2020-08-05T10:09:11-05:00 2019-09-30 PRICEWATERHOUSECOOPERS LLP 800 GREEN VALLEY RD STE 500 GREENSBORO NC 27408 990 2018-10-01 560532302 THE MOSES H CONE MEMORIAL HOSPITAL % JEFFREY JONES MOSE 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 JEFFREY JONES CFO 3368327000 2020-07-29 true CAROLINE GRIFFIN P00960141 3366652700 2020-07-30 155.201.35.69 56102520202185000004 2020-08-05 P 32E80948C5DF47453659C7184F21DA33D8FCD550 85A0707F5E433349C8606BE367E86812D3D30514 2018 2020-09-23 17:36:50Z Terrence Akin 1200 NORTH ELM STREET GREENSBORO NC 27401 361018538 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 17 14 332 0 0 1000 0 82468431 77420804 81621845 13521663 420765 200683 164512041 91143150 45250 10250 0 0 24156688 21589421 0 0 0 98926628 92173872 123128566 113773543 41383475 -22630393 1581756953 1571597385 1097486960 1137735333 484269993 433862052 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 28040296 10250 Support of Cone Health Operations 25501219 33863597 Triad Health Network 25327980 43557207 Hold and operate property for Cone Health System 22631334 Hold Debt and Investments for Cone Health 896386 Subsidize Physician Practices 23527720 102397215 true false false false false false false false false false true true false false true true true true false false true false false false false false false true false true true true true false false false false false false false false false false false false true true true true false false true 41 0 true 332 true false true CJ false false false false X 17 14 false true false false false false false true true false false true true true true true true true true true true NC X X JEFFREY JONES 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 Akin Terrence President & CEO 0.0 40.0 X X 0 2293636 153300 Balsley III Jacob B Trustee 0.0 0.0 X 0 0 0 Boylston MD Yun Trustee 0.0 0.0 X 0 0 0 Campbell PhD Lenora R Trustee 0.0 0.0 X 0 0 0 Cone Edward Trustee 0.0 0.0 X 0 0 0 Davidson III Dwight M Vice Chair 0.0 0.0 X X 0 0 0 Douglas Mae Trustee 0.0 0.0 X 0 0 0 Gant Jr Allen E Trustee 0.0 0.0 X 0 0 0 Hayes William B Trustee 0.0 0.0 X 0 0 0 Hornaday FD Chair 0.0 0.0 X X 0 0 0 Keeling MD Wayne Trustee 0.0 40.0 X 0 298087 30814 Kitchen J Edward Trustee 0.0 0.0 X 0 0 0 Leeper David Trustee 0.0 0.0 X 0 0 0 Maxwell MD James Trustee 0.0 0.0 X 0 0 0 McAllister Lee Trustee 0.0 0.0 X 0 0 0 McQueen MD Chapman T Trustee 0.0 0.0 X 0 0 0 Simms Carole Trustee 0.0 0.0 X 0 0 0 Barrow Andrew Assistant Treasurer 0.0 40.0 X 0 436756 49206 Cagle MD Mary Jo Chief Operating Officer 0.0 40.0 X 0 1148770 88486 Carter Robert VP & General Counsel 0.0 40.0 X 0 532424 57258 Eaton Mandy EVP & Assistant Secretary 0.0 40.0 X 0 329933 35073 Haywood Mehee Assistant Treasurer 40.0 0.0 X 142483 0 48405 Johnson Julie Assistant Treasurer 0.0 40.0 X 0 191660 48524 Jones Jeffrey CFO & Secretary 0.0 40.0 X 0 1089344 95118 Kitzmiller David Assistant Treasurer 0.0 40.0 X 0 170006 36843 Miller John CIO & Treasurer 40.0 0.0 X 431740 0 71576 Neorr Steven SVP & Cheif Admin Officer, THN 40.0 0.0 X 537324 0 25030 Osborne James Executive Medical Director THN 40.0 0.0 X 158144 0 34254 Rempher Kenneth EVP & Assistant Secretary 0.0 40.0 X 0 651459 63105 Roskelly James EVP & Assistant Secretary 0.0 40.0 X 0 671015 79869 Simms Michael VP & Assistant Treasurer 0.0 40.0 X 0 331085 41209 Grapey David Medical Director, THN 40.0 0.0 X 161440 0 56293 Hodges Beth Medical Director, THN 40.0 0.0 X 135690 0 14681 Langley Elissa Vice President & COO THN 40.0 0.0 X 