ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC (EIN 22-3026263)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-13
IRS object ID
202423189349305317
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-13T12:39:36+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MANHATTAN WESTAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100018604ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223026263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Luke's Cornwall Health System Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone8455682881PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL J MAUGHANPersonNm
Person TitleOfficerPersonTitleTxt
Phone8455682881PhoneNum
Signature2024-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole SokolowskiPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL J MAUGHANBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,789,968GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.montefioreslc.org/ways-to-give/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HOSPITAL WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,970,177PYContributionsGrantsAmt
CY Contributions Grants$2,674,131CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$72PYInvestmentIncomeAmt
CY Investment Income$11,912CYInvestmentIncomeAmt
PY Other Revenue-$88,601PYOtherRevenueAmt
CY Other Revenue-$53,597CYOtherRevenueAmt
PY Total Revenue$2,881,648PYTotalRevenueAmt
CY Total Revenue$2,632,446CYTotalRevenueAmt
PY Grants And Similar Paid$525,945PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,478,122CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,030PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$154,184CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$261,263CYTotalFundraisingExpenseAmt
PY Other Expenses$66,592PYOtherExpensesAmt
CY Other Expenses$107,079CYOtherExpensesAmt
PY Total Expenses$642,567PYTotalExpensesAmt
CY Total Expenses$4,739,385CYTotalExpensesAmt
PY Revenues Less Expenses$2,239,081PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,106,939CYRevenuesLessExpensesAmt
Total Assets BOY$4,564,028TotalAssetsBOYAmt
Total Assets EOY$2,539,037TotalAssetsEOYAmt
Total Liabilities BOY$298,417TotalLiabilitiesBOYAmt
Total Liabilities EOY$373,196TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,265,611NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,165,841NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF ST. LUKE'S CORNWALL HOSPITAL FOUNDATION, INC. IS TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HOSPITAL WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY. THE ST. LUKE'S CORNWALL HOSPITAL FOUNDATION, INC. ACCOMPLISHES THIS MISSION BY: (1) DIRECTING DEVELOPMENT ACTIVITIES, INCLUDING INVESTMENTS TO SUPPORT CAPITAL NEEDS OF ST. LUKE'S CORNWALL HOSPIAL AND INNOVATIVE, EFFECTIVE PROGRAMS WHICH IMPROVE COMMUNITY RESIDENT'S ACCESS TO QUALITY HEALTHCARE SERVICES AND INFORMATION; AND (2) PROVIDING ADVOCACY TO ENSURE THE AVAILABILITY OF QUALITY MEDICAL CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,478,122ExpenseAmt
Grant$4,478,122GrantAmt
Revenue$0RevenueAmt
DescTHE FOUNDATION PROVIDES FINANCIAL SUPPORT FOR HEALTHCARE INITIATIVES OF ST. LUKE'S CORNWALL HOSPITAL WHOSE SERVICES BENEFITS THE RESIDENTS OF THE MID-HUDSON VALLEY. THE FOUNDATION IS INVOLVED IN DEVELOPMENT ACTIVITIES TO SUPPORT THE CAPITAL NEEDS OF ST LUKE'S CORNWALL HOSPITAL, IMPROVE COMMUNITY RESIDENT'S ACCESS TO QUALITY HEALTHCARE SERVICES AND INFORMATION AND PROVIDE ADVOCACY TO ENSURE THE AVAILABILITY OF QUALITY MEDICAL CARE.Desc
Total Program Service Expenses$4,478,122TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS J GIBNEY CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8455682881PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL MAUGHAN RN
PRESIDENT & CEO1.054.0Yes (X)Yes (X)$0$846,611$15,735
JEFFREY DEGEN MD
VICE CHAIR1.00.0Yes (X)Yes (X)$0$0$0
JILL CAPPA
IMMEDIATE PAST CHAIR1.00.0Yes (X)Yes (X)$0$0$0
MICHAEL KIRTIO
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
ROBERT E HATFIELD
CHAIR1.00.0Yes (X)Yes (X)$0$0$0
THOMAS J GIBNEY
BOARD TREASURER/SVP & CFO1.054.0Yes (X)Yes (X)$0$598,956$69,436
CHARLES FRANKEL ESQ
DIRECTOR1.00.0Yes (X)$0$0$0
DEBRA STILLMAN
DIRECTOR (RESIGNED 6/1/2023)1.00.0Yes (X)$0$0$0
DONNA M CONKLIN
DIRECTOR1.00.0Yes (X)$0$0$0
GREGORY T DEBENEDICTUS
DIRECTOR1.00.0Yes (X)$0$0$0
JAMES CRINIERI
DIRECTOR1.00.0Yes (X)$0$0$0
JOSEPH B STEFFY IV
DIRECTOR1.00.0Yes (X)$0$0$0
LINDA DOMBROSKI
DIRECTOR1.00.0Yes (X)$0$0$0
