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ST LUKES HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOSPITAL INC (EIN 56-0554222)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202112249349301246
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-08-12T12:37:24-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST TRADE STREET SUITE 800AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560554222EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone8288943311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH PRESNELLPersonNm
Person TitleCFOPersonTitleTxt
Phone8288943311PhoneNum
Signature2021-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NORMANPreparerPersonNm
PTINP01506766PTIN
Phone7049985200PhoneNum
Preparation2021-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELIZABETH PRESNELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,693,182GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAINTLUKESHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO ITS PATIENTSActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee374TotalEmployeeCnt
Total Volunteers67TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$362,293PYContributionsGrantsAmt
CY Contributions Grants$2,454,664CYContributionsGrantsAmt
PY Program Service Revenue$39,162,184PYProgramServiceRevenueAmt
CY Program Service Revenue$36,946,167CYProgramServiceRevenueAmt
PY Investment Income$236,755PYInvestmentIncomeAmt
CY Investment Income$136,200CYInvestmentIncomeAmt
PY Other Revenue$193,179PYOtherRevenueAmt
CY Other Revenue$156,151CYOtherRevenueAmt
PY Total Revenue$39,954,411PYTotalRevenueAmt
CY Total Revenue$39,693,182CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,418,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,700,382CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,176,952PYOtherExpensesAmt
CY Other Expenses$22,459,124CYOtherExpensesAmt
PY Total Expenses$38,595,143PYTotalExpensesAmt
CY Total Expenses$36,159,506CYTotalExpensesAmt
PY Revenues Less Expenses$1,359,268PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,533,676CYRevenuesLessExpensesAmt
Total Assets BOY$47,055,964TotalAssetsBOYAmt
Total Assets EOY$61,933,683TotalAssetsEOYAmt
Total Liabilities BOY$7,910,781TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,136,344TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,145,183NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$42,797,339NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE QUALITY, PATIENT-FOCUSED HEALTH AND WELLNESS SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$31,669,519ExpenseAmt
Revenue$36,946,167RevenueAmt
DescST. 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$31,669,519TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document40IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee374EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH PRESNELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8288940954PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL BAUGHMAN
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
SHARON DECKER
TRUSTEE1.001.00Yes (X)$0$0$0
LAURA ELLINGTON
TRUSTEE1.001.00Yes (X)$0$0$0
CLARK BENSON
TRUSTEE1.001.00Yes (X)$0$0$0
LINDA GREENSFELDER
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
DON HOFMANN
VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
TOMMY MELTON
TRUSTEE1.001.00Yes (X)$0$0$0
BILL MILLER
SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
MARCHE PITTMAN
TRUSTEE1.001.00Yes (X)$0$0$0
WILL SAVAGE MD
CHIEF OF STAFF1.0045.00Yes (X)$0$0$0
LINDA SCHUTTER
TRUSTEE1.001.00Yes (X)$0$0$0
JEFFREY VIAR MD
TRUSTEE1.001.00Yes (X)$0$0$0
JAY GEDDINGS
HOSPITAL FOUNDATION CHAIR1.001.00Yes (X)Yes (X)$0$0$0
OLIN SANSBURY PHD
TRUSTEE1.001.00Yes (X)$0$0$0
MICHELLE FORTUNE
CEO45.001.00Yes (X)$445,872$0$48,292
KATHY HEFNER
CNO45.00Yes (X)$141,370$0$18,820
ELIZABETH PRESNELL
CFO45.001.00Yes (X)$152,577$0$39,602
LYNN CROCKER
PHARMACY DIRECTOR40.00$129,671$0$0Yes (X)
KEVIN REYNOLDS
PHARMACIST40.00$124,136$0$0Yes (X)
THOMAS POLK
PHARMACIST40.00$118,677$0$0Yes (X)
LYNN HENSLEY
VP, AMBULATORY SERVICES/MARKETING40.00$107,388$0$0Yes (X)
JIM BROSS
CEO0.00$225,711$0$0Yes (X)
AMANDA NORVILLE
VP OF OPERATIONS0.00$109,442$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,554,844TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$106,714TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ATRIUM HEALTH
PO BOX 32861CHARLOTTENC28232MANAGEMENT CONTRACT$3,430,818
CAROLINAS PHYSICIANS NETWORK
2709 WATER RIDGE PKWY STE 200CHARLOTTENC28217PHYSICIAN MANAGEMENT$1,702,522
RIVERSIDE EMERGENCY PHYSICIANS
101 HOSPITAL DRCOLUMBUSNC28722ED PHYSICIANS$1,023,259
CAROLINA DREAMS ANESTHESIA PA
PO BOX 786COLUMBUSNC28722ANESTHESIA SERVICES$923,315
MORRISON MANAGEMENT
1000 BLYTHE BLVDCHARLOTTENC28203DIETARY SERVICES$499,434
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$2,140,059GovernmentGrantsAmt
All Other Contributions$314,605AllOtherContributionsAmt
Total Contributions$2,454,664TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621990BusinessCd
Total Revenue Column$36,377,131TotalRevenueColumnAmt
Related Or Exempt Func Income$36,377,131RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$569,036TotalRevenueColumnAmt
Related Or Exempt Func Income$569,036RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,946,167TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,200TotalRevenueColumnAmt
