2018-11-14T15:51:07-06:00 2017-12-31 990 2017-01-01 421106819 ST LUKE'S HEALTH CARE FOUNDATION STLU 3193697716 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 MARY KLINGER PRESIDENT 3193697796 2018-11-06 205.167.2.34 2018-11-06 13:05:34 CS P C69FFE27EEBC8ABCAB3DAA7C573007FFE9EEA434 0BFB9BC94ADA8AF3BF63F4A24AA84C65C722C205 2017 2019-02-21 02:37:17Z THEODORE E TOWNSEND JR 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 7971023 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 3551 2180 2412376 2450666 663764 112251 939085 1590668 0 0 4015225 4153585 2010737 1762692 0 0 639840 657925 0 0 396791 442433 441081 3093010 2861698 922215 1291887 40752599 46363510 376226 431375 40376373 45932135 X TO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS. 0 0 1762692 1762692 116075 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 1762692 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 1 0 0 0 0 1 1 1 0 0 1 10 0 1 0 1 1 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 JENNIFER PERKINS SENIOR ACCOUNTANT 3193697796 1026 A AVENUE NE CEDAR RAPIDS IA 52402 MILTON AUNAN II TO 0617 BOARD MEMBER & VP FIN/CFO (SLMH) 40.00 1.00 X X 0 0 0 RYAN BURESH BOARD MEMBER 1.00 0.00 X X 0 0 0 JEFF CANNON BOARD MEMBER 1.00 0.00 X 0 0 0 TERRI CHRISTOFFERSEN BOARD MEMBER 1.00 0.00 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 MARTY HOEGER BOARD MEMBER 1.00 0.00 X 0 0 0 SHIRLEY HOLTEY BOARD SECRETARY 1.00 0.00 X X 0 0 0 DON JOHNSON BOARD MEMBER 1.00 0.00 X 0 0 0 KEITH KREWER MD BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES LAMORGESE MD BOARD MEMBER 1.00 0.00 X 0 0 0 NIKI LEE BOARD MEMBER 1.00 0.00 X 0 0 0 NANCY MORTIMORE BOARD MEMBER 1.00 0.00 X 0 0 0 GENE NEIGHBOR BOARD TREASURER 1.00 0.00 X 0 0 0 DONALD PAYNTER BOARD MEMBER 1.00 0.00 X 0 0 0 DIANE RAMSEY 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 DOUG LAIRD BOARD CHAIR 1.00 0.00 X 0 0 0 MICHAEL HEINRICH FR 0717 SR VP FINANCE/CFO 40.00 1.00 X 0 0 0 MICHELLE NIERMANN BOARD MEMBER & COO 0.00 0.00 X 0 0 0 MARY KLINGER PRESIDENT 40.00 0.00 X 165289 0 22184 165289 0 22184 1 0 1 1 0 2450666 50356 2450666 SUBS & JOINT VENTURES 900099 60671 60671 FOUNDATION SERVICE CTR 561000 51580 51580 112251 253991 273 3551 250167 5154115 3817438 1336677 1336677 1336677 4153585 112524 3551 1586844 1644705 1644705 117987 117987 187472 124363 63109 378789 250001 128788 91664 65842 25822 30750 20399 10351 111078 73686 37392 1265 839 426 69070 20657 48413 14518 9631 4887 80433 53357 27076 49532 32858 16674 8353 5541 2812 4944 3280 1664 17582 11663 5919 6729 4464 2265 MISCELLANEOUS EXPENSE 46127 25170 20957 INCOME TAXES 700 464 236 2861698 1762692 702215 396791 1513912 1981079 706085 712976 27488 279144 124738 23635 27579 435214 366834 85963 68380 32378841 37245101 159414 168256 5578117 6035401 40752599 46363510 80632 99897 295594 331478 376226 431375 X 3919864 3615763 17517975 22854038 18938534 19462334 40376373 45932135 40752599 46363510 X 1291887 3837551 426324 X 0 1 X 1 0 X 1198195 3579507 2277099 2412376 2450665 11917842 1198195 3579507 2277099 2412376 2450665 11917842 2043033 9874809 3360349 1891665 1018065 400954 253991 6925024 7494 6870 3551 17915 86246 96971 4693 187910 19048691 1997079 0.51840 0.50470 X 32290486 31340 4727072 567398 36481500 29170037 149403 3568858 597812 32290486 28605830 1055346 -272695 218444 29170037 26298283 174583 2847226 714262 28605830 