FURP.ORG / PUBLIC DATA EXPLORER

ST LUKES HOSPITAL FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOSPITAL FOUNDATION INC (EIN 56-1757097)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-05-13
IRS object ID
201541339349303964
Schema version
2013v4.0
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)
Return2015-05-13T14:01:34-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561757097EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone8288943311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1
CityCOLUMBUSCity
StateNCState
ZIP Code28722ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH PRESNELLPersonNm
Person TitleAVP OF FINANCEPersonTitleTxt
Phone8288943311PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEREMY NAESSPreparerPersonNm
PTINP01306905PTIN
Phone8282542254PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELIZABETH PRESNELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1
CityCOLUMBUSCity
StateNCState
ZIP Code28722ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$306,287GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1928FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITALActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$485,548PYContributionsGrantsAmt
CY Contributions Grants$231,532CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$74,927PYInvestmentIncomeAmt
CY Investment Income$60,240CYInvestmentIncomeAmt
PY Other Revenue$11,444PYOtherRevenueAmt
CY Other Revenue$6,413CYOtherRevenueAmt
PY Total Revenue$571,919PYTotalRevenueAmt
CY Total Revenue$298,185CYTotalRevenueAmt
PY Grants And Similar Paid$1,652,105PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$493,848CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$44,419PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$49,918CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,340CYTotalFundraisingExpenseAmt
PY Other Expenses$89,510PYOtherExpensesAmt
CY Other Expenses$99,022CYOtherExpensesAmt
PY Total Expenses$1,786,034PYTotalExpensesAmt
CY Total Expenses$642,788CYTotalExpensesAmt
PY Revenues Less Expenses-$1,214,115PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$344,603CYRevenuesLessExpensesAmt
Total Assets BOY$3,601,770TotalAssetsBOYAmt
Total Assets EOY$3,580,767TotalAssetsEOYAmt
Total Liabilities BOY$243,300TotalLiabilitiesBOYAmt
Total Liabilities EOY$343,146TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,358,470NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,237,621NetAssetsOrFundBalancesEOYAmt
MissionST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL, WHOSE PURPOSE IS TO PROVIDE HEALTHCARE IN A VARIETY OF FORMATS TO RESIDENTS OF COLUMBUS, NC AND THE SURROUNDING AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$609,862ExpenseAmt
Grant$493,848GrantAmt
Revenue$0RevenueAmt
DescST. LUKE'S HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT PROJECTS WHICH WILL ENHANCE THE DELIVERY OF THE BEST POSSIBLE HEALTH CARE TO THE PEOPLE OF ST. LUKE'S HOSPITAL SERVICE AREA. TO ACCOMPLISH THIS END, THE FOUNDATION MAINTAINS AND SOLICITS MEMBERSHIPS TO ITS PALMER & JERVEY SOCIETY OF DONORS WHO CONTRIBUTE AT LEAST $1,000 IN A CALENDAR YEAR, INVITES THE COMMUNITY TO SUPPORT THE HOSPITAL THROUGH CONTRIBUTIONS TO THE FOUNDATION, AND HOSTS SEVERAL FUNDRAISING EVENTS THROUGHOUT THE YEAR, INCLUDING A HUNTER DERBY IN CONJUNCTION WITH THE BLUE RIDGE HUNTER JUMPER ASSOCIATION, AND THE ACHE AROUND THE LAKE, AN 8K FUNDRAISING WALK/RUN AROUND LAKE LANIER.Desc
Total Program Service Expenses$609,862TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH PRESNELLBusinessNameLine1
FieldValueIRS element (for citing)
Phone8288940954PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1
CityCOLUMBUSCity
StateNCState
ZIP Code28722ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
PAUL SUTHERLAND
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
DON HOFMANN
VICE CHAIR/TREASURER1.00Yes (X)Yes (X)$0$0$0
PATTY HOLL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LARRY WASSONG
TREASURER1.00Yes (X)Yes (X)$0$0$0
FRED BAISDEN
TRUSTEE1.00Yes (X)$0$0$0
CLARK BENSON
TRUSTEE1.00Yes (X)$0$0$0
NED DICK
TRUSTEE1.00Yes (X)$0$0$0
JAY GEDDINGS
TRUSTEE1.00Yes (X)$0$0$0
PETRA HARRELSON
TRUSTEE1.00Yes (X)$0$0$0
BETH LAUGHRIDGE
TRUSTEE1.00Yes (X)$0$0$0
NANCY MCKINSTRY
TRUSTEE1.00Yes (X)$0$0$0
JOYCE MOFFATT
TRUSTEE1.00Yes (X)$0$0$0
JEAN SHUMWAY
TRUSTEE1.00Yes (X)$0$0$0
STACEY STAFFORD
TRUSTEE1.00Yes (X)$0$0$0
CATHY TAYLOR
TRUSTEE1.00Yes (X)$0$0$0
RANAE WALDMAN
TRUSTEE1.00Yes (X)$0$0$0
KATHY WRIGHT
TRUSTEE1.00Yes (X)$0$0$0
MESHELLE COLVIN
EXECUTIVE DIRECTOR40.00Yes (X)$27,643$27,643$6,754
FieldValueIRS element (for citing)
Total Reportable Comp From Org$27,643TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$27,643TotReportableCompRltdOrgAmt
Total Other Compensation$6,754TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$13,588FundraisingAmt
Related Organizations$6,000RelatedOrganizationsAmt
All Other Contributions$211,944AllOtherContributionsAmt
Total Contributions$231,532TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,240TotalRevenueColumnAmt
Exclusion$60,240ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$8,102FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$13,588ContriRptFundraisingEventAmt
