ST LUKES HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES HOSPITAL INC (EIN 56-0554222)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-14
- IRS object ID
- 202202269349300005
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-14T11:28:43-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560554222 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 8288943311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL DRIVE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28722 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH PRESNELL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8288943311 | PhoneNum |
| Signature | 2022-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ELIZABETH | PersonFirstNm |
| Person Last | PRESNELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Preparation | 2022-08-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELIZABETH PRESNELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL DRIVE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,213,276 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAINTLUKESHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO ITS PATIENTS | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 390 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,454,664 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,221,307 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,946,167 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,680,995 | CYProgramServiceRevenueAmt |
| PY Investment Income | $136,200 | PYInvestmentIncomeAmt |
| CY Investment Income | $246,137 | CYInvestmentIncomeAmt |
| PY Other Revenue | $156,151 | PYOtherRevenueAmt |
| CY Other Revenue | $64,837 | CYOtherRevenueAmt |
| PY Total Revenue | $39,693,182 | PYTotalRevenueAmt |
| CY Total Revenue | $51,213,276 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,700,382 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,501,362 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,459,124 | PYOtherExpensesAmt |
| CY Other Expenses | $25,579,647 | CYOtherExpensesAmt |
| PY Total Expenses | $36,159,506 | PYTotalExpensesAmt |
| CY Total Expenses | $39,081,009 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,533,676 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,132,267 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,933,683 | TotalAssetsBOYAmt |
| Total Assets EOY | $68,680,012 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,136,344 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,712,424 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,797,339 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $54,967,588 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY, PATIENT-FOCUSED HEALTH AND WELLNESS SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,834,088 | ExpenseAmt |
| Revenue | $47,680,995 | RevenueAmt |
| Desc | ST. LUKE'S HOSPITAL IS COMMITTED TO OPERATE A HEALTH SYSTEM THAT PROVIDES ACUTE, EMERGENCY AND OUTPATIENT SERVICES, INCLUDING ADVANCED REHABILITATIVE SERVICES, RADIOLOGY SERVICES, LAB SERVICES, PAIN MANAGEMENT SERVICES, INTENSIVE OUTPATIENT PSYCHOTHERAPY SERVICES AND INFUSION SERVICES (ONCOLOGY AND HEMATOLOGY), FOR THE BENEFIT OF THE RESIDENTS OF POLK AND SURROUNDING COUNTIES. (CONTINUED ON SCHEDULE O)COMMITMENT TO THIS MISSION REQUIRES BOTH AN INVESTMENT IN AND A PARTNERSHIP WITH THE COMMUNITY WHICH ST. LUKE'S SERVES. ST. LUKE'S HOSPITAL DEFINES AND MEASURES THIS INVESTMENT IN AND PARTNERSHIP WITH THE COMMUNITY USING THE FOLLOWING CATEGORIES OF COMMUNITY BENEFIT:COMMUNITY BENEFIT PROGRAMS -- INCLUDES THE UNREIMBURSED COST OF VARIOUS EDUCATION PROGRAMS, NON-BILLED MEDICAL SERVICES, IN-KIND DONATIONS AND OTHER SERVICES THAT MEET A STRONG COMMUNITY NEED, BUT DO NOT PAY FOR THEMSELVES. EXAMPLES OF THESE COMMUNITY BENEFIT PROGRAMS INCLUDE WEEKLY HEALTH TOPIC NEWSPAPER ARTICLES; VARIOUS HEALTH AND CANCER SCREENING FOR PEOPLE WHO ARE UNDERINSURED AND UNINSURED; AND FIRST AID AND HAND HYGIENE STATIONS AT VARIOUS COMMUNITY EVENTS AND FESTIVALS.COMMUNITY HEALTH WORKER PROGRAM -- THE DUKE ENDOWMENT PROVIDES A GRANT TO THE HOSPITAL TO FUND OUR COMMUNITY HEALTH WORKER (CHW) PROGRAM. OUR CHW HELPS THE COMMUNITY TO NAVIGATE THE TIME-CONSUMING AND CONFUSING NETWORK OF HEALTHCARE AND SOCIAL RESOURCES, AND CONNECTS CITIZENS TO A VARIETY OF ASSETS (PRIMARY CARE PROVIDERS, CHRONIC DISEASE MANAGEMENT EDUCATION, MENTAL HEALTH PROVIDERS, SPECIALISTS AND DENTISTS, PRESCRIPTION ASSISTANCE, FINANCIAL OR HEALTH INSURANCE ASSISTANCE, FOOD BANKS, TRANSPORTATION TO MEDICAL APPOINTMENT, ETC.) OFFERED THROUGHOUT OUR COMMUNITY.IN-KIND DONATIONS -- OUR GENEROUS IN-KIND CONTRIBUTIONS TO NUMEROUS POLK COUNTY SOCIAL SERVICES AND CIVIC ENTITIES INCLUDE VOLUNTEER LEADERSHIP ROLES WITH POLK COUNTY HEALTH AND WELLNESS COALITION, HIGHWOODS APARTMENTS FOR LOW INCOME FAMILIES, MENTAL HEALTH TASK FORCE FOR COMMUNITY HEALTH, WNC HEALTH NETWORK BOARD, WNC MEDICAL SOCIETY HEALTH HEALER ADVISORY BOARD, NHCA WORKERS COMPENSATION FUND BOARD, NCHA REGIONAL POLICY COUNCIL, AND THE POLK COUNTY ECONOMIC AND TOURISM DEVELOPMENT, TO NAME A FEW. CIVIC PARTICIPATION-- CIVIC PARTICIPATION INCLUDES TRYON KIWANIS CLUB AND THE TRYON ROTARY CLUB, AMONG OTHERS.ST. LUKE'S HOSPITAL, OUR MEDICAL STAFF AND OUR EMPLOYEES CONTRIBUTE GENEROUSLY TO THE HEALTH, EDUCATION AND WELL-BEING OF ALL AGES AND CIRCUMSTANCES IN POLK COUNTY. | Desc |
| Total Program Service Expenses | $35,834,088 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 390 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELIZABETH PRESNELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8288940954 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL DRIVE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28722 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL BAUGHMAN | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARON DECKER | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURA ELLINGTON | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LINDA GREENSFELDER | ||||||||
| PAST CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DON HOFMANN | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOMMY MELTON | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL MILLER | ||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARCHE PITTMAN | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILL SAVAGE MD | ||||||||
| CHIEF OF STAFF | 1.00 | 45.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA SCHUTTER | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY VIAR MD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE FORTUNE | ||||||||
| CEO | 45.00 | 1.00 | Yes (X) | $370,656 | $0 | $43,020 | ||
| KATHY HEFNER | ||||||||
| CNO | 45.00 | Yes (X) | $178,338 | $0 | $23,819 | |||
| ELIZABETH PRESNELL | ||||||||
| CFO | 45.00 | 1.00 | Yes (X) | $174,625 | $0 | $44,737 | ||
| LYNN HENSLEY | ||||||||
| VP OF AMBULATORY SVCS | 45.00 | $126,673 | $0 | $0 | Yes (X) | |||
| KEVIN REYNOLDS | ||||||||
| PHARMACY DIRECTOR | 45.00 | $132,175 | $0 | $0 | Yes (X) | |||
| THOMAS S POLK | ||||||||
| PHARMACIST | 45.00 | $120,942 | $0 | $0 | Yes (X) | |||
| MELODY CURTIS | ||||||||
| PHARMACIST | 45.00 | $100,480 | $0 | $0 | Yes (X) | |||
| COLIN CURRAN | ||||||||
| ONCOLOGIST | 45.00 | $145,524 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,349,413 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $111,576 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ATRIUM HEALTH | |||||
| PO BOX 32861 | CHARLOTTE | NC | 28232 | MANAGEMENT CONTRACT | $2,606,080 |
| CAROLINA DREAMS ANESTHESIA PA | |||||
| PO BOX 786 | COLUMBUS | NC | 28722 | ANESTHESIA SERVICES | $1,668,084 |
| CAROLINAS PHYSICIANS NETWORK | |||||
| 2709 WATER RIDGE PKWY STE 200 | CHARLOTTE | NC | 28217 | PHYSICIAN MANAGEMENT | $1,219,771 |
| MARGARET M PARDEE | |||||
| 800 N JUSTICE STREET | HENDERSONVILLE | NC | 28791 | MEDICAL SERVICES | $907,261 |
| QUALIVIS | |||||
| 5930 CORNERSTONE COURT WEST SUITE | SAN DIEGO | CA | 92121 | HEALTHCARE STAFF MANAGEMENT | $808,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,811,394 | GovernmentGrantsAmt |
