2020-11-13T12:41:47-06:00 2019-12-31 990 2019-01-01 421106819 ST LUKE'S HEALTH CARE FOUNDATION STLU 3193697716 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 MARY KLINGER PRESIDENT 3193697796 2020-11-04 205.167.3.34 2020-11-04 14:11:59 CS P F1604245A147518CBE08B3B38589C677CA2A5196 F1604245A147518CBE08B3B38589C677CA2A5196 2019 2021-01-29 14:40:06Z MICHELLE NIERMANN 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 12410846 0 X WWW.UNITYPOINT.ORG/CEDARRAPIDS/ST-LUKES-FOUNDATIO X 1977 IA TO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS. 18 18 0 18 0 0 6609065 2772337 125992 359011 639421 1793090 0 0 7374478 4924438 1888640 2665542 0 0 681857 761368 0 3875 819351 495607 591183 3066104 4021968 4308374 902470 47324519 55919269 528649 2197788 46795870 53721481 X TO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS. 0 0 2665542 2665542 359011 GRANTS, ALLOCATIONS AND PROGRAM SUPPORTST. LUKE'S HEALTH CARE FOUNDATION PURPOSE IS TO RAISE FUNDS TO MAINTAIN, DEVELOP, INCREASE AND EXTEND THE FACILITIES AND SERVICES OF ST. LUKE'S METHODIST HOSPITAL IN CEDAR RAPIDS, IOWA, AND TO PROVIDE BROADER HOSPITAL, MEDICAL AND EDUCATIONAL SERVICE OPPORTUNITIES TO ITS PATIENTS, STUDENTS, STAFF, FACULTY AND RESIDENTS OF THE GEOGRAPHICAL AREA IT SERVES. IT SUPPORTS THE MISSIONS OF ST. LUKE'S HEALTHCARE AND ITS SUBSIDIARIES BY RAISING FINANCIAL CONTRIBUTIONS AND INVESTING THE PROCEEDS.THE GRANTS, ALLOCATIONS AND PROGRAM SUPPORT SERVICES MAY INCLUDE:CONTRIBUTIONS TO ST. LUKE'S METHODIST HOSPITAL FOR EQUIPMENT PURCHASES, TO OFFSET OPERATING EXPENSES AND MISCELLANEOUSSCHOLARSHIPS AND/OR LECTURESHIPS AWARDED TO INDIVIDUALS ASSOCIATED WITH ST. LUKE'S METHODIST HOSPITALGRANTS TO LOCAL RURAL HEALTH COMMUNITIES ASSOCIATED WITH ST. LUKE'S METHODIST HOSPITALMISCELLANEOUS GRANTS AND CONTRIBUTIONS TO ORGANIZATIONS AND/OR INDIVIDUALS ASSOCIATED WITH ST. LUKE'S METHODIST HOSPITAL 2665542 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DAN LAGRANGE 5152416289 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 RYAN BURESH BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF CANNON TO 0519 BOARD MEMBER 1.00 0.00 X 0 0 0 ANNE CARTER FR 0119 BOARD MEMBER 1.00 0.00 X 0 0 0 TERRI CHRISTOFFERSEN BOARD SECRETARY 1.00 0.00 X X 0 0 0 TAMI CULVER BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY EPLEY BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL HEINRICH BOARD TREASURER & EXEC VP/CFO 1.00 0.00 X X 0 0 0 MARTY HOEGER BOARD MEMBER 1.00 0.00 X 0 0 0 SHIRLEY HOLTEY BOARD MEMBER 1.00 0.00 X 0 0 0 DON JOHNSON BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 KEITH KREWER MD BOARD MEMBER 1.00 0.00 X 0 0 0 DOUG LAIRD BOARD MEMBER 1.00 0.00 X 0 0 0 NIKI LEE BOARD MEMBER 1.00 0.00 X 0 0 0 GENE NEIGHBOR BOARD CHAIR 1.00 0.00 X X 0 0 0 MICHELLE NIERMANN BOARD MEMBER & CEO (SLMH) 1.00 0.00 X X 0 0 0 DONALD PAYNTER BOARD MEMBER 1.00 0.00 X 0 0 0 PATTY POWERS FR 0119 BOARD MEMBER 1.00 0.00 X 0 0 0 GARY SPEICHER BOARD MEMBER 1.00 0.00 X 0 0 0 MARY KLINGER PRESIDENT 40.00 0.00 X 212018 0 25857 212018 0 25857 1 0 1 1 0 95676 250621 2426040 2772337 SUBS & JOINT VENTURES 900099 359011 359011 359011 1202165 1202165 8077333 7486408 590925 590925 590925 4924438 359011 0 1793090 2533278 2533278 132264 132264 237848 118924 118924 402377 185094 217283 29825 13720 