2022-08-15T13:41:25-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 561757097 ST LUKE'S FOUNDATION INC STLU 8288942693 89 WEST MILLS STREET NO B COLUMBUS NC 28722 BEN ELLINGTON CHAIR 8288942693 2022-08-12 1 BEN ELLINGTON 999009999 JOHN NORMAN P01506766 7049985200 2022-08-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE FOUNDATION FOR ST LUKE'S HOSPIT ELIZABETH PRESNELL 89 WEST MILLS STREET NO B COLUMBUS NC 28722 695284 0 X FOUNDATIONSLH.ORG X 1991 NC ST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL TO SERVE OUR COMMUNITY WITH EXCEPTIONAL HEALTHCARE, CLOSE TO HOME. 21 23 0 0 0 0 951158 570184 0 0 119833 125100 21 -15990 1071012 679294 41191 101400 0 0 116975 104228 0 0 1566 47757 96622 205923 302250 865089 377044 6064104 7241042 522811 4167 5541293 7236875 THE FOUNDATION FOR ST. LUKE'S HOSPITAL RAISES FUNDS AND PROVIDES SUPPORT THAT ENABLES ST. LUKE'S HOSPITAL TO SERVE OUR COMMUNITY WITH EXCEPTIONAL HEALTHCARE, CLOSE TO HOME. 0 0 264182 101400 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. 264182 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 X 21 23 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 ALEXANDRA ADAMS BOARD MEMBER 1.00 X 0 0 0 KIM ADAMS BOARD MEMBER 1.00 X 0 0 0 STEPHEN BRADY VICE-CHAIR 1.00 X 0 0 0 JEFF BYRD BOARD MEMBER 1.00 X 0 0 0 BECKY COLLINS BOARD MEMBER 1.00 X 0 0 0 BEN ELLINGTON CHAIR 1.00 X 0 0 0 JAY GEDDINGS HONORARY MEMBER 1.00 1.00 X 0 0 0 AARON GREENE BOARD MEMBER 1.00 X 0 0 0 LINDA GREENSFELDER BOARD MEMBER 1.00 1.00 X 0 0 0 DON HOFMANN BOARD MEMBER 1.00 X 0 0 0 NANCY HOLLAND BOARD MEMBER 1.00 X 0 0 0 JO ANN MCMILLAN BOARD MEMBER 1.00 X 0 0 0 BILL MILLER BOARD MEMBER 1.00 1.00 X 0 0 0 PHIL MOSLEY BOARD MEMBER 1.00 X 0 0 0 WALTER MYERS BOARD MEMBER 1.00 X 0 0 0 T SCOTT PLEUNE TREASURER 1.00 X 0 0 0 LINDA SCHUTTER BOARD MEMBER 1.00 X 0 0 0 GEORGE SWEET BOARD MEMBER 1.00 X 0 0 0 TOM TROBAUGH BOARD MEMBER 1.00 X 0 0 0 RENAE WALDMAN SECRETARY 1.00 X 0 0 0 MEGHAN YOUNG BOARD MEMBER 1.00 X 0 0 0 AMANDA THOMPSON EXECUTIVE DIRECTOR (BEGINNING 5/21) 20.00 X 58934 0 0 KATIE MALONE EXECUTIVE DIRECTOR (THRU 4/21)) 40.00 X 49385 0 0 108319 0 0 0 0 0 0 0 45277 524907 570184 125100 125100 0 45277 15990 -15990 -15990 679294 0 0 109110 101400 101400 92265 87652 4613 11963 11365 598 28726 16661 11490 575 1383 802 553 28 13972 8104 5589 279 PURCHASED SERVICES 20923 12135 8369 419 BAD DEBT EXPENSE 18392 18392 OTHER DIRECT EXPENSE 13226 7671 5290 265 302250 264182 36502 1566 603385 874236 219601 0 3303 26102 391 515 1869 0 5235555 6333301 0 6888 6064104 7241042 10074 4167 512737 0 522811 4167 X 5171614 6484911 369679 751964 5541293 7236875 6064104 7241042 X 377044 806695 511843 X 0 1 X 1 0 X 159788 145433 101178 951158 570184 1927741 159788 145433 101178 951158 570184 1927741 1927741 95548 99590 116351 119833 125100 556422 1150 1150 2485313 8467 0.77570 0.75140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 ST LUKE'S HOSPITAL 101 HOSPITAL DR COLUMBUS NC 28722 560554222 501(C)(3) 101400 PATIENT ROOM UPFIT, MEDICAL EQUIPMENT AND OTHER SUPPORT TO PROVIDE VARIOUS EQUIPMENT USED BY THE HOSPITAL PART I, LINE 2: THE FOUNDATION PROVIDES SUPPORT TO ITS RELATED ORGANIZATIONS FROM TIME TO TIME FOR SPECIFIC NEEDS IDENTIFIED BY THOSE ORGANIZATIONS. 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 XI, LINE 9: EQUITY TRANSFER FROM HOSPITAL 511,843. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423318 PARENT ORGANIZATION 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