2023-08-14T12:58:02-05:00 2022-09-30 PwC US Tax LLP 400 BELLEMEADE ST STE 402 GREENSBORO NC 27401 990 2021-10-01 581588823 MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION % ANDY BARROW MOSE 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 Andrew Barrow CFO 3368327000 2023-02-13 true Andrew Barrow 999009999 Caroline D Griffin P00960141 3366652700 3 2021 2023-04-26 12:10:37Z ANDY BARROW 1200 NORTH ELM STREET GREENSBORO NC 27401 1771291940 false X www.conehealth.com X 1985 NC WE SERVE OUR COMMUNITIES BY PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT, THROUGH EXCEPTIONAL PEOPLE DELIVERING EXCEPTIONAL CARE. 14 9 11715 301637 695885 36192540 53937860 1542028666 1579982761 -69093 -1601625 17447831 15464823 1595599944 1647783819 994914 1638007 0 0 726339677 766828100 0 0 0 768124602 843245306 1495459193 1611711413 100140751 36072406 1514115130 1450926626 305733429 208266226 1208381701 1242660400 WE SERVE OUR COMMUNITIES BY PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT, THROUGH EXCEPTIONAL PEOPLE DELIVERING EXCEPTIONAL CARE. false false 1450704071 1638007 1591479138 PROVISION OF HEALTHCARE SERVICES: DURING THE FISCAL YEAR, MOSES H. CONE MEMORIAL OPERATING SYSTEM HAD A TOTAL OF 42,446 PATIENT DISCHARGES, 227,392 DAYS OF CARE, 949,841 TOTAL OUTPATIENT AND TELEHEALTH VISITS AND AN AVERAGE DAILY CENSUS OF 623. 1450704071 true true false false false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false true false false false false true true true false false true X 1042 0 11715 true true true false false false false false false false false false false true X 14 9 false false false false false false false true true false false true true true true true true true true true true NC X X ANDY BARROW 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 Akin Terrence President & Chief Executive Of 40.0 0.0 X 3849703 0 84725 Cagle Mary Jo President & CEO 40.0 0.0 X X 2324056 0 81963 Jones Jeffrey Chief Financial Officer & Secr 40.0 0.0 X 1639725 0 18678 Swords Bruce Chief Physician 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Meador Joe Assistant Treasurer 40.0 0.0 X 298201 0 73556 Smith Rene' Assistant Treasurer 40.0 0.0 X 223480 0 28814 Evans Joan Chief of Staff 40.0 0.0 X 224847 0 23279 Haywood Mehee Assistant Treasurer 0.0 40.0 X 0 160007 77097 Kitzmiller David Assistant Treasurer 40.0 0.0 X 188582 0 40274 Adamolekun Michelle Executive VP & Assistant Secre 40.0 0.0 X 170970 0 39121 Johnson Julie Assistant Treasurer 40.0 0.0 X 125491 0 16401 Schanel Judith Chief Operating Officer 40.0 0.0 X 39371 0 0 Balsley III Jacob Trustee 0.0 0.0 X 0 0 0 Boylston MD Yun Trustee 0.0 0.0 X 0 0 0 Brandon MD Ashley Trustee 0.0 0.0 X 0 0 0 Campbell PhD Lenora Trustee 0.0 0.0 X 0 0 0 Cone Edward Trustee 0.0 0.0 X 0 0 0 Douglas Mae Chair, Trustee 0.0 0.0 X X 0 0 0 Gonzalez Maria Trustee 0.0 0.0 X 0 0 0 Hayes William Trustee 0.0 0.0 X 0 0 0 Hornday FD Trustee 0.0 0.0 X 0 0 0 Maxwell MD James Vice Chair, Trustee 0.0 0.0 X X 0 0 0 Samet Arthur Trustee 0.0 0.0 X 0 0 0 Simms Carole Trustee 0.0 0.0 X 0 0 0 Stringer MD Arthur 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30, 2022 AND 2021, THE HEALTH SYSTEM HAD NO UNCERTAIN TAX POSITIONS UNDER FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES, REQUIRING ADJUSTMENTS TO ITS CONSOLIDATED FINANCIAL STATEMENTS. THE HEALTH SYSTEM DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT 12 MONTHS. true true X true X true X true true false true true 59855300 59855300 0.03710 224442287 200743120 23699168 0.01470 590044184 454935556 135108628 0.08380 874341771 655678676 218663096 0.13560 1565553 1565553 0.00100 7456928 7456928 0.00460 848298 848298 0.00050 9870779 9870779 0.00610 884212550 655678676 228533875 0.14170 747945 747945 0.00050 817608 817608 0.00050 1565553 1565553 0.00100 true 145626778 28135667 454935556 590044184 -135108628 X Randolph Cancer Ctr Provision of Cancer Care 0.4 Guilf Adult Health Care to Disadvantaged 0.5 Advanced Homecare Home Health Care 0.3473 Pace of GuilfordRoc Home Health Care 0.255 5 1 Moses H Cone Memorial Hospital 1200 North Elm Street Greensboro NC 274011004 www.conehealth.com X X X X General Service Hospital A 