2024-08-13T15:06:08-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 561757097 ST LUKE'S FOUNDATION INC STLU 8288942693 89 WEST MILLS STREET B COLUMBUS NC 28722 ROGER NEWMAN CHAIR 8288942693 2024-08-13 1 1 AMY BIBBY P00445891 8282542254 2022 2024-08-08 14:25:15Z THE FOUNDATION FOR ST LUKE'S HOSPITAL ELIZABETH PRESNELL 89 WEST MILLS STREET B COLUMBUS NC 28722 911460 0 X WWW.SLHFOUNDATION.ORG X 1991 NC SEE SCHEDULE O:TO RAISE FUNDS IN SUPPORT OF ST. LUKE'S HOSPITAL AS IT PROVIDES EXEMPLARY HEALTHCARE TO OUR COMMUNITY. 22 22 0 0 0 0 830227 751408 0 0 152066 148634 -44354 -7633 937939 892409 0 0 0 0 126990 132551 0 0 9994 92605 88542 219595 221093 718344 671316 6156829 6441109 7626 13297 6149203 6427812 TO RAISE FUNDS IN SUPPORT OF ST. LUKE'S HOSPITAL AS IT PROVIDES EXEMPLARY HEALTHCARE TO OUR COMMUNITY. 0 0 148856 THE FOUNDATION FOR ST. LUKE'S HOSPITAL RAISES FUNDS TO SUPPORT PROJECTS WHICH WILL ENHANCE THE DELIVERY OF THE BEST POSSIBLE HEALTH CARE TO THE RESIDENTS OF THE ST. LUKE'S HOSPITAL SERVICE AREA. TO ACCOMPLISH THIS END, THE FOUNDATION MAINTAINS AND SOLICITS MEMBERSHIPS: THE PALMER AND JERVEY SOCIETY ARE DONORS WHO CONTRIBUTE AT LEAST $1,000 UP TO $4,999; THE SOCIETY OF 1972 ARE DONORS WHO CONTRIBUTE AT LEAST $5,000 UP TO $9,999; THE SOCIETY OF 1928 ARE DONORS WHO CONTRIBUTE AT LEAST $10,000. 148856 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ELIZABETH PRESNELL 8288940954 101 HOSPITAL DRIVE COLUMBUS NC 28722 BEN ELLINGTON CHAIR 1.00 X X 0 0 0 TOM TROBAUGH VICE CHAIR 1.00 X X 0 0 0 T SCOTT PLEUNE TREASURER 1.00 X X 0 0 0 MEGHAN YOUNG SECRETRARY 1.00 X X 0 0 0 ALEXANDRA ADAMS TRUSTEE 1.00 X 0 0 0 KIM ADAMS TRUSTEE 1.00 X 0 0 0 JEFF BYRD TRUSTEE 1.00 X 0 0 0 BECKY COLLINS TRUSTEE 1.00 X 0 0 0 AARON GREENE TRUSTEE 1.00 X 0 0 0 LINDA GREENSFELDER TRUSTEE 1.00 X 0 0 0 JULI HAYNIE TRUSTEE 1.00 X 0 0 0 NANCY HOLLAND TRUSTEE 1.00 X 0 0 0 DEE JAMES TRUSTEE 1.00 X 0 0 0 DAVID LITTLE TRUSTEE 1.00 X 0 0 0 BILL MILLER TRUSTEE 1.00 X 0 0 0 PHIL MOSLEY TRUSTEE 1.00 X 0 0 0 JOANIE NEWMAN TRUSTEE 1.00 X 0 0 0 BARBARA OKLESEN TRUSTEE 1.00 X 0 0 0 LANE PRICE TRUSTEE 1.00 X 0 0 0 LINDA SCHUTTER TRUSTEE 1.00 X 0 0 0 ED SPENCER TRUSTEE 1.00 X 0 0 0 GEORGE SWEET TRUSTEE 1.00 X 0 0 0 AMANDA THOMPSON EXECUTIVE DIRECTOR 1.00 40.00 X 0 82585 0 0 82585 0 0 0 0 0 0 77466 673942 751408 148634 148634 0 77466 19051 -19051 -19051 RECOVERY OF BAD DEBT 900099 11418 11418 11418 892409 0 0 141001 X 99078 99078 30457 14399 8029 8029 3016 1426 795 795 436 253 174 9 30000 30000 24177 14022 9672 483 11842 6867 4738 237 9349 5423 3740 186 2231 1294 892 45 OTHER EXPENSE 10507 6094 4203 210 221093 148856 62243 9994 864346 748365 74515 7849 861 5151096 5650272 66011 34623 6156829 6441109 7626 13297 7626 13297 X 5342997 5887772 806206 540040 6149203 6427812 6156829 6441109 X 671316 560950 -953657 X X 0 1 X 1 0 X 101178 951158 570184 830227 557382 3010129 101178 951158 570184 830227 557382 3010129 3010129 116351 119833 125100 152066 148634 661984 1150 11418 12568 3684681 0.81690 0.80880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 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, 2023. ACHE AROUND THE LAKE 34239 34239 9272 TEAMMATE GIVING 30246 30246 4534 2 12981 12981 5245 77466 77466 19051 19051 -19051 FORM 990, PART VI, SECTION A, LINE 2 ALEXANDRA ADAMS AND KIM ADAMS ARE BOTH BOARD MEMBERS. KIM ADAMS IS THE MOTHER OF ALEXANDRA ADAMS. 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 BOARD MEETING. PLANS WILL BE TO PRESENT THE 990 AT THE BOARD MEETING AND, AFTER A QUESTION AND ANSWER PERIOD, THE VOTING BOARD WILL APPROVE THE FORM 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 FOUNDATION 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 15A ON AN ANNUAL BASIS, THE CHAIRPERSON OF THE FOUNDATION'S BOARD, IN CONJUNCTION WITH THE CEO OF ST. LUKE'S HOSPITAL, CONDUCT A PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR. THE ANNUAL REVIEW IS USED AS PART OF THE DETERMINATION OF COMPENSATION FOR THE EXECUTIVE DIRECTOR. DURING THE MOST RECENT COMPENSATION DETERMINATION, A MARKET-BASED PAY SCALE WAS USED TO DETERMINE THE COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR. QUALIFICATIONS AND YEARS OF EXPERIENCE ARE ALSO TAKEN INTO CONSIDERATION. FORM 990, PART VI, SECTION C, LINE 19 FORMS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,776. MANAGEMENT AND GENERAL EXPENSES 2,605. FUNDRAISING EXPENSES 130. TOTAL EXPENSES 6,511. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,246. MANAGEMENT AND GENERAL EXPENSES 7,067. FUNDRAISING EXPENSES 353. TOTAL EXPENSES 17,666. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -953,657. FORM 990 PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423318 CONTROLLING ENTITY NC 501(C)(3) PF N/A 0 ST LUKE'S PHYSICIAN NETWORK INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 263082073 PROVIDE HEALTH CARE SERVICES TO POLK COUNTY, NC RESIDENTS NC 501(C)(3) LINE 3 ST LUKE'S HEALTHCARE INC 0 ST LUKE'S HOSPITAL INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 560554222 PROVIDE HEALTH CARE SERVICES TO POLK COUNTY, NC RESIDENTS NC 501(C)(3) LINE 3 ST LUKE'S HEALTHCARE INC 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0