ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC (EIN 22-3026263)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349303780
Schema version
2012v2.3
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)
Timestamp2013-11-14T12:17:22-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VANACOREDEBENEDICTUSDIGOVANNI&WEDDELLBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line111 RACQUET RDAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223026263EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HEALTH SYSTEMBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone8455682580Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSUE SULLIVANName
TitleDIRECTORTitle
Phone8455682580Phone
Date Signed2013-11-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN L STAPLES CPAName
Phone8455679000Phone
Date Prepared2013-11-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUE SULLIVANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1407166GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSTLUKESCORNWALLHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO FINANCIALLY SUPPORT HEALTH CARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year982315ContributionsGrantsPriorYear
Contributions Grants Current Year1176323ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1691InvestmentIncomePriorYear
Investment Income Current Year1041InvestmentIncomeCurrentYear
Other Revenue Prior Year-122557OtherRevenuePriorYear
Other Revenue Current Year-265915OtherRevenueCurrentYear
Total Revenue Prior Year861449TotalRevenuePriorYear
Total Revenue Current Year911449TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year961499GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY730634GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year285813TotalFundrsngExpCurrentYear
Other Expense Prior Year638292OtherExpensePriorYear
Other Expenses Current Year655596OtherExpensesCurrentYear
Total Expenses Prior Year1599791TotalExpensesPriorYear
Total Expenses Current Year1386230TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-738342RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-474781RevenuesLessExpensesCY
Total Assets BOY1849150TotalAssetsBOY
Total Assets EOY1560511TotalAssetsEOY
Total Liabilities BOY188330TotalLiabilitiesBOY
Total Liabilities EOY348663TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1660820NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1211848NetAssetsOrFundBalancesEOY
Mission DescriptionTO FINANCIALLY SUPPORT HEALTH CARE INITIATIVES OF THE ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense989569Expense
Grants730634Grants
DescriptionTO PROMOTE EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE SERVICES TO THE RESIDENTS OF THE MID-HUDSON VALLEYDescription
Total Program Service Expense989569TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEAN MARIE CASSIDYNamePerson
Telephone Number8454584025TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ALLAN E ATZROTT
DIRECTOR1.0040.00X0600114182929
MARY ELIZABETH DUFFY
DIRECTOR1.0040.00X035626442443
SUE SULLIVAN
DIRECTOR1.0040.00X018791020260
MELLANY BAGTAS
VICE CHAIR1.00X000X
PAUL CALOGERAKIS
DIRECTOR1.00X000
JACI CANNING-MURPHY
SECRETARY1.00X000X
JILL CAPPA
DIRECTOR1.00X000
TINA DEANEGLO
DIRECTOR1.00X000
DR GINA DEL SAVIO
DIRECTOR1.00X000
KATHRYN DIORIO
DIRECTOR1.00X000
BRENDA HOTALING
DIRECTOR1.00X000
JAMES LETTERIO
IMMED. PAST1.00X000X
DR ARIF MUSLIM
DIRECTOR1.00X000
ERIC NAJORK
DIRECTOR1.00X000
PETER NEUMAN
DIRECTOR1.00X000
GIOVANNI PALLADINO
DIRECTOR1.00X000
JOHN PELELLA
CHAIRMAN1.00X000X
JOHN SMITH SR
DIRECTOR1.00X000
MARK T STARKMAN
DIRECTOR1.00X000
WILLIAM D THORPE JR
DIRECTOR1.00X000
CHARLES WALWYN III
DIRECTOR1.00X000
FATHER MARK CONNELL
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1144288TotalReportableCompFrmRltdOrgs
Total Other Compensation245632TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TORCHES ON THE HUDSONBusinessNameLine1
Business Name Line2TORCHES ON THE HUDSONBusinessNameLine2

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 FRONT STREETAddressLine1
Address Line2120 FRONT STREETAddressLine2
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCATERING SER.DescriptionOfServices
Compensation124104Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events653979FundraisingEvents
All Other Contributions522344AllOtherContributions
Noncash Contributions81374NoncashContributions
Total Contributions1176323TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1041TotalRevenueColumn
Exclusion$1,041ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events84775GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events653979CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses491059FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-406284TotalRevenueColumn
Exclusion-$406,284ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory145027GrossSalesOfInventory
Cost Of Goods Sold4658CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column140369TotalRevenueColumn
Exclusion$140,369ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column911449TotalRevenueColumn
Exclusion-$264,874ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total730634Total
Program Services730634ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19300Total
Program Services6755ProgramServices
Management And General12545ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52975Total
Program Services19406ProgramServices
Management And General7494ManagementAndGeneral
Fundraising26075Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total95310Total
Program Services62206ProgramServices
Management And General13285ManagementAndGeneral
Fundraising19819Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total975Total
Program Services244ProgramServices
Management And General146ManagementAndGeneral
Fundraising585Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5695Total
Program Services1425ProgramServices
Management And General4270ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES44911315718967367224557
MISCELLANEOUS13056940415412111
DONOR RECOGNITION99539953
TRAINING469611743522

