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        <DescriptionOfServices>ER PHYSICIANS</DescriptionOfServices>
        <Compensation>498870</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>WOUND CARE SYSTEMS LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2881 NC HWY 108E</AddressLine1>
            <City>COLUMBUS</City>
            <State>NC</State>
            <ZIPCode>28722</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HYPERBARIC, WOUND CARE</DescriptionOfServices>
        <Compensation>393300</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <AllOtherContributions>134393</AllOtherContributions>
      <TotalContributions>134393</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE REVENU</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>28332973</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>28332973</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SALE OF DRUGS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>82755</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>82755</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CAFETERIA/MEALS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>47612</TotalRevenueColumn>
        <ExclusionAmount>47612</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER PATIENT SERVICES</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>6762</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6762</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>VENDING</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2892</TotalRevenueColumn>
        <ExclusionAmount>2892</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>2300</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1100</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>1200</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>28475294</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>166345</TotalRevenueColumn>
        <ExclusionAmount>166345</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>PURCHASE DISCOUNTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>81778</TotalRevenueColumn>
        <ExclusionAmount>81778</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>81778</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>28857810</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>28423590</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>299827</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>221345</Total>
        <ManagementAndGeneral>221345</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>8499190</Total>
        <ProgramServices>7490321</ProgramServices>
        <ManagementAndGeneral>1008869</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>2433573</Total>
        <ProgramServices>2115502</ProgramServices>
        <ManagementAndGeneral>318071</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>705537</Total>
        <ProgramServices>613817</ProgramServices>
        <ManagementAndGeneral>91720</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>1213499</Total>
        <ManagementAndGeneral>1213499</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>29677</Total>
        <ManagementAndGeneral>29677</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesOther>
        <Total>3172971</Total>
        <ProgramServices>2740384</ProgramServices>
        <ManagementAndGeneral>432587</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>63192</Total>
        <ProgramServices>2074</ProgramServices>
        <ManagementAndGeneral>61118</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>4604105</Total>
        <ProgramServices>4408171</ProgramServices>
        <ManagementAndGeneral>195934</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>1615459</Total>
        <ProgramServices>1591644</ProgramServices>
        <ManagementAndGeneral>23815</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>51121</Total>
        <ProgramServices>29061</ProgramServices>
        <ManagementAndGeneral>22060</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>129587</Total>
        <ProgramServices>129587</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>905336</Total>
        <ProgramServices>905336</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>138833</Total>
        <ProgramServices>138833</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>3239344</Total>
        <ProgramServices>3239344</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>27022769</Total>
        <ProgramServices>23404074</ProgramServices>
        <ManagementAndGeneral>3618695</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>897338</BOY>
        <EOY>1196235</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>2631730</BOY>
        <EOY>2580425</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>545845</BOY>
        <EOY>565228</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>106278</BOY>
        <EOY>129466</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>20143480</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>15496267</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4590828</BOY>
        <EOY>4647213</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>6025341</BOY>
        <EOY>6282876</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>537745</BOY>
        <EOY>554312</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>956429</BOY>
        <EOY>726264</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>16291534</BOY>
        <EOY>16682019</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2953942</BOY>
        <EOY>2376131</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>55514</BOY>
        <EOY>44903</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>3573221</BOY>
        <EOY>1197516</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1166855</BOY>
        <EOY>2949231</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>7749532</BOY>
        <EOY>6567781</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>8012717</BOY>
        <EOY>9525292</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>424403</BOY>
        <EOY>484064</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>104882</BOY>
        <EOY>104882</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>8542002</BOY>
        <EOY>10114238</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16291534</BOY>
