ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC (EIN 22-3026263)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-11
IRS object ID
201523159349303662
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-11T14:53:16-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1Txt
CityMorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079606497ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223026263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HEALTH SYSTEMBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% THOMAS J GIBNEY CPAInCareOfNm
Business Name ControlSTLUBusinessNameControlTxt
Phone8455614400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS GIBNEYPersonNm
Person TitleCFOPersonTitleTxt
Phone9738989494PhoneNum
Signature2015-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone9738989494PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOAN CUSACK-MCGUIRKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$967,949GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STLUKESCORNWALLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,127,229PYContributionsGrantsAmt
CY Contributions Grants$629,260CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,005PYInvestmentIncomeAmt
CY Investment Income-$1,888CYInvestmentIncomeAmt
PY Other Revenue-$366,250PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$765,984PYTotalRevenueAmt
CY Total Revenue$627,372CYTotalRevenueAmt
PY Grants And Similar Paid$421,762PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$156,529CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$153,624CYTotalFundraisingExpenseAmt
PY Other Expenses$694,664PYOtherExpensesAmt
CY Other Expenses$375,371CYOtherExpensesAmt
PY Total Expenses$1,116,426PYTotalExpensesAmt
CY Total Expenses$531,900CYTotalExpensesAmt
PY Revenues Less Expenses-$350,442PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$95,472CYRevenuesLessExpensesAmt
Total Assets BOY$1,423,661TotalAssetsBOYAmt
Total Assets EOY$1,015,581TotalAssetsEOYAmt
Total Liabilities BOY$564,680TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,912TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$858,981NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$986,669NetAssetsOrFundBalancesEOYAmt
MissionTO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$267,972ExpenseAmt
Grant$156,529GrantAmt
Revenue$0RevenueAmt
DescEXPENSES INCURRED IN FINANCIALLY SUPPORTING THE HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.Desc
Total Program Service Expenses$267,972TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS J GIBNEY CPAPersonNm
Phone8455682881PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN PELELLA
CHAIRMAN - DIRECTOR1.0Yes (X)$0$0$0
CHARLES WALWYN III
SECRETARY - DIRECTOR1.0Yes (X)$0$0$0
JILL CAPPA
DIRECTOR - AUXILIARY CHAIR1.0Yes (X)$0$0$0
FATHER MARK CONNELL
DIRECTOR1.0Yes (X)$0$0$0
FREDERICK W DABROSKI JR
DIRECTOR1.0Yes (X)$0$0$0
TINA DEANGELO
DIRECTOR1.0Yes (X)$0$0$0
GINA DEL SAVIO MD
DIRECTOR1.0Yes (X)$0$0$0
DAVID M HARRISON MD
DIRECTOR55.0Yes (X)$0$239,344$27,528
BRENDA HOTALING
DIRECTOR1.0Yes (X)$0$0$0
ARIF MUSLIM MD
DIRECTOR1.0Yes (X)$0$0$0
ERIC NAJORK ESQ
DIRECTOR1.0Yes (X)$0$0$0
PETER X NEUMAN
DIRECTOR1.0Yes (X)$0$0$0
EILEEN V OSTERBY
DIRECTOR1.0Yes (X)$0$0$0
GIOVANNI PALLADINO
DIRECTOR1.0Yes (X)$0$0$0
JOHN SMITH JR
DIRECTOR1.0Yes (X)$0$0$0
JENNIFER SWEET
DIRECTOR1.0Yes (X)$0$0$0
WILLIAM D THORPE JR
DIRECTOR1.0Yes (X)$0$0$0
ROBERT S ROSS
PRESIDENT/CEO55.0$0$473,650$94,328Yes (X)
ALLAN ATZROTT
CEO (TERMED 1/1/14)55.0$0$268,378$1,501Yes (X)
THOMAS J GIBNEY CPA
TREASURER - SVP/CFO55.0$0$308,645$33,020Yes (X)
MARY ELIZABETH DUFFY
SVP/CFO (TERMED 1/3/14)55.0$0$34,386$309Yes (X)
TRICIA O'MALLEY
DIR, DEV & COMM (TERM 1/18/14)55.0$0$71,527$16,117Yes (X)
TONYA ADDY EFF 1614
EXECUTIVE DIRECTOR55.0$0$124,873$19,028Yes (X)
SUE SYWETZ SULLIVAN
FORMER OFFICER0.0$0$171,031$608Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,691,834TotReportableCompRltdOrgAmt
Total Other Compensation$192,439TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$223,165FundraisingAmt
All Other Contributions$406,095AllOtherContributionsAmt
Noncash Contributions$58,235NoncashContributionsAmt
Total Contributions$629,260TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$409TotalRevenueColumnAmt
Exclusion$409ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,297SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,297SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,297TotalRevenueColumnAmt
Exclusion-$2,297ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$338,280FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$223,165ContriRptFundraisingEventAmt
Fundraising Direct Expenses$338,280FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$627,372TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,888ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$152,029TotalAmt
Program Services$152,029ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$4,500ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,875TotalAmt
Program Services$4,968ProgramServicesAmt
Management And General$14,907ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,145TotalAmt
Program Services$2,536ProgramServicesAmt
Management And General$1,522ManagementAndGeneralAmt
Fundraising$6,087FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,840TotalAmt
Program Services$5,691ProgramServicesAmt
Management And General$6,522ManagementAndGeneralAmt
Fundraising$10,627FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,730TotalAmt
Management And General$2,730ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,323TotalAmt
Program Services$330ProgramServicesAmt
Management And General$199ManagementAndGeneralAmt
Fundraising$794FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ALLOCATION OF PERSONNEL COST$265,480$66,371$66,369$132,740
