2019-08-15T06:14:25-05:00 2018-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-10-01 561757097 ST LUKE'S FOUNDATION INC STLU 8288942693 89 WEST MILLS STREET NO B COLUMBUS NC 28722 ELIZABETH PRESNELL CFO 8288942693 2019-08-13 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-08-13 13:27:05 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2017 2019-02-21 02:37:17Z ELIZABETH PRESNELL 89 WEST MILLS STREET NO B COLUMBUS NC 28722 266611 0 X WWW.SLHFOUNDATION.ORG X 1991 NC ST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL 18 18 0 20 0 0 138540 145433 0 0 74769 105798 14565 9416 227874 260647 0 0 0 0 140098 147979 0 0 51803 50160 79319 190258 227298 37616 33349 4957025 4895296 512720 517046 4444305 4378250 X ST. 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. 0 0 130057 0 ST. 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. 130057 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 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 LARRY WASSONG CHAIRMAN 1.00 X X 0 0 0 JAY GEDDINGS VICE CHAIR 1.00 X X 0 0 0 SHERRY DASHIELL SECRETARY 1.00 X X 0 0 0 ROGER NEWMAN TREASURER 1.00 X X 0 0 0 FRED BAISDEN TRUSTEE 1.00 X 0 0 0 JIM BROSS TRUSTEE 1.00 X 0 0 0 JO ANN MCMILLAN TRUSTEE 1.00 X 0 0 0 CATHERINE NORRIS TRUSTEE 1.00 X 0 0 0 JEAN SHUMWAY TRUSTEE 1.00 X 0 0 0 BETH LAUGHRIDGE TRUSTEE 1.00 X 0 0 0 CRAIG GERMANO TRUSTEE 1.00 X 0 0 0 JOYCE MOFFATT TRUSTEE 1.00 X 0 0 0 PATTY HOLL TRUSTEE 1.00 X 0 0 0 ARLENE KOLKER TRUSTEE 1.00 X 0 0 0 RANAE WALDMAN TRUSTEE 1.00 X 0 0 0 RACHEL RAMSEY TRUSTEE 1.00 X 0 0 0 ANDREW MORRIS TRUSTEE 1.00 X 0 0 0 ROBERTA RATTERREE TRUSTEE 1.00 X 0 0 0 MESHELLE COLVIN EXECUTIVE DIRECTOR 40.00 X 65299 0 9936 65299 0 9936 0 0 0 0 0 145433 145433 99590 99590 6208 0 6208 6208 6208 15380 5964 9416 9416 260647 0 0 115214 78778 26260 26259 26259 33327 33327 35874 19068 8403 8403 10776 10776 1743 1743 4719 4719 8065 8065 491 491 355 355 MISCELLANEOUS 51987 34846 17141 ALLOWANCE FOR UNCOLLECT 1183 1183 227298 130057 45438 51803 340389 110502 219264 219730 2310 14926 4395062 4550138 4957025 4895296 1229 2619 511491 514427 512720 517046 X 4134493 4074091 66659 61006 243153 243153 4444305 4378250 4957025 4895296 X 33349 182356 -281760 X X 0 1 X 1 0 X 231532 630670 225187 159788 145433 1392610 231532 630670 225187 159788 145433 1392610 621198 771412 60240 92058 91048 95548 99590 438484 6413 6413 1837507 0.41980 0.52720 X 0 DUE TO RELATED PARTIES 514427 514427 X 167207 182356 -275796 -93440 260647 0 260647 233262 5964 5964 227298 0 227298 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, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 5,964. TRANSFER TO AFFILIATE -281,760. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 5,964. ACHE AROUND THE LAKE/HUNTER DERBY 15380 15380 750 5214 15380 15380 750 5214 5964 9416 FORM 990, PART VI, SECTION A, LINE 1 THE 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 11B THE 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 12C OFFICERS, 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 15A A 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 18 RECENT 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 19 PHOTOCOPIES 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 XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -281,760. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423318 CONTROLLING ENTITY NC 501(C)(3) N/A 0 ST LUKE'S PHYSICIAN NETWORK INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 263082073 PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NC 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 THE CITIZENS OF POLK COUNTY, NC NC 501(C)(3) LINE 3 ST LUKE'S HEALTHCARE INC 0 ST LUKE'S PROFESSIONAL BUILDING INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423404 RENTAL REAL ESTATE NC N/A C 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0