        <EOY>16682019</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>3810</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>3810</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>THE HOSPITAL PAID DUES TO NCHA, OF WHICH $3,810 WAS DETERMINED AS LOBBYING EXPENDITURES DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2010.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>2271465</BeginningOfYearBalance>
        <Contributions>34103</Contributions>
        <InvestmentEarningsOrLosses>150471</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2456039</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1983824</BeginningOfYearBalance>
        <Contributions>153474</Contributions>
        <InvestmentEarningsOrLosses>134167</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2271465</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.79300</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.04300</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.16400</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>59433</OtherCostOrOtherBasis>
        <BookValue>59433</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6933057</OtherCostOrOtherBasis>
        <Depreciation>4971993</Depreciation>
        <BookValue>1961064</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>482089</OtherCostOrOtherBasis>
        <Depreciation>411079</Depreciation>
        <BookValue>71010</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>12668901</OtherCostOrOtherBasis>
        <Depreciation>10113195</Depreciation>
        <BookValue>2555706</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>4647213</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>THIRD PARTY PAYABLE</Description>
        <Amount>2440774</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CEDRIC SEAMAN CHARITABLE TRUST</Description>
        <Amount>81407</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASES</Description>
        <Amount>427050</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2949231</TotalOfAmounts>
      <TotalRevenue>28857810</TotalRevenue>
      <TotalExpenses>27022769</TotalExpenses>
      <ExcessOrDeficitForYear>1835041</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>176177</NetUnrealizedGLOnInvestments>
      <PriorPeriodAdjustments>1821</PriorPeriodAdjustments>
      <OtherAmount>-440804</OtherAmount>
      <TotalAdjustments>-262806</TotalAdjustments>
      <ExcessOrDeficitPerFS>1572235</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>28977128</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>176177</NetUnrealizedGainsInvestments>
      <OtherRevenues>6866</OtherRevenues>
      <RevenueNotRptdF990>183043</RevenueNotRptdF990>
      <RevenueSubtotal>28794085</RevenueSubtotal>
      <OtherRevenuesNotIncluded>63725</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>63725</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>28857810</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>27022769</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>27022769</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>27022769</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4:</Identifier>
        <ReturnReference>Description of Intended Use of Endowment Funds:</ReturnReference>
        <Explanation>THE ORGANIZATION'S ENDOWMENT FUNDS ARE ORGANIZED TO PROVIDE FUNDS FOR GENERAL PURPOSES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>EQUITY TRANSFER FROM AFFILIATES: -750000. CHANGE IN VALUE OF UNITRUST: 9161. UNREALIZED GAIN ON KIMBERLY TRUST: 27178. ASSETS RELEASED FROM RESTRICTION: 272857.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>ASSETS RELEASED FROM RESTRICTION: 6866.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>contributions not reflected on financial statements: 63725.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>0</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>534203</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>534203</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02250</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>2935070</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1205447</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1729623</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07270</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>3469273</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1205447</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2263826</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09520</PercentOfTotalExpense>
      </TotalCharityCare>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>17934</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>17934</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>17934</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>17934</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>3487207</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1205447</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2281760</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09600</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>28</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>12956</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>12956</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <NumberOfActivitiesOrPrograms>28</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>12956</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>12956</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1075958</BadDebtExpenseAmount>
      <AmountAttributableTo>19785</AmountAttributableTo>
      <AmountReimbursedByMedicare>11567186</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>3842076</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>7725110</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>0</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ST LUKE'S HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>101 HOSPITAL DRIVE</AddressLine1>
          <City>COLUMBUS</City>
          <State>NC</State>
          <ZIPCode>28722</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part I, Line 7: THE ORGANIZATION UTILIZED THE IRS WORKSHEETS TO DETERMINE THE COST TO CHARGE RATIO</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: THE TOTAL EXPENSE ON FORM 990 PART XI, LN 25 CONTAINS A BAD DEBT EXPENSE OF 3,239,344 THAT HAS BEEN REMOVED FOR CALCULATION OF CHARITY CARE PERCENTAGE.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4: THE PATIENT FINANCIAL ADVISOR REVIEWED THE FINANCIAL ASSISTANCE SPREADSHEETS FOR THE 2010 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.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOCABLE COSTS OF CARE ON PART III, LN 6.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: THE ORGANIZATION APPLIES THE SAME PROCEDURE TO ALL ACOUNTS WHICH PROVIDE FOR THE MAILING OF TWO STATEMENTS, TWO LETTERS, AND TWO PHONE CALLS PRIOR TO MOVING THE ACCOUNT TO THE COLLECTION PROCESS.</DebtCollectionPolicy>
        <NeedsAssessment>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.DURING THE THREE INTERIM YEARS, THE LOCAL HEALTH DEPARTMENTS AND HEALTHY CAROLINIAN PARTNERSHIPS ARE RESPONSIBLE FOR ISSUING THE STATE OF THE COUNTY HEALTH (SOTCH) REPORT. THE 2010 POLK COUNTY SOTCH REPORT IS AN ANNUAL REVIEW OF THE PRIORITY HEALTH ISSUES THAT WERE CHOSEN IN THE 2008 POLK COUNTY COMMUNITY HEALTH ASSESSMENT. THE REPORT SERVES TO INFORM THE COMMUNITY AND STAKEHOLDERS ABOUT THE HEALTH STATUS OF OUR RESIDENTS AND PROVIDE AN UPDATE OF THE PAST YEAR'S PROGRESS IN ADDRESSING THE HEALTHISSUES IDENTIFIED IN THE 2008 COMMUNITY HEALTH ASSESSMENT.THE POLK COUNTY WELLNESS COALITION, IN PARTNERSHIP WITH ST. LUKE'S HOSPITAL AND RUTHERFORD-POLK-MCDOWELL HEALTH DISTRICT, CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT AND HEALTH SUMMIT IN 2009. PAPER AND ONLINE SURVEYS WERE DISTRIBUTED THROUGHOUT THE COUNTY, CROSSING ALL DEMOGRAPHICS. RESULTS WERE REPORTED DURING A COMMUNITY-WIDE HEALTH SUMMIT, WHICH SUBSEQUENTLY CREATED FOUR ACTION TEAMS TO ADDRESS THE FOLLOWING HEALTH ISSUES: OBESITY AND PHYSICAL ACTIVITYACCESS TO CARE MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION EDUCATIONTHE POLK COUNTY WELLNESS COALITION AND THE ACTIONS TEAMS MEET MONTHLY TO IMPLEMENT SOLUTIONS TO HEALTH DISPARITIES.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: LITERATURE ON ASSISTANCE IS OFFERED AT ALL REGISTRATION AREAS, INFORMATION IS ALSO INCLUDED IN ALL INPATIENT AND OUTPATIENT PACKETS, A DISCLOSURE IS PRINTED ON ALL OUTGOING INVOICES, AND ADDITIONAL INFORMATION CAN BE FOUND ON THE PRIMARY PAGE OF THE HOSPITAL WEB SITE.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: POLK COUNTY IS A WELL-KNOWN AFFLUENT RETIREMENT COMMUNITY, WITH SEVERAL INDEPENDENT AND ASSISTED LIVING COMMUNITIES THAT ALSO PROVIDE NURSING HOME CARE, REHAB, PERSONAL CARE AND TRAVEL, LEISURE AND ENTERTAINMENT OPPORTUNITIES.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.ST. LUKE'S HOSPITAL IS A SMALL, RURAL HOSPITAL IN WESTERN NOL1H CAROLINA AT THE FOOT OF THE BLUE RIDGE MOUNTAINS. THE PRIVATE, NOT-FAR-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.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.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: *COMMUNITY BENEFIT PROGRAMSINCLUDES THE UNREIMBURSED COST OF VARIOUS EDUCATION AND RESEARCH 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 MONTHLY HEALTHTALK PROGRAMS TO PROVIDE EDUCATION AND UPDATED INFORMATION ON PARTICULAR AND TIMELY HEALTH TOPICS; VARIOUS HEALTH AND cANCER SCREENINGS FOR THE COMMUNITY, SCHOOLS, CHURCHES; BREAST CANCER AND PROSTATE CANCER SCREENINGS FOR PEOPLE WHO ARE UN-AND UNDERINSURED; 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 COUNTY WELLNESS COALITION, POLK WELLNESS CENTER, HIGHWOODS APARTMENTS FOR LOW INCOME FAMILIES, POLK COUNTY COUNCIL ON AGING, 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.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: THE ORGANIZATION USES SURPLUS FUNDS IN EDUCATION AND TRAINING OF CLINICAL AND NON CLINICAL STAFF, TUITION ASSISTANCE, WEBINARS, NURSING EDUCATION GRANTS TO IMPROVE THE PROVISION OF HEALTH CARE IN THE COMMUNITY.</OtherInformation>
        <ReportsFiledWithStates>NC</ReportsFiledWithStates>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>THE ORGANIZATION'S CEO, CFO, AND COO PARTICIPATE IN ANNUAL INCENTIVE AWARD PROGRAM BASED ON VARIOUS PERFORMANCE BENCHMARKS INCLUDING: FINANCIAL PERFOMANCE, PATIENT SATISFACTION, AND PATIENT SERVICE DAYS.</Explanation>
      </Form990ScheduleJPartIII>
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        <ReturnReference>Part I, Line 6</ReturnReference>
        <Explanation>THE ORGANIZATION'S CEO, CFO, AND COO PARTICIPATE IN ANNUAL INCENTIVE AWARD PROGRAM BASED ON VARIOUS PERFORMANCE BENCHMARKS INCLUDING: FINANCIAL PERFOMANCE, PATIENT SATISFACTION, AND PATIENT SERVICE DAYS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>ST. LUKE'S HEALTH CARE, INC., THE CONTROLLING ENTITY OF THE HOSPITAL, ENGAGED IN A MANAGEMENT SERVICE AGREEMENT IN CALENDAR YEAR 2009 WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM (CHS). THEREFORE, COMPENSATION AMOUNTS REPORTED IN PART VII OF FORM 990 AND SCHEDULE J FOR TOP MANAGEMENT OFFICIALS ARE COMBINED AMOUNTS FROM ST. LUKE'S HOSPITAL COMPENSATION AND CHS COMPENSATION.</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 3</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE FINANCE COMMITTEE HAD A MEETING ON 04/27/11 TO COMPLETE A COMPREHENSIVE REVIEW OF THE FORM 990. THE ORGANIZATION HELD A FULL BOARD MEETING ON 04/28/11, 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 ON 04/28/11. ADDITIONALLY, EACH MEMBER RECEIVED A COPY OF THE 990 AT THE BOARD MEETING. AFTER A QUESTION &amp; ANSWER PERIOD, THE VOTING BOARD VOTED TO APPROVE THE FORM 990 AS PRESENTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S HEALTH CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>101 HOSPITAL DRIVE</AddressLine1>
          <City>COLUMBUS</City>
          <State>NC</State>
          <ZIPCode>28722</ZIPCode>
        </AddressUS>
        <EIN>561423318</EIN>
        <PrimaryActivities>CONTROLLING ENTITY</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>PF</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <City>COLUMBUS</City>
          <State>NC</State>
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        <EIN>561757097</EIN>
        <PrimaryActivities>RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 7</PublicCharityStatus>
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          <BusinessNameLine1>ST LUKE'S HEALTHCARE INC</BusinessNameLine1>
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          <City>COLUMBUS</City>
          <State>NC</State>
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        <PrimaryActivities>PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NC</PrimaryActivities>
        <LegalDomicileState>NC</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
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