2019-08-15T06:14:25-05:00 2018-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-10-01 560554222 ST LUKE'S HOSPITAL INC STLU 8288943311 101 HOSPITAL DRIVE COLUMBUS NC 287226418 ELIZABETH PRESNELL CFO 8288943311 2019-08-13 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-08-13 13:28:31 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2017 2019-02-21 02:37:17Z ELIZABETH PRESNELL 101 HOSPITAL DRIVE COLUMBUS NC 287226418 42489312 0 X WWW.SAINTLUKESHOSPITAL.COM X 1928 NC THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES TO ITS PATIENTS. 14 12 294 61 0 0 497173 596578 42892338 41430670 259609 262550 159175 176011 43808295 42465809 0 0 0 0 14454760 14770615 0 0 0 25883668 25752715 40338428 40523330 3469867 1942479 43366820 45790375 8313815 8570954 35053005 37219421 X TO PROVIDE QUALITY, PATIENT-FOCUSED HEALTH AND WELLNESS SERVICES. 0 0 35005281 0 41466522 ST. LUKE'S HOSPITAL IS COMMITTED TO OPERATE A HEALTH SYSTEM THAT PROVIDES HOSPITAL, ACUTE AND EMERGENCY CARE AND ADVANCED SERVICES SUCH AS ADVANCED REHABILITATIVE SERVICES, RADIOLOGY SERVICES, LAB SERVICES, PAIN MANAGEMENT SERVICES, THERAPY, INTENSIVE OUTPATIENT PSYCHOTHERAPY, INFUSION (ONCOLOGY AND HEMATOLOGY) SERVICES, AND GERIATRIC-PSYCHIATRIC CARE FOR ADULTS 55+ WHO SUFFER FROM DEPRESSION, DEMENTIA, ALZHEIMER'S AND OTHER MENTAL HEALTH DISORDERS, FOR THE BENEFIT OF THE RESIDENTS OF POLK COUNTY AND SURROUNDING COMMUNITIES. COMMITMENT TO THIS MISSION REQUIRES BOTH AN "INVESTMENT IN AND A "PARTNERSHIP WITH" THE COMMUNITY WHICH ST. LUKE'S HOSPITAL SERVES. SEE SCHEDULE O FOR CONTINUATION:DURING FY 2016, THE ORGANIZATION HAD APPROXIMATELY 21,000 VISITS. ST. LUKE'S HOSPITAL DEFINES AND MEASURES THIS "INVESTMENT IN AND A "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 PERIODIC HEALTHTALK PROGRAMS TO PROVIDE EDUCATION AND UPDATED INFORMATION ON PARTICULAR AND TIMELY HEALTH TOPICS; VARIOUS HEALTH AND CANCER SCREENINGS FOR PEOPLE WHO ARE UNDERINSURED AND UNINSURED; AND FIRST AID AND HAND HYGIENE STATIONS AT VARIOUS COMMUNITY EVENTS AND FESTIVALS. OUR GENEROUS IN-KIND CONTRIBUTIONS TO NUMEROUS POLK COUNTY SOCIAL SERVICES AND CIVIC ENTITIES INCLUDE VOLUNTEER LEADERSHIP ROLES WITH POLK FIT, FRESH, AND FRIENDLY, POLK WELLNESS CENTER, HIGHWOODS APARTMENTS FOR LOW INCOME FAMILIES, MENTAL HEALTH TASK FORCE FOR COMMUNITY HEALTH, THERMAL BELT OUTREACH HEALTH CARE COMMITTEE AND THE POLK COUNTY VISIONING COMMISSION, TO NAME A FEW. CIVIC PARTICIPATION INCLUDES TRYON KIWANIS CLUB, FOOTHILLS CHAMBER OF COMMERCE, TRYON ROTARY CLUB AND THE BLUE RIDGE HUNTER JUMPER ASSOCIATION, AMONG OTHERS. ST. LUKE'S HOSPITAL, OUR MEDICAL STAFF AND OUR EMPLOYEES CONTRIBUTE GENEROUSLY TO THE HEALTH, EDUCATION AMD WELL-BEING OF ALL AGES AND CIRCUMSTANCES IN POLK COUNTY. 35005281 1 1 0 1 0 0 0 0 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 53 0 1 294 1 0 0 0 0 0 0 0 0 0 0 X 14 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X ELIZABETH PRESNELL 8288940954 101 HOSPITAL DRIVE COLUMBUS NC 28722 JEAN SHUMWAY CHAIR 1.00 X X 0 0 0 DR LINDA GREENSFELDER VICE CHAIR 1.00 X X 0 0 0 DON HOFMANN TREASURER 1.00 X X 0 0 0 LAURA ELLINGTON SECRETARY 1.00 X X 0 0 0 MICHAEL BAUGHMAN TRUSTEE 1.00 X 0 0 0 CLARK BENSON TRUSTEE 1.00 X 0 0 0 LARRY WASSONG TRUSTEE 1.00 X 0 0 0 WARREN CARSON PHD TRUSTEE 1.00 X 0 0 0 BILL MILLER TRUSTEE 1.00 X 0 0 0 JAMES HOLLEMAN MD TRUSTEE 1.00 45.00 X 0 225208 47455 MARION MCMILLAN TRUSTEE 1.00 X 0 0 0 TOMMY MELTON TRUSTEE 1.00 X 0 0 0 OLIN SANSBURY PHD TRUSTEE 1.00 X 0 0 0 LINDA SCHUTTER TRUSTEE 1.00 X 0 0 0 ELIZABETH PRESNELL CFO 45.00 X 156233 0 40580 JAMES BROSS CEO 45.00 X 250922 0 43426 CATHY MOORE CNO 45.00 X 154324 0 11693 AMY NORVILLE VP SUPPORT SERVICES 40.00 X 111840 0 18005 LYNN CROCKER PHARMACY DIRECTOR 40.00 X 117962 0 11486 KEVIN REYNOLDS PHARMACIST 40.00 X 118266 0 9992 BELYNDA VESER PHYSICIAN 40.00 X 153391 0 24741 1062938 225208 207378 10 0 1 0 CAROLINAS HEALTHCARE SYSTEM PO BOX 32861 CHARLOTTE NC 28232 MANAGEMENT CONTRACT 1954503 RIVERSIDE EMERGENCY PO BOX 674579 DETROIT MI 48267 PHYSICIAN SERVICES 917984 VMAX ASSOCIATION PA 72 ALPINE WAY ASHEVILLE NC 28805 ANESTHESIA SERVICES 888192 3 346981 249597 596578 PATIENT SERVICE REVENUE 621990 41392951 41392951 OTHER PATIENT SERVICES 621990 35899 35899 PHYSICAL THERAPY FEES 900099 1820 1820 41430670 228173 228173 35852 0 35852 35852 35852 57880 0 23503 57880 -23503 34377 34377 CAFETERIA/MEALS 900099 78728 78728 PURCHASE DISCOUNTS 900099 59710 59710 VENDING 900099 1721 1721 140159 42465809 41466522 0 402709 X 692759 692759 9950373 9221506 728867 3308925 2866945 441980 818558 709221 109337 47040 47040 3125 3125 8510291 5449028 3061263 34197 34197 806052 565698 240354 1475253 1356508 118745 69410 29028 40382 135782 135782 1251480 1251480 152564 152564 MEDICAL SUPPLIES 9031603 9031603 BAD DEBT EXPENSE 4201027 4201027 MISCELLANEOUS 34891 34891 40523330 35005281 5518049 0 3841123 4542693 6032012 4157579 844350 938980 190698 239759 32287263 20244844 11389144 12042419 9022440 8116529 583583 743303 11463470 15009113 43366820 45790375 3271881 4050114 2914148 2695814 2127786 1825026 8313815 8570954 X 33940799 35790198 1007324 1324341 104882 104882 35053005 37219421 43366820 45790375 1942479 223937 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 2560 2560 0 PART II-B, LINE 1: THE HOSPITAL PAID DUES TO AHA AND NCHA, AMOUNTS ALLOCATED FOR LOBBYING ARE ESTIMATED AT: $1,130 FOR NCHA AND $1,430 FOR AHA FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2018. 4974213 292229 126404 5140038 4590716 535226 151729 4974213 4228974 426783 65041 4590716 3694903 637814 -103743 4228974 3348197 32351 314355 3694903 0.83790 0.06770 0.09440 0 1 1 59433 59433 15860861 8711586 7149275 475789 408163 67626 14093794 11125095 2968699 1797386 1797386 12042419 INTERCOMPANY NOTES RECEIVABLE 13508537 ESTIMATED THIRD PARTY SETTLEMENTS 493436 ESCROW 1007140 15009113 THIRD PARTY PAYABLE 1780581 CEDRIC SEAMAN CHARITABLE TRUST 44445 1825026 X 38530516 223937 223937 38306579 3125 4156105 4159230 42465809 36364100 0 36364100 3125 4156105 4159230 40523330 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 OBLIGATIONS AS OF SEPTEMBER 30, 2018. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 4,146,433. REVENUES IN EXPENSES 9,672. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 4,146,433. REVENUES IN EXPENSES 9,672. 1 1 X 1 X 1 X 1 1 0 1 1 594805 594805 0.01640 2910390 1825487 1084903 0.02980 3505195 1825487 1679708 0.04620 65871 65871 0.00180 249490 249490 0.00690 4193765 3173569 1020196 0.02800 1740 1740 0.00000 4510866 3173569 1337297 0.03670 8016061 4999056 3017005 0.08290 0 4146433 1315203 6765605 7701114 -935509 X 1 1 1 1 ST LUKE'S HOSPITAL 101 HOSPITAL DRIVE COLUMBUS NC 28722 X X X X ST LUKE'S HOSPITAL INC 1 0 0 1 X X X X X X X 15 1 0 1 1 X SEE PART V SUPPLEMENTAL INFORMATION X X 1 13 1 HTTP://WWW.SAINTLUKESHOSPITAL.COM/DOCS/CHIP.PDF 0 1 X 200.000000000000 300.000000000000 X X X 1 1 X X X 1 X HTTP://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE&SUB X HTTP://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE&SUB X HTTP://WWW.SAINTLUKESHOSPITAL.COM/GETPAGE.PHP?NAME=FINANCIAL-ASSISTANCE&SUB X X X X X 1 X 0 X X 1 X 0 0 ST. LUKE'S HOSPITAL, INC. PART V, SECTION B, LINE 5: MARKETING/PUBLIC RELATIONS DIRECTOR REPRESENTED ST. LUKE'S HOSPITAL WITH WNC HEALTHY IMPACT FOR COLLABORATING/GENERATING/ANALYZING DEMOGRAPHIC AND HEALTH DATA. THE DIRECTOR ALSO SERVES ON BOARD OF POLK COUNTY'S LOCAL HEALTH COALITION, POLK FIT, FRESH, FRIENDLY. WE COLLABORATED WITH RUTHERFORD-POLK-MCDOWELL HEALTH DISTRICT TO ORGANIZE A COMMUNITY HEALTH FORUM AND DEVELOPED CHIP FROM THOSE RESULTS. ST. LUKE'S HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE HOSPITAL MADE THE CHNA AVAILABLE TO THE LOCAL NEWS MEDIA/NEWSLETTERS. ST. LUKE'S HOSPITAL, INC. PART V, SECTION B, LINE 6B: WESTERN HEALTH NETWORK COALITION ST. LUKE'S HOSPITAL, INC. PART V, SECTION B, LINE 7D: HTTP://WWW.SAINTLUKESHOSPITAL.COM/DOCS/HEALTH_ASSESSMENT_POLK_COUNTY_9-6-13.PDF ST. LUKE'S HOSPITAL, INC. PART V, SECTION B, LINE 11: IN REVIEWING DATA AND COMMUNITY CONCERNS, WE SELECTED SEVERAL HEALTH CONCERNS THAT WE HAVE THE CAPABILITY/RESOURCES TO AFFECT. A VARIETY OF DATA AND INFORMATION WAS COLLECTED FOR THE CHNA. THE PROCESS INCLUDED REVIEW AND ANALYSIS OF:1) SECONDARY, QUANTITATIVE STATISTICAL DATA;2) PRIMARY, QUALITATIVE COMMUNITY FEEDBACK;3) CURRENT COMMUNITY HEALTH RESOURCES AND ST. LUKE'S SPECIFIC ASSETS. TO SELECT PRIORITIES AND RELATED