205238 0 27530 Reade Robert Medical Director, THN 40.0 0.0 X 168089 0 27883 Rumple Rhonda Director THN Care Management 40.0 0.0 X 136294 0 27260 Burt Noel EVP & Assistant Secretary 0.0 40.0 X 0 801078 68478 Clontz Timothy SVP & Assistant Secretary 0.0 40.0 X 0 500166 77117 Schanel Judith Chief Operating Officer 0.0 40.0 X 0 971925 88783 Street Rex VP & Assistant Treasurer 0.0 40.0 X 0 427731 67375 2076442 10845075 1413470 12 true true false MCM Resourcing LLC 1514 W Academy St MADISON NC 27025 General contractor 1434897 Brasfield Gorrie LLC 3021 7th Avenue BIRMINGHAM AL 35233 Facility Planning 27241718 D L Construction 2606 Phoenix Dr Suite 504 GREENSBORO NC 27406 Facility Planning 12430537 Gregory Poole Equipment PO Box 60457 Charlotte NC 28260 Equipment 914770 Hayco Construction LLC 129 Carson St Suite C PILOT MOUNTAIN NC 27041 Construction 1262332 16 0 PATIENT REVENUE - THN 531120 31972182 31972182 DISEASE MGMT PROG FOR CONE EMPLOYEES 531120 413725 413725 LEASE OF SPACE WITHIN CONE 531120 43557207 43557207 SVC TO AFFILIATES/NON-AFFILIATES 531120 792762 792762 MEMBERSHIP FEES IN THN 531120 225000 225000 459928 459928 77420804 19469644 19469644 0 0 0 0 0 263608320 319087 268043732 1831656 -4435412 -1512569 -5947981 -5947981 0 0 0 0 0 0 0 0 0 FINANCIAL MGMT INCENTIVES 900099 199933 199933 BILLBOARD RENTAL 900099 750 750 200683 91143150 77420804 13722346 10250 10250 0 0 0 1231456 1108310 123146 0 16203299 14582969 1620330 596194 536575 59619 2574378 2316940 257438 984094 885685 98409 2763 2487 276 481789 433610 48179 2110782 1899704 211078 0 0 5914824 5323342 591482 9106556 8195900 910656 99863 89877 9986 359486 323537 35949 3744750 3370275 374475 0 0 198834 178951 19883 0 0 19374137 17436723 1937414 3665983 3299385 366598 43434483 39091035 4343448 0 MEDICAL SERVICES & SUPPLIES 2366020 2129418 236602 RECRUITMENT, RETENTION & EDUCA 828559 745703 82856 UTILITIES, REPAIRS & MAINTENAN 135864 122278 13586 MOTOR VEHICLE & TRANSPORTATION 96032 86429 9603 253147 227832 25315 113773543 102397215 11376328 0 12285536 15669355 0 0 0 0 0 0 0 0 0 0 26649187 23892618 0 0 639180 1236695 1242457600 581169780 599271679 661287820 508689986 506020257 311150166 328128323 0 0 778815 778815 122292404 34583502 1581756953 1571597385 27002245 26827768 0 0 0 0 398525000 387650000 0 0 0 0 262384848 257647211 0 0 409574867 465610354 1097486960 1137735333 X 484262040 433854100 7953 7952 0 0 484269993 433862052 1581756953 1571597385 X -22630393 -27777545 -3 X false true X true false X X X 1 THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION 585888823 3 true 29092873 0 1 29092873 0 true false false false false true false false false false false false false false false true DETAIL OF OTHER SUPPORT SCH A, PART IV, SEC A, LINE 6 $10,000 was provided to the National Park Service for support of the Cone Park on the Blue Ridge Parkway. 39573050 39573050 973143367 464377953 508765414 3557295 3424031 133264 83022500 102205649 -19183149 143161388 11162147 131999241 661287820 327695444 C INVESTMENT IN JOINT VENTURES 432879 F 328128323 0 INTEREST PAYABLE 2507629 SWAP HEDGE - BOND PREMIUM DISC 28698171 INTERCOMPANY PAYABLES 437164246 DEFERRED COMPENSATION LIABILIT -164394 DEBT ISSUE COSTS -2595298 465610354 X 58766049 58766049 32377101 32377101 91143150 86951424 86951424 26822119 26822119 113773543 Other Revenue Not on Line 1 SCHEDULE D, PART XI, LINE 4B OPERATING REVENUE FROM TRIAD HEALTH NETWORK $ 33,889,670 Loss on Sale of Equipment $ (1,512,569) Total $ 32,377,101 Other Expense Not on