2 Wesley Long Community Hospital 501 North Elam Avenue Greensboro NC 274031118 www.conehealth.com X X X X General Service Hospital A 3 Women's Hospital of Greensboro 801 Green Valley Road Greensboro NC 274087021 www.conehealth.com X X Maternity and Infant Care A 4 Annie Penn Hospital 618 South Main Street Reidsville NC 273205020 www.conehealth.com X X X X General Service Hospital A 5 Behavioral Health Hospital 700 Walter Reed Drive Greensboro NC 27403 www.conehealth.com X Psychiatric Care Hospital A A 5 false false true X X X X X X X X X 19 true true true true X www.conehealth.com X true 21 true www.conehealth.com false true X 200. 0. X X X X X true true X X X true X www.conehealth.com X www.conehealth.com X www.conehealth.com X X X X X X true X false X X X X X true X false false COMMUNITY INPUT FORM 990, SCH H, PT V, SEC B, LINE 5-FACILITY 1 CONE HEALTH'S MOST RECENT COMMUNITY HEALTH ASSESSMENT (2022) DRAWS ON THE TALENTS OF DATA ANALYSTS, COMMUNITY, LEADERS, ACTIVISTS, RESEARCHERS, PRACTITIONERS, AND LOCAL RESIDENTS. ALONGSIDE OUR REGIONAL ASSESSMENT, CONE HEALTH HELPS TO CONVENE AND LEAD CHA TEAMS IN ALAMANCE, GUILFORD, AND ROCKINGHAM COUNTIES. CONE HEALTH CREATES A PARTICIPATORY PROCESS THAT REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING PEOPLE WITH PUBLIC HEALTH EXPERTISE, MEDICALLY UNDERSERVED INDIVIDUALS, LOW- INCOME INDIVIDUALS, AND PEOPLE OF COLOR. EACH COUNTY OFFERS THEIR OWN APPROACH. ALAMANCE COUNTY'S COMMUNITY ASSESSMENT TEAM ADOPTED A COMMUNITY-BASED PARTICIPATORY RESEARCH APPROACH, WHICH MORE EXPLICITLY SHARES THE POWER OF DATA COLLECTION AND INTERPRETATION WITH GROUPS WHO HAVE TRADITIONALLY BEEN EXCLUDED FROM THESE PROCESSES. THE GUILFORD ASSESSMENT TEAM DESIGNED THE ASSESSMENT AS "A DEEPER DIVE" INTO THEIR PRIORITY AREAS, BY COLLECTING SECONDARY DATA, CONDUCTING A KEY INFORMANT SURVEY, AND HOLDING FOUR HALF-DAY COMMUNITY WORKSHOPS WITH SERVICE PROVIDERS AND PEOPLE AFFECTED BY THE ISSUES. ROCKINGHAM COUNTY'S COMMUNITY HEALTH ASSESSMENT ADVISORY GROUP CONDUCTED A 50-QUESTION DOOR-TO-DOOR SURVEY OF A REPRESENTATIVE SAMPLE OF 169 RESIDENTS, AND CONDUCTED FOCUS GROUPS WITH OVER 60 PEOPLE REPRESENTING AFRICAN AMERICAN MEN AND WOMEN; HIGH SCHOOL STUDENTS; AT- RISK YOUTH AND YOUNG ADULTS; BUSINESS COMMUNITY; FAITH COMMUNITY; HISPANIC MEN AND WOMEN; HOMELESS CITIZENS; PARKS AND RECREATION; MENTAL HEALTH/SUBSTANCE ABUSE SERVICES RECIPIENTS; UNEMPLOYED RESIDENTS; VETERANS; AND PARENTS OF SCHOOL-AGED CHILDREN. JOINT CHNA DETAIL FORM 990, SCH H, PT V, SEC B, LINE 6A-FACILITY 1 THE ASSESSMENT TEAM WAS COMPRISED OF REPRESENTATIVES FROM WAKE HEALTH HIGH POINT REGIONAL MEDICAL CENTER (HIGH POINT, NC), UNC ROCKINGHAM HOSPITAL (EDEN, NC), ALAMANCE REGIONAL MEDICAL CENTER (BURLINGTON, NC). CHNA ONE OR MORE ORG FORM 990, SCH H, PT V, SEC B, LINE 6B-FACILITY 1 ASSESSMENT PARTNERS INCLUDED REPRESENTATIVES FROM A NUMBER OF COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND LOCAL HEALTH DEPARTMENTS FROM EACH COUNTY IN THE CONE HEALTH FOOTPRINT. CHNA SIGNIFICANT NEEDS FORM 990, SCH H, PT V, SEC B, LINE 11-FACILITY 1 AREAS OF PRIORITY, PER THE 2022 CONE HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT, OFFERS A BOLD STEP TOWARD OFFERING A COMBINATION OF IMMEDIATE REMEDIES AND AUDACIOUS GOALS. THROUGH PARTNERSHIPS AND COMMUNITY COLLABORATIONS, CONE HEALTH WILL DELIVER HOLISTIC TREATMENT AND UPSTREAM PREVENTION OF CHRONIC DISEASE, ESPECIALLY DIABETES AND HEART DISEASE, ENSURE ACCESS TO APPROPRIATE BEHAVIORAL HEALTH (BH) SERVICES, PROVIDE HEALTHCARE THAT IS AVAILABLE, ACCESSIBLE, AND AFFORDABLE, PROMOTE HEALTHY LIVING CONDITIONS BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND ELIMINATE BIAS AND DISCRIMINATION TO BUILD TRUST WITH PATIENTS AND COMMUNITY. OUR COLLECTIVE ABILITY TO COMBAT CHRONIC DISEASE AND PROMOTE WELLNESS THROUGH A COMPREHENSIVE AND COORDINATED NETWORK THAT PROVIDES RESOURCES, SUPPORT, EDUCATION, AND SAFE LIVING CONDITIONS IS THE KEYSTONE FOR TRANSFORMATION FROM EPISODIC SICK CARE TO A VALUE-BASED SYSTEM OF CARE. A HEALTH SYSTEM THAT IS OPTIMIZED TO REDUCE CHRONIC DISEASE RECOGNIZES THE NECESSITY TO REMOVE THE BARRIERS TO CARE. THIS INVOLVES AN INDIVIDUALIZED APPROACH