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4523Total
Program Services1132ProgramServices
Management And General678ManagementAndGeneral
Fundraising2713Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1386230Total
Program Services989569ProgramServices
Management And General110848ManagementAndGeneral
Fundraising285813Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY153920BOY
EOY73972EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY508157BOY
EOY411133EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1168098BOY
EOY970163EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12773BOY
EOY6857EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis80264LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec79757LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6202BOY
EOY507EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY97879EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1849150BOY
EOY1560511EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY188330BOY
EOY348663EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY188330BOY
EOY348663EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY713470BOY
EOY327786EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY456721BOY
EOY393077EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY490629BOY
EOY490985EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1660820BOY
EOY1211848EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1849150BOY
EOY1560511EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-474781ReconcilationRevenueExpenses
Reconcilation Prior Adjustment25942ReconcilationPriorAdjustment
Reconcilation Other Changes-133ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years552265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2586587CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1049402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year982315CurrentTaxYearMinus1Year
Current Tax Year1176323CurrentTaxYear
Total6346892Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years552265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2586587CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1049402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year982315CurrentTaxYearMinus1Year
Current Tax Year1176323CurrentTaxYear
Total6346892Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1093003AmountsSubstContributorsTotal
Public Support Total1705253889PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15788CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3164CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1691CurrentTaxYearMinus1Year
Current Tax Year1041CurrentTaxYear
Total23594Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years888472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years512162CurrentTaxYearMinus3Years
Total1400634Total
FieldValueIRS element (for citing)
Total Support7771120TotalSupport
Gross Receipts From Admissions Etc926536GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.67610PublicSupportPertcentage170
Public Support Pertcent Prior Year0.60460PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance947350BeginningOfYearBalance
Contributions319100Contributions
Investment Earnings Or Losses356InvestmentEarningsOrLosses
Other Expenditures-382744OtherExpenditures
End Of Year Balance884062EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1076358BeginningOfYearBalance
Contributions310478Contributions
Other Expenditures-439486OtherExpenditures
End Of Year Balance947350EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2057598BeginningOfYearBalance
Contributions311493Contributions
Other Expenditures-1292733OtherExpenditures
End Of Year Balance1076358EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1141995BeginningOfYearBalance
Contributions1811338Contributions
Other Expenditures-895735OtherExpenditures
End Of Year Balance2057508EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2087216BeginningOfYearBalance
Contributions312832Contributions
Other Expenditures-1258053OtherExpenditures
End Of Year Balance1141995EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.56000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.44000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2695OtherCostOrOtherBasis
Depreciation438Depreciation
Book Value2257BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis77569OtherCostOrOtherBasis
Depreciation79319Depreciation
Book Value-1750BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings507TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1488394TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities65403DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99065403RevenueNotRptdF990
Revenue Subtotal1422991RevenueSubtotal
Other Revenues Not Included-511542OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-511542RevenueNotRptdOnFinStmt
Total Revenue Per Form990911449TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1937366TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities65403DonatedServicesUseOfFacilities
Prior Year Adjustments-25942PriorYearAdjustments
Other Expenses Included511675OtherExpensesIncluded
Expenses Not Rptd F990551136ExpensesNotRptdF990
Expenses Subtotal1386230ExpensesSubtotal
Total Expenses Per Form9901386230TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE 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.
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE 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 2009.
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 4BBOUTIQUE PURCHASE -4,658 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -491,059 ALLOWANCE FOR DOUBTFUL ACCOUNTS -15,825
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DBOUTIQUE PURCHASE 4,658 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 491,059 ALLOWANCE FOR DOUBTFULE PROMISES 15,825 UNREALIZED LOSS 133

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA BALLNameOfEvent1
Gross Receipts Event1524345GrossReceiptsEvent1
Charitable Contributions Event1460545CharitableContributionsEvent1
Gross Revenue Event163800GrossRevenueEvent1
Other Direct Expenses Event1393317OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2199400GrossReceiptsEvent2
Charitable Contributions Event2182250CharitableContributionsEvent2
Gross Revenue Event217150GrossRevenueEvent2
Other Direct Expenses Event269059OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events15009GrossReceiptsOtherEvents
Charitable Contrib Other Events11184CharitableContribOtherEvents
Gross Revenue Other Events3825GrossRevenueOtherEvents
Other Direct Expenses Other Events13655OtherDirectExpensesOtherEvents
Gross Receipts Total738754GrossReceiptsTotal
Charitable Contributions Total653979CharitableContributionsTotal
Gross Revenue Total Events84775GrossRevenueTotalEvents
Other Direct Expenses Total Events476031OtherDirectExpensesTotalEvents
Direct Expense Summary Events476031DirectExpenseSummaryEvents
Net Income Summary-391256NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S CORNWALL HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line170 DUBOIS STREETAddressLine1
CityNEWBURGHCity
StateNYState
ZIP Code12550ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient141340054EINOfRecipient
IRC Section3IRCSection
Amount Of Cash Grant730634AmountOfCashGrant
Purpose Of GrantHEALTHCAREPurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgs
ALLAN E ATZROTT
DIRECTOR5522874782716950013429783043
MARY ELIZABETH DUFFY
DIRECTOR2940133225135375706839870730000
SUE SULLIVAN
DIRECTOR1313631821468311342920817038333

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4ReturnReference
ExplanationALLAN E. ATZROTT 0 120,000 0Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionVARIOUSDescription
Number Of Contributions159NumberOfContributions
Noncash Contribs Rptd F99081374NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 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.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANZIATION 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 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.
COMPENSATION PROCESS FOR OFFICERSFORM 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9BOUTIQUE PURCHASE 4,658 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 491,059 ALLOWANCE FOR DOUBTFUL ACCOUNTS 15,825 BOUTIQUE PURCHASE -4,658 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -491,059 ALLOWANCE FOR DOUBTFULE PROMISES -15,825 UNREALIZED LOSS -133

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Business Name Line2NameOfDisregardedEntity/BusinessNameLine2Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
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 CARENY501C3PFN/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

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Business Name Line2NameOfRelatedOrg/BusinessNameLine2Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
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 Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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