KATHERINE M DABROSKI
EXECUTIVE DIRECTOR (ENDED 4/30/2023)4.051.0Yes (X)$0$242,195$44,807
NICHOLAS SHANNON
EXECUTIVE DIRECTOR (STARTED 5/1/2023)55.00.0Yes (X)$0$80,516$13,304
JOAN CUSACK-MCGUIRK
FORMER OFFICER0.00.0$0$156,250$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,924,528TotReportableCompRltdOrgAmt
Total Other Compensation$143,282TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$369,597FundraisingAmt
All Other Contributions$2,304,534AllOtherContributionsAmt
Noncash Contributions$500,486NoncashContributionsAmt
Total Contributions$2,674,131TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,912TotalRevenueColumnAmt
Exclusion$11,912ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$75,930FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$369,597ContriRptFundraisingEventAmt
Fundraising Direct Expenses$147,522FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$71,592TotalRevenueColumnAmt
Exclusion-$71,592ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$27,995GamingGrossIncomeAmt
Gaming Direct Expenses$10,000GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,995TotalRevenueColumnAmt
Exclusion$17,995ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,632,446TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$41,685ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,468,622TotalAmt
Program Services$4,468,622ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$9,500TotalAmt
Program Services$9,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$124,342TotalAmt
Fundraising$124,342FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,842TotalAmt
Fundraising$29,842FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,200TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$3,200FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,983TotalAmt
Fundraising$41,983FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,579TotalAmt
Fundraising$2,579FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
MISC FUNDRAISING EXPENSES$40,914$40,914
EMPLOYEE RECOGNITION$18,403$18,403

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,739,385TotalAmt
Program Services$4,478,122ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$261,263FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,495,071BOYAmt
EOY$1,151,824EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,474BOYAmt
EOY$43,633EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$18,438EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,483BOYAmt
EOY$20,802EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$1,304,340EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,564,028BOYAmt
EOY$2,539,037EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$36,921EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$298,417BOYAmt
EOY$336,275EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$298,417BOYAmt
EOY$373,196EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$357,718BOYAmt
EOY$1,355,064EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,907,893BOYAmt
EOY$810,777EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,265,611BOYAmt
EOY$2,165,841EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,564,028BOYAmt
EOY$2,539,037EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,106,939ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,169NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$675,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$557,656CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,344,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,970,177CurrentTaxYearMinus1YearAmt
Current Tax Year$2,674,131CurrentTaxYearAmt
Total$8,222,726TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$675,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$557,656CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,344,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,970,177CurrentTaxYearMinus1YearAmt
Current Tax Year$2,674,131CurrentTaxYearAmt
Total$8,222,726TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,821,937SubstantialContributorsTotAmt
Public Support Total170$3,400,789PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72CurrentTaxYearMinus1YearAmt
Current Tax Year$11,912CurrentTaxYearAmt
Total$12,981TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$8,235,707TotalSupportAmt
Gross Receipts Rltd Activities$475,435GrossReceiptsRltdActivitiesAmt
Public Support CY1700.4129PublicSupportCY170Pct