THAT MEETS THE PATIENTS WHERE THEY ARE, AS WELL AS SYSTEMIC SOLUTIONS THAT HELP PEOPLE WITH ACCESSIBILITY, AVAILABILITY AND AFFORDABILITY OF THE HEALTH CARE THAT ALLOWS THEM TO TAKE ACTION TO REDUCE THEIR RISK OF CHRONIC DISEASE, INCLUDING ATTENTION TO MENTAL HEALTH, DISPARITIES IN HEALTH AND THE SOCIAL NEEDS THAT ARE BARRIERS TO HEALTH. PRE-COLLECTION PRACTICES FORM 990, SCH H, PT V, SEC B, LINE 20E-FACILITY 1 THE HOSPITAL MAINTAINS A HARDSHIP SETTLEMENT POLICY WHICH PROVIDES AN OPPORTUNITY FOR PATIENTS TO REQUEST DISCOUNTS ON BALANCES DUE TO THE HOSPITAL IN EXCESS OF $5,000. THE PURPOSE OF THIS POLICY IS TO RECOGNIZE THAT EVEN AFTER THE ADMINISTRATION OF THE HOSPITAL'S AUTOMATIC DISCOUNT FOR ALL UNINSURED PATIENTS, THERE STILL COULD BE SITUATIONS WHERE THE PATIENT IS EXPERIENCING A FINANCIAL HARDSHIP TO PAY THE BALANCE DUE IN FULL. A PATIENT MAY REQUEST A HARDSHIP SETTLEMENT. FINANCIAL NEED WILL BE DETERMINED BY COMPARING A PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES AND ASSETS TO THE REMAINING BALANCE. IF IT IS DETERMINED THAT AFTER ALL THIRD-PARTY REIMBURSEMENTS, THE REMAINING BALANCE IS GREATER THAN $5,000 AND 20% OF THE PATIENT'S TOTAL FINANCIAL RESOURCES, THE PATIENT MAY APPLY FOR A HARDSHIP SETTLEMENT. THE APPLICABLE DISCOUNT INCREASES FOR BALANCES THAT MAKE UP A GREATER PERCENTAGE OF THE PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES. IF AFTER ALL EFFORTS TO QUALIFY THE PATIENT FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED AND THE PATIENT REMAINS UNABLE TO PAY BALANCES GREATER THAN $5,000, THE UNPAID PORTION OF THE BILL MAY BE TURNED OVER TO COLLECTIONS. Financial Assistance Policy Eligibility Criteria FORM 990, SCH H, PT V, SEC B, LINE 13B-FACILITY 1 PATIENTS ARE DETERMINED ELIGIBLE BY A THIRD-PARTY VENDOR UTILIZING A SCORING MECHANISM, PROVIDING A PATIENT FINANCIAL PROFILE. 6 Med Center High Point 2630 Willard Dairy Road High Point NC 27265 Outpatient Services & ED Med Center Kernersville 1635 NC 66 South Kernersville NC 27284 Outpatient Services Cone Health Cancer Center 501 North Elam Avenue Greensboro NC 27403 Cancer Treatment Facility Moses Cone Surgery Center 1127 N Church Street Greensboro NC 27401 Outpatient Surgical Center Wesley Long Surgery Center 509 North Elam Avenue Greensboro NC 27403 Outpatient Surgical Center Penn Nursing Center 618-A S Main Street Reidsville NC 27320 Skilled Nursing Facility COSTING METHODOLOGY FORM 990, SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED ON THIS SCHEDULE ARE REPORTED AT COST, COMPUTED USING THE COST TO CHARGE RATIO. COMMUNITY BUILDING ACTIVITIES Form 990, Schedule H, Part II OUR PROGRAMS TO IMPROVE COMMUNITY HEALTH ARE FOCUSED ON PHYSICAL IMPROVEMENTS AND HOUSING, COMMUNITY SUPPORT, LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COALITION BUILDING AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. CONE HEALTH PARTNERS WITH COMMUNITY HOUSING SOLUTIONS BY TEAMING REGISTERED NURSES AND OCCUPATIONAL THERAPISTS WITH CONSTRUCTION SPECIALISTS TO TAILOR HOME MODIFICATIONS THAT PERMIT PEOPLE TO AGE IN PLACE. WE CONTINUE TO SUPPORT GREENSBORO HOUSING COALITION IN ITS WORK AT COLLABORATIVE COTTAGE GROVE TO FACILITATE ASTHMA-RELATED HOUSING INTERVENTIONS. CONE HAS UNDERTAKEN SEVERAL FOOD-RELATED EFFORTS TO RESPOND TO PERSONS WHO NEED. WE HAVE SERVED ABOUT 3,000 PEOPLE, EITHER THROUGH A HOT MEAL DELIVERY, CONGREGATE HOT MEAL SETTING OR MOBILE FOOD MARKETS. CONE REMAINS COMMITTED TO COLLABORATION WITH LOCAL TRANSIT SYSTEMS TO DESIGN IMPROVED AND EXPANDED SERVICES THAT PROVIDE ACCESS TO HEALTH SERVICES, GROCERY STORES, PLACES OF EMPLOYMENT, AND PARKS AND RECREATION SITES. A MOBILE MAMMOGRAM UNIT OFFERS MAMMOGRAPHY, PROSTATE SCREENING VIA PSA TESTS, AND DISTRIBUTES FIT TESTS TO SCREEN FOR COLORECTAL CANCER. CONE HEALTH PARTNERED WITH GUILFORD COUNTY TO OPEN THE BEHAVIORAL HEALTH CRISIS CENTER IN THE SUMMER OF 2021. CONE PARTNERED WITH A NUMBER OF COMMUNITY AGENCIES TO PROVIDE AN EQUITABLE COVID-19 RESPONSE. AS A RESULT, 40.28% OF ALL COVID-19 VACCINATIONS ADMINISTERED WERE FOR PERSONS WHO ARE BLACK/AFRICAN AMERICAN AND OTHER PEOPLE OF COLOR. CONE HEALTH WORKED WITH OVER 325 PARTNERS TO OFFER 363,752 