ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC (EIN 22-3026263)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349306086
Schema version
2013v3.1
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)
Return2014-11-14T13:37:49-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN141604297PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VANACOREDEBENEDICTUSDIGOVANNI&WEDDELLBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111 RACQUET RDAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223026263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HEALTH SYSTEMBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone8455682580PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS J GIBNEYPersonNm
Person TitleCFOPersonTitleTxt
Phone8455682580PhoneNum
Signature2014-10-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVIDE DIGENOVA CPAPreparerPersonNm
PTINP00955704PTIN
Phone8455679000PhoneNum
Preparation2014-10-24PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN PELELLAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,344,684GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSTLUKESCORNWALLHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO FINANCIALLY SUPPORT HEALTH CARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers81TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,176,323PYContributionsGrantsAmt
CY Contributions Grants$1,127,229CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,041PYInvestmentIncomeAmt
CY Investment Income$5,005CYInvestmentIncomeAmt
PY Other Revenue-$265,915PYOtherRevenueAmt
CY Other Revenue-$366,250CYOtherRevenueAmt
PY Total Revenue$911,449PYTotalRevenueAmt
CY Total Revenue$765,984CYTotalRevenueAmt
PY Grants And Similar Paid$730,634PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$421,762CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$280,804CYTotalFundraisingExpenseAmt
PY Other Expenses$655,596PYOtherExpensesAmt
CY Other Expenses$694,664CYOtherExpensesAmt
PY Total Expenses$1,386,230PYTotalExpensesAmt
CY Total Expenses$1,116,426CYTotalExpensesAmt
PY Revenues Less Expenses-$474,781PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$350,442CYRevenuesLessExpensesAmt
Total Assets BOY$1,560,511TotalAssetsBOYAmt
Total Assets EOY$1,423,661TotalAssetsEOYAmt
Total Liabilities BOY$348,663TotalLiabilitiesBOYAmt
Total Liabilities EOY$564,680TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,211,848NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$858,981NetAssetsOrFundBalancesEOYAmt
MissionTO FINANCIALLY SUPPORT HEALTH CARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$722,030ExpenseAmt
Grant$421,762GrantAmt
DescTO PROMOTE EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE SERVICES TO THE RESIDENTS OF THE MID-HUDSON VALLEYDesc
Total Program Service Expenses$722,030TotalProgramServiceExpensesAmt
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 EquipmentYes (true)ReportLandBuildingEquipmentInd
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 Document17IRPDocumentCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
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)
PersonJEAN MARIE CASSIDYPersonNm
Phone8454584025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
MELLANY BAGTAS
TERM ENDED 71.00Yes (X)Yes (X)$0$0$0
PAUL CALOGERAKIS
TERM ENDED 21.00Yes (X)$0$0$0
JACI CANNING-MURPHY
SECRETARY1.00Yes (X)Yes (X)$0$0$0
TINA DEANEGLO
DIRECTOR1.00Yes (X)$0$0$0
DR GINA DEL SAVIO
DIRECTOR1.00Yes (X)$0$0$0
BRENDA HOTALING
DIRECTOR1.00Yes (X)$0$0$0
DR ARIF MUSLIM
DIRECTOR1.00Yes (X)$0$0$0
ERIC NAJORK
DIRECTOR1.00Yes (X)$0$0$0
PETER NEUMAN
DIRECTOR1.00Yes (X)$0$0$0
GIOVANNI PALLADINO
DIRECTOR1.00Yes (X)$0$0$0
JOHN PELELLA
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JOHN SMITH SR
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM D THORPE JR
DIRECTOR1.00Yes (X)$0$0$0
CHARLES WALWYN III
DIRECTOR1.00Yes (X)$0$0$0
FATHER MARK CONNELL
DIRECTOR1.00Yes (X)$0$0$0
ALLAN E ATZROTT
PRESIDENT AN1.00Yes (X)$0$654,594$63,42640.00
MARY ELIZABETH DUFFY
SR. VP AND C1.00Yes (X)$0$347,479$40,56940.00
SUE SULLIVAN
VICE PRESIDE1.00Yes (X)$0$188,148$22,30640.00
TRICIA O'MALLEY
EXECUTIVE DI1.00Yes (X)$0$107,897$17,292
JILL CAPPA
AUXILIARY PR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$1,298,118TotReportableCompRltdOrgAmt
Total Other Compensation$143,593TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2Address Line1ContractorAddress/USAddress/AddressLine1Address Line2ContractorAddress/USAddress/AddressLine2CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
TORCHES ON THE HUDSON
TORCHES ON THE HUDSON120 FRONT STREET120 FRONT STREETNEWBURGHNY12550CATERING SER.$158,562
STAMFORD TENT & PARTY RENTAL
STAMFORD TENT & PARTY RENTAL84 LENOX AVENUE84 LENOX AVENUESTAMFORDCT06906TENT RENTAL$111,540
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$720,748FundraisingAmt
All Other Contributions$406,481AllOtherContributionsAmt
Noncash Contributions$75,333NoncashContributionsAmt
Total Contributions$1,127,229TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,005TotalRevenueColumnAmt
Exclusion$2,005ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$3,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$3,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,000TotalRevenueColumnAmt