Public Support PY1700.4133PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$490,695BeginningYearBalanceAmt
End Year Balance$490,695EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$490,695BeginningYearBalanceAmt
End Year Balance$490,695EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$490,695BeginningYearBalanceAmt
End Year Balance$490,695EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$490,695BeginningYearBalanceAmt
End Year Balance$490,695EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$490,695BeginningYearBalanceAmt
End Year Balance$490,695EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$336,275Amt
FieldValueIRS element (for citing)
Total Liability$336,275TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4 Intended uses of endowment fundsFormAndLineReferenceDesc
ExplanationTHE FUNDS ARE INVESTED TO PROVIDE PRESERVATION OF CAPITAL, PROVIDE ADDITIONAL FINANCIAL RESOURCES FOR THE FOUNDATION'S PERPETUAL OPERATION, AND ENHANCE THE FOUNDATION'S FINANCIAL INTEGRITY.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$315,015GrossReceiptsEvent1Amt
Charitable Contri Event1$251,835CharitableContriEvent1Amt
Gross Revenue Event1$63,180GrossRevenueEvent1Amt
Rent Facility Costs Event1$78,450RentFacilityCostsEvent1Amt
Entertainment Event1$4,300EntertainmentEvent1Amt
Other Direct Expenses Event1$21,796OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$130,512GrossReceiptsEvent2Amt
Charitable Contri Event2$117,762CharitableContriEvent2Amt
Gross Revenue Event2$12,750GrossRevenueEvent2Amt
Rent Facility Costs Event2$27,705RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$15,271OtherDirectExpensesEvent2Amt
Charitable Contri Other Events$0CharitableContriOtherEventsAmt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$445,527GrossReceiptsTotalAmt
Charitable Contributions Tot$369,597CharitableContributionsTotAmt
Gross Revenue Total Events$75,930GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$106,155RentFcltyCostsTotalEventsAmt
Entertainment Total Events$4,300EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$37,067OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$147,522DirectExpenseSummaryEventsAmt
Net Income Summary-$71,592NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Bingo$4,495GrossRevenueBingoAmt
Volunteer Labor BingoYes (true)VolunteerLaborBingoInd
Volunteer Labor Bingo1.0VolunteerLaborBingoPct
Gross Revenue Other Gaming$23,500GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming$10,000OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.5VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$27,995GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$10,000OthDirectExpnssTotalGamingAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNYStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.0GamingOwnFacilityPct
Gaming Other Facility1.0GamingOtherFacilityPct
Individual With BooksNICHOLAS SHANNONIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP125504851ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

FieldValueIRS element (for citing)
Business Name Line1NICHOLAS SHANNONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gaming Manager Compensation$827GamingManagerCompensationAmt
Gaming Manager Services ProvADMINISTRATION OF GAMING ACTIVITIESGamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd
Distributed$0DistributedAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd
FieldValueIRS element (for citing)
Recipient EIN141340054RecipientEIN
IRC Section501 (C) (3)IRCSectionDesc
Cash Grant$4,468,622CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient7RecipientCnt
Cash Grant$9,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE FOUNDATION DISTRIBUTES FUNDS FOR SCHOLARSHIPS TO ACCOMPLISHED STUDENTS FOR HIGHER EDUCATION. SCHOLARSHIPS ARE AWARDED BASED ON ELIGIBILITY CRITERIAS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL MAUGHAN RN
PRESIDENT & CEO$0$710,123$0$122,230$0$14,258$0$13,743$0$1,992$0$862,346$0$0
THOMAS J GIBNEY
BOARD TREASURER/SVP & CFO$0$521,432$0$70,000$0$7,524$0$22,010$0$47,426$0$668,392$0$0
JOAN CUSACK-MCGUIRK
FORMER OFFICER$0$0$0$0$0$156,250$0$0$0$0$0$156,250$0$0
KATHERINE M DABROSKI
EXECUTIVE DIRECTOR (ENDED 4/30/2023)$0$216,709$0$25,000$0$486$0$10,227$0$34,580$0$287,002$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentDURING 2023, JOAN CUSACK-MCGUIRK, A FORMER OFFICER, WAS PAID $156,250 IN SEVERANCE FROM ST. LUKE'S CORNWALL HOSPITAL. AS PART OF HER SEVERANCE AGREEMENT, SHE WAS REQUIRED TO PERFORM TRANSITIONAL SERVICES FOR THE HOSPITAL.
