2015-11-11T14:53:16-06:00 2014-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2014-01-01 223026263 ST LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION INC % THOMAS J GIBNEY CPA STLU 8455614400 70 DUBOIS STREET NEWBURGH NY 12550 THOMAS GIBNEY CFO 9738989494 2015-11-10 true Scott J Mariani P00642486 9738989494 2014 2016-02-25 16:41:14Z JOAN CUSACK-MCGUIRK 70 DUBOIS STREET NEWBURGH NY 12550 967949 false X WWW.STLUKESCORNWALLHOSPITAL.ORG X 1988 NY TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S HEALTH SYSTEM WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY. 17 15 0 32 0 0 1127229 629260 0 0 5005 -1888 -366250 0 765984 627372 421762 156529 0 0 0 0 0 0 153624 694664 375371 1116426 531900 -350442 95472 1423661 1015581 564680 28912 858981 986669 TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. 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LUKE'S CORNWALL HOSPITAL 0 0 X 1082808 2558 82643 367938 453139 629669 -2297 -2297 627372 921576 82643 338280 420923 500653 31247 31247 531900 SCHEDULE D, PART V ALL 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 X AN 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 2D THE 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 4B THE 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 2D THE 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 4B THE FOLLOWING ARE AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: - BAD DEBT EXPENSE, $31,247. GALA 419555 148439 271116 203601 20350 47164 GOLF 141890 74726 67164 40116 27049 0 561445 223165 338280 243717 20350 74213 338280 true ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 501(C)(3) 152029 PROGRAM SUPPORT 1 SCHEDULE I, PART I, LINE 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X true true false false false false false true false DAVID M HARRISON MD DIRECTOR 0 238916 0 0 0 428 0 9677 0 17851 0 266872 0 0 ROBERT S ROSS PRESIDENT/CEO 0 453427 0 0 0 20223 0 71200 0 23128 0 567978 0 0 ALLAN ATZROTT CEO (TERMED 1/1/14) 0 29125 0 100000 0 139253 0 917 0 584 0 269879 0 0 THOMAS J GIBNEY CPA TREASURER - SVP/CFO 0 304775 0 1500 0 2370 0 1615 0 31405 0 341665 0 0 SUE SYWETZ SULLIVAN FORMER OFFICER 0 8480 0 0 0 162551 0 608 0 0 0 171639 0 0 SCHEDULE J, PART I; QUESTION 4A THE 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 4B THE 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 7 THE 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. X GIFT CERTIFICATES,SPORTING EVENTS,JEWLERY 98 58235 0 false true false CORE FORM, PART VI, SECTION A; QUESTION 6 & 7 ST. 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 11B THE 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 12 THE 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 15 THE 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 19 THE 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 J PART 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 B THE 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 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - PRESENT VALUE ADJUSTMENT - $29,658. CORE FORM, PART XII; QUESTION 2 AN 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. ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 HEALTHCARE NY 501(C)(3) HOSPITAL HVC false HUDSON VISTA CORPORATION 70 DUBOIS STREET NEWBURGH NY 12550 202286782 HEALTH SVCS. NY 501(C)(3) 509(A)(3) NA false ST LUKE'S CORNWALL HEALTH SYSTEM INC 70 DUBOIS STREET NEWBURGH NY 12550 223026261 HEALTH SVCS. NY 501(C)(3) 509(A)(3) HVC false AMOS F & SARAH L HOLDEN HOME AGED WOMEN 73 GRAND STREET NEWBURGH NY 12550 141365995 HEALTH SVCS. NY 501(C)(3) PF SLCHS false GOLDSMITH D & MARY B JOHNES HOME 11-15 BALMVILLE ROAD NEWBURGH NY 12550 141364666 HEALTH SVCS. NY 501(C)(3) 509(A)(2) SLCHS false HUDSON VISTA PHYSICIANS SERVICES PC 70 DUBOIS STREET NEWBURGH NY 12550 272020746 HEALTH SVCS. NY 501(C)(3) 509(A)(3) SLCH false HUDSON VISTA MEDICAL PC 70 DUBOIS STREET NEWBURGH NY 12550 452526738 HEALTH SVCS. NY 501(C)(3) 509(A)(3) SLCH false SLCH CORPORATION 70 DUBOIS STREET NEWBURGH NY 12550 141765661 INACTIVE NY NA C CORP false SLCH INSURANCE CO LTD 3 GORMAN ROAD 3RD FLOOR HAMILTON BD HM 08 FINANCIAL VEHICLE BD NA C CORP false false true true false false false false false false false false false false false true false false false false SCHEDULE R, PART V THE 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.