Exclusion$3,000ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$178,140FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$720,748ContriRptFundraisingEventAmt
Fundraising Direct Expenses$578,700FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$400,560TotalRevenueColumnAmt
Exclusion-$400,560ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$34,310GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,310TotalRevenueColumnAmt
Exclusion$34,310ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$765,984TotalRevenueColumnAmt
Exclusion-$361,245ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$421,762TotalAmt
Program Services$421,762ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,117TotalAmt
Program Services$1,029ProgramServicesAmt
Management And General$1,921ManagementAndGeneralAmt
Fundraising$1,167FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$45,635TotalAmt
Program Services$9,080ProgramServicesAmt
Management And General$9,161ManagementAndGeneralAmt
Fundraising$27,394FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,909TotalAmt
Program Services$11,994ProgramServicesAmt
Management And General$10,928ManagementAndGeneralAmt
Fundraising$8,987FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,308TotalAmt
Program Services$327ProgramServicesAmt
Management And General$196ManagementAndGeneralAmt
Fundraising$785FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$507TotalAmt
Program Services$127ProgramServicesAmt
Management And General$380ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED SERVICES$457,048$159,968$68,557$228,523
BAD DEBTS$98,267$98,267
AUDIT FEES$20,200$7,070$13,130
MISCELLANEOUS$14,922$8,260$2,670$3,992

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,751TotalAmt
Program Services$4,146ProgramServicesAmt
Management And General$6,649ManagementAndGeneralAmt
Fundraising$9,956FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,116,426TotalAmt
Program Services$722,030ProgramServicesAmt
Management And General$113,592ManagementAndGeneralAmt
Fundraising$280,804FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$73,972BOYAmt
EOY$152,203EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$411,133BOYAmt
EOY$413,059EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$970,163BOYAmt
EOY$762,945EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,857BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,666LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$63,666LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$507BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$97,879BOYAmt
EOY$95,454EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,560,511BOYAmt
EOY$1,423,661EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$348,663BOYAmt
EOY$564,680EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$348,663BOYAmt
EOY$564,680EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$327,786BOYAmt
EOY$277,274EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$393,077BOYAmt
EOY$91,421EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$490,985BOYAmt
EOY$490,286EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,211,848BOYAmt
EOY$858,981EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,560,511BOYAmt
EOY$1,423,661EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$350,442ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,425OtherChangesInNetAssetsAmt
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$2,586,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,049,402CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$982,315CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,176,323CurrentTaxYearMinus1YearAmt
Current Tax Year$1,127,229CurrentTaxYearAmt
Total$6,921,856TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,586,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,049,402CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$982,315CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,176,323CurrentTaxYearMinus1YearAmt
Current Tax Year$1,127,229CurrentTaxYearAmt
Total$6,921,856TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,231,361SubstantialContributorsTotAmt
Public Support Total170$5,690,495PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,910CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,691CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,041CurrentTaxYearMinus1YearAmt
Current Tax Year$2,005CurrentTaxYearAmt
Total$9,811TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$512,162CurrentTaxYearMinus4YearsAmt
Total$512,162TotalAmt
FieldValueIRS element (for citing)
Total Support$7,443,829TotalSupportAmt
Gross Receipts Rltd Activities$1,166,851GrossReceiptsRltdActivitiesAmt
Public Support CY1700.76450PublicSupportCY170Pct
Public Support PY1700.67610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationFUNDRAISING EVENTS 287,635 MERCHANDISE SALES 224,527ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$884,062BeginningYearBalanceAmt
Contributions$155,168ContributionsAmt
Investment Earnings Or Losses-$2,425InvestmentEarningsOrLossesAmt
Other Expenditures-$455,098OtherExpendituresAmt