Schedule J, Part I, Line 7 Non-fixed paymentsAN ANNUAL INCENTIVE AWARD PAID BY THE ORGANIZATION TO AN OFFICER WAS BASED ON MANAGEMENT DISCRETION.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$500,486NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationSecurities - Publicly traded - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1aALL VENDORS AND EMPLOYEES OF THE FOUNDATION ARE PAID BY ST. LUKE'S CORNWALL HOSPITAL, EIN 14-1340054, THE COMMON PAYMASTER. ST. LUKE'S CORNWALL HOSPITAL ISSUES ALL FORMS 990S AND W-2S AND FILES ALL FEDERAL EMPLOYMENT TAX RETURNS RELATING TO THESE INDIVIDUALS. SALARIES ARE ALLOCATED TO THE FOUNDATION BASED ON THE INDIVIDUALS EMPLOYED AT THIS ORGANIZATION.
Form 990, Part VI, Line 15THE ORGANIZATION IS AN AFFILIATE WITHIN MONTEFIORE HEALTH SYSTEM, INC., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES ST. LUKE'S CORNWALL HOSPITAL ("HOSPITAL"). THE CEO AND TREASURER OF THE FOUNDATION ARE EMPLOYED AND COMPENSATED BY THE HOSPITAL. AS IT RELATES TO COMPENSATION FROM THE HOSPITAL: THE ST. LUKE'S CORNWALL HOSPITAL BOARD OF TRUSTEES HAS CHARGED THE COMPENSATION COMMITTEE OF THE BOARD (WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARDS TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR THE PRESIDENT/CEO AND CFO OF THE HOSPITAL THAT ARE BOTH BOARD MEMBERS AND OFFICERS OF THE FOUNDATION. ALL DECISIONS MADE BY THE COMPENSATION COMMITTEE ARE APPROPRIATELY AND TIMELY DOCUMENTED IN MEETING MINUTES. THE COMPENSATION COMMITTEE'S REVIEW PROCESS FOLLOWS THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IT WITH THIS PROCESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF MANAGEMENT PERFORMANCE (INCLUDING THE SERVICES PROVIDED TO THE COMMUNITY), AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH ST. LUKE'S EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTEREST OF ST LUKE'S, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS OF COMPARABLE SCOPE, MISSION AND COMPLEXITY. ON AN ANNUAL BASIS, THE COMMITTEE PROVIDES THE FULL BOARD OF TRUSTEES WITH A DESCRIPTION OF THE COMMITTEE'S REVIEW AND APPROVAL PROCESS AND ITS DECISIONS. ALL DECISIONS MADE BY THE COMPENSATION COMMITTEE ARE APPROPRIATELY AND TIMELY DOCUMENTED IN MEETING MINUTES.
Form 990, Part VI, Line 4 Significant changes to organizational documentsTHE ORGANIZATION SOLE MEMBER WAS CHANGED FROM ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. TO ST. LUKE'S CORNWALL HOSPITAL EFFECTIVE 1/1/2022. ORGANIZATION ADOPTED NEW BYLAWS EFFECTIVE 1/1/2023.
Form 990, Part VI, Line 6 Classes of members or stockholdersST. LUKE'S CORNWALL HOSPITAL IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyST. LUKE'S CORNWALL HOSPITAL, THE SOLE MEMBER OF THE ORGANIZATION, HAS THE AUTHORITY TO APPOINT AND REMOVE THE GOVERNING BOARD OF THE FOUNDATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersST. LUKE'S CORNWALL HOSPITAL, THE SOLE MEMBER OF THE ORGANIZATION, HAS THE POWERS GRANTED BY LAW TO THE MEMBER IN THEIR CAPACITY AS THE CORPORATE MEMBER INCLUDING THE POWER TO APPOINT AND REMOVE THE GOVERNING BOARD OF THE FOUNDATION, AUTHORIZE AND APPROVE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE FOUNDATION, AUTHORIZE AND APPROVE ANY SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL THE ASSETS OF THE FOUNDATION AND AUTHORIZE AND APPROVE ANY MERGER, CONSOLIDATION OR NON-JUDICIAL DISSOLUTION OF THE FOUNDATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 WAS PREPARED BY THE MONTEFIORE'S TAX DEPARTMENT WORKING CLOSELY WITH ST. LUKE'S FINANCE TEAM AND ASSISTED BY VARIOUS DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM. THE FORM 990 WAS REVIEWED AND APPROVED BY THE VICE-PRESIDENT-FINANCE AND THE ST. LUKE'S SENIOR LEADERSHIP INCLUDING THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM WAS ENGAGED TO REVIEW THE FORM 990. UPON COMPLETION OF THE VARIOUS REVIEWS, THE FORM 990 WAS PRESENTED TO THE FOUNDATION'S BOARD OF TRUSTEES FOR REVIEW AND APPROVAL PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ORGANIZATION AND THE SYSTEM REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO BE DISCLOSED TO THE OTHER MEMBER OF THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH THE ANNUAL PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER IS PROHIBITED FROM VOTING OR PERSONALLY INFLUENCES THE BOARD ON THE MATTER. THE FOUNDATION HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF ST. LUKE'S CORNWALL HOSPITAL. ALL OFFICERS AND BOARD MEMBERS OF THE ORGANIZATION ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, IN THEIR CAPACITY AS AN OFFICER OF THE FOUNDATION OR AS A BOARD MEMBER OF THE FOUNDATION. COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE SECRETARY OF THE BOARD OF TRUSTEES AND CONCERNS PRESENTED BY THE RESPONSES ARE DISCLOSED TO THE HOSPITAL'S COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE HOSPITAL'S FINANCE COMMITTEE FOR DISCUSSION AND ALLEVIATION OF THE CONFLICT. DOCUMENTATION OF THE EXISTENCE AND RESOLUTION OF THE CONFLICT, INCLUDING ANY MEETING MINUTES, IS MAINTAINED BY THE SECRETARY OF THE BOARD.
Form 990, Part VI, Line 19 Required documents available to the publicTHE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part XI, Line 9CONCERNING EMPLOYEE BENEFITS ALLOCATION: ST. LUKE'S CORNWALL HOSPITAL IS THE COMMON PAYMASTER FOR THE FOUNDATION. ALL PAYROLL TAXES AND EMPLOYEE BENEFITS ARE PAID BY ST. LUKE'S CORNWALL HOSPITAL AND ALLOCATED BACK TO THE ORGANIZATION BASED ON A COMPOSITE RATE OF SALARIES FOR ALL BENEFIT COSTS. THE ORGANIZATION'S ASSESSMENT FOR EMPLOYEE BENEFITS IS REFLECTED ON LINE 9, OTHER EMPLOYEES BENEFITS, OF PART IX THAT INCLUDES COST FOR BOTH PENSION AND PAYROLL TAXES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ST LUKE'S CORNWALL HOSPITAL
70 DUBOIS STREETNEWBURGHNY12550141340054HOSPITALNY501(c)(3)3MHSYes (true)
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREETNEWBURGHNY12550223026261HOLDING COMPNY501(c)(3)Type IMHSYes (true)
HUDSON VISTA PHYSICIANS SERVICES PC
70 DUBOIS STREETNEWBURGHNY12550272020746HEALTHCARENY501(c)(3)Type ISLCHYes (true)
HUDSON VISTA MEDICAL PC
70 DUBOIS STREETNEWBURGHNY12550452526738HEALTHCARENY501(c)(3)Type ISLCHYes (true)
MONTEFIORE HEALTH SYSTEM INC
555 SOUTH BROADWAYTARRYTOWNNY10591201615393SUPPORT SERVNY501(c)(3)Type IIMMAHSYes (true)
MONTEFIORE MEDICAL CENTER
111 EAST 210TH STREETBRONXNY10467131740114ACD MED CTRNY501(c)(3)3MHSYes (true)
MMC CORPORATION
111 EAST 210TH STREETBRONXNY10467133430322REAL ESTATENY501(c)(3)Type IMMCYes (true)