STRATEGIES THAT WE HAD CAPACITY TO IMPROVE, THE FOLLOWING CRITERIA WERE CONSIDERED:- DATA AND COMMUNITY INDICATES AN IMPORTANT NEED IN THE COMMUNITY- ST. LUKE'S HOSPITAL AND PARTNER-PROVIDERS HAVE CAPACITY TO MAKE AN IMPACT- ADDRESSING A SELECTED ISSUE HOLDS POTENTIAL TO AFFECT OTHER HEALTH CONDITIONS- STRATEGIES ALIGN WITH ST. LUKE'S CAPACITY AND MISSION PART I, LINE 7: THE ORGANIZATION UTILIZED THE IRS WORKSHEETS TO DETERMINE THE COST TO CHARGE RATIO PART I, LINE 7G: OPERATION OF EMERGENCY DEPARTMENT AT A LOSS FOR THE BENEFIT OF THE COMMUNITY PART I, LN 7 COL(F): THE TOTAL EXPENSE ON FORM 990 PART XI, LN 25 CONTAINS A BAD DEBT EXPENSE OF 4,146,433 THAT HAS BEEN REMOVED FOR THE CALCULATION OF CHARITY CARE PERCENTAGE. PART II, COMMUNITY BUILDING ACTIVITIES: *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 PERIODIC HEALTHTALK PROGRAMS TO PROVIDE EDUCATION AND UPDATED INFORMATION ON PARTICULAR AND TIMELY HEALTH TOPICS; VARIOUS HEALTH AND CANCER SCREENINGS FOR THE COMMUNITY, SCHOOLS, CHURCHES; AND FIRST AID AND HAND HYGIENE STATIONS AT VARIOUS COMMUNITY EVENTS AND FESTIVALS.OUR GENEROUS IN-KIND CONTRIBUTIONS TO NUMEROUS POLK COUNTY SOCIAL SERVICES AND CIVIC ENTITIES INCLUDE VOLUNTEER LEADERSHIP ROLES WITH POLK FIT, FRESH, HIGHWOODS APARTMENTS FOR LOW INCOME FAMILIES, THERMAL BELT OUTREACH HEALTH CARE COMMITTEE AND THE POLK COUNTY VISIONING COMMISSION, TO NAME A FEW. CIVIC PARTICIPATION INCLUDES TRYON KIWANIS CLUB, FOOTHILLS CHAMBER OF COMMERCE, TRYON ROTARY CLUB AND THE BLUE RIDGE HUNTER JUMPER ASSOCIATION, AMONG OTHERS. 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. THE AMOUNT OF $1,315,203 IS THE CALCULATED COST OF SERVICES RESULTING IN BAD DEBT. PART III, LINE 4: THE PATIENT FINANCIAL ADVISOR REVIEWED THE FINANCIAL ASSISTANCE SPREADSHEETS FOR THE 2017 TAX PERIOD AND TOOK INTO ACCOUNT ALL ACCOUNTS THAT LEFT PATIENT RESPONSIBILITY. THE ACCOUNTS WERE THEN REVIEWED TO SEE IF THE PATIENT PAID OR IF THE ACCOUNTS CYCLED TO BAD DEBT.THE ORGANIZATION HAS ESTIMATED THAT A PORTION OF ITS BAD DEBTS COULD HAVE POTENTIALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION ESTIMATES APPROXIMATELY 33% OF ITS BAD DEBT REPRESENTS CHARITY CARE. PART III, LINE 8: AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOCABLE COSTS OF CARE ON PART III, LN 6 AND IS USED IN THE ORGANIZATIONS 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 PROVIDE FOR THE MAILING OF TWO STATEMENTS, TWO LETTERS, AND TWO PHONE CALLS PRIOR TO MOVING THE ACCOUNT TO THE COLLECTION PROCESS. PART VI, LINE 2: EVERY FOUR YEARS THE STATE OF NORTH CAROLINA REQUIRES EVERY LOCAL HEALTH DEPARTMENT AND NORTH CAROLINA HEALTHY CAROLINIANS PARTNERSHIPS TO CONDUCT A COMMUNITY HEALTH ASSESSMENT. A COMMUNITY HEALTH ASSESSMENT IS A PROCESS THAT ALLOWS THE MEMBERS OF THE COMMUNITY AND STAKEHOLDERS TO GAIN A BETTER UNDERSTANDING OF THE COUNTY'S HEALTH NEEDS AND CONCERNS.FOR SEVERAL YEARS, ST. LUKE'S HOSPITAL HAS COLLABORATED WITH WNC HEALTHY IMPACT FOR A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT (CHA). 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. PART VI, LINE 3: ST. LUKE'S HOSPITAL ADVISES ALL UNDERINSURED/UNINSURED PATIENTS THRU VERBAL OR WRITTEN NOTIFICATION OF ASSISTANCE OFFERED BY OUR PATIENT FINANCIAL COUNSELOR TO ASSESS ANY POSSIBLE THIRD PARTY ASSISTANCE THROUGH FEDERAL, STATE, LOCAL GOVERNMENT PROGRAMS OR FINANCIAL ASSISTANCE. ALL PATIENT INFORMATION PACKETS GIVEN TO INPATIENT AND OUTPATIENT PATIENTS INCLUDE AN INFORMATION SHEET WITH DETAILED DIRECTIONS ON FINANCIAL ASSISTANCE PROCESSES AND HOW TO CONTACT THE SLH FINANCIAL COUNSELOR. THE INFORMATION INCLUDES DETAILED DESCRIPTIONS OF THE PAPERWORK REQUIRED AND APPROPRIATE TIMEFRAMES TO COMPLETE FULL APPLICATIONS. ALL STATEMENTS DIRECT PATIENTS TO CONTACT CUSTOMER SERVICE FOR FINANCIAL ASSISTANCE OPTIONS. THE ED REGISTRATION EMPLOYEE ASKS UNINSURED PATIENTS TO COMPLETE A FLOW SHEET WHICH IS GIVEN TO THE PATIENT FINANCIAL COUNSELOR TO REVIEW FOR THIRD PARTY PROGRAMS OR FINANCIAL ASSISTANCE. INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE. PART VI, LINE 4: ST. LUKE'S HOSPITAL IS A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL THAT PROVIDES A WIDE RANGE OF ACUTE CARE SERVICES, 24/7 EMERGENCY CARE, GERIATRIC-PSYCHIATRIC INPATIENT AND INTENSIVE OUTPATIENT CARE, ADVANCED ORTHOPEDIC AND REHAB SERVICES, AND GENERAL SURGERY. THE 35-BED HOSPITAL IS LOCATED IN WESTERN NORTH CAROLINA AT THE FOOT OF THE BLUE RIDGE MOUNTAINS RIGHT AT THE NC/SC STATE LINE. THE PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL PROVIDES PRIMARY AND ACUTE HEALTHCARE SERVICES TO POLK COUNTY AND UPSTATE SOUTH CAROLINA. ST. LUKE'S IS SITUATED 40 MILES SOUTHEAST OF ASHEVILLE, NC, AND 25 MILES NORTH OF SPARTANBURG, SC. POLK COUNTY IS A WELL-KNOWN RETIREMENT COMMUNITY, WITH SEVERAL INDEPENDENT AND ASSISTED LIVING COMMUNITIES THAT ALSO PROVIDE NURSING HOME CARE, REHAB, PERSONAL CARE AND TRAVEL, LEISURE AND ENTERTAINMENT OPPORTUNITIES. ACCORDING TO ISOTHERMAL PLANNING AND DEVELOPMENT COMMISSION, THE STATE DATA CENTER PROJECTS THAT ALMOST 38 PERCENT OF THE REGION'S POPULATION WILL BE AGED 50 OR OLDER IN 2015. THIS TREND IS EVEN MORE PRONOUNCED IN POLK COUNTY--WHICH HAS BECOME A MAJOR RETIREMENT DESTINATION--WHERE THE PERCENTAGE OF THE POPULATION AGED 50 AND OLDER IS PROJECTED TO GROW TO 46.5 PERCENT BY 2015.THE REGION HAS PROVEN TO BE AN ATTRACTIVE DESTINATION FOR RETIREES. THIS IS PARTICULARLY TRUE FOR POLK COUNTY AND RUTHERFORD COUNTY (ESPECIALLY AROUND LAKE LURE). RETIREE ATTRACTION HAS BROUGHT NEW SOURCES OF WEALTH, DEMAND FOR HOUSING, AND POTENTIAL ENTREPRENEURS TO THE REGION. WHILE THERE ARE A NUMBER OF SMALL INDUSTRIAL PLANTS IN THE AREA, INCLUDING MILLIKEN AND TIMKEN, THE INDUSTRIAL BASE IS LIMITED. ST. LUKE'S HOSPITAL IS CURRENTLY THE SECOND LARGEST PRIVATE EMPLOYER IN POLK COUNTY AVERAGING 325 EMPLOYEES. THE POLK COUNTY SCHOOL SYSTEM IS THE COUNTY'S LARGEST WITH MORE THAN 450 FULL-TIME EMPLOYEES.CURRENTLY, ST. LUKE'S SERVICE AREA ENCOMPASSES ALL OF POLK COUNTY (POPULATION-19,461). - PRIMARY SERVICE AREA --COLUMBUS AND TRYON (POP. 12,965)- SECONDARY SERVICE AREA-NORTH --SALUDA AND MILL SPRING (POP. 6,496)- SECONDARY SERVICE AREA-SOUTH -- LANDRUM AND CAMPOBELLO, SC, (POP. 17,780)ST. LUKE'S TOTAL SERVICE AREA POPULATION IS 37,241, OF WHICH 55 PERCENT ARE COVERED BY MEDICARE, 26 PERCENT AS PRIVATE PAY, AND 19 PERCENT DESCRIBED AS MEDICAID/SELF-PAY.RESIDENTS 65 AND OLDER COMPRISE 23.4 PERCENT OF THE POPULATION IN POLK COUNTY. THE LARGEST POPULATION GROUPS ARE THE 35-54 AND 55-74 YEAR OLDS, MAKING UP 26 PERCENT AND 24 PERCENT RESPECTIVELY. MEDIAN HOUSEHOLD INCOME IS $38,184, AND THE PERCENT OF POVERTY FOR POLK COUNTY IS 11.2 PERCENT, BELOW NC AND US RATES. PART VI, LINE 5: ST. LUKE'S HOSPITAL IS THE ONLY HOSPITAL IN OUR PRIMARY SERVICE AREA. WE ARE THE SAFETY-NET FOR OUR CITIZENS, WITH 24/7 EMERGENCY SERVICES FOR PHYSICAL INJURIES AND ILLNESSES AS WELL AS MENTAL HEALTH PATIENTS. IN FISCAL YEAR 2018, ST. LUKE'S PROVIDED $5.3 MILLION IN COMMUNITY CARE. WE ARE INVOLVED IN SERVICE TO OUR COMMUNITY THROUGH SPECIAL EVENTS, HEALTH FAIRS AND SCREENINGS, AND OUTREACH EDUCATION.IN THE EVENT OF SURPLUS FUNDS THE ORGANIZATION USES THE MAJORITY OF THESE AMOUNTS TO INVEST IN EDUCATION AND TRAINING OF CLINICAL AND NON CLINICAL STAFF, TUITION ASSISTANCE, WEBINARS, NURSING EDUCATION GRANTS, AND REINVESTMENT IN CAPITAL PROJECTS SUCH AS TECHNOLOGY WHICH WILL ENHANCE AND IMPROVE QUALITY OF CARE. PART VI, LINE 7, REPORTS FILED WITH STATES NC X X 0 0 0 0 0 0 0 0 0 JAMES HOLLEMAN MD TRUSTEE 0 208271 0 16937 0 0 0 29791 0 17664 0 272663 0 0 ELIZABETH PRESNELL CFO 123186 0 25000 0 8047 0 13428 0 27152 0 196813 0 0 0 JAMES BROSS CEO 199387 0 49945 0 1590 0 18196 0 25230 0 294348 0 0 0 CATHY MOORE CNO 104000 0 26004 0 24320 0 9420 0 2273 0 166017 0 0 0 BELYNDA VESER PHYSICIAN 153391 0 0 0 0 0 0 0 24741 0 178132 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 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 AND AUTHORITY OF THE BOARD 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 A, LINE 3 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 CAROLINAS HEALTHCARE SYSTEM (CHS) TO MANAGE THE HOSPITAL AND AFFILIATES ON A DAY-TO-DAY BASIS. THE TERMS OF THE MSA CALL FOR THE HOSPITAL AND AFFILIATES TO PAY CHS AN ANNUAL MANAGEMENT FEE. IN ADDITION, CHS 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 CHS THE SALARY AND BENEFITS COST OF THESE INDIVIDUALS. THE ORGANIZATION IS UTILIZING PART VII AND SCHEDULE J OF THE FORM 990 TO REPORT THE COMPENSATION PAID TO THE CEO AND ASSISTANT VICE PRESIDENT OF FINANCEE BY THE MANAGEMENT FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. THE COMPENSATION HAS BEEN REPORTED IN THE FILING ORGANIZATION'S COMPENSATION COLUMNS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE HAD A MEETING TO COMPLETE A COMPREHENSIVE REVIEW OF THE FORM 990. THE ORGANIZATION HELD A FULL BOARD MEETING, WHERE THE FINANCE COMMITTEE PRESENTED THE FORM 990 TO THE ENTIRE BOARD. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH VOTING BOARD MEMBER FOR REVIEW PRIOR TO THE MEETING. ADDITIONALLY, EACH MEMBER RECEIVED A COPY OF THE 990 AT THE BOARD MEETING. AFTER A QUESTION & ANSWER PERIOD, THE VOTING BOARD VOTED TO APPROVE THE FORM 990 AS PRESENTED. THE ORGANIZATION'S BOARD OF DIRECTORS APPROVES THE 990 ANNUALLY PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT UPON HIRE OR APPOINTMENT. THE CONFLICTS OF INTEREST STATEMENT IS SIGNED ANNUALLY. THE CONFLICT OF INTEREST POLICY IS EXPLAINED DURING NEW EMPLOYEE ORIENTATION AND ALTHOUGH ALL EMPLOYEES ARE NOT TO SIGN THE STATEMENT THE EMPLOYEES ARE ENCOURAGED TO REPORT CONFLICT OF INTEREST ISSUES. FORM 990, PART VI, SECTION B, LINE 15 CAROLINAS HEALTHCARE SYSTEM HAS AN APPROVED COMPENSATION COMMITTEE THAT RETAINS INDEPENDENT EXPERTS TO DESIGN COMPLETE COMPENSATION PACKAGES. THE COMPENSATION COMMITTEE REVIEWS COMPARABILITY DATA, REVIEWS EXECUTIVE OFFICERS' PERFORMANCE AND RECOMMENDATIONS FOR SENIOR OFFICERS. EXECUTIVE COMPENSATION IS APPROVED AND AN OFFICIAL REPORT IS GIVEN TO THE BOARD ALONG WITH DOCUMENTATION IN THE MINUTES OF MEETINGS. FORM 990, PART VI, SECTION C, LINE 18 RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,224,611. MANAGEMENT AND GENERAL EXPENSES 1,121,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,346,371. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,221,908. MANAGEMENT AND GENERAL EXPENSES 1,939,503. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,161,411. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,002,509. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,002,509. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423318 CONTROLLING ENTITY NC 501(C)(3) N/A 0 ST LUKE'S FOUNDATION INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561757097 RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL NC 501(C)(3) LINE 7 ST LUKE'S HEALTHCARE INC 0 ST LUKE'S PHYSICIAN NETWORK INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 263082073 PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NC NC 501(C)(3) LINE 3 ST LUKE'S HEALTHCARE INC 0 ST LUKE'S PROFESSIONAL BUILDING INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423404 RENTAL REAL ESTATE NC N/A C 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 1 1