ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC (EIN 22-3026263)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201213179349301871
Schema version
2011v1.2
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)
Timestamp2012-11-12T13:28:52-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
TitleEXECUTIVE DIRECTORTitle
Phone8455682580Phone
Date Signed2012-10-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN L STAPLES CPAName
Phone8455679000Phone
Date Prepared2012-10-31DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts1308330GrossReceipts
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 Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers58TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1049402ContributionsGrantsPriorYear
Contributions Grants Current Year982315ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-1490InvestmentIncomePriorYear
Investment Income Current Year1691InvestmentIncomeCurrentYear
Other Revenue Prior Year-70260OtherRevenuePriorYear
Other Revenue Current Year-122557OtherRevenueCurrentYear
Total Revenue Prior Year977652TotalRevenuePriorYear
Total Revenue Current Year861449TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1344918GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY961499GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year266143TotalFundrsngExpCurrentYear
Other Expense Prior Year788254OtherExpensePriorYear
Other Expenses Current Year638292OtherExpensesCurrentYear
Total Expenses Prior Year2133172TotalExpensesPriorYear
Total Expenses Current Year1599791TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1155520RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-738342RevenuesLessExpensesCY
Total Assets BOY2505087TotalAssetsBOY
Total Assets EOY1849150TotalAssetsEOY
Total Liabilities BOY161801TotalLiabilitiesBOY
Total Liabilities EOY188330TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2343286NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1660820NetAssetsOrFundBalancesEOY
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
Expense1224047Expense
Grants961499Grants
DescriptionTO PROMOTE EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE SERVICES TO THE RESIDENTS OF THE MID-HUDSON VALLEYDescription
Total Program Service Expense1224047TotalProgramServiceExpense
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEAN MARIE CASSIDYNamePerson
Telephone Number8455682528TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MR ALLAN E ATZROTT
PRESIDENT1.00XX0575675176842
MS MARY ELIZABETH DUFFY
TREASURER1.00XX033168342000
MS JACI CANNING-MURPHY
SECRETARY1.00XX000
DR GINA DEL SAVIO
DIRECTOR1.00X000
MR PETER DUGGAN
DIRECTOR1.00X000
MS BRENDA HOTALING
DIRECTOR1.00X000
MR JAMES LETTERIO
CHAIRMAN1.00XX000
DR ARIF MUSLIM
DIRECTOR1.00X000
MR MARK T STARKMAN
DIRECTOR1.00X000
MR PETER X NEUMAN
DIRECTOR1.00X000
MS MELLANY BAGTAS
DIRECTOR1.00X000
MR KEVIN BLOOM
DIRECTOR1.00X000
MR CHARLES WALWYN III
DIRECTOR1.00X000
MR JOHN H SMITH
IMMEDIATE PA1.00XX000
MS EILEEN OSTERBY
DIRECTOR1.00X000
MR GIOVANNI PALLADINO
DIRECTOR1.00X000
MR JOHN PELELLA
DIRECTOR1.00X000
MR JUSTIN SANDLER
DIRECTOR1.00X000
MR ERIC NAJORK
DIRECTOR1.00X000
MR WILLIAM THORPE
DIRECTOR1.00X000
MS SUE SULLIVAN
EXEC. DIR.40.00X014888628868
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1056244TotalReportableCompFrmRltdOrgs
Total Other Compensation247710TotalOtherCompensation
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
Compensation118776Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events480360FundraisingEvents
All Other Contributions501955AllOtherContributions
Noncash Contributions38536NoncashContributions
Total Contributions982315TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1691TotalRevenueColumn
Exclusion$1,691ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events139750GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events480360CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses446881FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-307131TotalRevenueColumn
Exclusion-$307,131ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory184574GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column184574TotalRevenueColumn
Exclusion$184,574ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column861449TotalRevenueColumn
Exclusion-$120,866ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total961499Total
Program Services961499ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20025Total
Program Services7009ProgramServices
Management And General13016ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total39044Total
Program Services15161ProgramServices
Management And General4943ManagementAndGeneral
Fundraising18940Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total94334Total
Program Services60889ProgramServices
Management And General14678ManagementAndGeneral
Fundraising18767Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1444Total
Program Services660ProgramServices
Management And General157ManagementAndGeneral
Fundraising627Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5694Total
Program Services1423ProgramServices
Management And General4271ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES45284915849767927226425
MISCELLANEOUS EXPENSE112679845711711
BAD DEBTS77657765
TRAINING519712993898