Exclusion$136,200ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$156,151TotalRevenueColumnAmt
Exclusion$156,151ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$156,151OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,693,182TotalRevenueColumnAmt
Related Or Exempt Func Income$36,946,167RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$292,351ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,107,630TotalAmt
Program Services$10,195,830ProgramServicesAmt
Management And General$911,800ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$88,231TotalAmt
Program Services$76,446ProgramServicesAmt
Management And General$11,785ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,734,363TotalAmt
Program Services$1,502,701ProgramServicesAmt
Management And General$231,662ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$770,158TotalAmt
Program Services$667,286ProgramServicesAmt
Management And General$102,872ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$500,000TotalAmt
Management And General$500,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$131,682TotalAmt
Management And General$131,682ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,445,034TotalAmt
Program Services$6,123,203ProgramServicesAmt
Management And General$2,321,831ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$61,744TotalAmt
Program Services$61,744ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$414,211TotalAmt
Program Services$290,699ProgramServicesAmt
Management And General$123,512ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,505,137TotalAmt
Program Services$1,383,987ProgramServicesAmt
Management And General$121,150ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$57,912TotalAmt
Program Services$24,219ProgramServicesAmt
Management And General$33,693ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$114,015TotalAmt
Program Services$114,015ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,178,283TotalAmt
Program Services$2,178,283ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$146,310TotalAmt
Program Services$146,310ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$7,038,415$7,038,415
BAD DEBT EXPENSE$1,866,381$1,866,381

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,159,506TotalAmt
Program Services$31,669,519ProgramServicesAmt
Management And General$4,489,987ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,079,187BOYAmt
EOY$17,770,072EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,216,172BOYAmt
EOY$3,739,050EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$855,654BOYAmt
EOY$843,588EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$215,964BOYAmt
EOY$214,539EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,687,583LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,915,953LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,339,151BOYAmt
EOY$12,771,630EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,807,183BOYAmt
EOY$5,206,239EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$728,021BOYAmt
EOY$733,611EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,814,632BOYAmt
EOY$20,654,954EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,055,964BOYAmt
EOY$61,933,683EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,128,716BOYAmt
EOY$3,591,451EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$41,865BOYAmt
EOY$47,454EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,740,200BOYAmt
EOY$15,497,439EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,910,781BOYAmt
EOY$19,136,344EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,652,156EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,145,183BOYAmt
EOY$42,797,339EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,055,964BOYAmt
EOY$61,933,683EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,533,676ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$20,858NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$97,622OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,555OtherActivitiesAmt
Total Lobbying Expenditures$1,555TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO NCHA ARE ATTRIBUTABLE TO LOBBYING EFFORTS MADE BY NCHA ON BEHALF OF ITS MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Collection Used PreservationYes (X)CollectionUsedPreservationInd
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,254,668BeginningYearBalanceAmt
Contributions$304,908ContributionsAmt
Investment Earnings Or Losses$384,793InvestmentEarningsOrLossesAmt
Administrative Expenses$18,000AdministrativeExpensesAmt
End Year Balance$5,926,369EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,140,038BeginningYearBalanceAmt
Investment Earnings Or Losses$301,088InvestmentEarningsOrLossesAmt
Administrative Expenses$186,458AdministrativeExpensesAmt
End Year Balance$5,254,668EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,974,213BeginningYearBalanceAmt
Investment Earnings Or Losses$292,229InvestmentEarningsOrLossesAmt
Administrative Expenses$126,404AdministrativeExpensesAmt
End Year Balance$5,140,038EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,590,716BeginningYearBalanceAmt
Investment Earnings Or Losses$535,226InvestmentEarningsOrLossesAmt
Administrative Expenses$151,729AdministrativeExpensesAmt
End Year Balance$4,974,213EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,228,974BeginningYearBalanceAmt
Investment Earnings Or Losses$426,783InvestmentEarningsOrLossesAmt
Administrative Expenses$65,041AdministrativeExpensesAmt
End Year Balance$4,590,716EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.84240BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04610PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11150TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch R0RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,433OtherCostOrOtherBasisAmt
Book Value$59,433BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,295,349OtherCostOrOtherBasisAmt
Depreciation$9,665,819DepreciationAmt
Book Value$6,629,530BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$475,789OtherCostOrOtherBasisAmt
Depreciation$425,009DepreciationAmt
Book Value$50,780BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,818,625OtherCostOrOtherBasisAmt
Depreciation$14,825,125DepreciationAmt
Book Value$5,993,500BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,387OtherCostOrOtherBasisAmt
Book Value$38,387BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,771,630TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ESCROW FUNDS$551,835
DUE FROM RELATED PARTIES$20,103,119
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,654,954TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
NOTES PAYABLE$2,226,586
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$1,966,383
CARES PROVIDER FELIEF FUNDS CONTRACT LIABILITY$3,205,396
ADVANCED MEDICARE AND MEDICAID PAYMENTS$5,942,099
REFUNDABLE ADVANCE$2,156,975
FieldValueIRS element (for citing)
Total Liability$15,497,439TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Indiv Hospital Tailored PolicyYes (X)IndivHospitalTailoredPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$990,022TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$990,022NetCommunityBenefitExpnsAmt
Total Expense0.02890TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,995,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,323,461DirectOffsettingRevenueAmt
Net Community Benefit Expns$671,684NetCommunityBenefitExpnsAmt
Total Expense0.01960TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,985,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,323,461DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,661,706NetCommunityBenefitExpnsAmt
Total Expense0.04850TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,752TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,752NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292,460TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$292,460NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,706,297TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,706,297NetCommunityBenefitExpnsAmt
Total Expense0.07890TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,034,509TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,034,509NetCommunityBenefitExpnsAmt
Total Expense0.08840TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,019,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,323,461DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,696,215NetCommunityBenefitExpnsAmt
Total Expense0.13690TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,866,380BadDebtExpenseAmt
Bad Debt Expense Attributable$984,500BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,908,342ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,384,397CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,476,055MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SAINTLUKESHOSPITAL.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.SAINTLUKESHOSPITAL.COM/DOCS/2018CHA_POLK_COUNTY.PDFOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy Adopt0ImplementationStrategyAdoptInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB=FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB=FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB=FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. LUKE'S HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 6B: WESTERN HEALTH NETWORK COALITION
ST. LUKE'S HOSPITALPART 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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):THE TOTAL EXPENSE ON FORM 990 PART XI, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $3,049,048 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 4:FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (SEE NOTE 3 FOR FURTHER DETAIL REGARDING THE HOSPITAL AND AFFILIATE'S FINANCIAL ASSISTANCE POLICIES), THE HOSPITAL AND AFFILIATES RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED ACCORDING TO POLICY, FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE HOSPITAL AND AFFILIATE'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE HOSPITAL AND AFFILIATE'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLES ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ANALYZES COLLECTION HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL AND AFFILIATES ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL AND AFFILIATES RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BASED ON THESE ANALYSES, THE HOSPITAL AND AFFILIATES RECORDS A PROVISION FOR BAD DEBTS AND AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR THIRD-PARTY AND UNINSURED PATIENT ACCOUNTS RECEIVABLE BALANCES FOR WHICH THE PATIENT IS RESPONSIBLE.PATIENT ACCOUNTS RECEIVABLE IS RECORDED NET OF ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS OF APPROXIMATELY $3,310,000 AND $4,643,000 AT SEPTEMBER 30, 2020 AND 2019, RESPECTIVELY.