End Year Balance$581,707EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,057,598BeginningYearBalanceAmt
Contributions$311,493ContributionsAmt
Other Expenditures-$1,292,733OtherExpendituresAmt
End Year Balance$1,076,358EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,141,995BeginningYearBalanceAmt
Contributions$1,811,338ContributionsAmt
Other Expenditures-$895,735OtherExpendituresAmt
End Year Balance$2,057,508EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.84000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.16000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,695OtherCostOrOtherBasisAmt
Depreciation$2,695DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,971OtherCostOrOtherBasisAmt
Depreciation$60,971DepreciationAmt
FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$1,429,649TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$84,965DonatedServicesAndUseFcltsAmt
Revenue Not Reported$84,965RevenueNotReportedAmt
Revenue Subtotal$1,344,684RevenueSubtotalAmt
Other Revenues Not Included-$578,700OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$578,700RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$765,984TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,782,516TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$84,965DonatedServicesUseFcltsAmt
Other Expenses Included$581,125OtherExpensesIncludedAmt
Expenses Not Reported$666,090ExpensesNotReportedAmt
Expenses Subtotal$1,116,426ExpensesSubtotalAmt
Total Expenses Per Form990$1,116,426TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4TO HELP SUPPORT HEALTH CARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM, WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.
SCHEDULE D, PAGE 3, PART XTHE FINANCIAL ACCOUNTING STANDARDS BOARD ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH THE FOUNDATION HAS ADOPTED. MANAGEMENT EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS IN ORDER TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO 2010.
SCHEDULE D, PAGE 4, PART XI, LINE 4BSPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -578,700
SCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 578,700 UNREALIZED LOSS 2,425

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GALA BALLNameOfEvent1Amt
Gross Receipts Event1$651,223GrossReceiptsEvent1Amt
Charitable Contri Event1$501,223CharitableContriEvent1Amt
Gross Revenue Event1$150,000GrossRevenueEvent1Amt
Other Direct Expenses Event1$490,690OtherDirectExpensesEvent1Amt
Name Of Event2GOLF OUTINGNameOfEvent2Amt
Gross Receipts Event2$247,665GrossReceiptsEvent2Amt
Charitable Contri Event2$219,525CharitableContriEvent2Amt
Gross Revenue Event2$28,140GrossRevenueEvent2Amt
Other Direct Expenses Event2$81,606OtherDirectExpensesEvent2Amt
Gross Receipts Total$898,888GrossReceiptsTotalAmt
Charitable Contributions Tot$720,748CharitableContributionsTotAmt
Gross Revenue Total Events$178,140GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$572,296OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$572,296DirectExpenseSummaryEventsAmt
Net Income Summary-$394,156NetIncomeSummaryAmt

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 HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Recipient EIN141340054RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$421,762CashGrantAmt
Purpose Of GrantHEALTHCAREPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPREDOMINATELY ALL GRANTS DISTRIBUTED BY THE ST. LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION, INC. (THE "FOUNDATION") EACH YEAR ARE FOR THE BENEFIT OF ST. LUKE'S CORNWALL HOSPITAL ("SLCH"). THESE GRANTS ARE PRIMARILY BASED ON RESTRICTED CONTRIBUTIONS RECEIVED BY THE FOUNDATION FOR PROJECTS BENEFITING SLCH (I.E. RENOVATIONS OR BUILDING). ON A MONTHLY BASIS THE ACCOUNTING DEPARTMENT REVIEWS THE TEMPORARILY RESTRICTED CASH AVAILABLE TO BE GRANTED. RESEARCH IS PERFORMED TO DETERMINE DONOR INTENT IF NOT CLEAR, AND WHETHER THE RESTRICTION(S) ON THE DONATION(S) HAS BEEN MET PRIOR TO ISSUING ANY GRANTS TO SLCH. ONCE THE RESEARCH IS COMPLETED FOR DONOR INTENT AND A DETERMINATION AS TO WHETHER DONOR RESTRICTION(S) HAS BEEN MET, THE ACCOUNTING DEPARTMENT WILL DRAFT A LIST OF ITEMS TO BE GRANTED WITH COPIES OF SUPPORTING INVOICES, ETC. FROM SLCH. THIS LIST IS USED TO GENERATE A CHECK REQUEST WHICH IS SENT TO THE EXECUTIVE DIRECTOR OF THE FOUNDATION FOR REVIEW AND APPROVAL. ONCE THE CHECK REQUEST IS APPROVED THE GRANT IS FINALIZED AND DISTRIBUTED TO SLCH.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmt
ALLAN E ATZROTT
PRESIDENT AND CEO$596,180$58,414$51,000$12,426$718,020
MARY ELIZABETH DUFFY
SR. VP AND CFO$290,063$32,416$34,075$6,494$388,048$25,000
SUE SULLIVAN
VICE PRESIDENT$170,099$18,049$9,880$12,426$210,454

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVARIOUSDesc
Contribution188ContributionCnt
Noncash Contributions Rpt F990$75,333NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6THE VOLUNTEERS PERFORM NUMEROUS FUNCTIONS FOR THE FOUNDATION. THESE FUNCTIONS INCLUDE ACCEPTING DONATIONS, SORTING AND PRICING OF MERCHANDISE, GREETING AND ASSISTING CUSTOMERS, RUNNING THE REGISTERS, CREATE AND ORGANIZE KIOSKS AND SHELVING, CREATE AND MAINTAIN DISPLAY WINDOWS AND JEWELRY CASES AT THE BOUTIQUE AND GIFT SHOP.
FORM 990, PAGE 6, PART VI, LINE 6NOT-FOR-PROFIT ORGANIZATION ORGANIZED UNDER NEW YORK STATE LAW WITH ONE SOLE-MEMBER, ST. LUKE'S CORNWALL HEALTH SYSTEM, INC.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FEDERAL FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS, WHICH WAS DISCUSSED AND REVIEWED DURING THEIR BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION ENFORCES THEIR CONFLICT OF INTEREST POLICY BY ISSUING AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH MUST BE FILLED OUT, SIGNED AND DATED BY ALL BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION HIRES AN INDEPENDENT OUTSIDE FIRM TO REVIEW ALL SALARY PACKAGES FOR THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT. THIS INDEPENDENT FIRM EVALUATES THE SALARIES AGAINST COMPARABLE MARKET DATA FOR COMPARABLE POSITIONS WITHIN THE REGION AND NATIONALLY.
FORM 990, PAGE 6, PART VI, LINE 15BOTHER 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 AND APPLICABLE SENIOR VICE PRESIDENTS FOR APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 578,700 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -578,700 UNREALIZED LOSS -2,425

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Business Name Line2DisregardedEntityName/BusinessNameLine2Address Line1USAddress/AddressLine1Address Line2USAddress/AddressLine2CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HUDSON VISTA CORPORATION
HUDSON VISTA CORPORATION70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550222286782GOVERNANCENY501C37N/Afalse
ST LUKE'S CORNWALL HOSPITAL
ST LUKE'S CORNWALL HOSPITAL70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550141340054HOSPITALNY501C33N/Afalse
ST LUKE'S CORNWALL HEALTH SYSTEM
ST LUKE'S CORNWALL HEALTH SYSTEM70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550223026261SUPPORTNY501C37N/Afalse
AMOS F & SARAH L HOLDEN HOME
AMOS F & SARAH L HOLDEN HOME73 GRAND STREET73 GRAND STREETNEWBURGHNY12550141365995ELDER CARENY501C39N/Afalse
GOLDSMITH D & MARY B JOHNES HOME
GOLDSMITH D & MARY B JOHNES HOME70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550141364666ELDER CARENY501C39N/Afalse
HUDSON VISTA MEDICAL PC
HUDSON VISTA MEDICAL PC70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550452526738MED SERVNY501C33N/Afalse
HUDSON VISTA PHYSICIAN SERVICES PC
HUDSON VISTA PHYSICIAN SERVICES PC70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550272020746MED SERVNY501C33N/Afalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Business Name Line2RelatedOrganizationName/BusinessNameLine2Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1Address Line2USAddress/AddressLine2CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateCd
SLCH INSURANCE CAPTIVE LTD
SLCH INSURANCE CAPTIVE LTDPO BOX HM 2274HAMILTON HM JXBREMUDABDINSURANCEBDN/Afalse
SLCH CORP
SLCH CORPDORMANTN/Afalse70 DUBOIS STREET70 DUBOIS STREETNEWBURGHNY12550141765661NY
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 OrgfalseGiftGrntCapContriFromOthOrgInd
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 FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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