elm StreetGreensboroNC27401581588823OperationsNC501(C)(3)3Parenttrue
Moses Cone Medical Services Inc
1200 North Elm StreetGreensboroNC27401561714318Medical SvcsNC501(C)(3)11DParenttrue
Moses Cone Physicians Services Inc
1200 North Elm StreetGreensboroNC27401800249057PhysiciansNC501(C)(3)3Parenttrue
Moses Cone Affiliated Physicians Inc
1200 North Elm StreetGreensboroNC27401300554775PhysiciansNC501(C)(3)3Parenttrue
Reidsville OB & GYN
1200 North Elm StreetGreensboroNC27401800217430PhysiciansNC501(C)(3)3MC Med Svcstrue
CONE HEALTH FOUNDATION
1200 north elm streetGreensboroNC27401562001399FundingNC501(C)(3)11BParenttrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
WLCHS POB LLC
1200 North Elm StreetGreensboroNC27401561651736Real EstateNCWLCHS IncEXCLUDED00falsefalse
CDC LLC
1200 North Elm StreetGreensboroNC274011020383707960PhysiciansNCMC Med SvcsRelated450922560919falsetrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Wesley Long Community Health Servces InBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 North Elm StreetAddressLine1
CityGreensboroCity
StateNCState
ZIP Code274011020ZIPCode
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 Income10954880ShareOfTotalIncome
Share Of EOY Assets12817494ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MOSES H CONE MEMORIAL OPERATING CORPORATION
I23917734LEASE REVENUE
MOSES CONE MEDICAL SERVICES INC
I1096535LEASE REVENUE
MOSES H CONE MEMORIAL OPERATING CORPORATION
O7213645OH ALLOCATION