Fundraising Direct Expenses$8,102FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRECOVERY OF BAD DEBTDesc
Business900099BusinessCd
Total Revenue Column$6,413TotalRevenueColumnAmt
Exclusion$6,413ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,413OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$298,185TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$66,653ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$493,848TotalAmt
Program Services$493,848ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$31,020TotalAmt
Program Services$10,340ProgramServicesAmt
Management And General$10,340ManagementAndGeneralAmt
Fundraising$10,340FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,578TotalAmt
Program Services$10,578ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,320TotalAmt
Program Services$8,320ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,246TotalAmt
Management And General$12,246ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,290TotalAmt
Program Services$1,290ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,617TotalAmt
Program Services$15,617ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,863TotalAmt
Program Services$8,863ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$198TotalAmt
Program Services$198ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$355TotalAmt
Program Services$355ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total$60,453TotalAmt
Program Services$60,453ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$642,788TotalAmt
Program Services$609,862ProgramServicesAmt
Management And General$22,586ManagementAndGeneralAmt
Fundraising$10,340FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$165,672BOYAmt
EOY$55,227EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$476,077BOYAmt
EOY$372,028EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$182,876BOYAmt
EOY$61,351EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,777,145BOYAmt
EOY$3,092,161EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,601,770BOYAmt
EOY$3,580,767EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,448BOYAmt
EOY$1,021EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$241,852BOYAmt
EOY$342,125EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$243,300BOYAmt
EOY$343,146EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,603,835BOYAmt
EOY$2,866,179EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$511,482BOYAmt
EOY$128,289EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$243,153BOYAmt
EOY$243,153EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,358,470BOYAmt
EOY$3,237,621EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,601,770BOYAmt
EOY$3,580,767EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$344,603ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$223,754NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$943,746CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$287,169CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,671CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$493,143CurrentTaxYearMinus1YearAmt
Current Tax Year$231,532CurrentTaxYearAmt
Total$2,249,261TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$943,746CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$287,169CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,671CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$493,143CurrentTaxYearMinus1YearAmt
Current Tax Year$231,532CurrentTaxYearAmt
Total$2,249,261TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$718,592SubstantialContributorsTotAmt
Public Support Total170$1,530,669PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,902CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,473CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,927CurrentTaxYearMinus1YearAmt
Current Tax Year$60,240CurrentTaxYearAmt
Total$309,296TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$8,494CurrentTaxYearMinus1YearAmt
Current Tax Year$6,413CurrentTaxYearAmt
Total$14,907TotalAmt
FieldValueIRS element (for citing)
Total Support$2,573,464TotalSupportAmt
Gross Receipts Rltd Activities$41,120GrossReceiptsRltdActivitiesAmt
Public Support CY1700.59480PublicSupportCY170Pct
Public Support PY1700.62410PublicSupportPY170Pct
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)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
Amt$342,125Amt
FieldValueIRS element (for citing)
Total Liability$342,125TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$523,628TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$223,754NetUnrealizedGainsInvstAmt
Other Revenue$8,102OtherRevenueAmt
Revenue Not Reported$231,856RevenueNotReportedAmt
Revenue Subtotal$291,772RevenueSubtotalAmt
Other Revenues Not Included$6,413OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$6,413RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$298,185TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$150,629TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$8,102OtherExpensesIncludedAmt
Expenses Not Reported$8,102ExpensesNotReportedAmt
Expenses Subtotal$142,527ExpensesSubtotalAmt
