FURP.ORG / PUBLIC DATA EXPLORER

ST LUKES HOSPITAL FOUNDATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOSPITAL FOUNDATION INC (EIN 56-1757097)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-06
IRS object ID
202032199349301358
Schema version
2018v3.2
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)
Return2020-08-06T15:33:02-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561757097EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone8288942693PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 WEST MILLS STREET NO BAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROGER NEWMANPersonNm
Person TitleFINANCE COMMITTEE CHAIRPersonTitleTxt
Phone8288942693PhoneNum
Signature2020-08-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.47.28.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-06IPDt
IP Tm15:24:19IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id48FB394F9AA065459641371F168D9F2AFFFBB473AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELIZABETH PRESNELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 WEST MILLS STREET NO BAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$220,779GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SLHFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITALActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$145,433PYContributionsGrantsAmt
CY Contributions Grants$90,346CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$105,798PYInvestmentIncomeAmt
CY Investment Income$113,271CYInvestmentIncomeAmt
PY Other Revenue$9,416PYOtherRevenueAmt
CY Other Revenue$7,246CYOtherRevenueAmt
PY Total Revenue$260,647PYTotalRevenueAmt
CY Total Revenue$210,863CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$147,979PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$158,403CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$42,427CYTotalFundraisingExpenseAmt
PY Other Expenses$79,319PYOtherExpensesAmt
CY Other Expenses$57,541CYOtherExpensesAmt
PY Total Expenses$227,298PYTotalExpensesAmt
CY Total Expenses$215,944CYTotalExpensesAmt
PY Revenues Less Expenses$33,349PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,081CYRevenuesLessExpensesAmt
Total Assets BOY$4,895,296TotalAssetsBOYAmt
Total Assets EOY$4,993,352TotalAssetsEOYAmt
Total Liabilities BOY$517,046TotalLiabilitiesBOYAmt
Total Liabilities EOY$535,698TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,378,250NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,457,654NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL, WHOSE PURPOSE IS TO PROVIDE HEALTHCARE IN A VARIETY OF FORMATS TO RESIDENTS OF COLUMBUS, NC AND THE SURROUNDING AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$126,359ExpenseAmt
DescST. LUKE'S HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT PROJECTS WHICH WILL ENHANCE THE DELIVERY OF THE BEST POSSIBLE HEALTH CARE TO THE PEOPLE OF ST. LUKE'S HOSPITAL SERVICE AREA. TO ACCOMPLISH THIS END, THE FOUNDATION MAINTAINS AND SOLICITS MEMBERSHIPS: -THE PALMER & 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 ST. LUKE'S HOSPITAL FOUNDATION INVITES THE COMMUNITY TO SUPPORT THE HOSPITAL THROUGH CONTRIBUTIONS TO THE FOUNDATION, AND HOSTS SEVERAL FUNDRAISING EVENTS THROUGHOUT THE YEAR, INCLUDING A HUNTER DERBY IN CONJUNCTION WITH THE BLUE RIDGE HUNTER JUMPER ASSOCIATION, AND THE ACHE AROUND THE LAKE, AN 8K FUNDRAISING WALK/RUN AROUND LAKE LANIER.Desc
Total Program Service Expenses$126,359TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH PRESNELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8288940954PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAY GEDDINGS
CHAIR1.002.00Yes (X)Yes (X)$0$0$0
CAROL JACKSON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
ROGER NEWMAN
TREASURER1.00Yes (X)Yes (X)$0$0$0
SHERRY DASHIELL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ALEXANDRA ADAMS
TRUSTEE1.00Yes (X)$0$0$0
STEPHEN BRADY
TRUSTEE1.00Yes (X)$0$0$0
DR LINDA GREENSFELDER
TRUSTEE1.002.00Yes (X)$0$0$0
PATTY HOLL
TRUSTEE1.00Yes (X)$0$0$0
BRIAN JONES
TRUSTEE1.00Yes (X)$0$0$0
ARLENE KOLKER
TRUSTEE1.00Yes (X)$0$0$0
BETH LAUGHRIDGE
TRUSTEE1.00Yes (X)$0$0$0
JO ANN MCMILLAN
TRUSTEE1.00Yes (X)$0$0$0
BILL MILLER
TRUSTEE1.002.00Yes (X)$0$0$0
JOYCE MOFFATT
TRUSTEE1.00Yes (X)$0$0$0
RACHEL RAMSEY
TRUSTEE1.00Yes (X)$0$0$0
ROBERTA RATTERREE
TRUSTEE1.00Yes (X)$0$0$0
GEORGE SWEET
TRUSTEE1.00Yes (X)$0$0$0
RENAE WALDMAN
TRUSTEE1.00Yes (X)$0$0$0
LARRY WASSONG
TRUSTEE1.00Yes (X)$0$0$0
MESHELLE COLVIN
EXECUTIVE DIRECTOR1.00Yes (X)$68,486$0$9,871
FieldValueIRS element (for citing)
Total Reportable Comp From Org$68,486TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$9,871TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$90,346AllOtherContributionsAmt