| All Other Contributions | $409,913 | AllOtherContributionsAmt |
| Total Contributions | $3,221,307 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $45,113,407 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,113,407 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,567,588 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,567,588 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,680,995 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $246,137 | TotalRevenueColumnAmt |
| Exclusion | $246,137 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $64,837 | TotalRevenueColumnAmt |
| Exclusion | $64,837 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $64,837 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,213,276 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,680,995 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $310,974 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,618 | TotalAmt |
| Program Services | $178,337 | ProgramServicesAmt |
| Management And General | $545,281 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,580,136 | TotalAmt |
| Program Services | $9,279,605 | ProgramServicesAmt |
| Management And General | $300,531 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,920 | TotalAmt |
| Program Services | $100,436 | ProgramServicesAmt |
| Management And General | $15,484 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,253,619 | TotalAmt |
| Program Services | $1,952,599 | ProgramServicesAmt |
| Management And General | $301,020 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $828,069 | TotalAmt |
| Program Services | $717,462 | ProgramServicesAmt |
| Management And General | $110,607 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,000 | TotalAmt |
| Management And General | $500,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,470 | TotalAmt |
| Management And General | $68,470 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,916,273 | TotalAmt |
| Program Services | $6,811,781 | ProgramServicesAmt |
| Management And General | $1,104,492 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,503 | TotalAmt |
| Program Services | $106,503 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,763 | TotalAmt |
| Program Services | $190,727 | ProgramServicesAmt |
| Management And General | $81,036 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,594,634 | TotalAmt |
| Program Services | $2,385,789 | ProgramServicesAmt |
| Management And General | $208,845 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,173 | TotalAmt |
| Program Services | $8,018 | ProgramServicesAmt |
| Management And General | $11,155 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,824 | TotalAmt |
| Program Services | $101,824 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,313,192 | TotalAmt |
| Program Services | $2,313,192 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,821 | TotalAmt |
| Program Services | $164,821 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $7,307,399 | $7,307,399 |
| BAD DEBT EXPENSE | $4,215,595 | $4,215,595 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,081,009 | TotalAmt |
| Program Services | $35,834,088 | ProgramServicesAmt |
| Management And General | $3,246,921 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,770,072 | BOYAmt |
| EOY | $20,147,235 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,739,050 | BOYAmt |
| EOY | $5,206,764 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $843,588 | BOYAmt |
| EOY | $1,038,172 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,539 | BOYAmt |
| EOY | $179,594 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,784,225 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,512,723 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,771,630 | BOYAmt |
| EOY | $12,271,502 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,206,239 | BOYAmt |
| EOY | $7,110,550 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $733,611 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,654,954 | BOYAmt |
| EOY | $22,726,195 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,933,683 | BOYAmt |
| EOY | $68,680,012 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,591,451 | BOYAmt |
| EOY | $1,368,238 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,454 | BOYAmt |
| EOY | $217,620 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,974,300 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,497,439 | BOYAmt |
| EOY | $10,152,266 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,136,344 | BOYAmt |
| EOY | $13,712,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,389,662 | BOYAmt |
| EOY | $53,283,093 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,407,677 | BOYAmt |
| EOY | $1,684,495 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,797,339 | BOYAmt |
| EOY | $54,967,588 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,933,683 | BOYAmt |
| EOY | $68,680,012 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,132,267 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $628,016 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$590,034 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Preservation | Yes (X) | CollectionUsedPreservationInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,926,369 | BeginningYearBalanceAmt |
| Contributions | $352,677 | ContributionsAmt |
| Investment Earnings Or Losses | $913,069 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $168,000 | AdministrativeExpensesAmt |
| End Year Balance | $7,024,115 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,254,668 | BeginningYearBalanceAmt |
| Contributions | $304,908 | ContributionsAmt |
| Investment Earnings Or Losses | $384,793 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $18,000 | AdministrativeExpensesAmt |
| End Year Balance | $5,926,369 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,140,038 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $301,088 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $186,458 | AdministrativeExpensesAmt |
| End Year Balance | $5,254,668 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,974,213 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $292,229 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $126,404 | AdministrativeExpensesAmt |
| End Year Balance | $5,140,038 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,590,716 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $535,226 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $151,729 | AdministrativeExpensesAmt |
| End Year Balance | $4,974,213 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.86700 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.13300 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | 0 | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,433 | OtherCostOrOtherBasisAmt |
| Book Value | $59,433 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,420,244 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,109,657 | DepreciationAmt |
| Book Value | $6,310,587 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $475,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $432,948 | DepreciationAmt |
| Book Value | $42,841 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,727,946 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,970,118 | DepreciationAmt |
| Book Value | $5,757,828 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,813 | OtherCostOrOtherBasisAmt |
| Book Value | $100,813 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,271,502 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED PARTIES | Desc |
| Book Value | $22,726,195 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,726,195 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,590,325 |
| ADVANCED MEDICARE AND MEDICAID PAYMENTS | $4,773,533 |
| INTERCOMPANY PAYABLE | $3,717,363 |
| MISCELLANEOUS | $71,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,152,266 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | THE HOSPITAL DISPLAYS VARIOUS PIECES OF ART THROUGHOUT ITS BUILDINGS TO ENHANCE THE EXPERIENCE OF EMPLOYEES, PATIENTS, AND VISITORS TO THE HOSPITAL. |
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUNDS ARE ORGANIZED TO PROVIDE FUNDS FOR GENERAL PURPOSES. |
| 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 OBLIGATOINS AS OF SEPTEMBER 30, 2020. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Indiv Hospital Tailored Policy | Yes (X) | IndivHospitalTailoredPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $656,457 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $656,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,249,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,224,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,024,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,905,796 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,224,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,680,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,579 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,579 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $407,602 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $407,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,628,749 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,628,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07540 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $750 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,072,680 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,072,680 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,978,476 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,224,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,753,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13630 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,215,595 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,159,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,237,570 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,062,656 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $174,914 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPITAL DR | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SAINTLUKESHOSPITAL.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.SAINTLUKESHOSPITAL.COM/DOCS/2018CHA_POLK_COUNTY.PDF | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | 0 | ImplementationStrategyAdoptInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB= | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB= | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB= | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST. LUKE'S HOSPITAL | PART V, SECTION B, LINE 5: USING AVAILABLE DATA AND A CROSS-SECTION OF COUNTY RESIDENTS, WE SURVEY MEMBERS OF THE COMMUNITY REGARDING THEIR PERCEIVED HEALTHCARE NEEDS AND DISPARITIES. WE UTILIZE NC DATA AND HOST A HEALTH FORUM EVERY THREE YEARS DURING WHICH WE PRESENT THE SURVEY FINDINGS TO THE COMMUNITY. THE CHA IS PRESENTED DURING A PUBLIC MEETING, PRESENTED TO OUR BOARD OF COMMISSIONERS, INCLUDED ON WEBSITES AND PUBLISHED IN AREA NEWS MEDIA. THE HEALTH FORUM HELPS TO BRING PEOPLE WITH DIVERSE BACKGROUNDS AND DEMOGRAPHICS TO THE TABLE TO REACH CONSENSUS ON POLK COUNTY'S TOP HEALTHCARE NEEDS TO BE ADDRESSED AND WORK TOGETHER TO CREATE SOLUTIONS FROM THE DATA, PUBLIC MEETING AND THE HOSPITAL'S STRATEGIC PLAN, WE CREATED A COMMUNITY HEALTH IMPROVEMENT PLAN IN CONJUNCTION WITH OUR LOCAL HEALTH DEPARTMENT. |
| ST. LUKE'S HOSPITAL | PART V, SECTION B, LINE 6B: WESTERN HEALTH NETWORK COALITION |
| ST. LUKE'S HOSPITAL | PART V, SECTION B, LINE 11: AS PART OF THE COLLABORATIVE HEALTH ASSESSMENT PROCESS IN OUR COMMUNITY, SPECIFIC HEALTH NEEDS WERE PRIORITIZED BASED ON THE DATA THAT WAS COLLECTED, COMMUNITY INPUT, AND VARIOUS FACTORS RELATED TO FEASIBILITY OF ADDRESSING THE NEED. DETAILS ON THIS PROCESS ARE AVAILABLE IN OUR CHNA, WHICH IS PUBLICALLY AVAILABLE AT HTTP://WWW.FOOTHILLSHD.ORG/HEALTHPROM/CHA/.IN POLK COUNTY, THE FOLLOWING HEALTH ISSUES WERE PRIORITIZED FOR COLLECTIVE COMMUNITY-WIDE ACTION. PRIORITY HEALTH ISSUE #1: MENTAL HEALTHMENTAL HEALTH WAS SELECTED BECAUSE DATA SHOWS THAT INPATIENT HOSPITAL UTILIZATION FOR MENTAL DISORDERS IS RELATIVELY HIGH, AND 13.7% OF POLK ADULTS REPORTED EXPERIENCING MORE THAN 7 POOR MENTAL HEALTH DAYS DURING THE PAST MONTH. COUPLED WITH THE LACK OF MENTAL HEALTH PROVIDERS, AND SEVERAL RECENT CASES OF SUICIDE LOCALLY, MENTAL HEALTH IS PERCEIVED AS A "MAJOR PROBLEM" BY THE MAJORITY OF ACTIVE PARTNERS WORKING IN CONCERT THROUGH THE LOCAL POLK COUNTY HEALTH AND WELLNESS COALITION. DATA SHOWS THAT ILLICIT DRUG USE AND OVERDOSE DEATHS ARE HEALTH RISKS IN POLK THAT NEED TO BE MORE EFFECTIVELY ADDRESSED. THE RATE OF UNINTENTIONAL INJURY DEATHS DUE TO DRUG OVERDOSE IS VERY HIGH IN COMPARISON TO REGIONAL AND STATE RATES.WORK TO INCREASE ACCESS TO MENTAL HEALTH CARE AND TO REDUCE RATES OF PRESCRIPTION DRUG ABUSE AND MISUSE IS ONGOING. A DESIRE TO BUILD UPON THIS CURRENT WORK WAS EXPRESSED BY COMMUNITY PARTNERS IN THE POLK COUNTY HEALTH AND WELLNESS COALITION. THE NUMBER OF POOR MENTAL HEALTH DAYS WITHIN THE PAST 30 DAYS IS USED AS ONE MEASUREMENT OF A PERSON'S HEALTH-RELATED QUALITY OF LIFE. POOR MENTAL HEALTH INCLUDES STRESS, DEPRESSION, AND OTHER EMOTIONAL PROBLEMS. POOR MENTAL HEALTH CAN PREVENT A PERSON FROM ENGAGING IN DAILY ACTIVITIES, SUCH AS SELF-CARE, SCHOOL, WORK, AND RECREATION. POLK COUNTY AND ST. LUKE'S HOSPITAL ARE WORKING TOGETHER TO REDUCE THE NUMBER OF UNINTENTIONAL DEATHS (I.E. OVERDOSES) AND SUICIDE NUMBERS FOR POLK COUNTY. THE DESIRED RESULT WOULD BE TO SIGNIFICANTLY IMPACT THESE NUMBERS IN THE NEXT TWO TO THREE YEARS.RELATED HOSPITAL STRATEGY:1. GROW ACCESS TO PAIN MANAGEMENT SERVICES. MANY OF THE BEHAVIORAL/MENTAL HEALTH PATIENTS HAVE CO-MORBID CHRONIC PAIN CONDITIONS. CONVERSELY, CHRONIC PAIN CONDITIONS CAN AFFECT AN INDIVIDUAL'S BEHAVIORAL/MENTAL HEALTH. PROVIDING COMPREHENSIVE PAIN MANAGEMENT SERVICES TO POLK COUNTY RESIDENTS IS AN IMPORTANT PIECE OF ADDRESSING THE OVERALL BEHAVIORAL/MENTAL HEALTH SERVICES AVAILABLE BECAUSE APPROPRIATE MEDICAL MANAGEMENT CAN REDUCE INAPPROPRIATE PRESCRIBING AND HELP TO REDUCE PURCHASE OF STREET DRUGS BY PEOPLE COPING WITH CHRONIC PAIN.A. WORK WITH CONTRACTED PAIN MANAGEMENT PROVIDER TO EXPAND SERVICES FROM 1-2 DAYS PER WEEK TO 3-4 DAY PER WEEK ACCESS.B. CONTINUE TO PROVIDE PAIN MANAGEMENT OFFICE VISITS, THERAPEUTIC AND SURGICAL PROCEDURES TO APPROPRIATE PATIENTS.C. PROVIDE INTEGRATED CARE TO PAIN PATIENTS BY EVALUATING FOR BEHAVIORAL HEALTH NEEDS IN ADDITION TO MEDICAL NEEDS AND MAKING APPROPRIATE REFERRALS.D. EVALUATE EVIDENCE-BASED INTERVENTIONS, POPULATION SERVED, AND ADJUST AS NEEDED.2. EDUCATION AND INFORMATION. CONTINUED COMMUNITY AWARENESS ABOUT MENTAL ILLNESS, AVAILABLE SERVICES AND RESOURCES, AND SUPPORT FOR INTER-AGENCY COMMUNICATIONS. ST. LUKE'S WILL CONTINUE TO HOST AND SUPPORT THE "MENTAL HEALTH TASK FORCE." THIS IS A COALITION OF MENTAL HEALTH SERVICE PROVIDERS, LOCAL AGENCIES, LAW ENFORCEMENT, AND HOSPITAL DESIGNEES THAT MEETS MONTHLY TO WORK ON CURRENT ISSUES AND SHAREINFORMATION. THIS GROUP ALSO BRINGS IN OUTSIDE SPEAKERS TO PROVIDE CURRENT INFORMATION ON TRENDS IN MENTAL HEALTH.ST. LUKE'S WILL CONTINUE TO IDENTIFY COMMUNITY "FIRST-RESPONDERS" SUCH AS MINISTERS, PRIMARY CARE PROVIDERS, AND COUNTY SERVICE PROVIDERS TO EDUCATE ON RESPONDING TO MENTAL HEALTH CRISIS IN COMMUNITY SETTINGS. ST. LUKE'S WILL CONTINUE TO WORK WITH PSAC ON REDUCING PRESCRIPTION DRUG USE.3. INTENSIVE OUTPATIENT PSYCHOTHERAPY FOR SENIOR POPULATION. SENIOR LIFE SOLUTIONS IS THE INTENSIVE OUTPATIENT COUNSELING PROGRAM IN PLACE TO ADDRESS THE EMOTIONAL AND BEHAVIORAL HEALTH NEEDS OF ADULTS IN OUR COMMUNITY OVER THE AGE OF 65. THROUGH A COMBINATION OF GROUP AND INDIVIDUAL THERAPIES, SENIOR LIFE SOLUTIONS ASSISTS OLDER ADULTS WHO MAY BE EXPERIENCING FEELINGS OF DEPRESSION, ANXIETY, PTSD, UNRESOLVED GRIEF/LOSS ALONG WITH MANY OTHER LIFE STRESSORS.A. CONTINUE TO PROVIDE APPROPRIATE SERVICES, INCLUDING AFTERCARE SUPPORT TO PATIENTS REFERRED TO THIS OUTPATIENT PROGRAM.B. CONTINUE EDUCATIONAL EFFORTS THROUGHOUT THE COMMUNITY; FOR CLIENTS, THEIR FAMILIES, FOR ANYONE WITH A STRUGGLING FRIEND AND/ OR