16105 51605 23738 27867 39713 18268 21445 879 879 33900 33900 3875 3875 173889 173889 121315 121315 27206 27206 17347 17347 79288 79288 4298 4298 6256 6256 9789 9789 14515 14515 MISCELLANEOUS EXPENSE 101527 2468 99059 INCOME TAXES 974 974 4021968 2665542 537075 819351 1784684 1800014 834629 855653 1931 75826 4301 21931 435214 387999 57004 47215 38851814 46386644 90433 107791 5699723 6624195 47324519 55919269 36302 102130 492347 2095658 528649 2197788 X 6971939 9408226 39823931 44313255 46795870 53721481 47324519 55919269 X 902470 5457681 565460 X 0 1 X 1 0 X 2277099 2412376 2450666 6609065 2772336 16521542 2277099 2412376 2450666 6609065 2772336 16521542 4429637 12091905 1018065 400954 253991 -1307644 1202165 1567531 7494 6870 2180 16544 4693 4693 18110310 1922129 0.66770 0.60190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37812382 705090 5790711 724391 489306 43094486 36481500 4258108 -2492831 598021 -163626 37812382 32290486 31340 4727072 567398 36481500 29170037 149403 3568858 597812 32290486 28605830 1055346 -272695 218444 29170037 0.20190 0.33820 0.45990 0 0 209240 209240 0 225974 178759 47215 47215 INVESTMENT IN SUBSIDIARIES (ST. LUKE'S DEVELOPMENT CO.) 1652590 C BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4971605 F 6624195 LIABILITIES UNDER SPLIT INTEREST AGREEMENT 65014 DUE TO AFFILIATES 1195339 MISCELLANEOUS LIABILITY 835305 2095658 X 13141854 5457681 3370270 8827951 4313903 172236 438299 610535 4924438 6216243 2445800 2445800 3770443 172236 79289 251525 4021968 PART V, LINE 4: THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE FOUNDATION AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). FLOWEVER, IT MAY BE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME. WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2016. AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, THE FOUNDATION HAD NO MATERIAL UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,804,810. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 565,460. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRIES 438,298. ROUNDING 1. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,445,800. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRIES 79,288. ROUNDING 1. 1 JONES REGIONAL MEDICAL CENTER FOUNDATION 1795 HIGHWAY 64 E ANAMOSA IA 52205 421429225 501(C)(3) 22150 PROGRAM SUPPORT HELEN G NASSIF COMMUNITY CANCER CENTER 202 10TH ST SE 285 CEDAR RAPIDS IA 52403 452671609 501(C)(3) 404078 PROGRAM SUPPORT IOWA PHYSICIAN CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY STE 400 WEST DES MOINES IA 50266 421411630 501(C)(3) 50635 PROGRAM SUPPORT ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE CEDAR RAPIDS IA 524063026 420504780 501(C)(3) 1839861 PROGRAM SUPPORT UNITYPOINT AT HOME 1776 WEST LAKES PKWY STE 400 WEST DES MOINES IA 50266 421477471 501(C)(3) 176580 PROGRAM SUPPORT VARIETY CLUB OF IOWA 505 5TH AVE DES MOINES IA 50309 426077108 501(C)(3) 20457 PROGRAMT SUPPORT RONALD MCDONALD HOUSE 730 HAWKINS DR IOWA CITY IA 52246 421189783 501(C)(3) 10418 PROGRAM SUPPORT 7 0 SCHOLARSHIPS 65 126048 PART I, LINE 2: GRANTS TO GOVERNMENTS AND ORGANIZATIONS: IRC SECTION 501(C)(3) ORGANIZATIONS RECEIVING GRANTS MUST PROVIDE EVIDENCE OF THEIR TAX EXEMPT STATUS. EACH ORGANIZATION RECEIVING FUNDING MUST SUBMIT A WRITTEN UPDATE, INCLUDING APPLICABLE EVIDENCE TO SUPPORT THE FUNDS WERE USED FOR THE INTENDED PURPOSE. SCHOLARSHIPS: BEFORE THE STUDENT CAN RECEIVE SCHOLARSHIP FUNDS, THEY MUST PROVIDE EVIDENCE OF ENROLLMENT FROM THE SCHOOL THEY ARE ATTENDING. AT THE CONCLUSION OF THEIR SEMESTER, THEY ARE REQUIRED TO SUBMIT A TRANSCRIPT OF RESULTS. CHECKS FOR SCHOLARSHIPS ARE JOINTLY ISSUED TO THE HIGHER EDUCATION INSTITUTION AND STUDENT. RURAL INITATIVE GRANTS: GRANTS ARE LIMITED TO COMMUNITIES IN THE ST. LUKE'S HOSPITAL MARKET AREA. GRANTEES ARE REQUIRED TO SUBMIT AN ANNUAL REPORT STATING HOW THE FUNDS HAVE BEEN UTILIZED. THE GRANTS ARE TYPICALLY IN SUPPORT OF EQUIPMENT PURCHASES. 0 0 0 0 0 0 0 0 0 MARY KLINGER PRESIDENT 163351 0 23662 0 25005 0 10186 0 15671 0 237875 0 0 0 FORM 990, PART VII, SECTION A, LINE 5: ST. LUKE'S METHODIST HOSPITAL PAYS COMPENSATION TO MARY KLINGER, IN THE AMOUNTS OF: BASE PAY $155,503, BONUS & INCENTIVE COMPENSATION $16,873, OTHER COMPENSATION $16,729, DEFERRED COMPENSATION $8,974, NONTAXABLE BENEFITS $15,026. ST. LUKE'S HEALTH CARE FOUNDATION REIMBURSES ST. LUKE'S METHODIST HOSPITAL FOR PART OF THE COMPENSATION PAID TO MARY KLINGER. FORM 990, PART VI, SECTION A, LINE 7A ST. LUKE'S METHODIST HOSPITAL APPOINTS AT LEAST ONE BOARD MEMBER, THE ST. LUKES METHODIST HOSPITAL CEO, CFO, AND COO ARE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY FUNCTIONAL AREA WITH RESPONSIBILITY ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A DISCLOSURE QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. PERSONS REQUIRED TO REPORT, WHO HAVE NOT RETURNED QUESTIONNAIRES, WILL BE CONTACTED AND FOLLOW-UP WILL CONTINUE ON A REGULAR BASIS IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE INFORMATION DISCLOSED WILL BE USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS QUESTIONNAIRES. THE DUTY TO IDENTIFY AND DISCLOSE POTENTIAL CONFLICTS OF INTEREST IS A DUTY THAT IS ONGOING. ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES SHALL IMMEDIATELY DISCLOSE SUCH POTENTIAL CONFLICT OR DUALITY OF INTEREST AS SOON AS THE INTEREST OCCURS. DISCLOSURE SHOULD BE MADE TO THE COVERED PERSON'S SUPERVISOR, DIRECTOR OF THE ORGANIZATION, OR THE BOARD CHAIR OF THE ORGANIZATION, AS APPLICABLE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION RELIES ON AN UNRELATED ORGANIZATION TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION BASED ON FAIR MARKET VALUE. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 ST. LUKE'S HEALTH CARE FOUNDATION MAKES AVAILABLE TO THE PUBLIC THE ORGANIZATION'S BOARD OF DIRECTORS LIST ON ITS WEBSITE. FORM 990 TAX INFORMATION, CONFLICT OF INTEREST POLICY, AND WHISTLEBLOWER POLICY ARE AVAILABLE TO THE PUBLIC THROUGH ST. LUKE'S METHODIST HOSPITAL'S WEBSITE (WWW.UNITYPOINT.ORG/CEDARRAPIDS). FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRUSTS 565,460. CHARITABLE REMAINDER UNITRUST #1 INVESTMENT IA ST LUKE'S HEALTH CARE FOUNDATION T 1 CHARITABLE REMAINDER UNITRUST #2 INVESTMENT IA ST LUKE'S HEALTH CARE FOUNDATION T 1 CHARITABLE REMAINDER UNITRUST #3 INVESTMENT IA ST LUKE'S HEALTH CARE FOUNDATION T 1 ST LUKE'S DEVELOPMENT COMPANY 1026 A AVENUE NE CEDAR RAPIDS IA 52402 421353658 LESSOR NONRESIDENTIAL REAL ESTATE IA ST LUKE'S HEALTH CARE FOUNDATION C 2774118 15723394 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0