Total Contributions$90,346TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,351TotalRevenueColumnAmt
Exclusion$116,351ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,080SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,080SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,080TotalRevenueColumnAmt
Exclusion-$3,080ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,932FundraisingGrossIncomeAmt
Fundraising Direct Expenses$6,836FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,096TotalRevenueColumnAmt
Exclusion$6,096ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRECOVERY OF BAD DEBTDesc
Business900099BusinessCd
Total Revenue Column$1,150TotalRevenueColumnAmt
Exclusion$1,150ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,150OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,863TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$120,517ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$78,357TotalAmt
Program Services$26,119ProgramServicesAmt
Management And General$26,119ManagementAndGeneralAmt
Fundraising$26,119FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$51,828TotalAmt
Program Services$51,828ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,358TotalAmt
Program Services$13,986ProgramServicesAmt
Management And General$4,686ManagementAndGeneralAmt
Fundraising$4,686FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,860TotalAmt
Program Services$2,910ProgramServicesAmt
Management And General$975ManagementAndGeneralAmt
Fundraising$975FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15,378TotalAmt
Management And General$15,378ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,023TotalAmt
Program Services$2,023ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,052TotalAmt
Program Services$13,052ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$838TotalAmt
Program Services$838ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$667TotalAmt
Program Services$667ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total$25,583TotalAmt
Program Services$14,936ProgramServicesAmt
Fundraising$10,647FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$215,944TotalAmt
Program Services$126,359ProgramServicesAmt
Management And General$47,158ManagementAndGeneralAmt
Fundraising$42,427FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$110,502BOYAmt
EOY$205,678EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$219,730BOYAmt
EOY$220,273EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,926BOYAmt
EOY$3,450EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,550,138BOYAmt
EOY$4,563,951EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,895,296BOYAmt
EOY$4,993,352EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,619BOYAmt
EOY$3,909EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$514,427BOYAmt
EOY$531,789EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$517,046BOYAmt
EOY$535,698EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,074,091BOYAmt
EOY$4,163,344EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,006BOYAmt
EOY$51,157EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$243,153BOYAmt
EOY$243,153EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,378,250BOYAmt
EOY$4,457,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,895,296BOYAmt
EOY$4,993,352EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,081ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$84,485NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$630,670CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$225,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,788CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$145,433CurrentTaxYearMinus1YearAmt
Current Tax Year$101,178CurrentTaxYearAmt
Total$1,262,256TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$630,670CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$225,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,788CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$145,433CurrentTaxYearMinus1YearAmt
Current Tax Year$101,178CurrentTaxYearAmt
Total$1,262,256TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$652,558SubstantialContributorsTotAmt
Public Support Total170$609,698PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,058CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$91,048CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,548CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,590CurrentTaxYearMinus1YearAmt
Current Tax Year$116,351CurrentTaxYearAmt
Total$494,595TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$1,150CurrentTaxYearAmt
Total$1,150TotalAmt
FieldValueIRS element (for citing)
Total Support$1,758,001TotalSupportAmt
Public Support CY1700.34680PublicSupportCY170Pct
Public Support PY1700.41980PublicSupportPY170Pct
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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
Amt$531,789Amt
FieldValueIRS element (for citing)
Total Liability$531,789TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$301,034TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$84,485NetUnrealizedGainsInvstAmt
Other Revenue$5,686OtherRevenueAmt
Revenue Not Reported$90,171RevenueNotReportedAmt
Revenue Subtotal$210,863RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$210,863TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$221,630TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,686OtherExpensesIncludedAmt
Expenses Not Reported$5,686ExpensesNotReportedAmt
Expenses Subtotal$215,944ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$215,944TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 6,836. BAD DEBT RECOVERY -1,150.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 6,836. BAD DEBT RECOVERY -1,150.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ACHE AROUND THE LAKEEvent1Nm
Gross Receipts Event1$12,932GrossReceiptsEvent1Amt
Gross Revenue Event1$12,932GrossRevenueEvent1Amt
Cash Prizes Event1$20CashPrizesEvent1Amt
Non Cash Prizes Event1$825NonCashPrizesEvent1Amt
Food And Beverage Event1$121FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$5,870OtherDirectExpensesEvent1Amt
Gross Receipts Total$12,932GrossReceiptsTotalAmt
Gross Revenue Total Events$12,932GrossRevenueTotalEventsAmt
Cash Prizes Total Events$20CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$825NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$121FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$5,870OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$6,836DirectExpenseSummaryEventsAmt
Net Income Summary$6,096NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE CORPORATION, THE PRESIDENT OF ST. LUKE'S HEALTHCARE, THE CHAIRMAN OF THE BOARD OF DIRECTORS OF ST. LUKE'S HEALTHCARE, THE CHAIRMEN OF THE STANDING COMMITTEES OF THE FOUNDATION AND THE EXECUTIVE DIRECTOR (WITHOUT VOTE). THE CHAIRMAN OF THE BOARD OF TRUSTEES SHALL BE THE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE VICE-CHAIRMAN OF THE BOARD SHALL BE THE VICE CHAIRMAN OF THE EXECUTIVE COMMITTEE. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE HELD AT THE CALL OF THE CHAIRMAN OR UPON DELEGATION OF THE CHAIRMAN TO THE VICE-CHAIRMAN. THE EXECUTIVE COMMITTEE SHALL NOT TAKE ANY ACTION THAT CONFLICTS WITH POLICIES OF THE BOARD AND SHALL SUBMIT ITS MINUTES AND RECORDS TO THE NEXT MEETING OF THE BOARD OF TRUSTEES FOR ITS REVIEW. FIVE (5) MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM AT ANY MEETING OF THE EXECUTIVE COMMITTEE. ANY MOTION OR RESOLUTION MAY BE CARRIED BY A MAJORITY OF THOSE IN ATTENDANCE, PROVIDED, HOWEVER, THAT NO MOTION OR RESOLUTION AT ANY MEETING OF THE EXECUTIVE COMMITTEE SHALL BE CARRIED UNLESS IT RECEIVES THE AFFIRMATIVE VOTE OF AT LEAST (5) MEMBERS OF THE EXECUTIVE COMMITTEE ATTENDING THE MEETING.
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE WERE NOTIFIED THAT THE FORM 990 IS AVAILABLE FOR REVIEW. THE ORGANIZATION HELD A FULL BOARD MEETING, 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. ADDITIONALLY, EACH MEMBER RECEIVED A COPY OF THE 990 AT THE BOARD MEETING. AFTER A QUESTION & ANSWER PERIOD, THE VOTING BOARD VOTED TO APPROVE THE FORM 990 AS PRESENTED.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, 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.
FORM 990, PART VI, SECTION B, LINE 15AA MARKET BASED PAY SCALE WAS USED TO DETERMINE THE COMPENSATION PACKAGE FOR THE DIRECTOR OF THE FOUNDATION. THE COMPENSATION IS ALSO BASED ON QUALIFICATIONS AND YEARS OF EXPERIENCE.
FORM 990, PART VI, SECTION C, LINE 18RECENT 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.
FORM 990, PART VI, SECTION C, LINE 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990 PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST LUKE'S HEALTH CARE INC
101 HOSPITAL DRIVECOLUMBUSNC28722561423318CONTROLLING ENTITYNC501(C)(3)N/A0
ST LUKE'S PHYSICIAN NETWORK INC
101 HOSPITAL DRIVECOLUMBUSNC28722263082073PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NCNC501(C)(3)0LINE 3ST LUKE'S HEALTHCARE INC
ST LUKE'S HOSPITAL INC
101 HOSPITAL DRIVECOLUMBUSNC28722560554222PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NCNC501(C)(3)0LINE 3ST LUKE'S HEALTHCARE INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S PROFESSIONAL BUILDING INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28722ZIPCd
FieldValueIRS element (for citing)
EIN561423404EIN
Primary ActivitiesRENTAL REAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd