2015-11-12T13:43:44-06:00 2014-12-31 990 2014-01-01 421106819 ST LUKE'S HEALTH CARE FOUNDATION STLU 3193697716 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 MILTON E AUNAN II SENIOR VP FINANCE/CFO 3193697796 2015-11-11 2014 2016-02-25 16:41:14Z THEODORE E TOWNSEND JR 855 A AVENUE NE STE 105 CEDAR RAPIDS IA 52402 10631051 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. 19 19 0 19 14932 11906 1198195 3579507 -9840 353067 3874800 1995101 86245 96971 5149400 6024646 3045204 2222228 0 0 713042 672968 65055 35961 735389 547123 558577 4370424 3489734 778976 2534912 36731448 39793322 2900065 2549297 33831383 37244025 X TO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS. 0 0 2222228 2222228 464970 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 2222228 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 26 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X MILTON E AUNAN II SENIOR VP FINANCECFO 3193697796 1026 A AVENUE NE CEDAR RAPIDS IA 52402 X STEVE ALLSOP BOARD MEMBER 1.00 0.00 X 0 0 0 KENNETH ANDERSON MD BOARD MEMBER 1.00 0.00 X 0 0 0 MILTON AUNAN II BOARD MEMBER & SR VP FIN/CFO (SLMH) 1.00 0.00 X X 0 0 0 RYAN BURESH BOARD TREASURER 1.00 0.00 X X 0 0 0 TERRI CHRISTOFFERSEN BOARD CHAIR 1.00 0.00 X X 0 0 0 SALLY GRAY BOARD MEMBER 1.00 0.00 X 0 0 0 BILL HOCHSTETLER 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 DOUG LAIRD 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 DINA LINGE BOARD MEMBER 1.00 0.00 X 0 0 0 GENE NEIGHBOR BOARD MEMBER 1.00 0.00 X 0 0 0 DIANE RAMSEY BOARD MEMBER 1.00 0.00 X 0 0 0 SARAH RHEINSCHMIDT BOARD MEMBER 1.00 0.00 X 0 0 0 PAULA ROBY BOARD MEMBER 1.00 0.00 X 0 0 0 NANCY SKOGSBERGH 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 140842 0 11938 140842 0 11938 0 0 1 1 0 345113 3234394 3579507 FOUNDATION SERVICE CTR 561000 392249 392249 SUBS & JOINT VENTURES 900099 -39182 -39182 353067 1891665 14932 1876733 4709841 4606405 103436 103436 103436 MISCELLANEOUS REVENUE 900099 96971 96971 96971 6024646 450038 14932 1980169 2184503 2184503 37725 37725 152780 77918 74862 374064 121760 252304 146124 47564 98560 28600 14586 14014 35961 35961 41179 21001 20178 128031 65296 62735 13290 6778 6512 84791 43243 41548 55935 28527 27408 5974 3047 2927 3419 1744 1675 109356 55772 53584 12321 6284 6037 6869 3503 3366 MISCELLANEOUS EXPENSE 59744 30469 29275 BAD DEBT EXPENSE 6968 3554 3414 INCOME TAXES 2100 1071 1029 3489734 2222228 532117 735389 50000 50000 930508 1656668 537400 1376998 144554 82179 246358 265722 25128 25495 2391438 316197 2082561 2075241 27690415 29008627 429561 425452 4594963 4826940 36731448 39793322 339620 178753 1931250 1972000 629195 398544 2900065 2549297 X 1266218 3086422 14129303 15286746 18435862 18870857 33831383 37244025 36731448 39793322 X 2534912 399831 477899 X 0 1 X 1 0 X 2682528 1988168 3576468 1198195 3579507 13024866 2682528 1988168 3576468 1198195 3579507 13024866 2470544 10554322 1019901 476541 348274 3360349 1891665 7096730 10675 291668 85609 86246 96971 571169 20692765 1441092 0.51000 0.51300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26298283 174583 2847226 714262 28605830 22958607 479893 3655916 796133 26298283 19578816 1321224 2416628 358061 22958607 20118362 110410 -119031 530925 19578816 16840545 105118 3931219 758520 20118362 0.07000 0.49880 0.43120 0 0 2001224 2001224 209240 209240 0 180974 106957 74017 2075241 INVESTMENT IN SUBSIDIARIES (ST. LUKE'S DEVELOPMENT CO.) 92913 C BENEFICIAL INTEREST IN UNITRUSTS 132090 F BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4601937 F 4826940 LIABILITIES UNDER SPLIT INTEREST AGREEMENT 224944 LIABILITIES UNDER ANNUITIES 173600 398544 X 8842851 399831 2632905 3032736 5810115 41179 173352 214531 6024646 5430209 2194188 2194188 3236021 41179 212534 253713 3489734 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: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE FOUNDATION AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOWEVER, IT MAY BE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME. WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2011. AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, THE FOUNDATION HAD NO MATERIAL UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,155,006. CHANGE IN BENEFICIAL INTEREST IN TRUSTS 477,899. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 141,749. ELIMINATING ENTRIES 31,603. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 2,194,188. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRIES 70,785. EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 141,749. X X X X X X 1 HENDERSON MALLORY PARTNERS 2838 MONTEBELLO RD 19 AUSTIN TX 78746 FUNDRAISING/PLANNED GIVING CONSULTING 0 0 35961 0 35961 IA SCHEDULE G, PART I, LINE 2B, COLUMN (V) HENDERSON MALLORY PARTNERS - PROVIDES CONSULTING TO FOUNDATION; CONDUCTS SEMINARS/PRESENTATIONS ON PLANNED GIVING. EXPENSES ARE RELATED TO RETAINER AND RELATED EXPENSES. 1 COE COLLEGE 1220 1ST AVE NE CEDAR RAPIDS IA 52402 420686467 501(C)(3) 9272 PROGRAM SUPPORT ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE CEDAR RAPIDS IA 524063026 420504780 501(C)(3) 1988730 PROGRAM SUPPORT 2 0 SCHOLARSHIPS 32 37725 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 112494 0 10976 0 17372 0 5483 0 6455 0 152780 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 $112,494, BONUS & INCENTIVE COMPENSATION $10,976, OTHER COMPENSATION $17,372, DEFERRED COMPENSATION $5,483, NONTAXABLE BENEFITS $6,455. 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 AND CFO ARE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 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 477,899. 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 2131006 13297564 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 14932 BASED ON GAAP, CASH, AND/OR FMV.