2023-08-15T10:48:46-05:00 2022-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2021-10-01 263082073 ST LUKE'S PHYSICIAN NETWORK INC STLU 8288943311 101 HOSPITAL DRIVE COLUMBUS NC 28722 ELIZABETH PRESNELL CFO 8288943311 2023-08-11 1 ELIZABETH PRESNELL 999009999 JOHN NORMAN P01506766 7049985200 2023-08-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ELIZABETH PRESNELL 101 HOSPITAL DRIVE COLUMBUS NC 28722 4630498 0 X N/A X 2008 NC TO PROVIDE QUALITY, PATIENT-FOCUSED HEALTHCARE TO POLK COUNTY AND SURROUNDING COUNTIES. 2 2 0 2 0 0 126585 93090 5695778 4535683 0 0 2737 1725 5825100 4630498 0 0 0 0 6385504 6057932 0 0 0 2068345 1926308 8453849 7984240 -2628749 -3353742 1663323 1226592 21897038 24814049 -20233715 -23587457 X TO PROMOTE COMMUNITY HEALTH THROUGH THE PROVISION OF HEALTH CARE SERVICES TO THE RESIDENTS OF POLK COUNTY, NC AND SURROUNDING COUNTIES, AS WELL AS TO PROMOTE, IMPROVE, AND ENHANCE THE QUALITY OF HEALTH CARE SERVICES IN POLK COUNTY, NC AND SURROUNDING COUNTIES. 1 0 7824459 4535683 ST. LUKE'S PHYSICIAN NETWORK (SLPN) PROVIDES HEALTH CARE SERVICES TO CITIZENS OF POLK COUNTY, NC, AND SURROUNDING COUNTIES, THROUGH VARIOUS CLINICS ACROSS A WIDE VARIETY OF MEDICAL SPECIALTIES. SLPN PROVIDES HEALTH CARE SERVICES TO CITIZENS OF POLK COUNTY, NC AND SURROUNDING COUNTIES, THROUGH A TOTAL OF FOUR CLINICS. THE FOUR CLINICS ARE COMPRISED OF TWO RURAL HEALTH CLINIC'S (SALUDA FAMILY MEDICINE AND FOOTHILLS MEDICAL ASSOCIATES WHICH INCLUDES CARDIOLOGY AND GENERAL SURGERY) ALONG WITH ST. LUKE'S ORTHOPEDIC AND SPORTS MEDICINE AND ST. LUKE'S UROLOGY CLINIC. FOR FY 2022, THE CLINICS HAD A COMBINED TOTAL OF 23,917 VISITS. 7824459 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 2 2 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X ELIZABETH PRESNELL 8288940954 101 HOSPITAL DRIVE COLUMBUS NC 28722 X TOMMY MELTON CHAIR 1.00 1.00 X X 0 0 0 LINDA GREENSFELDER PHD TRUSTEE 1.00 1.00 X 0 0 0 BRIAN ROSENBURG MD PHYSICIAN 45.00 X 1581080 0 59273 JEFFREY VIAR DO PHYSICIAN 45.00 X 232319 0 45614 GERHARDT WINKEL MD PHYSICIAN 45.00 X 422536 0 67679 WILLIAM SAVAGE DO PHYSICIAN 45.00 X 347948 0 58942 THOMAS DASHIELL JR MD PHYSICIAN 45.00 X 329973 0 39883 2913856 0 271391 9 0 1 0 ATRIUM HEALTH PO BOX 32861 CHARLOTTE NC 28232 MANAGEMENT AND BILLING SERVICES 564689 1 93090 93090 PATIENT REVENUE 621110 4438835 4438835 OTHER OPERATING 621110 96848 96848 4535683 1725 0 1725 1725 1725 4630498 4535683 0 1725 5618525 5506393 112132 26608 26076 532 304073 298004 6069 108726 106556 2170 124270 85392 38878 21685 21685 368871 368871 12432 12432 14929 14929 155566 155566 MEDICAL SUPPLIES 1019784 1019784 BAD DEBT EXPENSE 208771 208771 7984240 7824459 159781 0 116972 27452 1538021 1140103 19370 18900 368336 328199 -11040 40137 1663323 1226592 218339 342780 21678699 24471269 21897038 24814049 X -20233715 -23587457 -20233715 -23587457 1663323 1226592 -3353742 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 51828 16775 35053 316508 311424 5084 40137 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 61850 DUE TO RELATED PARTIES 24409419 24471269 X PART X, LINE 2: THE HOSPITAL, THE FOUNDATION, AND SLPN ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE PROFESSIONAL BUILDING IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. THE HOSPITAL AND THE AFFILIATES HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022. X 0 0 0 0 0 0 0 0 0 BRIAN ROSENBURG MD PHYSICIAN 1098395 0 457263 0 25422 0 38500 0 20773 0 1640353 0 0 0 GERHARDT WINKEL MD PHYSICIAN 382128 0 12564 0 27844 0 36204 0 31475 0 490215 0 0 0 WILLIAM SAVAGE DO PHYSICIAN 346571 0 159 0 1218 0 26100 0 32842 0 406890 0 0 0 THOMAS DASHIELL JR MD PHYSICIAN 288786 0 669 0 40518 0 37429 0 2454 0 369856 0 0 0 JEFFREY VIAR DO PHYSICIAN 179983 0 51225 0 1111 0 18262 0 27352 0 277933 0 0 0 FORM 990, PART III, LINE 2 IMPLEMENTED A CARDIOLOGY PROGRAM WITH A PART TIME CARDIOLOGIST INCORPORATED INTO ONE OF OUR RURAL HEALTH CLINICS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS ST. LUKE'S HEALTH CARE, INC., A SECTION 501(C)(3) NORTH CAROLINA ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ST. LUKE'S PHYSICIAN NETWORK'S BOARD IS APPOINTED BY THE BOARD OF DIRECTORS OF ST. LUKE'S HEALTH CARE, INC. (THE SOLE MEMBER OF ST. LUKE'S PHYSICIAN NETWORK). FORM 990, PART VI, SECTION A, LINE 7B ST. LUKE'S HEALTH CARE, THE SOLE MEMBER OF ST. LUKE'S PHYSICIAN NETWORK, HAS THE FOLLOWING POWERS: 1. TO MERGE, CONSOLIDATE, OR SELL SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; 2. TO ACQUIRE OR CREATE ANOTHER CORPORATION; 3. TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATIN AND BYLAWS OF THE CORPORATION; 4. TO GRANT PERMISSION TO DISSOLVE THIS CORPORATION; AND 5. TO APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WILL BE MADE AVAILABLE TO EACH VOTING BOARD MEMBER FOR REVIEW PRIOR TO A REQUEST FOR A VOTE. AFTER THE BOARD MEMBERS HAVE HAD AN OPPORTUNITY TO REVIEW AND ALL QUESTIONS HAVE BEEN ANSWERED SATISFACTORILY, THE BOARD WILL BE ASKED TO VOTE TO APPROVE FOR SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLLICT OF INTEREST STATEMENT UPON HIRE OR APPOINTMENT. ANY DIRECTOR, OFFICER, COMMITTEE MEMBER OR EMPLOYEE DEPARTMENT HEAD HAVING A CONFLICT OF INTEREST IN A CONTRACT OR THE TRANSACTION PRESENTED TO THE BOARD OR A BOARD COMMITTEE FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS/HER INTEREST TO THE BOARD OR BOARD COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT OR TRANSACTION THAT MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. A DIRECTOR, COMMITTEE MEMBER, OFFICER OF THE BOARD OR CORPORATION OR EMPLOYEE DEPARTMENT HEAD WHO HAS A DIRECT OR INDIRECT INTEREST IN ANY TRANSACTION PRESENTED TO THIS BOARD OR A BOARD COMMITTEE SHALL DISCLOSE HIS OR HER INTEREST AND SHALL ABSENT HIMSELF OR HERSELF FROM ALL DISCUSSION OF AND ANY VOTE UPON SUCH MATTER. A CONFLICT OF INTEREST TRANSACTION MUST BE AUTHORIZED, APPROVED OR RATIFIED BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS OR COMMITTEE MEMBERS WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION AND TO WHOM THE MATERIAL FACTS OF THE TRANSACTION AND OF ANY PERSON'S INTEREST IN THE TRANSACTION WERE DISCLOSED OR KNOWN. IF A MAJORITY OF THE MEMBERS WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION VOTE TO AUTHORIZE, APPROVE OR RATIFY THE TRANSACTION, A QUORUM IS PRESENT FOR THE PURPOSE OF TAKING SUCH ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR KEY TEAMMATES GOES THROUGH A REVIEW PROCESS. FOR PROVIDERS, FMV AND LOCAL MARKET CONDITIONS ARE TAKEN INTO CONSIDERATION TO DETERMINE THE APPROPRIATE COMPENSATION. ATRIUM HEALTH HAS AN APPROVED COMPENSATION COMMITTEE THAT RETAINS INDEPENDENT EXPERTS TO DESIGN COMPLETE COMPENSATION PACKAGES. THE COMPENSATION COMMITTEE REVIEWS COMPARABILITY DATA, REVIEWS EXECUTIVE OFFICERS' PERFORMANCE AND RECOMMENDATIONS FOR SENIOR OFFICERS. EXECUTIVE COMPENSATION IS APPROVED AND AN OFFICIAL REPORT IS GIVEN TO THE BOARD ALONG WITH DOCUMENTATION IN THE MINUTES OF MEETINGS. FORM 990, PART VI, SECTION C, LINE 18 RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABE ONLINE AT GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DR COLUMBUS NC 28722 561423318 CONTROLLING ENTITY NC 501(C)(3) PF 0 ST LUKE'S FOUNDATION INC 101 HOSPITAL DR COLUMBUS NC 28722 561757097 FUNDRAISING FOR ST. LUKE'S HOSPITAL NC 501(C)(3) LINE 7 ST LUKE'S HEALTH CARE INC 0 ST LUKE'S HOSPITAL INC 101 HOSPITAL DR COLUMBUS NC 28722 560554222 HEALTH CARE SERVICES FOR POLK COUNTY, NC RESIDENTS NC 501(C)(3) LINE 3 ST LUKE'S HEALTH CARE INC 0 ST LUKE'S PROFESSIONAL BUILDING INC 101 HOSPITAL DR COLUMBUS NC 28722 561423404 RENTAL REAL ESTATE NC C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0