BAD DEBT EXPENSE$31,247$31,247
AUXILIARY EXPENSES$12,476$12,476
REPAIRS AND MAINTENANCE$4,969$4,969

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,286TotalAmt
Program Services$300ProgramServicesAmt
Management And General$610ManagementAndGeneralAmt
Fundraising$3,376FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$531,900TotalAmt
Program Services$267,972ProgramServicesAmt
Management And General$110,304ManagementAndGeneralAmt
Fundraising$153,624FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$152,203BOYAmt
EOY$182,759EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$413,059BOYAmt
EOY$505,594EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$762,945BOYAmt
EOY$327,228EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$95,454BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,423,661BOYAmt
EOY$1,015,581EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,339BOYAmt
EOY$28,912EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$532,341BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$564,680BOYAmt
EOY$28,912EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$277,274BOYAmt
EOY$369,390EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$91,421BOYAmt
EOY$126,584EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$490,286BOYAmt
EOY$490,695EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$858,981BOYAmt
EOY$986,669EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,423,661BOYAmt
EOY$1,015,581EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$95,472ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,558NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$29,658OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,049,402CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$982,315CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,176,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,127,229CurrentTaxYearMinus1YearAmt
Current Tax Year$629,260CurrentTaxYearAmt
Total$4,964,529TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,049,402CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$982,315CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,176,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,127,229CurrentTaxYearMinus1YearAmt
Current Tax Year$629,260CurrentTaxYearAmt
Total$4,964,529TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$395,023SubstantialContributorsTotAmt
Public Support Total170$4,569,506PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,691CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,041CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,005CurrentTaxYearMinus1YearAmt
Current Tax Year$409CurrentTaxYearAmt
Total$7,056TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$4,971,585TotalSupportAmt
Gross Receipts Rltd Activities$1,481,091GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91912PublicSupportCY170Pct
Public Support PY1700.76450PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$581,707BeginningYearBalanceAmt
Contributions$68,699ContributionsAmt
Investment Earnings Or Losses$409InvestmentEarningsOrLossesAmt
Other Expenditures$33,536OtherExpendituresAmt
End Year Balance$617,279EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$844,062BeginningYearBalanceAmt
Contributions$155,168ContributionsAmt
Investment Earnings Or Losses-$2,425InvestmentEarningsOrLossesAmt
Other Expenditures$455,098OtherExpendituresAmt
End Year Balance$541,707EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$947,350BeginningYearBalanceAmt
Contributions$319,100ContributionsAmt
Investment Earnings Or Losses$356InvestmentEarningsOrLossesAmt
Other Expenditures$382,744OtherExpendituresAmt
End Year Balance$884,062EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,076,358BeginningYearBalanceAmt
Contributions$310,478ContributionsAmt
Other Expenditures$439,486OtherExpendituresAmt
End Year Balance$947,350EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,057,598BeginningYearBalanceAmt
Contributions$311,493ContributionsAmt
Other Expenditures$1,292,733OtherExpendituresAmt
End Year Balance$1,076,358EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.79490PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.20510TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO ST. LUKE'S CORNWALL HOSPITALDesc
Amt$0Amt
FieldValueIRS element (for citing)
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,082,808TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,558NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$82,643DonatedServicesAndUseFcltsAmt
Other Revenue$367,938OtherRevenueAmt
Revenue Not Reported$453,139RevenueNotReportedAmt
Revenue Subtotal$629,669RevenueSubtotalAmt
Other Revenues Not Included-$2,297OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$2,297RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$627,372TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$921,576TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$82,643DonatedServicesUseFcltsAmt
Other Expenses Included$338,280OtherExpensesIncludedAmt
Expenses Not Reported$420,923ExpensesNotReportedAmt
Expenses Subtotal$500,653ExpensesSubtotalAmt
Other Expenses Not Included$31,247OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$31,247ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$531,900TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART VALL FUNDS SHALL BE INVESTED TO PROVIDE PRESERVATION OF CAPITAL, PROVIDE ADDITIONAL FINANCIAL RESOURCES FOR THE FOUNDATION'S PERPETUAL OPERATION, AND ENHANCE THE FOUNDATION'S FINANCIAL INTEGRITY. THE FOUNDATION'S INVESTMENT DETERMINATIONS ARE GUIDED BY THE FOLLOWING PRIORITIES TO SUPPORT THE ORGANIZATION'S MISSION IN FINANCIALLY SUPPORTING HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY: 1) LIQUIDITY; 2) SAFETY; AND 3) RETURN.
SCHEDULE D, PART XAN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC. for the years ended december 31, 2014 and december 31, 2013; respectively. THE FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE 2014 AUDITED FINANCIAL STATEMENTS: THE FOUNDATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 AND 2013.
SCHEDULE D, PART XI; LINE 2DTHE FOLLOWING ARE AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: - SPECIAL EVENT EXPENSES, $338,280 AND - PRESENT VALUE ADJUSTMENT, $29,658.
SCHEDULE D, PART XI; LINE 4BTHE FOLLOWING ARE AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: - REALIZED LOSS ON INVESTMENTS, ($2,297).
SCHEDULE D, PART XII; LINE 2DTHE FOLLOWING ARE AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: - SPECIAL EVENT EXPENSES, $338,280.
SCHEDULE D, PART XII; LINE 4BTHE FOLLOWING ARE AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: - BAD DEBT EXPENSE, $31,247.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$419,555GrossReceiptsEvent1Amt
Charitable Contri Event1$148,439CharitableContriEvent1Amt
Gross Revenue Event1$271,116GrossRevenueEvent1Amt
Rent Facility Costs Event1$203,601RentFacilityCostsEvent1Amt
Entertainment Event1$20,350EntertainmentEvent1Amt
Other Direct Expenses Event1$47,164OtherDirectExpensesEvent1Amt
Event2GOLFEvent2Nm
Gross Receipts Event2$141,890GrossReceiptsEvent2Amt
Charitable Contri Event2$74,726CharitableContriEvent2Amt
Gross Revenue Event2$67,164GrossRevenueEvent2Amt
Rent Facility Costs Event2$40,116RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$27,049OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$561,445GrossReceiptsTotalAmt
Charitable Contributions Tot$223,165CharitableContributionsTotAmt
Gross Revenue Total Events$338,280GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$243,717RentFcltyCostsTotalEventsAmt
Entertainment Total Events$20,350EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$74,213OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$338,280DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1Txt
CityNEWBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12550ZIPCd
FieldValueIRS element (for citing)
Recipient EIN141340054RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$152,029CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID M HARRISON MD
DIRECTOR$0$238,916$0$0$0$428$0$9,677$0$17,851$0$266,872$0$0
ROBERT S ROSS
PRESIDENT/CEO$0$453,427$0$0$0$20,223$0$71,200$0$23,128$0$567,978$0$0
ALLAN ATZROTT
CEO (TERMED 1/1/14)$0$29,125$0$100,000$0$139,253$0$917$0$584$0$269,879$0$0
THOMAS J GIBNEY CPA
TREASURER - SVP/CFO$0$304,775$0$1,500$0$2,370$0$1,615$0$31,405$0$341,665$0$0
SUE SYWETZ SULLIVAN
FORMER OFFICER$0$8,480$0$0$0$162,551$0$608$0$0$0$171,639$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2014. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUALS' 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: SUE SYWETZ SULLIVAN, $150,831 AND TRICIA O'MALLEY, $57,500.
SCHEDULE J, PART I; QUESTION 4BTHE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL TOO RISK OF COMPLETE FORFEITURE. ACCORDINGLY, HE MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT S. ROSS, $66,000.
SCHEDULE J, PART I; QUESTION 7THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II, RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescGIFT CERTIFICATES,SPORTING EVENTS,JEWLERYDesc
Contribution98ContributionCnt
Noncash Contributions Rpt F990$58,235NoncashContributionsRptF990Amt
Method Of Determining Revenues0MethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART VI, SECTION A; QUESTION 6 & 7ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. ("SLCHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. HUDSON VISTA CORPORATION ("HVC") IS THE SOLE MEMBER OF SLCHS. THEREFORE, HVC HAS THE ULTIMATE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED BY THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY; ITS BOARD OF DIRECTORS, PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S BOARD OF DIRECTORS HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE HOSPITAL'S CHIEF FINANCIAL OFFICER, CONTROLLER AND FINANCE PERSONNEL ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PRESENTED AND PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS AT ITS OCTOBER MEETING PRIOR TO THE FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS/SENIOR MANAGEMENT PERSONNEL, CERTAIN MEDICAL STAFF MEMBERS AND ANYONE RESPONSIBLE FOR MAKING FINANCIAL DECISIONS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE HOSPITAL'S DIRECTOR OF COMPLIANCE & MANAGED CARE FOR REVIEW. THEREAFTER, A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND REPORTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR ITS REVIEW AND DISCUSSION WITH RESPECT TO ANY POTENTIAL MITIGATING BEHAVIOR.
CORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ANNUALLY THE MANAGER OF COMPENSATION IN HUMAN RESOURCES EVALUATES THE COMPENSATION OF ALL EXECUTIVE LEVEL POSITIONS. THE MANAGER REVIEWS EACH POSITION AND USES PUBLISHED EXTERNAL SALARY SURVEYS TO DETERMINE FAIR AND EQUITABLE SALARIES. POSITIONS ARE EVALUATED AGAINST HOSPITALS WITH SIMILIAR BED SIZES, FULL-TIME EQUIVALENTS AND REVENUE SIZE IN THE NORTHEAST AND GREATER NEW YORK REGION. ADDITIONALLY, THE SYSTEM HIRES AN INDEPENDENT OUTSIDE FIRM TO REVIEW ALL SALARY PACKAGES FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND OTHER SENIOR MANAGEMENT. THE INDEPENDENT OUTSIDE CONSULTANTS EVALUATE THE SALARIES AGAINST COMPARABLE MARKET DATA FOR COMPARABLE POSITIONS WITHIN THE REGION AND NATIONALLY. RESULTS OF THE ANALYSIS FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER ARE SHARED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL EACH YEAR. CERTAIN OFFICERS OR KEY EMPLOYEES ARE EVALUATED INTERNALLY. COMPENSATION PACKAGES ARE DERIVED USING EXTERNAL COMPARABLE DATA WITHIN THE REGION AND NATIONALLY. ONCE THE COMPENSATION PACKAGE HAS BEEN DETERMINED IT IS REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CERTAIN SENIOR VICE PRESIDENTS FOR APPROVAL.
CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW YORK. ADDITIONALLY, THE ORGANIZATION PROVIDES CERTAIN GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
CORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT A BOARD MEMBER AND CERTAIN OFFICERS RECEIVING COMPENSATION AND BENEFITS from a related organization. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE related organization AND NOT FOR SERVICES RENDERED AS A DIRECTOR OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
CORE FORM, PART VII, SECTION A, COLUMN BTHE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9OTHER CHANGES IN FUND BALANCE INCLUDE: - PRESENT VALUE ADJUSTMENT - $29,658.
CORE FORM, PART XII; QUESTION 2AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S BOARD OF DIRECTORS HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST LUKE'S CORNWALL HOSPITAL
70 DUBOIS STREETNEWBURGHNY12550141340054HEALTHCARENY501(C)(3)HOSPITALHVCfalse
HUDSON VISTA CORPORATION
70 DUBOIS STREETNEWBURGHNY12550202286782HEALTH SVCS.NY501(C)(3)509(A)(3)NAfalse
ST LUKE'S CORNWALL HEALTH SYSTEM INC
70 DUBOIS STREETNEWBURGHNY12550223026261HEALTH SVCS.NY501(C)(3)509(A)(3)HVCfalse
AMOS F & SARAH L HOLDEN HOME AGED WOMEN
73 GRAND STREETNEWBURGHNY12550141365995HEALTH SVCS.NY501(C)(3)PFSLCHSfalse
GOLDSMITH D & MARY B JOHNES HOME
11-15 BALMVILLE ROADNEWBURGHNY12550141364666HEALTH SVCS.NY501(C)(3)509(A)(2)SLCHSfalse
HUDSON VISTA PHYSICIANS SERVICES PC
70 DUBOIS STREETNEWBURGHNY12550272020746HEALTH SVCS.NY501(C)(3)509(A)(3)SLCHfalse
HUDSON VISTA MEDICAL PC
70 DUBOIS STREETNEWBURGHNY12550452526738HEALTH SVCS.NY501(C)(3)509(A)(3)SLCHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SLCH CORPORATION
70 DUBOIS STREETNEWBURGHNY12550141765661INACTIVENYNAC CORPfalse
SLCH INSURANCE CO LTD
FINANCIAL VEHICLENAC CORPfalse3 GORMAN ROAD 3RD FLOORHAMILTONBDHM 08BD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS AN AFFILIATE WITHIN ST. LUKE'S CORNWALL HOSPITAL AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ST. LUKE'S CORNWALL HOSPITAL ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt

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