2025-08-14T09:56:34-04:00 2024-09-30 PwC US Tax LLP 2001 MARKET STREET SUITE 1800 PHILADELPHIA PA 19103 990 2023-10-01 560529994 ALAMANCE REGIONAL MEDICAL CENTER INC % ANDREW BARROW ALAM 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 ANDREW BARROW CFO & SECRETARY 3368327000 2025-08-13 true true JOANNE KRUEGER P01235586 2673303000 2025-08-10 2023 2025-03-06 01:10:19Z MARY JO CAGLE 1200 NORTH ELM STREET GREENSBORO NC 27401 410596182 false X WWW.CONEHEALTH.COM X 1937 NC WE SERVE OUR COMMUNITIES BY PREVENTING ILLNESS, RESTORING HEALTH AND PROVIDING COMFORT THROUGH EXCEPTIONAL PEOPLE DELIVERING EXCEPTIONAL CARE. 15 13 2643 0 0 0 465404 248879 370617968 403086025 -227570 -115739 5386719 5846047 376242521 409065212 5690 620 0 0 122071793 123007397 0 0 0 207205286 239093725 329282769 362101742 46959752 46963470 720022433 762656102 39332588 35002787 680689845 727653315 ALAMANCE REGIONAL MEDICAL CENTER, INC OPERATES A HOSPITAL IN ALAMANCE COUNTY, NC WHICH IS COMMITTED TO IMPROVING THE HEALTH OF CITIZENS OF ALAMANCE COUNTY AND ITS SURROUNDING COMMUNITIES. false false 325891630 620 403107830 PROVISION OF PATIENT CARE: TO PROVIDE QUALITY HEALTHCARE SERVICES. ALAMANCE REGIONAL MEDICAL CENTER HAD A TOTAL OF 11,254 PATIENT DISCHARGES, 56,001 DAYS OF CARE, 191,902 OUTPATIENT AND TELEHEALTH VISITS AND AN AVERAGE DAILY CENSUS OF 153.0. 325891630 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 false false true false false false false false false false false false false false false false true true true false false true 0 0 2643 true false false false false false false false false false false false false X 15 13 false false false false false true false true true false false true true true true true true true true true true NC X ANDREW BARROW 3368327000 1200 NORTH ELM STREET GREENSBORO NC 27401 CAGLE MD MARY JO PRESIDENT & CEO 0.0 40.0 X X 0 1587536 90745 PRIEST MD MARLON EXE VP & ASST SEC THRU 02/24 0.0 40.0 X 0 902565 82340 EATON MANDY CHIEF OPERATING OFFICER 0.0 40.0 X 0 861178 79400 HAMMOCK PRESTON SVP & PRESIDENT MOSES CONE HOS 0.0 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OPRERATIONS ARMC 40.0 0.0 X 279076 0 7850 HAYWOOD MEHEE ASSISTANT TREASURER 0.0 40.0 X 0 148887 84727 SMITH RENE' ASSISTANT TREASURER 0.0 40.0 X 0 193809 30311 KITZMILLER DAVID ASSISTANT TREASURER 0.0 40.0 X 0 166597 45422 ROSKELLY JAMES EXECUTIVE VP & ASSISTANT SECRE 0.0 40.0 X 0 48377 564 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 CHANDLER THOMAS TRUSTEE 0.0 0.0 X 0 0 0 CONE EDWARD TRUSTEE 0.0 0.0 X 0 0 0 DONNELLY ABBY TRUSTEE 0.0 0.0 X 0 0 0 DOUGLAS MAE CHAIR 0.0 0.0 X X 0 0 0 FRENCH DAVID TRUSTEE 0.0 0.0 X 0 0 0 GONZALEZ MARIA TRUSTEE 0.0 0.0 X 0 0 0 HAYES WILLIAM VICE CHAIR 0.0 0.0 X X 0 0 0 MCIVOR WILLIAM TRUSTEE 0.0 0.0 X 0 0 0 SAMET ARTHUR TRUSTEE 0.0 0.0 X 0 0 0 STRINGER MD ARTHUR TRUSTEE 0.0 0.0 X 0 0 0 1607279 9823584 1390718 95 true true false 0 35310 213569 248879 PATIENT REVENUE 621110 399962695 399962695 LEASE OF SPACE W/IN CONE 621110 2100000 2100000 SERVICES TO NON AFFILIATES 621110 906653 906653 SERVICES TO AFFILIATES 621110 107282 107282 SERVICES TO PATIENTS 621110 4404 