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUEBRONXNY10467133430322REAL ESTATENY501(c)(3)Type IMMCYes (true)
MMC RESIDENTIAL CORP I INC
3411 WAYNE AVENUEBRONXNY10467911943271STAFF HOUSINGNY501(c)(2)MMCYes (true)
MONTEFIORE HOSP HOUSING SECTION II INC
3450 WAYNE AVENUEBRONXNY10467237160641STAFF HOUSINGNY501(c)(2)MMCYes (true)
MOSHOLU PRESERVATION CORPORATION
3400 RESEVOIR OVAL EASTBRONXNY10467133109387COMMUNITY SERNY501(c)(3)Type IMMCYes (true)
MONTEFIORE MOUNT VERNON HOSPITAL
12 NORTH SEVENTH AVENUEMOUNT VERNONNY10550462916938HOSPITALNY501(c)(3)3MHSYes (true)
SCHAFFER EXTENDED CARE CENTER
16 GUION PLACENEW ROCHELLENY10801462929888NURSING HOMENY501(c)(3)3MHSYes (true)
MONTEFIORE FOUNDATION INC
111 EAST 210TH STREETBRONXNY10467471600439INACTIVENY501(c)(3)7MMAHSYes (true)
MONTEFIORE MEDICINE ACAD HLTH SYST INC
555 SOUTH BROADWAYTARRYTOWNNY10591471582973SYSTEM PARENTNY501(c)(3)Type III-FIYes (true)N/A
MONTEFIORE NYACK HOSPITAL
160 NORTH MIDLAND AVENUENYACKNY10960131740119HOSPITALNY501(c)(3)3MHSYes (true)
WHITE PLAINS HOSPITAL MEDICAL CENTER
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY10601131740130HOSPITALNY501(c)(3)3MHSYes (true)
AECOM STUDENT HOUSING CO INC
1300 MORRIS PARK AVENUEBRONXNY10461237075620STUDENT HOUSNY501(c)(2)AECOMYes (true)
MONTEFIORE CERC OPERATIONS INC
111 EAST 210TH STREETBRONXNY10467474853506REHAB CENTERNY501(c)(3)3MMCYes (true)
WHITE PLAINS HOSPITAL CTR FOUNDATIONINC
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY10601133281507FUNDRAISINGNY501(c)(3)Type IWPHMCYes (true)
MONTEFIORE NYACK HOSPITAL FOUNDATION
160 NORTH MIDLAND AVENUENYACKNY10960133245804FUNDRAISINGNY501(c)(3)7NYACK HOSPYes (true)
THE WINIFRED MASTERSON BURKE REHAB HOSP
785 MAMARONECK AVENUEWHITE PLAINSNY10605131739937REHAB HOSPNY501(c)(3)3MHSYes (true)
HUDSON VISTA CORPORATION
70 DUBOIS STREETNEWBURGHNY12550202286782HEALTHCARENY501(c)(3)Type IfalseN/A
MONTEFIORE MED ACAD HLTH SYS SELF INS TR
555 SOUTH BROADWAYTARRYTOWNNY10591824019223INS TRUSTNY501(c)(3)Type IMMAHSYes (true)
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRISS PARK AVENUEBRONXNY10461830621846MED COLLEGENY501(c)(3)2MMAHSYes (true)
MONTEFIORE COMMUNITY SERVICES INC
111 EAST 210TH STREETBRONXNY10467863368007HEALTHCARENY501(c)(3)3MMCYes (true)
MONTEFIORE EINSTEIN ADVANCED CARE
555 SOUTH BROADWAYTARRYTOWNNY10591863090734HEALTHCARENY501(c)(3)3MHSYes (true)
MONTEFIORE ACTION FUND INC
111 EAST 210TH STREETBRONXNY10467872215301INACTIVENY501(c)(4)MMCYes (true)
MNH GARAGECO INC
160 NORTH MIDLAND AVENYACKNY109601912880573052PARKINGNY501(c)(3)NYACK HOSPYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (31 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
UNIVERSITY BEHAVIORAL ASSOCIATES INC
111 EAST 210TH STREETBRONXNY10467133877781MGMT SERVICESNYNAC CorporationYes (true)
THE MONTEFIORE IPA INC
111 EAST 210TH STREETBRONXNY10467134114915INTEG PROVR ASSOCNYNAC CorporationYes (true)
MMC GI HOLDINGS EAST INC
111 EAST 210TH STREETBRONXNY10467721610013HOLDING COMPANYNYNAC CorporationYes (true)
MMC GI HOLDINGS WEST INC
111 EAST 210TH STREETBRONXNY10467721610015HOLDING COMPANYNYNAC CorporationYes (true)
MONTEFIORE BEHAVIORAL CARE IPA NO 1 INC
111 EAST 210TH STREETBRONXNY10467133952750INTEG PROVR ASSOCNYNAC CorporationYes (true)
