2013-05-10T05:59:20-05:00 2012-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-10-01 561757097 ST LUKE'S FOUNDATION INC STLU 8288943311 101 HOSPITAL DRIVE COLUMBUS NC 28722 CHRISTINE MARTIN 8288943311 2013-05-10 1 AMY BIBBY P00445891 8282542254 2011 2016-02-25 16:41:14Z CHRISTINE MARTIN 101 HOSPITAL DRIVE COLUMBUS NC 28722 995251 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 278599 913522 0 0 58473 75754 -6067 -4541 331005 984735 87249 0 0 0 35679 42749 0 0 10191 19914 72509 142842 115258 188163 869477 3252900 4423001 137938 178827 3114962 4244174 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 86626 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 CONTRIBUTEAT 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 MOTHER'S DAY MINI PRIX IN CONJUNCTION WITH THE BLUE RIDGE HUNTER JUMPER ASSOCIATION AND THE ACHE AROUND THE LAKE, AN 8K FUNDRAISING WALK/RUN AROUND LAKE LANIER AND A TEAHOUSE BRUNCH. 86626 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 X CHRISTINE MARTIN 8288940892 101 HOSPITAL DRIVE COLUMBUS NC 28722 JUDY LAIR 1.00 X X 0 0 0 PAUL SUTHERLAND 1.00 X X 0 0 0 PATTY HOLL 1.00 X X 0 0 0 FRED FOY 1.00 X 0 0 0 JAY GEDDINGS 1.00 X 0 0 0 PETRA HARRELSON 1.00 X 0 0 0 DON HOFMANN 1.00 X 0 0 0 BILL JONES 1.00 X 0 0 0 BETH LAUGHRIDGE 40.00 X 0 0 0 LOUISE RADFORD 1.00 X 0 0 0 RACHEL RAMSEY 1.00 X 0 0 0 JEAN SHUMWAY 1.00 X 0 0 0 STACEY STAFFORD 1.00 X 0 0 0 JOYCE MOFFATT 1.00 X 0 0 0 KEITH COLLINS 1.00 X 0 0 0 CATHY TAYLOR 1.00 X 0 0 0 PAUL ZIMMERMAN 1.00 X 0 0 0 MESHELLE COLVIN 40.00 X 27496 27495 6153 27496 27495 6153 0 0 0 0 0 35145 16100 862277 913522 75754 75754 5975 35145 10516 -4541 -4541 984735 0 0 71213 30573 10191 10191 10191 5051 5051 7125 7125 8250 8250 306 306 3396 3396 995 995 3297 3297 387 387 MISCELLANEOUS 34234 34234 BAD DEBT 21644 21644 115258 86626 18441 10191 598615 175032 586972 1512005 296227 2067313 2439737 3252900 4423001 2577 330 135361 178497 137938 178827 X 3114962 3416315 632029 195830 3114962 4244174 3252900 4423001 X 869477 259735 X 0 1 1 X 0 X 236980 313124 943746 287169 293671 2074690 236980 313124 943746 287169 293671 2074690 309496 1765194 42520 39579 39902 58473 75754 256228 2330918 41120 0.75730 0.84260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED PARTIES 178497 178497 984735 115258 869477 259735 259735 1129212 670280 259735 259735 410545 574190 574190 984735 125774 10516 10516 115258 0 115258 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: INCOME TAXES- THE HOSPITAL, ST. LUKE'S FOUNDATION, INC., COMMUNITY HEALTH CONNECTIONS, 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 DON NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2012. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2009 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN RESTICTED NET ASSETS PART XII, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -10,516. RESTRICTED CONTRIBUTIONS 584,706. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 10,516. ACHE AROUND THE LAKE 38710 33962 4748 950 8073 MINI PRIX 2410 1183 1227 1493 41120 35145 5975 950 9566 10516 -4541 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 259,735. CHANGE IN RESTICTED NET ASSETS TOTAL TO FORM 990, PART XI, LINE 5: 259,735. ST LUKE'S HEALTH CARE INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423318 CONTROLLING ENTITY NC 501(C)(3) PF N/A 0 COMMUNITY HEALTH CONNECTIONS 101 HOSPITAL DRIVE COLUMBUS NC 28722 561722387 TO PROVIDE HOME BASED MEDICAL TREATMENT IN AND AROUND COLUMBUS, NC NC 501(C)(3) LINE 9 ST LUKE'S HEALTHCARE INC 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 0 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 0 ST LUKE'S PROFESSIONAL BUILDING INC 101 HOSPITAL DRIVE COLUMBUS NC 28722 561423404 RENTAL REAL ESTATE NC N/A C 0 1 1 0 0 0 0 0 1 0 1 0 0 1 0 0 1 1