2019-11-14T14:56:48-06:00 2018-12-31 990 2018-01-01 421106819 ST LUKE'S HEALTH CARE FOUNDATION STLU 3193697716 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 MARY KLINGER PRESIDENT 3193697796 2019-11-12 205.167.2.34 2019-11-12 13:01:44 CS P 0BFB9BC94ADA8AF3BF63F4A24AA84C65C722C205 0BFB9BC94ADA8AF3BF63F4A24AA84C65C722C205 2018 2020-03-31 21:24:44Z MICHELLE NIERMANN 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 15519600 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. 17 17 0 17 0 0 2450666 6609065 112251 125992 1590668 639421 0 0 4153585 7374478 1762692 1888640 0 0 657925 681857 0 0 630324 441081 495607 2861698 3066104 1291887 4308374 46363510 47324519 431375 528649 45932135 46795870 X TO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS. 0 0 1888640 1888640 125992 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 1888640 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 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JENNIFER PERKINS SENIOR ACCOUNTANT 3193697796 1026 A AVENUE NE CEDAR RAPIDS IA 52402 RYAN BURESH BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF CANNON 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 & COO 1.00 0.00 X X 0 0 0 DONALD PAYNTER BOARD MEMBER 1.00 0.00 X 0 0 0 GARY SPEICHER BOARD MEMBER 1.00 0.00 X 0 0 0 THEODORE TOWNSEND JR BOARD MEMBER & CEO/PRESIDENT (SLMH) 1.00 0.00 X X 0 0 0 MARY KLINGER PRESIDENT 40.00 0.00 X 189105 0 24000 189105 0 24000 1 0 1 1 0 6609065 22195 6609065 SUBS & JOINT VENTURES 900099 74881 74881 FOUNDATION SERVICE CTR 561000 51111 51111 125992 -1307644 -1307644 10092187 8145122 1947065 1947065 1947065 7374478 125992 0 639421 1754915 1754915 133725 133725 213105 99025 114080 377015 175190 201825 91737 42628 49109 2698 1254 1444 35150 16333 18817 127723 59350 68373 22000 10223 11777 82749 38452 44297 15458 7183 8275 75662 35158 40504 51418 23893 27525 2456 1141 1315 1937 900 1037 11376 5286 6090 6729 3127 3602 MISCELLANEOUS EXPENSE 61275 28473 32802 INCOME TAXES -1024 -476 -548 3066104 1888640 547140 630324 1981079 1784684 712976 834629 124738 1931 27579 4301 435214 378210 68380 57004 37245101 38851814 168256 90433 6035401 5699723 46363510 47324519 99897 36302 331478 492347 431375 528649 X 3615763 6971939 22854038 20616512 19462334 19207419 45932135 46795870 46363510 47324519 X 4308374 -2961726 -482913 X 0 1 X 1 0 X 3579507 2277099 2412376 2450666 6609065 17328713 3579507 2277099 2412376 2450666 6609065 17328713 5468480 11860233 1891665 1018065 400954 253991 -1307644 2257031 7494 6870 2180 0 16544 96971 4693 101664 19703952 1666554 0.60190 0.51840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36481500 4258108 -2492831 598021 -163626 37812382 32290486 31340 4727072 567398 36481500 29170037 149403 3568858 597812 32290486 28605830 1055346 -272695 218444 29170037 26298283 174583 2847226 714262 28605830 0.18780 0.38550 0.42670 0 0 209240 209240 0 225974 168970 57004 57004 INVESTMENT IN SUBSIDIARIES (ST. LUKE'S DEVELOPMENT CO.) 1293579 C BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4406144 F 5699723 LIABILITIES UNDER SPLIT INTEREST AGREEMENT 91299 DUE TO AFFILIATES 332688 MISCELLANEOUS LIABILITY 68360 492347 X 6215655 -2961726 2579090 -382636 6598291 115865 660322 776187 7374478 5351918 2504207 2504207 2847711 115865 102528 218393 3066104 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: UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2015. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,579,089. ROUNDING 1. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 51,111. ELIMINATING ENTRIES 126,299. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 482,912. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,504,207. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRIES 51,417. EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 51,111. 1 COE COLLEGE 1220 1ST AVE NE CEDAR RAPIDS IA 52402 420686467 501(C)(3) 12871 OTHER HELEN G NASSIF COMMUNITY CANCER CENTER 202 10TH ST SE 285 CEDAR RAPIDS IA 52403 452671609 501(C)(3) 260387 PROGRAM SUPPORT IOWA PHYSICIAN CLINIC MEDICAL FOUNDATION 8101 BIRCHWOOD CT JOHNSTON IA 50131 421411630 501(C)(3) 106258 PROGRAM SUPPORT ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE CEDAR RAPIDS IA 524063026 420504780 501(C)(3) 1122053 PROGRAM SUPPORT UNITYPOINT AT HOME 11333 AURORA AVE URBANDALE IA 50322 421477471 501(C)(3) 212843 PROGRAM SUPPORT 5 0 SCHOLARSHIPS 68 133725 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 155503 0 16873 0 16729 0 8974 0 15026 0 213105 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 -482,913. 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 2555089 15757807 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0