Other Expenses Not Included$500,261OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$500,261ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$642,788TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:INCOME TAXES- THE HOSPITAL, ST. LUKE'S FOUNDATION, INC., AND ST. LUKE'S PHYSICIAN NETWORK, INC. ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE PROFESSIONAL BUILDING IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. THE HOSPITAL AND THE AFFILIATES HAVE DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2014. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 8,102.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECOVERY OF BAD DEBT 6,413.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 8,102.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECOVERY OF BAD DEBT 6,413. GRANTS FROM THE FOUNDATION 110,655. CHANGE IN RESTRICTED NET ASSETS 383,193.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1ACHE AROUND THE LAKE/HUNTER DERBYNameOfEvent1Amt
Gross Receipts Event1$21,690GrossReceiptsEvent1Amt
Charitable Contri Event1$13,588CharitableContriEvent1Amt
Gross Revenue Event1$8,102GrossRevenueEvent1Amt
Other Direct Expenses Event1$8,102OtherDirectExpensesEvent1Amt
Gross Receipts Total$21,690GrossReceiptsTotalAmt
Charitable Contributions Tot$13,588CharitableContributionsTotAmt
Gross Revenue Total Events$8,102GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$8,102OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,102DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1
CityCOLUMBUSCity
StateNCState
ZIP Code28722ZIPCode
FieldValueIRS element (for citing)
Recipient EIN560554222RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$493,848CashGrantAmt
Purpose Of GrantTO ASSIST THE HOSPITALPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ST. LUKE'S FOUNDATION IS A SUPPORTING ORGANIZATION OF THE ST. LUKE'S HOSPITAL. ALL GRANTS MADE WERE USED TO SUPPORT THE ACTIVITIES AND PROGRAMS OF ST. LUKE'S HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE CORPORATION, THE PRESIDENT OF ST. LUKE'S HEALTHCARE, THE CHAIRMAN OF THE BOARD OF DIRECTORS OF ST. LUKE'S HEALTHCARE, THE CHAIRMEN OF THE STANDING COMMITTEES OF THE FOUNDATION AND THE EXECUTIVE DIRECTOR (WITHOUT VOTE). THE CHAIRMAN OF THE BOARD OF TRUSTEES SHALL BE THE CHAIRMAN OF THE EXECUTIVE COMMITTEE. THE VICE-CHAIRMAN OF THE BOARD SHALL BE THE VICE CHAIRMAN OF THE EXECUTIVE COMMITTEE. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. MEETINGS OF THE EXECUTIVE COMMITTEE SHALL BE HELD AT THE CALL OF THE CHAIRMAN OR UPON DELEGATION OF THE CHAIRMAN TO THE VICE-CHAIRMAN. THE EXECUTIVE COMMITTEE SHALL NOT TAKE ANY ACTION THAT CONFLICTS WITH POLICIES OF THE BOARD AND SHALL SUBMIT ITS MINUTES AND RECORDS TO THE NEXT MEETING OF THE BOARD OF TRUSTEES FOR ITS REVIEW. FIVE (5) MEMBERS OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM AT ANY MEETING OF THE EXECUTIVE COMMITTEE. ANY MOTION OR RESOLUTION MAY BE CARRIED BY A MAJORITY OF THOSE IN ATTENDANCE, PROVIDED, HOWEVER, THAT NO MOTION OR RESOLUTION AT ANY MEETING OF THE EXECUTIVE COMMITTEE SHALL BE CARRIED UNLESS IT RECEIVES THE AFFIRMATIVE VOTE OF AT LEAST (5) MEMBERS OF THE EXECUTIVE COMMITTEE ATTENDING THE MEETING.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE HAD A MEETING TO COMPLETE A COMPREHENSIVE REVIEW OF THE FORM 990. THE ORGANIZATION HELD A FULL BOARD MEETING, WHERE THE FINANCE COMMITTEE PRESENTED THE FORM 990 TO THE ENTIRE BOARD. A COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH VOTING BOARD MEMBER FOR REVIEW PRIOR TO THE MEETING. ADDITIONALLY, EACH MEMBER RECEIVED A COPY OF THE 990 AT THE BOARD MEETING. AFTER A QUESTION & ANSWER PERIOD, THE VOTING BOARD VOTED TO APPROVE THE FORM 990 AS PRESENTED.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT UPON HIRE OR APPOINTMENT. THE CONFLICTS OF INTEREST STATEMENT IS SIGNED ANNUALLY. THE CONFLICT OF INTEREST POLICY IS EXPLAINED DURING NEW EMPLOYEE ORIENTATION AND ALTHOUGH ALL EMPLOYEES ARE NOT TO SIGN THE STATEMENT THE EMPLOYEES ARE ENCOURAGED TO REPORT CONFLICT OF INTEREST ISSUES.
FORM 990, PART VI, SECTION B, LINE 15AA MARKET BASED PAY SCALE WAS USED TO DETERMINE THE COMPENSATION PACKAGE FOR THE DIRECTOR OF THE FOUNDATION. THE COMPENSATION IS ALSO BASED ON QUALIFICATIONS AND YEARS OF EXPERIENCE.
FORM 990, PART VI, SECTION C, LINE 18RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST LUKE'S HEALTH CARE INC
101 HOSPITAL DRIVECOLUMBUSNC28722561423318CONTROLLING ENTITYNC501(C)(3)PFN/A0
ST LUKE'S PHYSICIAN NETWORK INC
101 HOSPITAL DRIVECOLUMBUSNC28722263082073PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NCNC501(C)(3)LINE 3Yes (1)ST LUKE'S HEALTHCARE INC
ST LUKE'S HOSPITAL INC
101 HOSPITAL DRIVECOLUMBUSNC28722560554222PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NCNC501(C)(3)LINE 3Yes (1)ST LUKE'S HEALTHCARE INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S PROFESSIONAL BUILDING INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HOSPITAL DRIVEAddressLine1
CityCOLUMBUSCity
StateNCState
ZIP Code28722ZIPCode
FieldValueIRS element (for citing)
EIN561423404EIN
Primary ActivitiesRENTAL REAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd