2015-05-13T14:01:34-05:00 2014-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-10-01 561757097 ST LUKE'S FOUNDATION INC STLU 8288943311 101 HOSPITAL DRIVE COLUMBUS NC 28722 ELIZABETH PRESNELL AVP OF FINANCE 8288943311 2015-05-13 1 JEREMY NAESS P01306905 8282542254 2013 2016-02-25 16:41:14Z ELIZABETH PRESNELL 101 HOSPITAL DRIVE COLUMBUS NC 28722 306287 0 X N/A X 1928 NC ST. LUKE'S FOUNDATION RAISES FUNDS TO HELP SUPPORT ST. LUKE'S HOSPITAL 17 17 3 0 0 0 485548 231532 0 0 74927 60240 11444 6413 571919 298185 1652105 493848 0 0 44419 49918 0 0 10340 89510 99022 1786034 642788 -1214115 -344603 3601770 3580767 243300 343146 3358470 3237621 ST. 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. 0 0 609862 493848 0 ST. 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. 609862 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 3 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ELIZABETH PRESNELL 8288940954 101 HOSPITAL DRIVE COLUMBUS NC 28722 PAUL SUTHERLAND CHAIRMAN 1.00 X X 0 0 0 DON HOFMANN VICE CHAIR/TREASURER 1.00 X X 0 0 0 PATTY HOLL SECRETARY 1.00 X X 0 0 0 LARRY WASSONG TREASURER 1.00 X X 0 0 0 FRED BAISDEN TRUSTEE 1.00 X 0 0 0 CLARK BENSON TRUSTEE 1.00 X 0 0 0 NED DICK TRUSTEE 1.00 X 0 0 0 JAY GEDDINGS TRUSTEE 1.00 X 0 0 0 PETRA HARRELSON TRUSTEE 1.00 X 0 0 0 BETH LAUGHRIDGE TRUSTEE 1.00 X 0 0 0 NANCY MCKINSTRY TRUSTEE 1.00 X 0 0 0 JOYCE MOFFATT TRUSTEE 1.00 X 0 0 0 JEAN SHUMWAY TRUSTEE 1.00 X 0 0 0 STACEY STAFFORD TRUSTEE 1.00 X 0 0 0 CATHY TAYLOR TRUSTEE 1.00 X 0 0 0 RANAE WALDMAN TRUSTEE 1.00 X 0 0 0 KATHY WRIGHT TRUSTEE 1.00 X 0 0 0 MESHELLE COLVIN EXECUTIVE DIRECTOR 40.00 X 27643 27643 6754 27643 27643 6754 0 0 0 0 0 13588 6000 211944 231532 60240 60240 8102 13588 8102 0 RECOVERY OF BAD DEBT 900099 6413 6413 6413 298185 0 0 66653 493848 493848 31020 10340 10340 10340 10578 10578 8320 8320 12246 12246 1290 1290 15617 15617 8863 8863 198 198 355 355 MISCELLANEOUS 60453 60453 642788 609862 22586 10340 165672 55227 476077 372028 182876 61351 2777145 3092161 3601770 3580767 1448 1021 241852 342125 243300 343146 X 2603835 2866179 511482 128289 243153 243153 3358470 3237621 3601770 3580767 -344603 223754 0 X 0 1 X 1 0 X 943746 287169 293671 493143 231532 2249261 943746 287169 293671 493143 231532 2249261 718592 1530669 39902 58473 75754 74927 60240 309296 8494 6413 14907 2573464 41120 0.59480 0.62410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED PARTIES 342125 342125 X 523628 223754 8102 231856 291772 6413 6413 298185 150629 8102 8102 142527 500261 500261 642788 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. ACHE AROUND THE LAKE/HUNTER DERBY 21690 13588 8102 8102 21690 13588 8102 8102 8102 0 1 ST LUKE'S HOSPITAL INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 560554222 501(C)(3) 493848 TO ASSIST THE HOSPITAL 1 PART I, LINE 2: THE 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. FORM 990, PART VI, SECTION A, LINE 1 THE 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 11 THE 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 12C OFFICERS, 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 15A A 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 18 RECENT 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 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423318 CONTROLLING ENTITY NC 501(C)(3) PF N/A 0 ST LUKE'S PHYSICIAN NETWORK INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 263082073 PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NC NC 501(C)(3) LINE 3 ST LUKE'S HEALTHCARE INC 1 ST LUKE'S HOSPITAL INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 560554222 PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF POLK COUNTY, NC NC 501(C)(3) LINE 3 ST LUKE'S HEALTHCARE INC 1 ST LUKE'S PROFESSIONAL BUILDING INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423404 RENTAL REAL ESTATE NC N/A C 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0