2021-08-12T12:37:24-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-10-01 560554222 ST LUKE'S HOSPITAL INC STLU 8288943311 101 HOSPITAL DRIVE COLUMBUS NC 28722 ELIZABETH PRESNELL CFO 8288943311 2021-08-12 1 JOHN NORMAN P01506766 7049985200 2021-08-12 2019 2022-09-23 18:48:47Z ELIZABETH PRESNELL 101 HOSPITAL DRIVE COLUMBUS NC 28722 39693182 0 X WWW.SAINTLUKESHOSPITAL.COM X 1928 NC TO PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO ITS PATIENTS 12 12 374 67 0 0 362293 2454664 39162184 36946167 236755 136200 193179 156151 39954411 39693182 0 0 0 0 13418191 13700382 0 0 0 25176952 22459124 38595143 36159506 1359268 3533676 47055964 61933683 7910781 19136344 39145183 42797339 X TO PROVIDE QUALITY, PATIENT-FOCUSED HEALTH AND WELLNESS SERVICES. 0 0 31669519 36946167 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. 31669519 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 374 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ELIZABETH PRESNELL 8288940954 101 HOSPITAL DRIVE COLUMBUS NC 28722 MICHAEL BAUGHMAN TREASURER 1.00 1.00 X X 0 0 0 SHARON DECKER TRUSTEE 1.00 1.00 X 0 0 0 LAURA ELLINGTON TRUSTEE 1.00 1.00 X 0 0 0 CLARK BENSON TRUSTEE 1.00 1.00 X 0 0 0 LINDA GREENSFELDER CHAIR 1.00 1.00 X X 0 0 0 DON HOFMANN VICE CHAIR 1.00 1.00 X X 0 0 0 TOMMY MELTON TRUSTEE 1.00 1.00 X 0 0 0 BILL MILLER SECRETARY 1.00 1.00 X X 0 0 0 MARCHE PITTMAN TRUSTEE 1.00 1.00 X 0 0 0 WILL SAVAGE MD CHIEF OF STAFF 1.00 45.00 X 0 0 0 LINDA SCHUTTER TRUSTEE 1.00 1.00 X 0 0 0 JEFFREY VIAR MD TRUSTEE 1.00 1.00 X 0 0 0 JAY GEDDINGS HOSPITAL FOUNDATION CHAIR 1.00 1.00 X X 0 0 0 OLIN SANSBURY PHD TRUSTEE 1.00 1.00 X 0 0 0 MICHELLE FORTUNE CEO 45.00 1.00 X 445872 0 48292 KATHY HEFNER CNO 45.00 X 141370 0 18820 ELIZABETH PRESNELL CFO 45.00 1.00 X 152577 0 39602 LYNN CROCKER PHARMACY DIRECTOR 40.00 X 129671 0 0 KEVIN REYNOLDS PHARMACIST 40.00 X 124136 0 0 THOMAS POLK PHARMACIST 40.00 X 118677 0 0 LYNN HENSLEY VP, AMBULATORY SERVICES/MARKETING 40.00 X 107388 0 0 JIM BROSS CEO 0.00 X 225711 0 0 AMANDA NORVILLE VP OF OPERATIONS 0.00 X 109442 0 0 1554844 0 106714 12 1 1 0 ATRIUM HEALTH PO BOX 32861 CHARLOTTE NC 28232 MANAGEMENT CONTRACT 3430818 CAROLINAS PHYSICIANS NETWORK 2709 WATER RIDGE PKWY STE 200 CHARLOTTE NC 28217 PHYSICIAN MANAGEMENT 1702522 RIVERSIDE EMERGENCY PHYSICIANS 101 HOSPITAL DR COLUMBUS NC 28722 ED PHYSICIANS 1023259 CAROLINA DREAMS ANESTHESIA PA PO BOX 786 COLUMBUS NC 28722 ANESTHESIA SERVICES 923315 MORRISON MANAGEMENT 1000 BLYTHE BLVD CHARLOTTE NC 28203 DIETARY SERVICES 499434 5 2140059 314605 2454664 PATIENT REVENUE 621990 36377131 36377131 569036 569036 36946167 136200 136200 MISCELLANEOUS REVENUE 900099 156151 156151 156151 39693182 36946167 0 292351 X 11107630 10195830 911800 88231 76446 11785 1734363 1502701 231662 770158 667286 102872 500000 500000 131682 131682 8445034 6123203 2321831 61744 61744 414211 290699 123512 1505137 1383987 121150 57912 24219 33693 114015 114015 2178283 2178283 146310 146310 MEDICAL SUPPLIES 7038415 7038415 BAD DEBT EXPENSE 1866381 1866381 36159506 31669519 4489987 0 4079187 17770072 4216172 3739050 855654 843588 215964 214539 37687583 24915953 14339151 12771630 4807183 5206239 728021 733611 17814632 20654954 47055964 61933683 4128716 3591451 41865 47454 3740200 15497439 7910781 19136344 X 0 0 0 0 0 3652156 39145183 42797339 47055964 61933683 X 3533676 20858 97622 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1555 1555 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO NCHA ARE ATTRIBUTABLE TO LOBBYING EFFORTS MADE BY NCHA ON BEHALF OF ITS MEMBERS. X 0 5254668 304908 384793 18000 5926369 5140038 301088 186458 5254668 4974213 292229 126404 5140038 4590716 535226 151729 4974213 4228974 426783 65041 4590716 0.84240 0.04610 0.11150 0 1 0 59433 59433 16295349 9665819 6629530 475789 425009 50780 20818625 14825125 5993500 38387 38387 12771630 ESCROW FUNDS 551835 DUE FROM RELATED PARTIES 20103119 20654954 NOTES PAYABLE 2226586 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1966383 CARES PROVIDER FELIEF FUNDS CONTRACT LIABILITY 3205396 ADVANCED MEDICARE AND MEDICAID PAYMENTS 5942099 REFUNDABLE ADVANCE 2156975 15497439 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 990022 990022 0.02890 1995145 1323461 671684 0.01960 2985167 1323461 1661706 0.04850 35752 35752 0.00100 292460 292460 0.00850 2706297 2706297 0.07890 3034509 3034509 0.08840 6019676 1323461 4696215 0.13690 1 1866380 984500 6908342 10384397 -3476055 X 1 1 1 1 ST LUKE'S HOSPITAL 101 HOSPITAL DR COLUMBUS NC 28722 WWW.SAINTLUKESHOSPITAL.COM X X X X ST LUKE'S HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X HTTPS://WWW.SAINTLUKESHOSPITAL.COM/DOCS/2018CHA_POLK_COUNTY.PDF X 0 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB= X HTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB= X HTTPS://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-SERVICES&SUB= X X X X X X 1 X 0 X X 1 X 0 0 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. 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. X 1 0 0 0 0 0 0 0 0 MICHELLE FORTUNE CEO 248217 0 150682 0 46973 0 23657 0 24635 0 494164 0 5835 0 KATHY HEFNER CNO 132302 0 0 0 9068 0 8027 0 10793 0 160190 0 0 0 ELIZABETH PRESNELL CFO 128179 0 0 0 24398 0 13071 0 26531 0 192179 0 0 0 JIM BROSS CEO 0 0 0 0 225711 0 0 0 0 0 225711 0 0 0 AMANDA NORVILLE VP OF OPERATIONS 109442 0 0 0 0 0 0 0 0 0 109442 0 0 0 PART I, LINE 4A DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED SEPARATION SEVERANCE: JIM BROSS $225,218 AMANDA NORVILLE $ 26,525 SCHEDULE J, PART II MICHELLE 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. 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, 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 4 THE 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 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 2,003,539. 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. 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 ST LUKE'S HEALTH CARE 0 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 ST LUKE'S HEALTH CARE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0