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total673Total
Fundraising673Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1599791Total
Program Services1224047ProgramServices
Management And General109601ManagementAndGeneral
Fundraising266143Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY563098BOY
EOY153920EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY506524BOY
EOY508157EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1410849BOY
EOY1168098EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12720BOY
EOY12773EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis80264LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec74062LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11896BOY
EOY6202EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2505087BOY
EOY1849150EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY161801BOY
EOY188330EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY161801BOY
EOY188330EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1266928BOY
EOY713470EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY585729BOY
EOY456721EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY490629BOY
EOY490629EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2343286BOY
EOY1660820EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2505087BOY
EOY1849150EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-738342ReconcilationRevenueExpenses
Reconcilation Other Changes55876ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years1434110CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years552265CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2586587CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1049402CurrentTaxYearMinus1Year
Current Tax Year982315CurrentTaxYear
Total6604679Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1434110CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years552265CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2586587CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1049402CurrentTaxYearMinus1Year
Current Tax Year982315CurrentTaxYear
Total6604679Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1291212AmountsSubstContributorsTotal
Public Support Total1705313467PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15788CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3164CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1910CurrentTaxYearMinus1Year
Current Tax Year1691CurrentTaxYear
Total121851Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years660851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years888472CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years512162CurrentTaxYearMinus2Years
Total2061485Total
FieldValueIRS element (for citing)
Total Support8788015TotalSupport
Gross Receipts From Admissions Etc700559GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.60460PublicSupportPertcentage170
Public Support Pertcent Prior Year0.55590PublicSupportPertcentPriorYear
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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2087216BeginningOfYearBalance
Contributions312832Contributions
Other Expenditures-1258053OtherExpenditures
End Of Year Balance1141995EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.48000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.52000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2695OtherCostOrOtherBasis
Depreciation369Depreciation
Book Value2326BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis77569OtherCostOrOtherBasis
Depreciation73693Depreciation
Book Value3876BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6202TotalOfBookValueLandBuildings
Total Revenue861449TotalRevenue
Total Expenses1599791TotalExpenses
Excess Or Deficit For Year-738342ExcessOrDeficitForYear
Other$55,876OtherAmount
Total Adjustments55876TotalAdjustments
Excess Or Deficit Per FS-682466ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1422524TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities58318DonatedSrvcAndUseOfFacilities
Other Revenues55876OtherRevenues
Revenue Not Rptd F990114194RevenueNotRptdF990
Revenue Subtotal1308330RevenueSubtotal
Other Revenues Not Included-446881OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-446881RevenueNotRptdOnFinStmt
Total Revenue Per Form990861449TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2104990TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities58318DonatedServicesUseOfFacilities
Other Expenses Included446881OtherExpensesIncluded
Expenses Not Rptd F990505199ExpensesNotRptdF990
Expenses Subtotal1599791ExpensesSubtotal
Total Expenses Per Form9901599791TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 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 2008.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8PRESENT VALUE ADJUSTMENT 55,876 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 446,881 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -446,881
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DPRESENT VALUE ADJUSTMENT 55,876
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BSPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -446,881
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DSPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 446,881

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA BALLNameOfEvent1
Gross Receipts Event1436990GrossReceiptsEvent1
Charitable Contributions Event1326990CharitableContributionsEvent1
Gross Revenue Event1110000GrossRevenueEvent1
Food And Beverage Event13949FoodAndBeverageEvent1
Other Direct Expenses Event1397469OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2183120GrossReceiptsEvent2
Charitable Contributions Event2153370CharitableContributionsEvent2
Gross Revenue Event229750GrossRevenueEvent2
Other Direct Expenses Event245463OtherDirectExpensesEvent2
Gross Receipts Total620110GrossReceiptsTotal
Charitable Contributions Total480360CharitableContributionsTotal
Gross Revenue Total Events139750GrossRevenueTotalEvents
Food And Beverage Total Events3949FoodAndBeverageTotalEvents
Other Direct Expenses Total Events442932OtherDirectExpensesTotalEvents
Direct Expense Summary Events446881DirectExpenseSummaryEvents
Net Income Summary-307131NetIncomeSummary

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 Grant961499AmountOfCashGrant
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 PREFORMED 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)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgs
MR ALLAN E ATZROTT
5503482532715900017842752517
MS MARY ELIZABETH DUFFY
3008981078534875712537368320000
MS SUE SULLIVAN
142714117211024178441777545000

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
ExplanationMR. ALLAN E. ATZROTT 0 110,000 0Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionVARIOUSDescription
Number Of Contributions86NumberOfContributions
Noncash Contribs Rptd F99038536NoncashContribsRptdF990
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 (7 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.

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 NADirectControllingEntityNAAddress Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileState
SLCH INSURANCE CAPTIVE LTD
SLCH INSURANCE CAPTIVE LTDPO BOX HM 2274HAMILTON HM JXBREMUDABDINSURANCEBDN/A
SLCH CORP
SLCH CORPDORMANTN/A70 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
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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