22958607 479893 3655916 796133 26298283 0.08300 0.39950 0.51750 0 0 209240 209240 0 225974 157594 68380 68380 INVESTMENT IN SUBSIDIARIES (ST. LUKE'S DEVELOPMENT CO.) 1218698 C BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4816703 F 6035401 LIABILITIES UNDER SPLIT INTEREST AGREEMENT 180025 DUE TO AFFILIATES 151453 331478 X 10640131 3837551 2905183 6742734 3897397 111079 145109 256188 4153585 5084371 2418190 2418190 2666181 111079 84438 195517 2861698 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 2014. 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. H.R. 1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT (THE ACT), WAS SIGNED INTO LAW ON DECEMBER 22, 2017. THE ACT CONTAINS VARIOUS PROVISIONS AFFECTING BOTH TAXABLE AND TAX-EXEMPT ENTITIES. TAX EXEMPT ENTITIES ARE IMPACTED IN PART BY THE INCLUSION OF A NEW EXCISE TAX ON EXCESS COMPENSATION FOR COVERED EMPLOYEES, CHANGES TO UNRELATED BUSINESS INCOME, CHANGES TO TAX RATES, AS WELL AS THEIR ABILITY TO ADVANCE REFUND BONDS. IN ADDITION, TAX-EXEMPT ENTITIES MAY BE IMPACTED THROUGH CERTAIN FOR-PROFIT SUBSIDIARIES AND/OR JOINT VENTURES BASED ON THE ACT'S PROVISIONS FOR TAX RATES, ELIMINATION OF THE CORPORATE ALTERNATIVE MINIMUM TAX, CHANGES TO NET OPERATING LOSS UTILIZATION AND CARRYOVER/CARRYBACK PERIOD, AND MEASUREMENT OF DEFERRED TAXES AS WELL AS OTHER LIMITATIONS ON DEDUCTIONS. THE ACT'S PROVISIONS MAY ALSO IMPACT DONOR TAX INCENTIVES FOR CHARITABLE GIVING. THE SYSTEM IS CURRENTLY ASSESSING THE OVERALL IMPACT OF THE ACT AND ITS IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,478,859. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 426,324. ROUNDING PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 51,580. ELIMINATING ENTRIES 93,529. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,418,188. ROUNDING 2. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRIES 32,858. EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 51,580. 1 COE COLLEGE 1220 1ST AVE NE CEDAR RAPIDS IA 52402 420686467 501(C)(3) 12186 OTHER HELEN G NASSIF COMMUNITY CANCER CENTER 202 10TH ST SE 285 CEDAR RAPIDS IA 52403 452671609 501(C)(3) 255020 PROGRAM SUPPORT RONALD MCDONALD HOUSE CHARITIES 730 HAWKINS DR IOWA CITY IA 52246 421189783 501(C)(3) 11895 PROGRAM SUPPORT ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE CEDAR RAPIDS IA 524063026 420504780 501(C)(3) 1211024 PROGRAM SUPPORT UNITYPOINT AT HOME 11333 AURORA AVE URBANDALE IA 50322 421477471 501(C)(3) 30130 PROGRAM SUPPORT UNITYPOINT CLINICS 8101 BIRCHWOOD CT JOHNSTON IA 50131 421411630 501(C)(3) 15378 PROGRAM SUPPORT 6 0 SCHOLARSHIPS 42 117987 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 137092 0 10285 0 17912 0 7724 0 14460 0 187473 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 $137,092, BONUS & INCENTIVE COMPENSATION $10,285, OTHER COMPENSATION $17,912, DEFERRED COMPENSATION $7,724, NONTAXABLE BENEFITS $14,460. ST. LUKE'S HEALTH CARE FOUNDATION REIMBURSES ST. LUKE'S METHODIST HOSPITAL FOR PART OF THE COMPENSATION PAID TO MARY KLINGER. X 28356 BASED ON RETAIL VALUE 0 0 0 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 AND CFO 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 426,324. 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 2454859 16179535 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ST LUKE'S DEVELOPMENT COMPANY A 3551 BASED ON GAAP, CASH, AND/OR FMV.