2018-11-14T23:09:15-06:00 2017-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-01-01 223026263 ST LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION INC % THOMAS J GIBNEY CPA STLU 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 THOMAS J GIBNEY CPA Treasurer/SVP,CFO 8455682881 2018-11-09 true Christopher B Boggs P00032493 2127733000 164.57.159.253 26308520183185000150 2018-11-14 P 24558E047A149CE0743DDA4F89040DC2FD5B7974 D7645E384763AEB8339B885771554B833BC3ADBE 2017 2019-02-21 02:37:17Z Joan Cusack-McGuirk 70 DUBOIS STREET NEWBURGH NY 125504851 1174971 false X WWW.STLUKESCORNWALLHOSPITAL.ORG X 1988 NY TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY. 15 12 6 35 0 0 1725616 1068889 0 0 429 3167 -106255 -89308 1619790 982748 398600 951966 0 0 263507 260536 0 0 344696 130798 104810 792905 1317312 826885 -334564 1740161 1401133 44770 40306 1695391 1360827 THE MISSION OF ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC. IS TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY. THE ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC. ACCCOMPLISHES THIS MISSION BY: (1) DIRECTING DEVELOPMENT ACTIVITIES, INCLUDING INVESTMENTS TO SUPPORT CAPITAL NEEDS OF ST. LUKE'S CORNWALL HEALTH SYSTEM AND INNOVATIVE, EFFECTIVE PROGRAMS WHICH IMPROVE COMMUNITY RESIDENT'S ACCESS TO QUALITY HEALTHCARE SERVICES AND INFORMATION; AND (2) PROVIDING ADVOCACY TO ENSURE THE AVAILABILITY OF QUALITY MEDICAL CARE. false false 951966 951966 0 The Foundation provides FINANCIAL SUPPORT for HEALTHCARE INITIATIVES OF ST. LUKE'S CORNWALL Hospital WHOSE SERVICES BENEFITS THE RESIDENTS OF THE MID-HUDSON VALLEY. The Foundation is involved in development activities to support the capital needs of St Luke's Cornwall Hospital, improve community resident's access to quality healthcare services and information and provide advocacy to ensure the availability of quality medical care. 951966 true true false false false false false false false true false false false false true false true false false false false false false false true true false true false true false false false false false false false false true false false false false true true true false false true X 12 0 true 6 true false false false false false true true false false false false X 15 12 true false false false true true true true true false false true true true true true true false false false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 JOHN V PELELLA DIRECTOR 1.0 1.0 X 0 0 0 CHARLES WALWYN III Board VICE CHAIR 1.0 0.0 X X 0 0 0 JILL CAPPA DIRECTOR 1.0 0.0 X 0 0 0 FATHER MARK CONNELL DIRECTOR 1.0 0.0 X 0 0 0 FREDERICK W DABROSKI JR Board SECRETARY 1.0 0.0 X X 0 0 0 TINA DEANGELO DIRECTOR (Resigned 5/18/17) 1.0 0.0 X 0 0 0 JEFFREY DEGEN MD DIRECTOR 1.0 0.0 X 0 0 0 DAVID M HARRISON MD DIRECTOR 1.0 0.0 X 0 0 0 ROBERT HATFIELD DIRECTOR 1.0 0.0 X 0 0 0 ERIC NAJORK Board Chair 1.0 0.0 X X 0 0 0 EILEEN V OSTERBY DIRECTOR (Resigned 9/19/17) 1.0 0.0 X 0 0 0 GIOVANNI PALLADINO DIRECTOR 1.0 0.0 X 0 0 0 JACK SMITH DIRECTOR 1.0 0.0 X 0 0 0 DANIEL C STAFFORD ESQ DIRECTOR (Resigned 5/18/17) 1.0 0.0 X 0 0 0 JOAN CUSACK-MCGUIRK PRESIDENT/CEO 1.0 54.0 X X 0 532624 41153 THOMAS J GIBNEY Board Treasurer/SVP & CFO 1.0 54.0 X X 0 401692 49008 MARGARET PELELLA DIRECTOR 1.0 0.0 X 0 0 0 Manita Sawhney DO Director (Elected 1/19/17) 1.0 54.0 X 0 154217 4193 TONYA ADDY EXEC DIRector (Resign 4/20/17) 55.0 0.0 X 64422 0 14071 Anne Marie Schoonhoven Exec Director (Effect 4/21/17) 55.0 0.0 X 56546 0 504 120968 1088533 108929 0 false true false 0 446453 16000 606436 32004 1068889 0 3167 0 0 3167 0 0 0 0 0 0 80225 446453 181860 -101635 0 -101635 22690 10363 12327 0 0 12327 0 0 0 0 982748 0 0 -86141 X 947466 947466 4500 4500 0 0 135543 135543 0 89142 0 0 89142 0 35851 0 0 35851 0 0 0 20650 0 20650 0 0 0 0 10571 0 0 10571 0 11777 0 0 11777 0 0 0 0 0 0 484 0 0 484 0 0 0 0 0 0 SPECIAL EVENTS 32005 0 0 32005 EMPLOYEE'S TRAINING 18922 0 0 18922 DONOR RECOGNITION 1333 0 0 1333 BAD DEBT EXPENSES 1273 0 0 1273 7795 7795 1317312 951966 20650 344696 313291 0 1005977 1272037 407143 115611 0 0 0 0 0 0 0 0 0 0 13750 13485 0 0 0 0 0 0 0 0 0 0 0 0 1740161 1401133 19875 24079 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24895 16227 44770 40306 X 274893 345956 929803 524176 490695 490695 1695391 1360827 1740161 1401133 -334564 X false true X true false X 1127229 629260 543212 1725616 1068889 5094206 0 0 1127229 629260 543212 1725616 1068889 5094206 1427581 3666625 2005 409 124 429 3167 6134 0 0 5100340 1001734 0.71890 0.80191 X 495802 2801 498603 495653 149 495802 495594 59 495653 498513 670 3589 495594 499012 -499 498513 0.01590 0.98410 0.00000 false false 0 DUE TO AFFILIATES 16227 16227 1255348 80377 80377 1174971 -192223 -192223 982748 1589912 80377 80377 1509535 -192223 -192223 1317312 SCHEDULE D, PART V, Line 4 The FUNDS are INVESTED TO PROVIDE PRESERVATION OF CAPITAL, PROVIDE ADDITIONAL FINANCIAL RESOURCES FOR THE FOUNDATION'S PERPETUAL OPERATION, AND ENHANCE THE FOUNDATION'S FINANCIAL INTEGRITY. SCHEDULE D, PART XI, LINE 4b THE FOLLOWING AMOUNTS are INCLUDED on Form 990, Part VIII, line 12 but not in the audited Financial Statements: - Fundraising EVENT EXPENSES of $192,223 that were netted against Gross income from fundraising and gaming activities for 990 presentation. SCHEDULE D, PART XII; LINE 4B THE FOLLOWING AMOUNTS are INCLUDED on Form 990, Part IX, line 25 but not in the audited Financial Statements: - Fundraising EVENT EXPENSES of $192,223 that were netted against Gross income from fundraising and gaming activities for 990 presentation. Gala Ball 384528 331928 52600 67148 6020 72037 Golf Outing 142150 114525 27625 5637 26187 4831 0 526678 446453 80225 5637 93335 6020 76868 181860 -101635 22690 10000 0 363 true 0.62500 22690 10000 0 363 10363 12327 NY true false false false 0.00000 1.00000 Natassia Donohue 70 Dubois Street Newburgh NY 125504851 false Anne Marie Schoonhoven 208 Administration of gaming activities X false 0 true ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 501(C)(3) 947466 PROGRAM SUPPORT 1 0 SCHEDULE I, PART I, LINE 2 The Foundation distributes funds to St Luke's Cornwall Hospital for operational support. These GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL and are based on the Foundation's operational activities. false false false false false false false true false JOAN CUSACK-MCGUIRK PRESIDENT/CEO 0 450688 0 71442 0 10494 0 15425 0 25728 0 573777 0 0 THOMAS J GIBNEY Board Treasurer/SVP & CFO 0 356513 0 40277 0 4902 0 8950 0 40058 0 450700 0 0 Manita Sawhney DO Director (Elected 1/19/17) 0 143892 0 10070 0 255 0 4193 0 0 0 158410 0 0 SCHEDULE J, PART I, line 7 Part of the annual incentive award in column (b)(II) paid by the organization to an officer was based on management discretion. X silent auction donations 81 32004 FMV 0 false true false Schedule M, Part I, Line 25 There were 81 contributors that made noncash donations for items used in the Gala's silent auction. Form 990, PART V, Line 2A All employees of the organization are paid by St. Luke's Cornwall Hospital, EIN 14-1340054, the common paymaster. St. Luke's Cornwall Hospital issues all Forms W-2 and files all Federal Employment Tax returns relating to these individuals. Salaries are allocated to St. Luke's Cornwall Health System Foundation based on the individuals employed at this organization. Form 990, Part VI, Section A, Line 2 Directors Margaret Pelella and John Pelella have a family relationship. Form 990, Part VI, Section A, Lines 6 ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. ("SLCHS") IS THE SOLE MEMBER OF St. Luke's Cornwall Health System Foundation, Inc. Form 990, Part VI, Section A, Line 7A St. Luke's Cornwall Health System, Inc., THE SOLE MEMBER OF St. Luke's Cornwall health System Foundation, Inc., has THE authority TO appoint and remove the governing board of the Foundation. Form 990, Part VI, Section A, Line 7B St. Luke's Cornwall Health System, Inc., THE SOLE MEMBER OF St. Luke's Cornwall Health System Foundation, Inc., has THE authority TO authorize and approve amendments to the Certificate of Incorporation and Bylaws of the Foundation, authorize and approve any sale, lease, exchange or other disposition of all, or substantially all, the assets of the Foundation and authorize and approve any merger, consolidation or non-judicial dissolution of the Company. Form 990, PART VI, SECTION B, Line 11 The Form 990 was prepared by the Montefiore's tax Department working closely with St Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice-President-Finance and the ST LUKE'S senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the Foundation's Board of trustees for review and approval prior to filing. FORM 990, PART VI, SECTION B, Line 12c THE ORGANIZATION AND THE SYSTEM REGULARLY MONITORs AND ENFORCEs COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. Any duality of interest or possible conflict of interest on the part of any member of the Board of Directors is required to be disclosed to the other member of the Board of Directors and made a matter of record, either through the annual procedure or when the interest becomes a matter of Board action. Any member of the Board of Directors having a duality of interest or possible conflict of interest on any matter is prohibited from voting or personally influences the Board of Director on the matter. The Foundation has adopted the Conflict of Interest policy of St. Luke's Cornwall Hospital. All officers and Board Members of St. Luke's Cornwall Health System Foundation are required to complete an annual conflict of interest QUESTIONNAIRE, in their capacity as an officer of the Foundation or as a Board Member of the Foundation. Completed QUESTIONNAIRES ARE reviewed by the SECRETARY of THE BOARD OF TRUSTEES and concerns presented by the responses are disclosed to THE SYSTEM'S COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S PRESIDENT/CEO AND THE Hospital's FINANCE COMMITTEE for discussion and alleviation of the conflict. Documentation of the existence and resolution of the conflict, including any meeting minutes, IS maintained by the Secretary of the Board. FORM 990, PART VI, SECTION B, Line 15 THE ORGANIZATION IS AN AFFILIATE WITHIN Montefiore Health System, Inc., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES ST. LUKE'S CORNWALL HOSPITAL ("HOSPITAL"). The CEO and Treasurer of the Foundation are employed and compensated by the Hospital. As it related to compensation from the Hospital: The St Luke's Cornwall Hospital Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for the President/CEO and CFO of the hospital that are both Board Members and officers of the Foundation. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with St Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. Form 990, PART VI, SECTION C, line 19 The CONFLICT OF INTEREST POLICY AND governing documents are made available upon request. Form 990, Part IX, Lines 8,9,10 Concerning employee benefits allocation: St. Luke's Cornwall Hospital is the common paymaster for St. Luke's Cornwall Health System Foundation. All payroll taxes and employee benefits are paid by St. Luke's Cornwall Hospital and allocated back to the organization based on a composite rate of salaries for all benefit costs. The organization's assessment for employee benefits is reflected on line 9, other employees Benefits, of part IX that includes cost for both pension and payroll taxes. ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 125504851 141340054 Hospital NY 501(C)(3) 3 MHS true ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH NY 125504851 223026261 Holding Comp NY 501(C)(3) 12A Type I MHS true AMOS F & SARAH L HOLDEN HOME AGED WOMEN 7O DUBOIS STREET NEWBURGH NY 125504851 141365995 ASST Living NY 501(C)(3) PF SLCHS true GOLDSMITH D & MARY B JOHNES HOME 70 DUBOIS STREET NEWBURGH NY 125504851 141364666 Home for Aged NY 501(C)(3) 10 SLCHS true HUDSON VISTA PHYSICIANS SERVICES PC 70 DUBOIS STREET NEWBURGH NY 125504851 272020746 HEALTHCARE NY 501(C)(3) 12A TYPE I SLCH true HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 125504851 452526738 HEALTHCARE NY 501(C)(3) 12A TYPE I SLCH true MONTEFIORE HEALTH SYSTEM INC 555 SOUTH BROADWAY TARRYTOWN NY 10591 201615393 SUPPORT SERV NY 501(c)(3) 12B TYPE II MMAHS true MONTEFIORE MEDICAL CENTER 111 East 210th Street BRONX NY 10467 131740114 ACD MED CTR NY 501(c)(3) 3 MHS true MMC CORPORATION 111 EAST 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133331643 INACTIVE NY NA C CORP true WHITE PLAINS MANAGEMENT CO INC 41 EAST POST ROAD WHITE PLAINS NY 10601 133331641 INACTIVE NY NA C CORP true WPHC BUILDING CORP 41 EAST POST ROAD WHITE PLAINS NY 10601 133676932 INACTIVE NY NA C CORP true WHITE PLAINS MEDICAL SERVICES DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815369152 HEALTHCARE SERV NY NA C CORP true WHITE PLAINS PHYSICIAN SERVICES DAVIS AVENUE AT EAST POST ROAD WHITE PLAINS NY 10601 815309615 HEALTHCARE SERV NY NA C CORP true CHARITABLE REMAINDER TRUST (5) CHARIT REMR TRUST NY NA TRUST true SLCH Insurance Co LTD 70 Dubois Street Newburgh NY 125504851 141765661 Financial Vehicle NY NA C Corp true false true true false false false false false false false false false false true true true false false false St Luke's Cornwall Hospital B 947466 cost St Luke's Cornwall Hospital N 72304 cost St Luke's Cornwall Hospital P 260536 cost