COVID-19 TESTS IN UNDERSERVED AND DIVERSE SETTINGS, AS WELL AS GIVE 94,926 FIRST- DOSE VACCINATIONS AND 88,322 SECOND-DOSE SHOTS. WE DEPLOYED THE CONE HEALTH MOBILE UNIT 75 TIMES TO 19 DIFFERENT LOCATIONS TO OFFER COVID-19 SERVICES ON-SITE. TWO CARE CONNECT PROGRAMS IN ROCKINGHAM AND GUILFORD COUNTIES PARTNERED WITH ORGANIZATIONS TO BRIDGE THE GAPS OF ACCESS TO CARE. CARE CONNECT SERVED 1,786 IN 2021. GUILFORD CARE CONNECT NETWORK (GCCN) SERVED 2,223 IN 2020/2021. THE MOBILE HEALTH PROGRAM BEGAN IN 2021 AND CONSISTS OF FOUR VEHICLES, INCLUDING A MOBILE HEALTH UNIT, SCREENING UNIT, CANCER SCREENING UNIT AND TRANSPORTATION VEHICLE. ALL ARE DESIGNED TO MINIMIZE TRANSPORTATION AS A BARRIER TO CARE AND TO IMPROVE ACCESS BY CONNECTING PEOPLE WITH PRIMARY CARE AT A "BRICKS AND MORTAR" LOCATION. CONE HEALTH WORKED WITH THREE COMMUNITY BASED ORGANIZATIONS IN ROCKINGHAM COUNTY TO BUILD THEIR CAPACITY OPERATIONALIZE A PROCESS OF PROGRAM DEVELOPMENT THAT EMPHASIZES THE INCLUSION OF COMMUNITY VOICE. WE ARE ACTIVE IN A NUMBER OF PARTNERSHIPS WITH LOCAL COLLEGES AND UNIVERSITIES TO SUPPORT THE IDENTIFICATION OF TALENTED HEALTH PROFESSIONALS AND SUPPORT THE DEVELOPMENT OF A DIVERSE HEALTHCARE WORKFORCE. WE ARE ALSO HEAVILY ENGAGED IN COMMUNITY-WIDE EMERGENCY PREPAREDNESS PLANNING. WE ARE COMMITTED TO BEING A GOOD CORPORATE CITIZEN AND SUPPORT ORGANIZATIONS IN THE COMMUNITY THAT WORK TO IMPROVE ECONOMIC CONDITIONS AND ACCESS TO HEALTHCARE, SUCH AS THE UNITED WAY AND THE CHAMBER OF COMMERCE. EMPLOYEES VOLUNTEER A SIGNIFICANT NUMBER OF HOURS OF SERVICE ACROSS THE COMMUNITY IN A WIDE RANGE OF ORGANIZATIONS. BAD DEBT EXPENSE DESCRIPTION FORM 990, SCHEDULE H, PART III, SECTION A, LINES 2-4 FOR OUR FINANCIAL STATEMENTS, THE DIFFERENCE BETWEEN GROSS CHARGES AND THE AMOUNT WE ESTIMATE WE WILL COLLECT IS CATEGORIZED AS CONTRACTUAL ADJUSTMENT, CHARITY OR BAD DEBT EXPENSE. THE DIFFERENCE BETWEEN GROSS CHARGES AND THE PAYABLE AMOUNT PER THIRD PARTY CONTRACTS OR GOVERNMENT PAYMENT FORMULA IS CATEGORIZED AS CONTRACTUAL ADJUSTMENTS. THE AMOUNT OF THE CONTRACT ALLOWABLE THAT WE ESTIMATE WILL NOT BE COLLECTED IS DIVIDED BETWEEN CHARITY CARE AND BAD DEBT EXPENSE BASED ON THE DEMOGRAPHICS OF OUR PATIENT POPULATION AND OUR ESTIMATE FROM THESE DEMOGRAPHICS AS TO THE PORTION OF THIS UNCOLLECTED AMOUNT APPLICABLE TO INDIVIDUALS QUALIFYING FOR OUR CHARITY CARE POLICY. MEDICARE SHORTFALL FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE ENTIRE SHORTFALL IS REPORTED AS COMMUNITY BENEFIT. WE DO NOT RECEIVE ENOUGH IN MEDICARE/MEDICAID REIMBURSEMENTS TO COVER OUR COSTS ASSOCIATED WITH THE PROVISION OF THESE SERVICES, YET WE CONTINUE TO PROVIDE THESE SERVICES TO OUR COMMUNITY, REGARDLESS OF THE REIMBURSEMENT LEVELS. THEREFORE, WE FEEL JUSTIFIED IN REPORTING THIS AS PART OF OUR COMMUNITY BENEFIT. MEDICARE COSTING METHODOLOGY FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 THE AMOUNT OF THE MEDICARE SHORTFALL, INCLUDED AS COMMUNITY BENEFIT, IS REPRESENTED AT COST AND IS COMPUTED USING COST TO CHARGE RATIO OF THE CHARGES BOOKED IN THE FINANCIAL STATEMENTS AS MEDICARE. COLLECTION PRACTICES FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B THE HOSPITAL MAINTAINS A HARDSHIP SETTLEMENT POLICY WHICH PROVIDES AN OPPORTUNITY FOR PATIENTS TO REQUEST DISCOUNTS ON BALANCES DUE TO THE HOSPITAL IN EXCESS OF $5,000. THE PURPOSE OF THIS POLICY IS TO RECOGNIZE THAT, EVEN AFTER THE ADMINISTRATION OF THE HOSPITAL'S AUTOMATIC DISCOUNT FOR ALL UNINSURED PATIENTS, THERE STILL COULD BE SITUATIONS WHERE THE PATIENT IS EXPERIENCING A FINANCIAL HARDSHIP TO PAY THE BALANCE DUE IN FULL. A PATIENT MAY REQUEST A HARDSHIP SETTLEMENT. FINANCIAL NEED WILL BE DETERMINED BY COMPARING A PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES AND ASSETS TO THE REMAINING BALANCE. IF IT IS DETERMINED THAT, AFTER ALL THIRD PARTY REIMBURSEMENTS, THE REMAINING BALANCE IS GREATER THAN $5,000 AND 20% OF THE PATIENT'S TOTAL FINANCIAL RESOURCES, THE PATIENT IS ELIGIBLE FOR A HARDSHIP SETTLEMENT. THE APPLICABLE DISCOUNT INCREASES FOR BALANCES THAT MAKE UP A GREATER PERCENTAGE OF THE PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES. IF, AFTER ALL EFFORTS TO QUALIFY THE