FAMILY MEMBER.C. EDUCATE THE MEDICAL COMMUNITY, CLERGY, AND COUNTY SERVICE PROVIDERS ON HOW TO IDENTIFY SENIORS IN NEED OF SERVICES, AND HOW TO FIND APPROPRIATE CARE QUICKLY.D. PLAN AND EXECUTE WITH OTHER COMMUNITY MENTAL HEALTH RESOURCES, SEMINARS, PUBLIC PRESENTATIONS AND WORKSHOPS TO STREAMLINE CONSISTENT CARE THROUGHOUT THE COMMUNITY.4. TELEPSYCHIATRY FOR EMERGENCY DEPARTMENT ENCOUNTERS. ST. LUKE'S HOSPITAL PROVIDES PSYCHIATRIC CONSULTATIONS FOR PATIENTS IN THE EMERGENCY DEPARTMENT THROUGH CONTRACTED TELEPSYCHIATRY SERVICES, AS NEEDED. THIS SERVICE ALLOWS ED PATIENTS WITH MENTAL HEALTH CONDITIONS TO BE EVALUATED SOONER BY A PSYCHIATRIST, START AN APPROPRIATE CARE AND/OR MEDICATION PLAN, AND BE EVALUATED FOR DISCHARGE OR FACILITY PLACEMENT AT AN EARLIER POINT.PRIORITY AREA #2: HEALTHY EATING/ACTIVE LIVING (HEAL)DESCRIPTION OF COMMUNITY NEEDACCESS TO HEALTHY FOOD & PLACESHEALTHY EATING AND ACTIVE LIVING EMERGED AS A PRIORITY DURING THE 2015 CHA AND DUE TO MANY FACTORS, WAS SELECTED TO REMAIN A HEALTH PRIORITY. OVERWEIGHT AND OBESITY POSE SIGNIFICANT HEALTH CONCERNS FOR BOTH CHILDREN AND ADULTS IN POLK COUNTY. EXCESS WEIGHT INCREASES AN INDIVIDUAL'S RISK OF DEVELOPING TYPE 2 DIABETES, HIGH BLOOD PRESSURE, HEART DISEASE, CERTAIN CANCERS AND STROKE. INCREASED PHYSICAL ACTIVITY AND IMPROVED NUTRITION ARE AMONG THE MAIN FACTORS THAT CAN HELP PEOPLE REACH AND MAINTAIN A HEALTHY WEIGHT.ONLY 4.3% OF POLK RESIDENTS RESPONDED THAT THEY CONSUME FIVE OR MORE SERVINGS OF FRUITS/VEGETABLES PER DAY. THIS IS A SIGNIFICANT DROP FROM PRIOR YEAR RESPONSE OF 9.5% AND IS LOWER THAN THE WNC AVERAGE OF 6.5%. RELATED HOSPITAL STRATEGY:1. DIABETES SELF-MANAGEMENT EDUCATION PROGRAM (DSME). THE DSME PROGRAM AT ST. LUKE'S HOSPITAL PROVIDES AN INDIVIDUALIZED AND COMPREHENSIVE CURRICULUM IN WHICH THE PERSON WITH DIABETES LEARNS HOW TO MANAGE ALL ASPECTS OF DIABETES FROM MONITORING MEDICATIONS, DIET AND EXERCISE, TO PSYCHOLOGICAL AND PSYCHOSOCIAL STRESS. THIS PROGRAM IS PROVIDED BY A CERTIFIED DIABETES EDUCATOR (CDE) AND CONSISTS OF TWO THREE-HOUR CLASSES FOLLOWED BY INDIVIDUALIZED GOAL SETTING AND PROBLEM-SOLVING.2. DIABETES PREVENTION PROGRAM (DPP). THE DPP PROGRAM WILL BE AIMED AT HELPING THOSE DIAGNOSED WITH PREDIABETES OR AT RISK FOR DIABETES (BASED ON CLINICAL RISK FACTORS) IN MAKING LIFESTYLE CHANGES TO PREVENT OR DELAY THE ONSET OF DIABETES. THIS IS AN ACCREDITED PROGRAM AND IS BASED ON THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) CURRICULUM.3. WORKPLACE WELLNESS PROGRAM. ST. LUKE'S WELLNESS PROGRAM PROVIDES A VARIETY OF ACTIVITIES FOR EMPLOYEES TO PARTICIPATE IN TO PROMOTE HEALTHY BEHAVIORS. IN ORDER TO PARTICIPATE, EMPLOYEES MUST COMPLETE AN ONLINE HEALTH RISK ASSESSMENT, ANNUAL WELLNESS EXAM, AND ANNUAL BLOODWORK. ST. LUKE'S ALSO OFFERS BENEFIT-ELIGIBLE EMPLOYEES ON-SITE BIOMETRIC SCREENINGS AND COUNSELING TO PROVIDE A CONVENIENT, FREE WAY FOR THESE EMPLOYEES TO KNOW AND TRACK IMPORTANT NUMBERS INCLUDING LIPID PANED, GLUCOSE, AND BLOOD PRESSURE. OTHER ACTIVITIES SUPPORTED BY THE WELLNESS PROGRAM INCLUDE PARTICIPATING IN LOCAL RACES/WALKS, TRACKING STEPS, ATTENDING WELLNESS LECTURES OR PRESENTATIONS, AMONG A WIDE-VARIETY OF OTHER OPTIONS. PARTICIPANTS RECEIVE A REDUCTION IN THEIR MONTHLY INSURANCE PREMIUM, AS WELL AS OTHER INCENTIVES INCLUDING HEALTH SAVINGS ACCOUNT CONTRIBUTIONS.THERE WERE NO NEEDS IN THIS PLAN THAT THE HOSPITAL IS NOT ADDRESSING. |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | THE TOTAL EXPENSE ON FORM 990 PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $4,215,595 THAT HAS BEEN REMOVED FOR THE CALCULATION OF CHARITY CARE PERCENTAGE. |
| PART III, LINE 3: | THE ORGANIZATION BELIEVES THAT ITS BAD DEBT WOULD BE CONSIDERED COMMUNITY BENEFIT DUE TO THE ECONOMIC CONDITIONS OF THE COMMUNITY SERVED. |