4404 4991 4991 403086025 79 79 0 0 1019904 1019904 0 1019904 1019904 1415152 1530970 -115818 -115818 -115818 0 0 0 0 0 0 0 0 0 SERVICES TO EMPLOYEES 621400 4644663 21805 4622858 ALL OTHER SERVICES 621400 181480 0 181480 4826143 409065212 403107830 5708503 620 620 0 0 0 0 0 91990519 82791467 9199052 4034776 3631298 403478 19582028 17623825 1958203 7400074 6660067 740007 2180460 1962414 218046 0 198629 178766 19863 0 0 0 22347349 20112614 2234735 91239 82115 9124 5035867 4532280 503587 1420457 1278411 142046 0 2348711 2113840 234871 100594 90535 10059 0 0 94346 84911 9435 62395261 56155735 6239526 20956286 18860658 2095628 25936 23343 2593 MEDICAL SERVICES & SUPPLIES 84658607 76192746 8465861 TAXES & LICENSURE 26957262 24261536 2695726 UTILITIES/REPAIR/MAINTENANCE 9585213 8626692 958521 RECRUITMENT,RETENTION&EDUCATIO 126263 113637 12626 571245 514120 57125 362101742 325891630 36210112 0 5076 5075 0 0 0 0 437446226 459286972 0 0 0 0 0 0 6847475 7142338 0 0 461103631 171824016 267097618 289279615 0 0 0 0 0 0 0 0 8626038 6942102 720022433 762656102 29651098 27078259 16986 35738 54212 -2670 0 0 0 0 0 0 0 0 0 0 9610292 7891460 39332588 35002787 X 680535072 727493973 154773 159342 680689845 727653315 720022433 762656102 46963470 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26348767 26348767 291163300 81684674 209478626 10769485 7969174 2800311 125203844 76127322 49076522 7618235 6042846 1575389 289279615 0 DEFFERED COMPENSATION LIABILIT 1078801 CAPITALIZED LEASE OBLIGATION 6357715 PAYROLL DEDUCTION FOR HOSPITAL 404944 LONG-TERM PLEDGES 50000 7891460 X TEXT OF FIN 48 (ASC 740) FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 AS OF SEPTEMBER 30, 2024 AND 2023, 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 11983530 11983530 0.03310 45591437 45591437 0 0.00000 57574967 45591437 11983530 0.03310 459043 459043 0.00130 2723910 2723910 0.00750 24000 24000 0.00010 3206953 3206953 0.00890 60781920 45591437 15190483 0.04200 50000 50000 0.00010 50000 50000 0.00010 true 31897925 7307326 134113510 166570328 -32456818 X true true 1 1 ALAMANCE REGIONAL MEDICAL CENTER 1240 HUFFMAN MILL ROAD BURLINGTON NC 27215 www.conehealth.com H0272 X X X Alamance Regional Medical Center 1 false false true X X X X X X X X X 21 true true true true X SEE PART V-C true 21 true SEE PART V-C false true X 200. 400. X X X X X true true X X X X true X SEE PART V-C X SEE PART V-C X SEE PART V-C X X X X X X true X false X X X X true X false false ALAMANCE REGIONAL MEDICAL CENTER: SCHEDULE H, PART V, SECTION B, LINE 5 ARMC'S MOST RECENT COMMUNITY HEALTH ASSESSMENT DRAWS ON THE TALENTS OF DATA ANALYSTS, COMMUNITY LEADERS, ACTIVITISTS, RESEARCHERS, PRACTITIONERS, AND LOCAL RESIDENTS. COLLABORATING WITH THE ALAMANCE COUNTY HEALTH DEPARTMENT TO CONVENE CRITICAL STAKEHOLDERS AND PARTNERS LEVERAGES THE EXPERTISE AND EXPERIENCE OF PUBLIC HEALTH STAFF WHILE ENGAGING KEY PARTNERS ACROSS THE COMMUNITY. THE COLLABORATIVE PROCESS WAS STRUCTURED TO ENSURE BROAD STAKEHOLDER ENGAGEMENT AND DATA-DRIVEN DECISION-MAKING. BEGINNING IN APRIL 2024, THE ADVISORY GROUP CONVENED MONTHLY, LAYING THE GROUNDWORK FOR SHARED VISION AND STRATEGIC PLANNING. A SUBSEQUENT VISIONING MEETING WAS HELD TO ALIGN COMMUNITY VALUES AND PRIORITIES, SETTING THE STAGE FOR THE SUBSEQUENT DATA REVIEWS. JOINT CHNA DETAIL SCHEDULE H, PART V, SECTION B, LINE 6A THE 2021 CHNA WAS DONE JOINTLY WITH ANNIE PENN HOSPITAL AND MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORP. ALAMANCE REGIONAL MEDICAL CENTER: SCHEDULE H, PART V, SECTION B, LINE 6B ASSESSMENT PARTNERS INCLUDED REPRESENTATIVES FROM A NUMBER OF COMMUNITY BASED ORGANIZATIONS, COMMUNITY MEMBERS, AND LOCAL HEALTH DEPARTMENT. SCHEDULE H, PART V, SECTION, LINE 7A https://www.conehealth.com/about-us/caring-for-our-communities/community-h ealth-assessment/ SCHEDULE H, PART V, SECTION B, LINE 10A https://www.conehealth.com/app/files/public/d23d28cc-97ba-4b08-ab4a-4d4c49 8b7c20/CHNA_Implementation_Plan_23-25.pdf CHNA SIGNIFICANT NEEDS SCHEDULE H, PART V, SECTION B, LINE 11 THE 2022 CONE HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES ARE: 1. DELIVER HOLISTIC TREATMENT AND UPSTREAM PREVENTION OF CHRONIC DISEASE, ESPECIALLY DIABETES AND HEART DISEASE 2. ENSURE ACCESS TO APPROPRIATE BEHAVIORAL HEALTH SERVICES 3. PROVIDE HEALTHCARE THAT IS AVAILABLE, ACCESSIBLE, AND AFFORDABLE 4. PROMOTE HEALTHY LIVING CONDITIONS BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH 5. ELIMINATE BIAS AND DISCRIMINATION TO BUILD TRUST WITH PATIENTS AND COMMUNITY ALAMANCE REGIONAL MEDICAL CENTER (ARMC) ADVANCED ITS COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES THROUGH A VARIETY OF PROGRAMS ADDRESSING ACCESS TO CARE, CHRONIC DISEASE PREVENTION, AND SOCIAL DETERMINANTS OF HEALTH. IN FY2024, ARMC SUPPORTED THE OPEN DOOR CLINIC, PROVIDING NO-COST PRIMARY AND SPECIALTY CARE TO 1,199 UNINSURED RESIDENTS, WITH EXPENSES OF $266,867 OFFSET BY $70,325 IN GRANTS. ADDITIONAL CANCER SCREENING INITIATIVES, INCLUDING THE BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP) AND COMMUNITY-BASED BREAST, CERVICAL, COLON, PROSTATE, AND SKIN CANCER SCREENINGS, REACHED MORE THAN 5,500 INDIVIDUALS, ENSURING EARLY DETECTION AND TREATMENT OPPORTUNITIES. ARMC OPERATED COMMUNITY OUTREACH EVENTS SUCH AS HEALTH FAIRS, MOBILE HEALTH CLINICS, AND WELLNESS SCREENINGS, TO ADDRESS CONDITIONS SUCH AS ARTHRITIS, STROKE, AND CHRONIC DISEASE. CONGREGATIONAL NURSING PROGRAMS AND THE PROVISION OF TRANSPORTATION SERVICES ALSO IMPROVE ACCESS TO CARE. THE HOSPITAL INVESTED $2,723,910 IN HEALTH PROFESSIONS EDUCATION, TRAINING 438 NURSING, PHARMACY, REHABILITATION, AND PASTORAL CARE STUDENTS TO STRENGTHEN THE LOCAL HEALTHCARE WORKFORCE. COMMUNITY BUILDING EFFORTS INCLUDED A $50,000 INVESTMENT IN THE ALAMANCE CHAMBER OF COMMERCE TO FOSTER ECONOMIC GROWTH, ALONG WITH WORKFORCE INCLUSION THROUGH PROJECT SEARCH FOR INDIVIDUALS WITH DISABILITIES. THROUGH THESE COMBINED EFFORTS, ARMC DELIVERED $3.37 MILLION IN TOTAL COMMUNITY BENEFIT EXPENSES, SERVING 12,791 PEOPLE, AND DIRECTLY CONTRIBUTING TO THE IMPROVEMENT OF HEALTH OUTCOMES AND QUALITY OF LIFE IN ALAMANCE COUNTY. THE 2024 ALAMANCE COUNTY COMMUNITY HEALTH ASSESSMENT, WHICH INTERSECTS WITH CONE HEALTH'S PRIORITIES, ARE HOUSING AFFORDABILITY, FOOD ACCESS, ACCESS TO PRIMARY CARE, MENTAL HEALTH, SUBSTANCE USE AND OVERDOSE PREVENTION, AND SEXUAL HEALTH. FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART V, SECTION B, LINE 13B FOR PATIENTS WITH BALANCES LESS THAN $10,000, ELIGIBILITY IS DETERMINED BY A THIRD-PARTY VENDOR UTILIZING A SCORING MECHANISM, PROVIDING A PATIENT FINANCIAL PROFILE. ALL BALANCES THAT EXCEED $10,000 ARE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE WITH SUPPORTING DOCUMENTATION REFLECTING THE FINANCIAL NEED. A DECISION IS MADE BASED ON THE PROVIDED INFORMATION TO DETERMINE THE FPL AND APPROPRIATE PERCENTAGE OF ASSISTANCE (100%, 75% OR 50%). FULL UNCOMPENSATED CARE SHALL BE PROVIDED TO UNINSURED PATIENTS EARNING 200 PERCENT OR LESS OF THE FEDERAL POVERTY GUIDELINE (FPG). FOR FINANCIALLY NEEDY PATIENTS EARNING BETWEEN 201 PERCENT AND 400 PERCENT OF THE FPG, DISCOUNTS SHALL BE PROVIDED TO LIMIT SUCH PATIENT'S PAYMENT OBLIGATION TO THE AMOUNT OF THE PATIENT ACCOUNT BALANCE AFTER SUBTRACTING THE PERCENTAGE DISCOUNT APPLICABLE TO THE PATIENT'S FPG HOUSEHOLD INCOME. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C https://www.conehealth.com/patients-visitors/patient-financial-services/fi nancial-assistance/ PRE-COLLECTIONS PRACTICES SCHEDULE H, PART V, SECTION B, LINE 20E CONE HEALTH RECOGNIZES THAT THE COST OF NECESSARY HEALTH CARE SERVICES CAN IMPOSE A FINANCIAL BURDEN FOR PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND ACTS TO LESSEN THAT BURDEN FOR ALL PATIENTS. DEPENDING UPON THE PATIENT'S CIRCUMSTANCES, THE HOSPITAL OFFERS A FINANCIAL ASSISTANCE PROGRAM AND/OR A HARDSHIP SETTLEMENT. CONE HEALTH ALSO MAKES A REASONABLE AND DILIGENT EFFORT TO INVESTIGATE AND SEEK REIMBURSEMENT FROM THE PATIENT'S INSURANCE AND THIRD-PARTY RESOURCES. THE FINANCIAL ASSISTANCE POLICY (FAP) PROVIDES AN OPTION FOR PATIENTS WITH BALANCES IN EXCESS OF $10,000. PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES MAY REQUEST TO BE REVIEWED FOR A HARDSHIP SETTLEMENT. THE GRANTING OF A HARDSHIP SETTLEMENT SHALL BE BASED ON A REQUEST FROM A PATIENT AND ON THE DETERMINATION OF FINANCIAL NEED. FINANCIAL NEED WILL BE DETERMINED BY COMPARING A PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES AND ASSETS TO THE PATIENT'S TOTAL REMAINING CONE HEALTH FACILITY BALANCE AFTER PAYMENT BY ALL THIRD PARTIES. TO BE ELIGIBLE FOR A HARDSHIP SETTLEMENT, THE REMAINING CONE HEALTH FACILITY BALANCE, AFTER ALL THIRD PARTY PAYMENTS, MUST BE GREATER THAN $5,000.00 AND 20% OF THE PATIENT'S TOTAL HOUSEHOLD FINANCIAL RESOURCES. 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 , LINE 2 IN FY 2024, CONE HEALTH CONTRIBUTED $50,000 TO THE ALAMANCE CHAMBER OF COMMERCE IN SUPPORT OF LOCAL ECONOMIC DEVELOPMENT INITIATIVES THAT FOSTER COMMUNITY WELL-BEING AND LONG-TERM HEALTH IMPROVEMENT. PROJECT SEARCH PROVIDED WORKPLACE TRAINING AND INTERNSHIP OPPORTUNITIES TO 6 STUDENTS WITH DEVELOPMENTAL DISABILITIES THROUGH A PARTNERSHIP WITH LOCAL PUBLIC SCHOOLS AND CONE HEALTH. THESE EXPERIENCES HELPED PARTICIPANTS BUILD ESSENTIAL JOB SKILLS AND IMPROVE FUTURE EMPLOYMENT PROSPECTS. BAD DEBT EXPENSE FORM 990, SCHEDULE H, PART III, SECTION A, LINES 2, 3, & 4 FOR OUR FINANCIAL STATEMENTS, THE DIFFERENCE BETWEEN GROSS CHARGES AND THE AMOUNT WE ESTIMATE WE WILL COLLECT IS CATEGORIZED AS CONTRACTUAL ADJUSTMENT, UNCOMPENSATED CARE 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 UNCOMPENSATED 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 THAT IS APPLICABLE TO INDIVIDUALS QUALIFYING FOR FINANCIAL ASSISTANCE. MEDICARE SHORTFALL 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. FOR FYE 2024, OP CORP PROVIDED A TOTAL OF $40,944,041 IN UNCOMPENSATED CARE, WHICH INCLUDES - AT COST - THE MEDICARE LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO MEDICARE RECIPIENTS, A MEDICAID LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO MEDICAID RECIPIENTS, AND AN UNCOMPENSATED CARE LOSS AMOUNT ASSOCIATED WITH PROVIDING SERVICES TO PATIENTS WITHOUT INSURANCE COVERAGE. MEDICARE COSTING METHOD 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 THE COST TO CHARGE RATIO OF THE CHARGES BOOKED IN THE FINANCIAL STATEMENTS AS MEDICARE. COLLECTION PRACTICES FORM 990, SCHEDULE H, PART III, SECTION B, LINE 9B WE DO NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST INDIVIDUALS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE THE INDIVIDUAL'S ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. A FULL COPY OF OUR FINANCIAL ASSISTANCE POLICY, INCLUDING OUR HARDSHIP SETTLEMENT POLICY, IS AVAILABLE ON THIS WEBPAGE: HTTPS://WWW.CONEHEALTH.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/FI NANCIAL-ASSISTANCE/. PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE GUIDELINES OF THE CONE HEALTH FINANCIAL ASSISTANCE PROGRAM (FAP) MAY REQUEST TO BE REVIEWED FOR A HARDSHIP SETTLEMENT. NEEDS ASSESSMENT FORM 990, SCHEDULE H, PART VI, LINE 2 THE THEORETICAL FRAMEWORK FOR THE ALAMANCE COUNTY COMMUNITY HEALTH ASSESSMENT (CHA) WAS BASED ON AN ADAPTED VERSION OF THE MAPP 2.0 PROCESS, A MODEL DEVELOPED BY NACCHO TO GUIDE COMMUNITY HEALTH IMPROVEMENT. THIS FRAMEWORK WAS CHOSEN FOR ITS EMPHASIS ON COMMUNITY ENGAGEMENT AND DATA-DRIVEN ASSESSMENTS, AND IT WAS CAREFULLY TAILORED TO REFLECT THE UNIQUE NEEDS AND CONTEXT OF OUR COUNTY WHILE RESERVING ITS CORE COMPONENTS. IN OUR ADAPTATION, PHASE 1 WAS CENTERED ON A VISIONING MEETING THAT SET THE STAGE FOR OUR ENTIRE ASSESSMENT PROCESS. DURING THIS PHASE, WE GATHERED LOCAL STAKEHOLDERS AND PARTNERS TO BUILD A SHARED VISION FOR A HEALTHIER ALAMANCE COUNTY. PARTICIPANTS ENGAGED IN AN INTERACTIVE PROCESS THAT INCLUDED GUIDED DISCUSSIONS, ENABLING PARTICIPANTS TO ARTICULATE A COLLECTIVE VISION AND IDENTIFY THE COUNTY'S MOST SIGNIFICANT STRENGTHS AND ASSETS. THIS VISIONING MEETING SERVED AS A FOUNDATIONAL ELEMENT, ALIGNING OUR EFFORTS WITH THE PRINCIPLES OF MAPP 2.0 WHILE ENSURING THAT THE PROCESS WAS DEEPLY ROOTED IN OUR COMMUNITY'S VALUES AND ASPIRATIONS. PHASE 2, "TELL THE COMMUNITY STORY," INVOLVED IMPLEMENTING ADAPTED VERSIONS OF THREE KEY ASSESSMENTS: THE COMMUNITY PARTNERS ASSESSMENT, THE COMMUNITY STATUS ASSESSMENT, AND THE COMMUNITY CONTEXT ASSESSMENT. THESE TOOLS PROVIDED A COMPREHENSIVE PICTURE OF OUR COMMUNITY'S RESOURCES, HEALTH ISSUES, AND THE LIVED EXPERIENCES OF RESIDENTS. IN THE FINAL PHASE, WE SYNTHESIZED THESE INSIGHTS AND CONDUCTED A PARTICIPATORY PRIORITIZATION PROCESS. THIS SYSTEMATIC APPROACH, FROM VISIONING TO PRIORITIZATION, ADAPTED THE CORE COMPONENTS OF MAPP 2.0 TO IDENTIFY COMMUNITY HEALTH PRIORITIES THAT WERE DATA-BASED AND COMMUNITY-VALIDATED. TO GATHER PRIMARY DATA FOR THE REGIONAL CHNA, CONE HEALTH CONDUCTED A SURVEY WITH 600 PARTICIPANTS - 150 OF THE SURVEYS WERE ANSWERED BY RESIDENTS IN ALAMANCE. 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 ARMC 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 (https://www.conehealth.com/patients-visitors/patient-financial-services/f inancial-assistance/), INCLUSION IN ALL BILLING STATEMENTS, POSTING AT CONSPICUOUS LOCATIONS THROUGHOUT THE FACILITY, DISCUSSIONS DURING FINANCIAL COUNSELING 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 FORM 990, SCHEDULE H, PART VI, LINE 4 THE POPULATION ESTIMATES FOR ALAMANCE COUNTY AS OF 2024 IS 179,165. 13.8% PERCENT OF PERCENT OF ALL CHILDREN IN ALAMANCE LIVE IN POVERTY. THE AVERAGE HOUSEHOLD INCOME IN ALAMANCE COUNTY IS $65,633. 25.2% OF THE POPULATION IS UNDER THE AGE OF 18; 17.3% IS AGE 65 OR ABOVE. THE UNEMPLOYMENT RATE IS 3.8%. TODAY, MAJOR PRIVATE EMPLOYERS INCLUDE LABCORP, GLEN RAVEN, INC., AND CONE HEALTH, WHILE THE ALAMANCE-BURLINGTON SCHOOL SYSTEM AND ALAMANCE COUNTY GOVERNMENT ARE LEADING PUBLIC EMPLOYERS. PROMOTION OF COMMUNITY HEALTH Form 990, Schedule H, Part VI, Line 5 CONE HEALTH HAS DEVELOPED A PLAN - "CATCH 5 IN 5" - TO INCREASE LIFE EXPECTANCY BY ADDRESSING THE FIVE MAIN DRIVERS OF LIFE EXPECTANCY DISPARITIES IN OUR GEOGRAPHY: CARDIOMETABOLIC DISEASE, CANCER, COMMUNITY VIOLENCE, INFANT/MATERNAL MORTALITY AND OPIOID MISUSE. OUR ORGANIZATION'S FOCUS FOR FYE 9/30/2024 HAS BEEN ON CARDIOMETABOLIC DISEASE AND CANCER AND THE ROLE THAT LACK OF ACCESS TO CARE PLAYS IN THESE DISEASES. OFFERING HEALTH CARE IN NEIGHBORHOODS TO IMPROVE ACCESSIBILITY RESULTED IN INCREASED MOBILE SERVICES, HEALTH EVENTS THAT OFFER FREE SCREENINGS AND RESOURCES, AND CONGREGATIONAL NURSES WHO ARE EMBEDDED IN EXISTING PROGRAMS TO PROVIDE ONSITE CARE. CONE HEALTH INVESTED $169,114 TO IMPROVE ACCESS TO SERVICES THAT IMPACT CARDIOMETABOLIC HEALTH AND CANCER DETECTION, HELPING OVER 5,594 PEOPLE RECEIVE CARE IN LOCATIONS CONVENIENT AND WELCOMING. AS PART OF THIS EFFORT, OUR AGENCY PROVIDED SCREENINGS TO PREVENT COLON, BREAST, CERVICAL, PROSTATE AND SKIN CANCER TO 662 PEOPLE. CONE HEALTH ALSO PROVIDED TRANSPORTATION SERVICES IN THE AMOUNT OF $2,371. OPEN DOOR CLINIC PROVIDED CARE TO 1,199 PEOPLE WHO ARE UNINSURED. CONE HEALTH/ALAMANCE REGIONAL MEDICAL CENTER OPERATES ALAMANCE COUNTY'S MED ALERT PROGRAM, DEVOTING $37,061 AND SERVING 5,215 PEOPLE. CONE HEALTH PARTNERS WITH LOCAL ORGANIZATIONS TO ACHIEVE ITS GOALS, AS WELL, AND DISTRIBUTED $24,000 TO AREA AGENCIES WHO ARE DEVOTED TO IMPROVING THE LIVES OF OTHERS. A $50,000 CONTRIBUTION FOR ECONOMIC DEVELOPMENT DEMONSTRATES OUR COMMITMENT TO PARTICIPATE IN UPSTREAM ACTIVITIES THAT WILL CHANGE THE EMPLOYMENT LANDSCAPE IN THE COUNTIES WE SERVE. CLINICAL ROTATIONS FOR A VARIETY OF DISCIPLINES OFFERS A PATH FOR STUDENTS TO ACHIEVE THEIR EDUCATIONAL GOALS. CONE HEALTH PROVIDED OVER 438 CLINICAL OPPORTUNITIES VALUED AT $2,723,910. 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. IMPACT ALAMANCE FOUNDATION FUNDS NUMEROUS COMMUNITY ORGANIZATIONS THAT ARE CONDUCTING ACTIVITIES THAT WILL ADDRESS THE PRIORITIES IDENTIFIED UNDER OUR COMMUNITY NEEDS ASSESSMENT. STATE FILING OF COMMUNITY BENEFIT REPORT FORM 990, SCHEDULE H, PART VI, LINE 7 NC X X X X X false false false false false false true false false ADAMOLEKUN MICHELLE EXECUTIVE VP & ASSISTANT SECRE 0 366330 0 0 0 66125 0 55034 0 23053 0 510542 0 0 AKIN TERRENCE FORMER PRESIDENT & CEO 0 0 0 57391 0 677903 0 0 0 8597 0 743891 0 0 ANTRUM DNP VI-ANNE EXECUTIVE VP & ASSISTANT SECRE 0 391181 0 0 0 62698 0 30000 0 4628 0 488507 0 0 BARROW ANDREW CFO & SECRETARY 0 588769 0 53015 0 77306 0 52500 0 39344 0 810934 0 0 CAGLE MD MARY JO PRESIDENT & CEO 0 1224308 0 190602 0 172626 0 61636 0 29109 0 1678281 0 0 CARTER ROBERT SVP & CHIEF LEGAL COUNSEL 0 500934 0 0 0 62725 0 52619 0 30861 0 647139 0 0 CLAPACS MD JOHN PHYSICIAN 317580 0 20000 0 3795 0 51359 0 19682 0 412416 0 0 0 CORNUE CHRISTOPHER EXECUTIVE VP & ASSISTANT SECRE 0 445173 0 50 0 69452 0 24856 0 10347 0 549878 0 0 EATON MANDY CHIEF OPERATING OFFICER 0 689759 0 72205 0 99214 0 45000 0 34400 0 940578 0 0 FORTNEY CATHARINE VP & CHIEF COMPLIANCE OFFICER 0 239466 0 0 0 17498 0 21390 0 11578 0 289932 0 0 GORDON MARK SVP & REGIONAL PRESIDENT NORTH 377660 0 0 0 64871 0 57119 0 30773 0 530423 0 0 0 HAMMOCK PRESTON SVP & PRESIDENT MOSES CONE HOS 0 494420 0 197605 0 73628 0 42750 0 33796 0 842199 0 0 HAYWOOD MEHEE ASSISTANT TREASURER 0 145840 0 275 0 2772 0 55272 0 29455 0 233614 0 0 HERRICK RICHARD PHYSICIAN 247597 0 13525 0 3132 0 31806 0 16963 0 313023 0 0 0 KITZMILLER DAVID ASSISTANT TREASURER 0 163825 0 0 0 2772 0 32772 0 12650 0 212019 0 0 MILLER JOHN CFO & TREASURER 0 401762 0 13497 0 72113 0 94061 0 25253 0 606686 0 0 MORAN VICKI VP OPRERATIONS ARMC 56747 0 1539 0 220790 0 6609 0 1241 0 286926 0 0 0 NELMS JASON VP & ASSISTANT TREASURER 0 247769 0 0 0 17875 0 22500 0 7960 0 296104 0 0 PRIEST MD MARLON EXE VP & ASST SEC THRU 02/24 0 752756 0 5587 0 144222 0 72761 0 9579 0 984905 0 0 RAVISHANKAR JAYASHREE PHYSICIAN 244971 0 30291 0 4781 0 52985 0 27210 0 360238 0 0 0 REMPHER KENNETH FORMER EXE VP & ASST SECRETARY 0 0 0 348093 0 147174 0 2006 0 372 0 497645 0 0 ROSKELLY JAMES EXECUTIVE VP & ASSISTANT SECRE 0 13524 0 34853 0 0 0 564 0 0 0 48941 0 0 SMITH RENE' ASSISTANT TREASURER 0 190982 0 0 0 2827 0 24956 0 5355 0 224120 0 0 STUCKEY MD THOMAS TRUSTEE 0 177081 0 25 0 47577 0 59406 0 28551 0 312640 0 0 COMPENSATION CONTINGENT ON NET EARNINGS FORM 990, SCHEDULE J, PART I, LINE 6b 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 on the consolidated health system's performance in several measures, including net earnings. Note: If these measures are not met, their compensation will be below the market level for their job. POWER TO ELECT FORM 990, PART VI, SECTION A, LINE 7A PER THE BYLAWS OF THE ORGANIZATION, THE COMMUNITY DIRECTORS ARE THE SAME INDIVIDUALS WHO ARE ELECTED AS COMMUNITY DIRECTORS OF THE MOSES H. CONE MEMORIAL HOSPITAL. THUS, THIS RELATED CORPORATION'S BOARD-ACTING IN ITS OWN CAPACITY- SELECTS THESE DIRECTORS. 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 DISCUSSION. COMPENSATION REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 15 THE FOLLOWING METHODS ARE USED TO ESTABLISH COMPENSATION OF OFFICERS OTHER THAN THOSE COMPENSATED BY ATRIUM HEALTH: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT CONTRACT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE PROPRIETARY AND ARE NOT MADE AVAILABLE TO THE PUBLIC. MOSES CONE AFFILIATED PHYSICIANS INC 1200 NORTH ELM STREET GREENSBORO NC 27401 300554775 HEALTHCARE NC 501(C)(3) 3 MC PARENT false MOSES H CONE MEMORIAL HOSPITAL OPER CORP 1200 NORTH ELM STREET GREENSBORO NC 27401 581588823 HEALTHCARE NC 501(C)(3) 3 MC PARENT false THE MOSES H CONE MEMORIAL HOSPITAL INC 1200 NORTH ELM STREET GREENSBORO NC 27401 560532302 HEALTHCARE NC 501(C)(3) 12-II NA false ALAMANCE REGIONAL MEDICAL CENTER FOUNDAT 1200 NORTH ELM STREET GREENSBORO NC 27401 561681560 FUNDRAISING NC 501(C)(3) 12-II ARMC HC false MOSES CONE MEDICAL SERVICES INC 1200 NORTH ELM STREET GREENSBORO NC 27401 561714318 HEALTHCARE NC 501(C)(3) 3 MC PARENT false ARMC PHYSICIANS CARE INC 1200 NORTH ELM STREET GREENSBORO NC 27401 562095382 HEALTHCARE NC 501(C)(3) 3 ARMC HC false MOSES CONE PHYSICIAN SERVICES INC 1200 NORTH ELM STREET GREENSBORO NC 27401 800249057 HEALTHCARE NC 501(C)(3) 3 MC Parent false ARMC HEALTH CARE 1200 NORTH ELM STREET GREENSBORO NC 27401 581681363 HEALTHCARE NC 501(C)(3) 3 MC Parent false REIDSVILLE OB & GYN 1200 NORTH ELM STREET GREENSBORO NC 27401 800217430 HEALTHCARE NC 501(C)(3) 3 MC MED SVCS false MOSES CONE-WESLEY LONG COMMUNITY HEALTH 1200 NORTH ELM STREET GREENSBORO NC 27401 562001399 FUNDING NC 501(C)(3) 12-II MC PARENT false ALAMANCE COMMUNITY & HEALTH FOUNDATION 1200 NORTH ELM STREET GREENSBORO NC 27401 462505818 FUNDING NC 501(C)(3) 12-II ARMC true REF CONE INC 200 NORTH BENBOW ROAD GREENSBORO NC 27411 991330813 REAL ESTATE NC 501(C)(3) 12-I MC PARENT false ANNIE PENN MEMORIAL HOSPITAL FOUNDATION 618 SOUTH MAIN STREET REIDSVILLE NC 27320 581897269 FUNDING NC 501(C)(3) 7 MC OPERATING false NSC GREENSBORO WEST LLC 3000 RIVERCHASE GALLERIA BIRMINGHAM AL 35244 472847536 HEALTHCARE AL MC MED SVCS CONE HEALTH VENTURES LLC 1200 N ELM ST GREENSBORO NC 27401 920712783 INNOVATION NC WLCHS HTA HOLDINGS LLC 120 N ELM ST ADDRESS RALEIGH NC 27401 920615196 HOLDING COMPANY NC WLCHS WESLEY LONG COMMUNITY HEALTH SERVICES 1200 NORTH ELM STREET GREENSBORO NC 27401 561441377 HEALTHCARE NC MC PARENT C CORP false PIEDMONT PRACTICE ASSOCIATES INC 1200 NORTH ELM STREET GREENSBORO NC 27401 561954739 HEALTHCARE NC WLCHS C CORP false CARE N' CARE INSURANCE COMPANY OF NORTH 1200 NORTH ELM STREET GREENSBORO NC 27401 472847536 INSURANCE NC HTA HOLDINGS C CORP false INSURANCE CASUALTY AND RISK ENTERPRISE PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981491204 SELF INSURANCE NC MC PARENT C CORP false false false false false false false false false false true false false false false false true false false false