Line 1 SCHEDULE D, PART XI, LINE 4B OPERATING EXPENSE FROM TRIAD HEALTH NETWORK $ 28,334,688 Loss on Sale of Equipment $ (1,512,569) Total Expense $ 26,822,119 Text of Fin 48 (ASC 740) Footnote FORM 990, SCHEDULE D, PART X, LINE 2 As of September 30, 2019 and 2018, 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. false true false true false false false true US DEPARTMENT OF THE INTERIOR 199 Hemphill Knob Rd Asheville NC 28803 999999999 N/A 10000 Upkeep of Cone Park 1 MONITORING PROCEDURES FORM 990, SCHEDULE I, PART I, LINE 2 ASSISTANCE IS GIVEN TO QUALIFIED TAX EXEMPT ORGANIZATIONS TO FURTHER THE MISSION OF THE ORGANIZATION. THEY ARE REPORTED TO THE CEO AND TO THE BOARD ON A QUARTERLY BASIS. X X X X X true false false false false false true false false Akin Terrence President & CEO 0 1242356 0 784839 0 266441 0 125160 0 28140 0 2446936 0 0 Barrow Andrew Assistant Treasurer 0 331709 0 82962 0 22085 0 37137 0 12069 0 485962 0 0 Burt Noel EVP & Assistant Secretary 0 383398 0 349757 0 67923 0 54887 0 13591 0 869556 0 0 Cagle MD Mary Jo Chief Operating Officer 0 691497 0 307940 0 149333 0 65186 0 23300 0 1237256 0 0 Carter Robert VP & General Counsel 0 398387 0 105409 0 28628 0 44824 0 12434 0 589682 0 0 Clontz Timothy SVP & Assistant Secretary 0 188136 0 174032 0 137998 0 69087 0 8030 0 577283 0 0 Eaton Mandy EVP & Assistant Secretary 0 247468 0 61240 0 21225 0 30750 0 4323 0 365006 0 0 Grapey David Medical Director, THN 159674 0 0 0 1766 0 41860 0 14433 0 217733 0 0 0 Haywood Mehee Assistant Treasurer 117497 0 23493 0 1493 0 44493 0 3912 0 190888 0 0 0 Hodges Beth Medical Director, THN 135105 0 0 0 585 0 8075 0 6606 0 150371 0 0 0 Johnson Julie Assistant Treasurer 0 158277 0 30611 0 2772 0 45772 0 2752 0 240184 0 0 Jones Jeffrey CFO & Secretary 0 628945 0 326003 0 134396 0 60972 0 34146 0 1184462 0 0 Keeling MD Wayne Trustee 0 254949 0 36408 0 6730 0 29834 0 980 0 328901 0 0 Kitzmiller David Assistant Treasurer 0 142192 0 26137 0 1677 0 26177 0 10666 0 206849 0 0 Langley Elissa Vice President & COO THN 158286 0 33936 0 13016 0 21969 0 5561 0 232768 0 0 0 Miller John CIO & Treasurer 300725 0 84917 0 46098 0 67271 0 4305 0 503316 0 0 0 Neorr Steven SVP & Cheif Admin Officer, THN 365539 0 128821 0 42964 0 13450 0 11580 0 562354 0 0 0 Osborne James Executive Medical Director THN 155520 0 50 0 2574 0 27074 0 7180 0 192398 0 0 0 Reade Robert Medical Director, THN 162303 0 0 0 5786 0 20603 0 7280 0 195972 0 0 0 Rempher Kenneth EVP & Assistant Secretary 0 486750 0 151479 0 13230 0 45014 0 18091 0 714564 0 0 Roskelly James EVP & Assistant Secretary 0 287176 0 310479 0 73360 0 69161 0 10708 0 750884 0 0 Rumple Rhonda Director THN Care Management 114192 0 20275 0 1827 0 13085 0 14175 0 163554 0 0 0 Schanel Judith Chief Operating Officer 0 626266 0 277146 0 68513 0 60404 0 28379 0 1060708 0 0 Simms Michael VP & Assistant Treasurer 0 238954 0 66536 0 25595 0 33367 0 7842 0 372294 0 0 Street Rex VP & Assistant Treasurer 0 302444 0 92136 0 33151 0 54887 0 12488 0 495106 0 0 SEVERANCE AND OTHER PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 4 Former SVP & Assistant Secretary Timothy Clontz - $206,931 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. A North Carolina Medical Care Commission 521309402 2011-09-21 50000000 Construction of Patient Care Facil false true false B North Carolina Medical Care Commission 521309402 2004-10-19 47500000 Purchase Capital Equip WL Bond false true false C North Carolina Medical Care Commission 521309402 2011-02-09 60170000 Refinanced 1993 Series and Issuanc false true false D North Carolina Medical Care Commission 521309402 2011-08-03 47980000 Refinanced 2008 Series and Issuanc false true false A 0 0 50000000 0 0 0 0 0 0 50000000 0 0 2011 false false true true B 0 0 47500000 0 0 0 829975 834949 0 33246212 12588864 0 2006 true false true true C 0 0 62559512 0 0 0 959512 0 0 0 61600000 0 2011 true false true true D 0 0 47980000 0 0 0 157229 0 0 0 47822771 0 2011 true false true true A false true true true false 0.03000 0.50000 0.53000 false false false true B false true true true false 0.03000 0.50000 0.53000 false false false true C false true true true false 0.03000 0.50000 0.53000 false false false true D false true true true false 0.03000 0.50000 0.53000 false false false true A false false false false true true Morgan Stanley 22. false false false 0 false true B false false false false true false 0 false 0 false true C false false false false false false 0 false 0 false true D false false false false true true Bank of Montreal 23. false false false 0 false true A true B true C true D true A North Carolina Medical Care Commission 521309402 2011-09-21 50000000 Construction of Patient Care Facil false true false B North Carolina Medical Care Commission 521309402 2013-11-18 88775000 Defeasance & Capital Expenditures true true false C North Carolina Medical Care Commission 521309402 2013-11-18 25000000 Defeasance & Capital Expenditures true true false D North Carolina Medical Care Commission 521309402 2013-11-18 16410000 Defeasance & Capital Expenditures true true false A 0 0 50000000 0 0 0 0 0 0 50000000 0 0 2011 false false true true B 0 0 88775000 0 0 20392565 0 0 0 40603723 27778712 0 2013 true true true true C 0 0 25000000 0 0 5742767 0 0 0 11486908 7770325 0 2013 true true true true D 0 0 16410000 0 0 3769552 0 0 0 7540006 5100442 0 2013 true true true true A false true true true false 0.03000 0.50000 0.53000 false false false true B false true true true false 0.03000 0.50000 0.53000 false false false true C false true true true false 0.03000 0.50000 0.53000 false false false true D false true true true false 0.03000 0.50000 0.53000 false false false true A false false false false true true Morgan Stanley 22. false false false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true A Wisconsin Public Finance Authority 273866124 2017-12-22 100000000 Construction of Women's & Children false true false B Wisconsin Public Finance Authority 273866124 2017-12-22 60000000 Construction of Women's & Children false true false A 0 0 100000000 0 0 0 0 0 0 100000000 0 0 2020 true true true true B 0 0 60000000 0 0 0 0 0 0 51417433 0 0 2020 true true true true A false true true true false 0.03000 0.50000 0.53000 false false false true B false true true true false 0.03000 0.50000 0.53000 false false false true A false true false false false false 0 false 0 false true B false true false false true true PNC 23. false false false 0 false true A true B true 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 employment contract; compensation survey or study and approval by the board or compensation committee. Information Regarding Delegation Form 990 Part VI, Section A, Line 3 Cone Health System has contracted with Atrium Health System to perform the following management duties: (1) Provide executive staff, (2) Managed care contracting, (3) Best practices consulting for operations across the Health System, (4) Provide access to its purchasing contracts, and (5) Collaboration of quality data analysis that will allow them to better manage the conversion of reimbursements from volume-based to value-based as is required by the Affordable Care Act. THE FOLLOWING OFFICERS WERE COMPENSATED BY ATRIUM HEALTH DURING THE CALENDAR YEAR ENDING WITHIN THE COMPANY'S TAX YEAR: TERRENCE AKIN, CHIEF EXECUTIVE OFFICER: $2,446,936 JEFFREY JONES, CHIEF FINANCIAL OFFICER: $1,184,462 JUDITH SCHANEL, CHIEF OPERATING OFFICER: $1,060,708 KENNETH REMPHER, EXECUTIVE VICE PRESIDENT: $714,564 MARY JO CAGLE, CHIEF OPERATING OFFICER: $ 1,237,256 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 and 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 a conflict so that the disclosure is complete prior to the discussion. RECONCILLIATION OF OTHER CHANGES IN NET ASSETS OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 DECREASE IN DONOR RESTRICTED FUNDS -3 TRIAD HEALTHCARE NETWORK LLC 1200 NORTH ELM STREET GREENSBORO NC 27401 300705058 PHYSICIANS NC 33863972 11268345 MC PARENT Moses H Cone Memorial Hospital Oper Corp 1200 North Elm Street Greensboro NC 27401 581588823 Operations NC 501(C)(3) 3 MC PARENT true Moses Cone Medical Services Inc 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 Inc 1200 North Elm Street Greensboro NC 27401 300554775 Physicians NC 501(C)(3) 3 MC PARENT true REIDSVILLE OB & GYN INC 1200 North Elm Street Greensboro NC 27401 800217430 Physicians NC 501(C)(3) 3 MC Affil Phy true ARMC Health Care 1200 North Elm Street Greensboro NC 27401 581681363 OPERATIONS NC 501(C)(3) 3 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 Alamance Extended Care Inc 1200 North Elm Street Greensboro NC 27401 581681364 L-T Care NC 501(C)(3) 10 ARMC HC true Alamance Regional Medical Center Foundat 1200 North Elm Street Greensboro NC 27401 561681560 Funding NC 501(C)(3) 12.b ARMC HC true Alamance Community & Health Foundation 1200 North Elm Street Greensboro NC 27401 462505818 Funding NC 501(C)(3) 12.b 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 ARMC Physicians Care Inc 1200 North Elm Street Greensboro NC 27401 562095382 Physicians NC 501(C)(3) 3 ARMC HC true MC - WL Community Health Foundation 1200 North Elm Street Greensboro NC 27401 562001399 Funding NC 501(C)(3) 12.b NA false CONE HEALTH CONNECTED CARE LLC 1200 N ELM ST GREENSBORO NC 27401 814880456 FOR PROFIT HC SER NC WLCHS N/A false false NSC GREENSBORO WEST LLC 3000 RIVERCHASE GALLERIA BIRMINGHAM AL 35244 472847536 PHYSICIANS NC MC MED SVCS N/A false false Wesley Long Community Health Services 1200 North Elm Street Greensboro NC 27401 561441377 MEDICAL SERVICES NC MC Parent C true Care-n-Care of North Carolina 1200 North Elm Street Greensboro NC 27401 472847536 Insurance NC WLCHS C true Wellsmith Inc 9011 Mountain Ridge Drive Ste 210 AUSTIN TX 78759 823045731 Software TX 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 false false false false false false false false false true true false false false true true false true false MOSES H CONE MEMORIAL HOSPITAL OPERATING CORP P 9964561 ACCRUAL MOSES CONE PHYSICIAN SERVICES INC P 310316 ACCRUAL MOSES CONE MEDICAL SERVICES INC P 887724 ACCRUAL MOSES CONE PHYSICIAN SERVICES INC O 196735 ACCRUAL MOSES H CONE MEMORIAL HOSPITAL OPERATING CORP J 37971641 ACCRUAL CONE HEALTH CONNECTED CARE LLC O 559 ACCRUAL MOSES CONE AFFILIATED PHYSICIANS INC J 111476 ACCRUAL MOSES CONE MEDICAL SERVICES INC J 866825 ACCRUAL MOSES H CONE MEMORIAL HOSPITAL OPERATING CORP K 663847 ACCRUAL Insurance Casualty and Risk Enterprise Ltd R 5271328 Accrual