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

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHELLE FORTUNE
CEO$248,217$0$150,682$0$46,973$0$23,657$0$24,635$0$494,164$0$5,835$0
KATHY HEFNER
CNO$132,302$0$0$0$9,068$0$8,027$0$10,793$0$160,190$0$0$0
ELIZABETH PRESNELL
CFO$128,179$0$0$0$24,398$0$13,071$0$26,531$0$192,179$0$0$0
JIM BROSS
CEO$0$0$0$0$225,711$0$0$0$0$0$225,711$0$0$0
AMANDA NORVILLE
VP OF OPERATIONS$109,442$0$0$0$0$0$0$0$0$0$109,442$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4ADURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED SEPARATION SEVERANCE: JIM BROSS $225,218 AMANDA NORVILLE $ 26,525
SCHEDULE J, PART IIMICHELLE FORTUNE TRANSITIONED FROM VP OF PERIOPERATIVE SERVICES AND ANESTHESIA WITH ATRIUM TO BECOME THE CEO OF ST. LUKE'S HOSPITAL IN MARCH, 2019. THE BONUS PAID TO MICHELLE IN 2019 WAS THE PAYOUT OF A BONUS FOR HER PRIOR ROLE AT ATRIUM.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE 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, 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. EFFECTIVE JULY 1, 2008, THE HOSPITAL AND AFFILIATES ENTERED INTO A TEN-YEAR MANAGEMENT SERVICES AGREEMENT (THE MSA) WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WHICH DOES BUSINESS AS ATRIUM HEALTH (FORMERLY CAROLINAS HEALTHCARE SYSTEM)(ATRIUM) TO MANAGE THE HOSPITAL AND AFFILIATES ON A DAY-TO-DAY BASIS. THIS AGREEMENT WAS RENEWED IN 2018 FOR AN ADDITIONAL FIVE YEARS. THE TERMS OF THE MSA CALL FOR THE HOSPITAL AND AFFILIATES TO PAY ATRIUM AN ANNUAL MANAGEMENT FEE. IN ADDITION, ATRIUM IS REQUIRED TO FURNISH THE HOSPITAL AND AFFILIATES A CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND A CHIEF NURSING OFFICER. THE HOSPITAL AND AFFILIATES REIMBURSE ATRIUM THE SALARY AND BENEFITS COST OF THESE INDIVIDUALS.
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES AND BYLAWS OF THE ORGANIZATION WERE AMENDED DURING THE YEAR. THE SIGNIFICANT CHANGES ARE SUMMARIZED BELOW: ARTICLES 1. PROVIDED GREATER DETAIL, IN ACCORDANCE WITH THE INTERNAL REVENUE CODE, AS TO THE GENERAL PURPOSES THE ORGANIZATION MAY OR MAY NOT CARRY OUT TO MAINTAIN ITS EXEMPT STATUS UNDER CODE SECTION 501(C)(3). 2. ELABORATED AS TO THE THE MINIMUM AND MAXIMUM NUMBER OF BOARD MEMBERS WHO SHALL BE ELECTED OR APPOINTED AT ANY GIVEN TIME. 3. PROVIDED GENERAL "HOLD HARMLESS" LANGUAGE AS TO THE PERSONAL LIABILITY OF ANY BOARD MEMBER. 4. PROVIDED MORE EXPLICIT INSTRUCTIONS ON THE MANNER IN WHICH ASSETS WILL BE DISTRIBUTED UPON DISSOLUTION OF THE ORGANIZATION. BYLAWS 1. AMENDED ARTICLE 1.1 TO INDICATE THAT THE REGISTERED AGENT OF THE ORGANIZATION SHALL BE THE CHIEF EXECUTIVE OFFICER. 2. ARTICLE 1.4. WAS AMENDED TO STATE THAT, UPON DISSOLUTION, AND AFTER DISTRIBUTING ASSETS TO ST. LUKE'S HEALTH CARE (IF IN EXISTENCE AS A 501(C)(3) ORGANIZATION), THE ASSETS WOULD THEN BE DISTRIBUTED TO "SUCH ORGANIZATIONS IN POLK COUNTY, NORTH CAROLINA HAVING A HEALTH CARE OR HEALTH AND WELLNESS PURPOSES SUBSTANTIALLY SIMILAR TO THOSE OF THE CORPORATION...." 3. ARTICLE 2.3.1 ADDED LANGUAGE THAT REQUIRES THAT, TO BE ELECTED, A MEMBER MUST RECEIVE THE HIGHEST NUMBER OF VOTES AND AT LEAST A MAJORITY OF THE VOTES AT A BOARD MEETING AT WHICH A QUORUM IS PRESENT. 4. ARTICLE 2.4.5 ADDS A PARAGRAPH THAT ALLOWS ANY TRUSTEE TO WAIVE NOTICE OF A MEETING AND STATES THAT THE ATTENDANCE OF A TRUSTEE AT A MEETING SHALL CONSTITUTE A WAIVER OF NOTICE OF SUCH MEETING, "EXCEPT WHERE A TRUSTEE ATTENDS A MEETING FOR THE EXPRESS PURPOSE OF OBJECTING TO THE TRANSACTION OF ANY BUSINESS BECAUSE THE MEETING IS NOT LAWFULLY CALLED OR CONVENED." 5. ARTICLE 3.1 NOW REQUIRES THAT THE FOLLOWING STANDING COMMITTEES BE FORMED: EXECUTIVE AND GOVERNANCE; FINANCE, CORPORATE COMPLIANCE AND INVESTMENT; STRATEGIC PLANNING; QUALITY; JOINT CONFERENCE; AND COMMUNITY BENEFIT. THE ROLES OF EACH ARE FURTHER DEFINED WITHIN ARTICLE 3.1 TO REFLECT THE REORGANIZATION OF COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CANY 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 15ATRIUM 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 19FORMS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,003,539. MANAGEMENT AND GENERAL EXPENSES 635,937. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,639,476. MEDICAL SPECIALISTS: PROGRAM SERVICE EXPENSES 1,146,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,146,127. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,893,129. MANAGEMENT AND GENERAL EXPENSES 1,640,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,533,434. COLLECTION FEES: PROGRAM SERVICE EXPENSES 80,408. MANAGEMENT AND GENERAL EXPENSES 45,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,997.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF TRUST 27,576. TRANSFER TO HOSPITAL FROM SLPN 41,191. UNREALIZED GAINS/LOSS ENDOWMENT 28,855.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST LUKE'S HEALTH CARE INC
101 HOSPITAL DRCOLUMBUSNC28722561423318CONTROLLING ENTITYNC501(C)(3)PFN/A0
ST LUKE'S FOUNDATION INC
101 HOSPITAL DRCOLUMBUSNC28722561757097FUNDRAISING FOR ST. LUKE'S HOSPITALNC501(C)(3)LINE 70ST LUKE'S HEALTH CARE
ST LUKE'S PHYSICIAN NETWORK INC
101 HOSPITAL DRCOLUMBUSNC28722263082073HEALTHCARE SERVICES FOR POLK COUNTY, NCNC501(C)(3)LINE 30ST LUKE'S HEALTH CARE
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd