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Moses H Cone Memorial Hospital Operating Corporation

1200 North Elm Street
Greensboro, NC 27401
EIN: 581588823
Individual Facility Details: The Moses H Cone Memorial Hospital
1200 North Elm St
Greensboro, NC 27401
4 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count1232Medicare provider number340091Member of the Council of Teaching HospitalsYESChildren's hospitalNO

Moses H Cone Memorial Hospital Operating CorporationDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
14.18%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 1,611,711,413
      Total amount spent on community benefits
      as % of operating expenses
      $ 228,533,875
      14.18 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 59,855,300
        3.71 %
        Medicaid
        as % of operating expenses
        $ 23,699,168
        1.47 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 135,108,628
        8.38 %
        Health professions education
        as % of operating expenses
        $ 7,456,928
        0.46 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 1,565,553
        0.10 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 848,298
        0.05 %
        Community building*
        as % of operating expenses
        $ 1,565,553
        0.10 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 1,565,553
          0.10 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 747,945
          47.78 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          $ 817,608
          52.22 %
          Workforce development
          as % of community building expenses
          $ 0
          0 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 145,626,778
        9.04 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 28,135,667
        19.32 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 1450704071 including grants of $ 1638007) (Revenue $ 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.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      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.
      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.
      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.
      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.