PATIENT FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED AND THE PATIENT REMAINS UNABLE TO PAY BALANCES GREATER THAN $5,000, THE UNPAID PORTION OF THE BILL MAY BE TURNED OVER TO COLLECTIONS. NEEDS ASSESSMENT FORM 990, SCHEDULE H, PART VI, LINE 2 CONE HEALTH IS FORTUNATE TO HAVE THE PARTNERSHIPS AND A CONFIDENCE IN EACH COUNTIES' ASSESSMENT THAT PERMITS US TO INCORPORATE IN-DEPTH LOCAL INFORMATION WITH AN EXAMINATION OF THE ROOT CAUSES THAT PERPETUATE OUR REGIONAL CONDITION. TOWARD THAT END, CONE HEALTH GATHERED REGIONAL DATA IN A WAY THAT ENGAGED PEOPLE WHO HAVE LIVED EXPERIENCE WITH HUMAN AND HEALTH SERVICES. TO GATHER PRIMARY DATA, CONE HEALTH CONDUCTED A SURVEY WITH 600 PARTICIPANTS IN ALAMANCE, GUILFORD, AND ROCKINGHAM COUNTIES, COMPRISED OF 37 QUESTIONS, 6 OF WHICH ADDRESS THE DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENTS. SURVEY QUESTIONS WERE WRITTEN TO BE UNDERSTOOD BY RESPONDENTS AT A THIRD-GRADE READING LEVEL OR HIGHER. THE SURVEY WAS TRANSLATED TO SPANISH TO COLLECT RESPONSES FROM SPANISH SPEAKING RESPONDENTS. EACH SURVEY QUESTION WAS EVALUATED TO DETERMINE IF THERE WERE SIGNIFICANT DIFFERENCES IN RESPONSES BASED ON EACH OF THE 6 DEMOGRAPHIC GROUPS AND REGION. WE ALSO CONDUCTED OVER 60 HOUR LONG INDIVIDUAL INTERVIEWS WITH PEOPLE WHO LIVE IN THE AFOREMENTIONED COUNTIES. THIS, COUPLED WITH SECONDARY DATA FROM A VARIETY OF RELIABLE SOURCES, PERMITTED US TO PRODUCE A DOCUMENT THAT SPEAKS TO THE CURRENT STATE OF THE CONE HEALTH SERVICE AREA. PATIENT EDUCATION FORM 990, SCHEDULE H, PART VI, LINE 3 THE FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO ALL PATIENTS THROUGH MEANS WHICH INCLUDE, BUT ARE NOT LIMITED TO: POSTING ON THE HEALTH SYSTEM'S WEBSITE, INCLUSION WITH ALL BILLING STATEMENTS, POSTING AT CONSPICUOUS LOCATIONS THROUGHOUT THE FACILITY, DISCUSSIONS DURING FINANCIAL COUNSELOR PATIENT INTERVIEWS, AND DURING PATIENT ACCOUNTING CUSTOMER SERVICE PATIENT INTERACTIONS. AFTER RECEIVING A REQUEST FOR FINANCIAL ASSISTANCE AND ANY FINANCIAL INFORMATION OR OTHER DOCUMENTATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT WILL BE NOTIFIED OF THEIR ELIGIBILITY DETERMINATION WITHIN A REASONABLE PERIOD OF TIME. COMMUNITY INFORMATION PT VI, QUESTION 4 THE POPULATION OF GUILFORD COUNTY IN 2021 (THE LATEST YEAR FOR WHICH DATA WAS AVAILABLE FOR THE ASSESSMENT) WAS 537,174 AND 87.3% OF THE POPULATION LIVES IN AN URBAN SETTING. PRESENTLY, GUILFORD COUNTY SCHOOLS IS THE LARGEST EMPLOYER IN THE COUNTY, FOLLOWED BY CONE HEALTH SYSTEM AND THE CITY OF GREENSBORO. THE ESTIMATED MEDIAN FAMILY INCOME IS $55,820. IN 2021, GUILFORD COUNTY UNEMPLOYMENT RATE WAS 4.1% AND 15.4% OF THE POPULATION HAD INCOME BELOW THE FEDERAL POVERTY LINE. TWENTY-TWO PERCENT OF THE POPULATION IS UNDER THE AGE OF 18, WHEREAS 15% IS AGE 65 OR ABOVE. THE POPULATION IN ROCKINGHAM COUNTY IN 2021 WAS 91,010 WITH 61.9% OF THE POPULATION LIVING IN A RURAL SETTING. THE LARGEST SECTOR IN ROCKINGHAM COUNTY IS MANUFACTURING, EMPLOYING 5,255 WORKERS. THE NEXT LARGEST IS RETAIL TRADE (4,091 WORKERS), HEALTH CARE AND SOCIAL ASSISTANCE (3,025), AND ACCOMMODATION AND FOOD SERVICE (2,027). THE ESTIMATED MEDIAN FAMILY INCOME IS $44,686. IN 2021, ROCKINGHAM COUNTY'S UNEMPLOYMENT RATE WAS 4.4% AND 17.9% OF THE POPULATION HAD INCOME BELOW THE FEDERAL POVERTY LINE. ABOUT TWENTY PERCENT OF THE POPULATION IS UNDER THE AGE OF 18; 20% IS AGE 65 OR ABOVE. PROMOTION OF COMMUNITY HEALTH PT VI, QUESTION 5 MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY LEADERS AND BUSINESS AND MEDICAL PROFESSIONALS WHO ALL LIVE WITHIN THE HOSPITAL'S PRIMARY SERVICES AREA. THESE LEADERS PROVIDE A SIGNIFICANT NUMBER OF HOURS OF VOLUNTEER SERVICE AND PROVIDE VALUABLE OVERSIGHT TO THE ORGANIZATION'S OVERALL OPERATION. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT, FUNDRAISING AND GENERAL STEWARDSHIP FOR THE ORGANIZATION IN THE COMMUNITY. SURPLUS FUNDS FROM THE HOSPITAL ARE REINVESTED IN THE COMMUNITY. THEY HELP THE HOSPITAL MAINTAIN ACCESS TO PATIENT SERVICES BUT ARE ALSO USED TO IMPROVE ACCESS. FUNDS HELP THE ORGANIZATION PURCHASE NEW EQUIPMENT AS WELL AS EXPAND EDUCATIONAL OPPORTUNITIES ON IMPORTANT HEALTH-RELATED TOPICS. AFFILIATED HEALTH CARE SYSTEM FORM 990, SCHEDULE H, PART VI, LINE 6 THE ORGANIZATION IS A MEMBER OF THE CONE HEALTH SYSTEM. IN ADDITION TO THE SERVICES PROVIDED UNDER THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION, THE CONE HEALTH MEDICAL GROUP INCLUDES FOUR CORPORATE ENTITIES THAT OPERATE PHYSICIAN PRACTICES ACROSS THE COMMUNITY. THESE INCLUDE PROVIDERS OF BOTH PRIMARY CARE AND A WIDE RANGE OF SPECIALTIES. ALAMANCE REGIONAL MEDICAL CENTER AND ALAMANCE EXTENDED CARE PROVIDE HEALTH CARE SERVICES, INCLUDING OPERATION OF A LONG-TERM CARE FACILITY IN THE COMMUNITY IN ALAMANCE COUNTY. THE MOSES CONE-WESLEY LONG COMMUNITY FOUNDATION AND IMPACT ALAMANCE FOUNDATION FUNDS NUMEROUS COMMUNITY ORGANIZATIONS THAT ARE CONDUCTING ACTIVITIES THAT WILL ADDRESS THE PRIORITIES IDENTIFIED UNDER OUR COMMUNITY NEEDS ASSESSMENT. true ALAMANCE CHAMBER OF COMMERCE 610 S Lexington Ave PO Box 450 Burlington NC 27215 560156970 501(c)(3) 10000 SUPPORT OF THE COMMUNITY ALAMANCE COMMUNITY COLLEGE FOU PO Box 8000 Graham NC 27253 581511004 501(c)(3) 310000 EDUCATION AND ADVOCACY AMERICAN CANCER SOCIETY 3380 Chastain Meadows Pkwy NW Suite Kennesaw GA 30144 131788491 501(c)(3) 15000 SUPPORT OF THE COMMUNITY AMERICAN HEART ASSOC PO Box 843384 Dallas TX 752843384 135613797 501(c)(3) 77500 PROMOTION OF HEALTHY LIFESTYLES ELON UNIVERSITY PO Box 536 Attn Stephen Folger Elon NC 27244 560532303 501(c)(3) 125000 EDUCATION AND ADVOCACY FAMILY SERVICE OF THE PIEDMONT 902 Bonner Dr Attn Accounts Payable Jamestown NC 27282 562061741 501(c)(3) 10000 SUPPORT OF THE COMMUNITY FAMILY SUPPORT NETWORK OF CENT 1200 N Elm St Central Carolina Attn Greensboro NC 27401 561641963 501(c)(3) 100000 SUPPORT OF THE COMMUNITY FREE CLINIC OF ROCKINGHAM 315 S Main St County Inc Reidsville NC 27320 560245040 501(c)(3) 15100 SUPPORT OF THE COMMUNITY GREENSBORO CHAMBER OF COMMERCE PO Box 3246 Greensboro NC 27402 560245040 501(c)(3) 155512 SUPPORT OF THE COMMUNITY GREENSBORO MEDICAL SOCIETY FDN 1593 Yanceyville St Ste 200 C/O Rob Greensboro NC 27405 912047364 501(c)(3) 32500 EDUCATION FOR HEALTH CARE PROVIDERS,YEARLY ENDOWME GREENSBORO POLICE FOUNDATION 320 Federation Place Greensboro NC 27401 453815105 501(c)(3) 10000 SUPPORT OF THE COMMUNITY FIREWORKS GREENSBORO SCIENCE CENTER 4301 Lawndale Dr Greensboro NC 27455 560885727 501(c)(3) 140000 SUPPORT OF THE COMMUNITY HABITAT FOR HUMANITY OF GREATE 3826 W Gate City Blvd Greensboro NC 27407 561586870 501(c)(3) 10000 BLUEPRINTS AND BUBBLY EVENT SPONSORSHIP INTERNATIONAL CIVIL RIGHTS CENTER & MUSEUM 134 S Elms Street Greensboro NC 27401 561856093 501(c)(3) 10000 GALA SPONSORSHIP JUVENILE DIABETES RESEARCH 408 E Eugene St Piedmont Chapter Greensboro NC 27401 231907729 501(c)(3) 10000 SUPPORT OF THE COMMUNITY NCCJ PIEDMONT TRIAD 713 North Greene Street Greensboro NC 27401 061753756 501(c)(3) 10000 SPONSORSHIP SOCIAL JUSTICE CHAMPION PIEDMONT TRIAD PARTNERSHIP 416 Gallimore Dairy Rd Suite M Greensboro NC 27409 561750279 501(c)(3) 35000 INVESTMENT FOR ECONOMIC DEVELOPMENT READING CONNECTIONS 122 North Elm St Suite 920 Greensboro NC 27401 561726754 501(c)(3) 15000 SPONSORSHIP LITERACY SUPPORT REIDSVILLE CHAMBER OF COMMERCE PO Box 1020 Reidsville NC 273231020 560735425 501(c)(3) 6027 EDUCATION AND ADVOCACY ROCKINGHAM CO STUDENT HLTH CTR 117 East Kings Highway Eden NC 27288 566001527 501(c)(3) 50000 PROMOTION OF HEALTHY LIFESTYLES RONALD MCDONALD HOUSE OF WS IN 419 S Hawthorne Rd WinstonSalem NC 27103 581454715 501(c)(3) 7500 SPONSORSHIP SPORT A SHIRT SHARE A NIGHT SANCTUARY HOUSE PO Box 21141 Greensboro NC 274201141 562257832 501(c)(3) 6000 POWER IN PLAID SPONSORSHIP UNITED WAY OF ALAMANCE COUNTY 803 Hermitage Rd Burlington NC 27215 560599239 501(c)(3) 30000 SUPPORT OF COMMUNITY NON-PROFIT ORGANIZATIONS UNITED WAY OF GREATER GREENSBO PO Bos 14998 Greensboro NC 274154998 560668555 501(c)(3) 6825 SUPPORT OF COMMUNITY NON-PROFIT ORGANIZATIONS US DEPT OF INTERIORNational Park Service 199 Hemphill Knob Road Attn JD Lee Asheville NC 28803 530197094 501(c)(3) 10000 SUPPORT OF THE COMMUNITY WYNDHAM CHAMPIONSHIP 416 Gallimore Dairy Rd Ste M Greensboro NC 27409 566085407 501(c)(3) 225000 SPONSORSHIP EXECUTIVE WOMEN'S DAY YMCA 620 Green Valley Rd Suite 210 Greensboro NC 27408 560543243 501(c)(3) 48000 PROMOTION OF HEALTHY LIFESTYLES ZERO THE END OF PROSTATE CANCE PO Box 320772 Attn RW Greensboro Alexandria VA 23220 593400922 501(c)(3) 10000 PROMOTION OF HEALTHY LIFESTYLES 28 MONITORING PROCEDURES FORM 990, SCHEDULE I, PART I, LINE 2 Requests for sponsorship to Cone Health are submitted in writing from the requesting organization. The requests are then evaluated online by a small group to determine whether the sponsorship request aligns with Cone Health's strategy. The group evaluating the requests typically includes the Executive Vice President for People & Corporate Services; the Senior Vice President - Marketing & Communications; the Director of Communications; and, as needed/appropriate, the CEO or his Administrative Assistant. Once a decision has been made, the requesting organization receives written confirmation from Cone Health on the outcome. X X X X X false false false false false false true false false Adamolekun Michelle Executive VP & Assistant Secre 34681 0 130206 0 6083 0 19621 0 19500 0 210091 0 0 0 Akin Terrence President & Chief Executive Of 624350 0 2426017 0 799336 0 50505 0 34220 0 3934428 0 0 0 Barrow Andrew CFO & Secretary 543708 0 129831 0 62143 0 26325 0 14292 0 776299 0 0 0 Cagle Mary Jo President & CEO 955144 0 1228585 0 140327 0 55887 0 26076 0 2406019 0 0 0 Carter Robert VP & General Counsel 481157 0 127132 0 39364 0 49005 0 31504 0 728162 0 0 0 Cunningham Deborah SVP & President Women's Health 139244 0 93009 0 201721 0 38300 0 8656 0 480930 0 0 0 DeLeon Dereck Chief Academic Officer 436454 0 128020 0 61116 0 29656 0 3435 0 658681 0 0 0 Eaton Mandy COO 557073 0 184092 0 82961 0 39000 0 24957 0 888083 0 0 0 Evans Joan Chief of Staff 42465 0 181338 0 1044 0 20720 0 2559 0 248126 0 0 0 Hammock Preston SVP & President Moses Cone Hos 445662 0 209634 0 59852 0 39000 0 26544 0 780692 0 0 0 Haywood Mehee Assistant Treasurer 0 129519 0 27716 0 2772 0 48272 0 28825 0 237104 0 0 Jeffrey Paul SVP & President Wesley Long Ho 382662 0 118347 0 57114 0 36387 0 7339 0 601849 0 0 0 Johnson Julie Assistant Treasurer 3283 0 33634 0 88574 0 15077 0 1324 0 141892 0 0 0 Jones Jeffrey Chief Financial Officer & Secr 68502 0 951647 0 619576 0 8258 0 10420 0 1658403 0 0 0 Katragadda Sreedhar Physician 498136 0 512583 0 2461 0 19972 0 1058 0 1034210 0 0 0 Kibbe Ike Senior Vice President 385598 0 121830 0 77918 0 50661 0 13054 0 649061 0 0 0 Kitzmiller David Assistant Treasurer 157340 0 28470 0 2772 0 28772 0 11502 0 228856 0 0 0 Meador Joe Assistant Treasurer 237292 0 46309 0 14600 0 39000 0 34556 0 371757 0 0 0 Miller John CIO & Treasurer 0 379707 0 101053 0 52768 0 70161 0 31755 0 635444 0 0 Patel Bakul EVP & Chief Information Office 450892 0 160403 0 68449 0 26325 0 8054 0 714123 0 0 0 Priest MD Marlon Chief Clinical Officer 477098 0 206971 0 72025 0 61218 0 26242 0 843554 0 0 0 Rempher Kenneth Executive VP & Assistant Secre 569246 0 287941 0 92803 0 50505 0 28748 0 1029243 0 0 0 Roskelly James Executive VP & Assistant Secre 422421 0 236919 0 114338 0 88647 0 30357 0 892682 0 0 0 Schanel Judith Chief Operating Officer 37375 0 1996 0 0 0 0 0 0 0 39371 0 0 0 Simms Michael VP & Assistant Treasurer 260866 0 76201 0 42999 0 73851 0 33853 0 487770 0 0 0 Smith Rene' Assistant Treasurer 184234 0 36714 0 2532 0 23875 0 4939 0 252294 0 0 0 Swords Bruce Chief Physician Executive 247363 0 333925 0 446648 0 50505 0 35020 0 1113461 0 0 0 EARNINGS CONTINGENT COMP FORM 990, SCHEDULE J, PART I, LINE 6 OFFICERS ARE PAID BY MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION, 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 UPON THE HEALTH SYSTEM'S PERFORMANCE ON SEVERAL MEASURES, INCLUDING NET EARNINGS. NOTE: IF THESE MEASURES ARE NOT MET, THEIR COMPENSATION WILL BE BELOW THE MARKET LEVEL FOR THEIR JOB. X 163 50391 PROCEEDS LESS FEES false true false GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 These documents are proprietary and are not made available to the public. COMPENSATION REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING METHODS ARE USED TO ESTABLISH COMPENSATION OF OFFICERS: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYEMENT CONTRACT; COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B AN ELECTRONIC VERSION OF THE RETURN will be made available on the board portal to all board members in advance of the filing date. Representatives of the finance staff from the health system will be available to respond to any questions or address any issues. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C BEFORE EVERY BOARD meeting OR COMMITTEE MEETING, THE CHAIR WILL ASK EVERY MEMBER TO REVIEW THE AGENDA AND TO DISCLOSE ANY AREA where they may have CONFLICT so that THE DISCLOSURE IS COMPLETE PRIOR TO the DISCUSSION. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS $ (1,597,155) INCREASE IN UNRESTRICTED FUNDS $ 43,360 DECREASE IN TEMP RESTRICTED FUNDS $ (239,912) ----------- TOTAL CHANGE IN NET ASSETS OR FUND BALANCE $ 1,793,707 Moses Cone Affiliated Physicians Inc 1200 North Elm Street Greensboro NC 27401 300554775 Physicians NC 501(c)(3) 3 MC Parent true Alamance Community & Health Foundation 1200 North Elm Street Greensboro NC 27401 462505818 Funding NC 501(c)(3) 12.B MC Parent true Alamance Regional Medical Center Inc 1200 North Elm Street Greensboro NC 27401 560529994 Operations NC 501(c)(3) 3 ARMC HC true The Moses H Cone Memorial Hospital Inc 1200 North Elm Street Greensboro NC 27401 560532302 Parent NC 501(c)(3) 12.B NA false Alamance Regional Medical Center Foundat 1200 North Elm Street Greensboro NC 27401 561681560 Funding NC 501(c)(3) 12.B ARMC HC true Moses Cone Medical Services Inc 1200 North Elm Street Greensboro NC 27401 561714318 Physicians NC 501(c)(3) 3 MC Parent true MC-WL Community Health Foundation 1200 North Elm Street Greensboro NC 27401 562001399 Funding NC 501(c)(3) 12.B MC Parent false ARMC Physicians Care inc 1200 North Elm Street Greensboro NC 27401 562095382 Physicians NC 501(c)(3) 3 ARMC HC true ARMC Health Care 1200 North Elm Street Greensboro NC 27401 581681363 Operations NC 501(c)(3) 3 MC Parent true Annie Penn Memorial Hospital Foundation 1200 North Elm Street Greensboro NC 27401 581897269 Funding NC 501(c)(3) 7 NA false Reidsville OB & GYN 1200 North Elm Street Greensboro NC 27401 800217430 Physicians NC 501(c)(3) 3 MC Affil Phy true Moses Cone Physician Services Inc 1200 North Elm Street Greensboro NC 27401 800249057 Physicians NC 501(c)(3) 3 MC Parent true Cone Health Connected Care LLC 1200 N Elm St Greensboro NC 27401 814880456 For Profit HC Ser NC WLCHS false false NSC Greensboro West LLC 3000 Riverchase Galleria Birmingham AL 35244 472847536 Physicians NC MC Med Svcs false false Wesley Long Community Health Services 1200 North Elm Street Greensboro NC 27401 561441377 Medical Services NC MC Parent C true Care-NCare of North Carolina 1200 North Elm Street Greensboro NC 27402 472847536 Insurance NC WLCHS C true Insurance Casualty and Risk Enterprise PO Box 1159 Grand Cayman CJ KY1-1102 981491204 Self Insurance CJ MC Parent C 1.00000 true Wellsmith Inc 1200 North Elm Street Greensboro NC 27401 823045731 Software NC WLCHS C true Fuse Oncology Inc 4214 West Wendover Ave 1340 Greensboro NC 27407 872388940 Software NC MC Parent C true false false false false false false false false true true false false false true true true false false MOSES CONE PHYSICIAN SERVICES INC k 24110543 ACCRUAL MOSES CONE MEDICAL SERVICES INC q 164162 Accrual MOSES CONE PHYSICIAN SERVICES INC q 8416655 ACCRUAL MOSES CONE AFFILIATED PHYSICIANS INC q 1498148 ACCRUAL ALAMANCE REGIONAL MEDICAL CENTER INC q 64821377 ACCRUAL ALAMANCE EXTENDED CARE INC q 158081 ACCRUAL ALAMANCE PHYSICIANS INC q 1211846 ACCRUAL THE MOSES H CONE MEMORIAL HOSPITAL INC j 558973 ACCRUAL THE MOSES H CONE MEMORIAL HOSPITAL INC k 45116714 ACCRUAL THE MOSES H CONE MEMORIAL HOSPITAL INC q 688945 ACCRUAL ALAMANCE EXTENDED CARE INC j 1674 ACCRUAL ALAMANCE PHYSICIANS INC j 38400 ACCRUAL MOSES CONE AFFILIATED PHYSICIANS INC j 1650573 ACCRUAL MOSES CONE PHYSICIAN SERVICES INC j 1243260 ACCRUAL MOSES CONE MEDICAL SERVICES INC j 6205523 Accrual THE MOSES H CONE MEMORIAL HOSPITAL INC p 2491210 Accrual ALAMANCE REGIONAL MEDICAL CENTER INC k 37547 Accrual ALAMANCE REGIONAL MEDICAL CENTER INC j 3652451 Accrual ALAMANCE PHYSICIANS INC k 24244