BRONX ACCOUNTABLE CARE NETWORK IPA INC
111 EAST 210TH STREETBRONXNY10467300689571INTEG PROVR ASSOCNYNAC CorporationYes (true)
MONTEFIORE CONSOLIDATED VENTURES INC
111 EAST 210TH STREETBRONXNY10467611728539HOLDING COMPANYNYNAC CorporationYes (true)
MONTEFIORE INSURANCE COMPANY INC
111 EAST 210TH STREETBRONXNY10467320436594INACTIVENYNAC CorporationYes (true)
HUDSON VALLEY IPA INC
111 EAST 210TH STREETBRONXNY10467383978087INTEG PROVR ASSOCNYNAC CorporationYes (true)
MONTEFIORE INNOVATIONS INC
111 EAST 210TH STREETBRONXNY10467475106910HOLDING COMPANYNYNAC CorporationYes (true)
HIGHLAND MEDICAL PC
160 NORTH MIDLANDNYACKNY10960134034481HEALTHCARE SERV.NYNAC CorporationYes (true)
WHITE PLAINS MEDICAL DIAGNOSTIC SVCS PC
41 EAST POST ROADWHITE PLAINSNY10601453164626HEALTHCARE SERVNYNAC CorporationYes (true)
CANCER AND BLOOD MEDICAL SERV OF NY PC
41 POST ROADWHITE PLAINSNY10601462021804HEALTHCARE SERV.NYNAC CorporationYes (true)
DAVIS AVENUE CORP
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601133331643PROPERTY HOLDINGNYNAC CorporationYes (true)
WHITE PLAINS MANAGEMENT CO INc
41 EAST POST ROADWHITE PLAINSNY10601133331641PROPERTY HOLDINGNYNAC CorporationYes (true)
WPHC BUILDING CORP
41 EAST POST ROADWHITE PLAINSNY10601133676932PROPERTY HOLDINGNYNAC CorporationYes (true)
WHITE PLAINS MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815369152HEALTHCARE SERVNYNAC CorporationYes (true)
WHITE PLAINS PHYSICIAN SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601815309615HEALTHCARE SERV.NYNAC CorporationYes (true)
CHARITABLE REMAINDER TRUST (4)
CHAR REMR TRUSTNYNATrustYes (true)
CRHT ACQUISITION INC
555 SOUTH BROADWAY BLDG A FL 1TARRYTOWNNY10591815220651HOLDING COMPANYNYNAC CorporationYes (true)
QUANTUM BIOTHERAPEUTICS LLC
111 EAST 210TH STREETBRONXNY10467611793667INACTIVENYNAYes (true)
WHITE PLAINS PHYSICIAN MEDICAL SERV PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830519787INACTIVENYNAC CorporationYes (true)
EAST POST ROAD MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830535258HEALTHCARE SERV.NYNAC CorporationYes (true)
EAST POST ROAD PHYSICIAN SERV PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830563325INACTIVENYNAC CorporationYes (true)
DAVIS AVENUE MEDICAL SERVICES PC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601830579310INACTIVENYNAC CorporationYes (true)
WPH HOLDINGS INC
DAVIS AVENUE AT EAST POST ROADWHITE PLAINSNY10601833893119HOLDING COMPANYNYNAC CorporationYes (true)
INNOVATOR ACQUSITION CORP
111 EAST 210TH STREETBRONXNY104672401833394059HOLDING COMPANYNYNAC CorporationYes (true)
PY DEVELOPMENT CORP
41 EAST POST ROAD DAVIS AVEWHITE PLAINSNY106014607863880241REITNYNAC CorporationYes (true)
SPECIALTY SURGEONS OF CONNECTICUT PC
555 SOUTH BROADWAYTARRYTOWNNY10591871352135HEALTHCARE SERV.CTNAC CorporationYes (true)
CMO THE CARE MANAGEMENT COMPANY LLC
111 EAST 210TH STREETBRONXNY10467133991307CARE MANAGMENTNYNAC CorporationYes (true)
Hudson River Medical Practice PLLC
497 Greenwich StNew YorkNY10013922939271HEALTHCARE SERV.NYNAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST LUKE'S CORNWALL HOSPITAL
N$85,064COST
ST LUKE'S CORNWALL HOSPITAL
P$154,184COST
ST LUKE'S CORNWALL HOSPITAL
B$1,360,193COST

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