| PART III, LINE 8: | AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOCABLE COSTS OF CARE ON PART III, LINE 6 AND IS USED IN THE ORGANIZATION'S COST REPORT. THE ORGANIZATION DOES NOT CURRENTLY CLASSIFY ANY OF ITS SHORTFALL AS COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THE ORGANIZATION APPLIES THE SAME PROCEDURE TO ALL ACCOUNTS WHICH PROVIDES FOR THE MAILING OF TWO STATEMENTS, TWO LETTERS, AND TWO PHONE CALLS PRIOR TO MOVING THE ACCOUNT TO THE COLLECTION PROCESS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELLE FORTUNE | ||||||||||||||
| CEO | $257,892 | $0 | $99,301 | $0 | $13,463 | $0 | $21,002 | $0 | $22,018 | $0 | $413,676 | $0 | $5,540 | $0 |
| ELIZABETH PRESNELL | ||||||||||||||
| CFO | $141,458 | $0 | $32,198 | $0 | $969 | $0 | $14,739 | $0 | $29,998 | $0 | $219,362 | $0 | $0 | $0 |
| KATHY HEFNER | ||||||||||||||
| CNO | $143,948 | $0 | $31,194 | $0 | $3,196 | $0 | $12,387 | $0 | $11,432 | $0 | $202,157 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED SEPARATION SEVERANCE: JIM BROSS $225,218 AMANDA NORVILLE $ 26,525 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRMAN OF THE BOARD WHO SHALL ACT AS CHAIRMAN OF THE COMMITTEE, THE VICE-CHAIRMAN, THE SECRETARY, THE TREASURER, THE PAST CHAIR, AND THE CHIEF OF THE MEDICAL STAFF. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. THE EXECUTIVE COMMITTEE SHALL NOT TAKE ANY ACTION THAT CONFLICTS WITH ESTABLISHED POLICIES OF THE BOARD AND IT SHALL DEFER, WHEN POSSIBLE, ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD. |
| 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 | ANY TRUSTEE, BOARD MEMBER, OFFICER OR COMMITTEE MEMBER HAVING AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS/HER INTEREST TO THE HOSPITAL 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 WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. THE BODY TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY SIMPLE MAJORITY VOTE OF VOTING MEMBERS, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON DISCLOSING THE CONFLICT SHALL NOT VOTE ON, NOR USE HIS/HER NAME OR INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. A CONFLICT OF INTEREST POLICY IS SIGNED ANNUALLY BY EACH TRUSTEE. A CONFLICT OF INTEREST EXISTS WHENEVER AN INDIVIDUAL COULD BENEFIT FROM OTHERS, DIRECTLY OR INDIRECTLY, FROM ACCESS TO INFORMATION OR FROM A DECISION OVER WHICH THEY MIGHT HAVE INFLUENCE, OR, WHERE SOMEONE MIGHT REASONABLY PERCEIVE THERE TO BE SUCH A BENEFIT AND INFLUENCE. CONFLICTS OF INTEREST (REAL AND PERCEIVED) ARE UNAVOIDABLE AND SHOULD NOT PREVENT AN INDIVIDUAL FROM SERVING AS A DIRECTOR OR STAFF MEMBER UNLESS THE EXTENT OF THE INTEREST IS SO SIGNIFICANT THAT THE POTENTIAL FOR DIVIDED LOYALTY IS PRESENT IN A LARGE NUMBER OF SITUATIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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. THE COMPENSATION PACKAGE IS THEN PRESENTED TO THE ST. LUKE'S HOSPITAL BOARD TO MODIFY AND APPROVE, IN LINE WITH ST. LUKE'S COMPENSATION STRATEGIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | FORMS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,116,713. MANAGEMENT AND GENERAL EXPENSES 171,860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,288,573. MEDICAL SPECIALISTS: PROGRAM SERVICE EXPENSES 1,756,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,756,783. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,828,732. MANAGEMENT AND GENERAL EXPENSES 897,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,726,591. COLLECTION FEES: PROGRAM SERVICE EXPENSES 109,553. MANAGEMENT AND GENERAL EXPENSES 34,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,326. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF TRUST 17,289. TRANSFER TO HOSPITAL FROM SLPN -430,448. NET ASSETS RELEASED FROM RESTRICTIONS -176,875. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST LUKE'S HEALTH CARE INC | |||||||||||
| 101 HOSPITAL DR | COLUMBUS | NC | 28722 | 561423318 | CONTROLLING ENTITY | NC | 501(C)(3) | PF | N/A | 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 | 0 | ST LUKE'S HEALTH CARE | |
| ST LUKE'S PHYSICIAN NETWORK INC | |||||||||||
| 101 HOSPITAL DR | COLUMBUS | NC | 28722 | 263082073 | HEALTHCARE SERVICES FOR POLK COUNTY, NC | NC | 501(C)(3) | LINE 3 | 0 | ST LUKE'S HEALTH CARE | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |