ST LUKES HEALTH CARE FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HEALTH CARE FOUNDATION (EIN 42-1106819)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201213199349300536
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)
Timestamp2012-11-14T07:35:24-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN421106819EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HEALTH CARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone3193697716Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1855 A AVENUE NE STE 105AddressLine1
CityCEDAR RAPIDSCity
StateIAState
ZIP Code52402ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMILTON E AUNAN IIName
TitleVP FINANCE/CFOTitle
Phone3193697796Phone
Date Signed2012-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHEODORE E TOWNSEND JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1855 A AVENUE NE STE 105AddressLine1
CityCEDAR RAPIDSCity
StateIAState
ZIP Code52402ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16200663GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STLUKESFOUNDATION.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI12076TotalGrossUBI
Net Unrelated Business Txbl Income9465NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2682528ContributionsGrantsPriorYear
Contributions Grants Current Year1988168ContributionsGrantsCurrentYear
Program Service Revenue Prior Year324912ProgramServiceRevenuePriorYear
Program Service Revenue CY11885ProgramServiceRevenueCY
Investment Income Prior Year857311InvestmentIncomePriorYear
Investment Income Current Year1129773InvestmentIncomeCurrentYear
Other Revenue Prior Year10677OtherRevenuePriorYear
Other Revenue Current Year291668OtherRevenueCurrentYear
Total Revenue Prior Year3875428TotalRevenuePriorYear
Total Revenue Current Year3421494TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2225673GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1105245GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year825529SalariesEtcPriorYear
Salaries Etc Current Year985146SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year65211TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY100242TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year816679TotalFundrsngExpCurrentYear
Other Expense Prior Year654222OtherExpensePriorYear
Other Expenses Current Year685659OtherExpensesCurrentYear
Total Expenses Prior Year3770635TotalExpensesPriorYear
Total Expenses Current Year2876292TotalExpensesCurrentYear
Revenues Less Expenses Prior Year104793RevenuesLessExpensesPriorYear
Revenues Less Expenses CY545202RevenuesLessExpensesCY
Total Assets BOY33632587TotalAssetsBOY
Total Assets EOY32030568TotalAssetsEOY
Total Liabilities BOY3474588TotalLiabilitiesBOY
Total Liabilities EOY3014002TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY30157999NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29016566NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SUPPORT ST. LUKE'S HOSPITAL AS THE PREMIER RESOURCE FOR IMPROVING THE HEALTH OF EASTERN IOWANS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1105245Expense
Grants1105245Grants
Revenue303553Revenue
DescriptionGRANTS, ALLOCATIONS AND PROGRAM SUPPORTST. LUKE'S HEALTH CARE FOUNDATION PURPOSE IS TO RAISE FUNDS TO MAINTAIN, DEVELOP, INCREASE AND EXTEND THE FACILITIES AND SERVICES OF ST. LUKE'S METHODIST HOSPITAL IN CEDAR RAPIDS, IOWA, AND TO PROVIDE BROADER HOSPITAL, MEDICAL AND EDUCATIONAL SERVICE OPPORTUNITIES TO ITS PATIENTS, STUDENTS, STAFF, FACULTY AND RESIDENTS OF THE GEOGRAPHICAL AREA IT SERVES. IT SUPPORTS THE MISSIONS OF ST. LUKE'S HEALTHCARE AND ITS SUBSIDIARIES BY RAISING FINANCIAL CONTRIBUTIONS AND INVESTING THE PROCEEDS.THE GRANTS, ALLOCATIONS AND PROGRAM SUPPORT SERVICES MAY INCLUDE:CONTRIBUTIONS TO ST. LUKE'S METHODIST HOSPITAL FOR EQUIPMENT PURCHASES, TO OFFSET OPERATING EXPENSES AND MISCELLANEOUSSCHOLARSHIPS AND/OR LECTURESHIPS AWARDED TO INDIVIDUALS ASSOCIATED WITH ST. LUKE'S METHODIST HOSPITALGRANTS TO LOCAL RURAL HEALTH COMMUNITIES ASSOCIATED WITH ST. LUKE'S METHODIST HOSPITALMISCELLANEOUS GRANTS AND CONTRIBUTIONS TO ORGANIZATIONS AND/OR INDIVIDUALS ASSOCIATED WITH ST. LUKE'S METHODIST HOSPITALDescription
Total Program Service Expense1105245TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MILTON E AUNAN II VP FINANCECFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3193697796TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11026 A AVENUE NEAddressLine1
CityCEDAR RAPIDSCity
StateIAState
ZIP Code52402ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
STEVE ALLSOP
BOARD CHAIR1.00XX000
KENNETH ANDERSON MD
BOARD MEMBER1.00X000
MILTON AUNAN II
BOARD MEMBER & VP FIN/CFO (SLMH)1.00XX000
RYAN BURESH
BOARD MEMBER (FR 12/11)1.00X000
TERRI CHRISTOFFERSEN
BOARD VICE CHAIR/SECRETARY1.00XX000
SONDY DAGGETT
BOARD MEMBER1.00X000
TIFFANY EARL
BOARD MEMBER1.00X000
SALLY GRAY
BOARD MEMBER1.00X000
PHIL HERSHNER
BOARD MEMBER1.00X000
BILL HOCHSTETLER
BOARD MEMBER1.00X000
SHIRLEY HOLTEY
BOARD MEMBER (FR 5/11)1.00X000
JAMES LAMORGESE MD
BOARD MEMBER1.00X000
DINA LINGE
BOARD MEMBER1.00X000
MARK MATHIS
BOARD MEMBER1.00X000
RITU MUNJAL MD
BOARD MEMBER1.00X000
DOUG NEIGHBOR
BOARD TREASURER1.00XX000
LON OLEJNICZAK
BOARD MEMBER1.00X000
PAUL RHINES
BOARD MEMBER (FR 12/11)1.00X000
PAULA ROBY
BOARD MEMBER (FR 5/11)1.00X000
JAMES SEALY -- BOARD MEMBER
(5/11-11/11) & PRESIDENT (FR 11/11)40.00XX334870774
LYNN SUNDALL
BOARD MEMBER1.00X000
NANCY SKOGSBERGH
BOARD MEMBER1.00X000
THEODORE TOWNSEND JR
BOARD MEMBER & CEO (SLMH)1.00X000
KIM WILKERSON
BOARD MEMBER1.00X000
SUSAN RIGO
PRESIDENT (TO 10/11)40.00X194880082245
FieldValueIRS element (for citing)
Total Reportable Comp From Org228367TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation83019TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants388004GovernmentGrants
All Other Contributions1600164AllOtherContributions
Noncash Contributions89344NoncashContributions
Total Contributions1988168TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOUNDATION SERVICE CTR561000172459172459
SUBS & JOINT VENTURES900099-160574-160574
FieldValueIRS element (for citing)
Total Program Service Revenue11885TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column476541TotalRevenueColumn
Unrelated Business Revenue12076UnrelatedBusinessRevenue
Exclusion$464,465ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13432401Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12779169Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities653232Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column653232TotalRevenueColumn
Exclusion$653,232ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column291668TotalRevenueColumn
Related Or Exempt Function Income291668RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue291668TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3421494TotalRevenueColumn
Related Or Exempt Function Income303553RelatedOrExemptFunctionIncome
Unrelated Business Revenue12076UnrelatedBusinessRevenue
Exclusion$1,117,697ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1083745Total
Program Services1083745ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total21500Total
Program Services21500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total311386Total
Management And General311386ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total540849Total
Management And General234615ManagementAndGeneral
Fundraising306234Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total132911Total
Management And General57655ManagementAndGeneral
Fundraising75256Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total120Total
Management And General120ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26725Total
Management And General13577ManagementAndGeneral
Fundraising13148Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total100242Total
Fundraising100242Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total91152Total
Management And General91152ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64641Total
Fundraising64641Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total58731Total
Management And General23370ManagementAndGeneral
Fundraising35361Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25616Total
Management And General12713ManagementAndGeneral
Fundraising12903Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total61741Total
Management And General31366ManagementAndGeneral
Fundraising30375Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total121572Total
Management And General61763ManagementAndGeneral
Fundraising59809Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total6848Total
Management And General3479ManagementAndGeneral
Fundraising3369Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4593Total
Management And General553ManagementAndGeneral
Fundraising4040Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total144770Total
Management And General73549ManagementAndGeneral
Fundraising71221Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41636Total
Management And General21153ManagementAndGeneral
Fundraising20483Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6429Total
Management And General3266ManagementAndGeneral
Fundraising3163Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS EXPENSES252741169913575
INCOME TAXES611231053007
BAD DEBT EXPENSE-301-153-148

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2876292Total
Program Services1105245ProgramServices
Management And General954368ManagementAndGeneral
Fundraising816679Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY130702BOY
EOY50000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1894514BOY
EOY1767822EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY477950BOY
EOY798873EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY298238BOY
EOY73193EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY205120BOY
EOY185779EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24171BOY
EOY27464EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2335273LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec277727LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2086682BOY
EOY2057546EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22701663BOY
EOY21873532EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY982450BOY
EOY674394EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4831097BOY
EOY4521965EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33632587BOY
EOY32030568EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY378232BOY
EOY372689EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2228250BOY
EOY1931250EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY868106BOY
EOY710063EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3474588BOY
EOY3014002EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY612956BOY
EOY-489042EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11549929BOY
EOY11663367EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17995114BOY
EOY17842241EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30157999BOY
EOY29016566EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33632587BOY
EOY32030568EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses545202ReconcilationRevenueExpenses
Reconcilation Other Changes-1686635ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5213626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5621554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4946261CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2682528CurrentTaxYearMinus1Year
Current Tax Year1988168CurrentTaxYear
Total20452137Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5213626CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5621554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4946261CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2682528CurrentTaxYearMinus1Year
Current Tax Year1988168CurrentTaxYear
Total20452137Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total6791214AmountsSubstContributorsTotal
Public Support Total17013660923PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2279781CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1473958CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years679538CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1019901CurrentTaxYearMinus1Year
Current Tax Year476541CurrentTaxYear
Total5929719Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13920CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10667CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13292CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10675CurrentTaxYearMinus1Year
Total48554Total
FieldValueIRS element (for citing)
Total Support26430410TotalSupport
Gross Receipts From Admissions Etc1019329GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.51690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.48480PublicSupportPertcentPriorYear
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 Balance20118362BeginningOfYearBalance
Contributions110410Contributions
Investment Earnings Or Losses-119031InvestmentEarningsOrLosses
Other Expenditures530925OtherExpenditures
End Of Year Balance19578816EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance16840545BeginningOfYearBalance
Contributions105118Contributions
Investment Earnings Or Losses3931219InvestmentEarningsOrLosses
Other Expenditures758520OtherExpenditures
End Of Year Balance20118362EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13887342BeginningOfYearBalance
Contributions1410310Contributions
Investment Earnings Or Losses2356452InvestmentEarningsOrLosses
Other Expenditures813559OtherExpenditures
End Of Year Balance16840545EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13620710BeginningOfYearBalance
Contributions266632Contributions
End Of Year Balance13887342EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.03430BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.71620PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.24950TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2001224InvestmentCostOrOtherBasis
Book Value2001224BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis209240OtherCostOrOtherBasis
Depreciation176148Depreciation
Book Value33092BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis124809OtherCostOrOtherBasis
Depreciation101579Depreciation
Book Value23230BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2057546TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN SUBSIDIARIES (ST. LUKE'S DEVELOPMENT CO.)544486C
BENEFICIAL INTEREST IN UNITRUSTS157719F
BENEFICIAL INTEREST IN PERPETUAL TRUSTS3819760F
FieldValueIRS element (for citing)
Total Of Book Value Program Related4521965TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LIABILITIES UNDER SPLIT INTEREST AGREEMENT$264,463
LIABILITIES UNDER ANNUITIES$445,600
FieldValueIRS element (for citing)
Total Of Amounts710063TotalOfAmounts
Total Revenue3421494TotalRevenue
Total Expenses2876292TotalExpenses
Excess Or Deficit For Year545202ExcessOrDeficitForYear
Net Unrealized GL On Investments-1616556NetUnrealizedGLOnInvestments
Other-$70,079OtherAmount
Total Adjustments-1686635TotalAdjustments
Excess Or Deficit Per FS-1141433ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3131363TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1616556NetUnrealizedGainsInvestments
Other Revenues1660115OtherRevenues
Revenue Not Rptd F99043559RevenueNotRptdF990
Revenue Subtotal3087804RevenueSubtotal
Investment Expenses Not Included91152InvestmentExpensesNotIncluded
Other Revenues Not Included242538OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt333690RevenueNotRptdOnFinStmt
Total Revenue Per Form9903421494TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4272796TotExpensesEtcAuditedFinclStmt
Other Expenses Included1717234OtherExpensesIncluded
Expenses Not Rptd F9901717234ExpensesNotRptdF990
Expenses Subtotal2555562ExpensesSubtotal
Investment Expenses Not Included291152InvestmentExpensesNotIncluded2
Other Expenses Not Included229578OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt320730ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902876292TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN TRUSTS -70,079.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ELIMINATING ENTRIES 103,455. SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 1,556,660.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN TRUSTS 70,079. EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 172,459.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:SUBSIDIARY ELIMINATING ENTRIES (ST. LUKE'S DEVELOPMENT CO.) 1,717,234.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ELIMINATING ENTRIES 57,119. EXPENSE REIMBURSEMENTS/REVENUE OFFSETS (FOUNDATION SERVICE CENTER) 172,459.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
RUFFALO-CODY
PO BOX 3018 ATTN CONTROLLERCEDAR RAPIDSIA52406TELEFUNDRAISING05575351220
THOMPSON & ASSOCIATES
112 WESTWOOD PLACE SUITE 250BRENTWOODTN37027CONSULTING/PLANNED GIVING00651200
FieldValueIRS element (for citing)
Total Gross Receipts5575TotalGrossReceipts
Total Retained By Contractors100242TotalRetainedByContractors
Licensed StatesIALicensedStates

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF FUNDRAISING PAYMENTSIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)ReturnReference
ExplanationTHOMPSON & ASSOCIATES - PROVIDES CONSULTING TO FOUNDATION; CONDUCTS SEMINARS/PRESENTATIONS ON PLANNED GIVING. EXPENSES ARE RELATED TO RETAINER AND RELATED EXPENSES. RUFFALO CODY PROVIDES TELE-FUNDRAISING SERVICES FOR THE GRATEFUL PATIENT PROGRAM THROUGH PHONE CALLS TO PATIENTS DISCHARGED FROM ST LUKES HOSPITAL.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COE COLLEGE
1220 1ST AVE NECEDAR RAPIDSIA52402420686467501(C)(3)6256PROGRAM SUPPORT
ST LUKE'S METHODIST HOSPITAL
1026 A AVENUECEDAR RAPIDSIA524063026420504780501(C)(3)981564PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients23NumberOfRecipients
Amount Of Cash Grant21500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS TO GOVERNMENTS AND ORGANIZATIONS: IRC SECTION 501(C)(3) ORGANIZATIONS RECEIVING GRANTS MUST PROVIDE EVIDENCE OF THEIR TAX EXEMPT STATUS. EACH ORGANIZATION RECEIVING FUNDING MUST SUBMIT A WRITTEN UPDATE, INCLUDING APPLICABLE EVIDENCE TO SUPPORT THE FUNDS WERE USED FOR THE INTENDED PURPOSE. SCHOLARSHIPS: BEFORE THE STUDENT CAN RECEIVE SCHOLARSHIP FUNDS, THEY MUST PROVIDE EVIDENCE OF ENROLLMENT FROM THE SCHOOL THEY ARE ATTENDING. AT THE CONCLUSION OF THEIR SEMESTER, THEY ARE REQUIRED TO SUBMIT A TRANSCRIPT OF RESULTS. CHECKS FOR SCHOLARSHIPS ARE JOINTLY ISSUED TO THE HIGHER EDUCATION INSTITUTION AND STUDENT. RURAL INITATIVE GRANTS: GRANTS ARE LIMITED TO COMMUNITIES IN THE ST. LUKE'S HOSPITAL MARKET AREA. GRANTEES ARE REQUIRED TO SUBMIT AN ANNUAL REPORT STATING HOW THE FUNDS HAVE BEEN UTILIZED. THE GRANTS ARE TYPICALLY IN SUPPORT OF EQUIPMENT PURCHASES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSUSAN RIGONamePerson
Base Compensation Filing Org135413BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org59467OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org75818DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6427NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org277125TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationST. LUKE'S METHODIST HOSPITAL PAYS COMPENSATION TO SUSAN RIGO, IN THE AMOUNTS OF: BASE PAY $135,413, BONUS & INCENTIVE COMPENSATION $0, OTHER COMPENSATION $59,467, DEFERRED COMPENSATION $75,818, NONTAXABLE BENEFITS $6,427. ST. LUKE'S HEALTH CARE FOUNDATION REIMBURSES ST. LUKE'S METHODIST HOSPITAL FOR PART OF THE COMPENSATION PAID TO SUSAN RIGO. ST. LUKE'S METHODIST HOSPITAL PAYS COMPENSATION TO JAMES SEALY, IN THE AMOUNTS OF: BASE PAY $32,308, BONUS & INCENTIVE COMPENSATION $0, OTHER COMPENSATION $1,179, DEFERRED COMPENSATION $738, NONTAXABLE BENEFITS $36. ST. LUKE'S HEALTH CARE FOUNDATION REIMBURSES ST. LUKE'S METHODIST HOSPITAL FOR PART OF THE COMPENSATION PAID TO JAMES SEALY.Explanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99089344NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationBROKER SERVICE UTILIZED TO SELL STOCK DONATIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7AST. LUKE'S METHODIST HOSPITAL APPOINTS AT LEAST ONE BOARD MEMBER, THE ST. LUKES METHODIST HOSPITAL CEO AND CFO ARE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY FUNCTIONAL AREA WITH RESPONSIBILITY ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CA DISCLOSURE QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. PERSONS REQUIRED TO REPORT, WHO HAVE NOT RETURNED QUESTIONNAIRES, WILL BE CONTACTED AND FOLLOW-UP WILL CONTINUE ON A REGULAR BASIS IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE INFORMATION DISCLOSED WILL BE USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS QUESTIONNAIRES. THE DUTY TO IDENTIFY AND DISCLOSE POTENTIAL CONFLICTS OF INTEREST IS A DUTY THAT IS ONGOING. ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES SHALL IMMEDIATELY DISCLOSE SUCH POTENTIAL CONFLICT OR DUALITY OF INTEREST AS SOON AS THE INTEREST OCCURS. DISCLOSURE SHOULD BE MADE TO THE COVERED PERSON'S SUPERVISOR, DIRECTOR OF THE ORGANIZATION, OR THE BOARD CHAIR OF THE ORGANIZATION, AS APPLICABLE.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION RELIES ON AN UNRELATED ORGANIZATION TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION BASED ON FAIR MARKET VALUE. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19ST. LUKE'S HEALTH CARE FOUNDATION MAKES AVAILABLE TO THE PUBLIC THE ORGANIZATION'S BOARD OF DIRECTORS LIST ON ITS WEBSITE. FORM 990 TAX INFORMATION, CONFLICT OF INTEREST POLICY, AND WHISTLEBLOWER POLICY ARE AVAILABLE TO THE PUBLIC THROUGH ST. LUKE'S METHODIST HOSPITAL'S WEBSITE (WWW.STLUKESCR.ORG).
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -1,616,556. CHANGE IN BENEFICIAL INTEREST IN TRUSTS -70,079. TOTAL TO FORM 990, PART XI, LINE 5: -1,686,635.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S DEVELOPMENT COMPANYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11026 A AVENUE NEAddressLine1
CityCEDAR RAPIDSCity
StateIAState
ZIP Code52402ZIPCode
FieldValueIRS element (for citing)
EIN421353658EIN
Primary ActivityLESSOR NONRESIDENTIAL REAL ESTATEPrimaryActivity
Legal Domicile StateIALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HEALTH CARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income1558606ShareOfTotalIncome
Share Of EOY Assets6256679ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S DEVELOPMENT COMPANYBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved12076AmountInvolved
Method Of Amt DeterminationBASED ON GAAP, CASH, AND/OR FMV.MethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSECTION 512(B)(13) CONTROLLED ENTITYIdentifier
Return ReferenceSCHEDULE R, PART II, COLUMN (G)ReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, "IOWA HEALTH SYSTEM." FOR ENTITIES THAT ARE PART OF THE CONSOLIDATED HEALTH SYSTEM (WITH COMMON CONTROL) THE ATTRIBUTION RULES OF IRC SECTION 318 APPLY; MEANING THAT ALL ORGANIZATIONS ARE DEEMED TO HAVE CONTROL OF THE ORGANIZATIONS OWNED BY THE CONTROLLING ORGANIZATION. AS SUCH, WE ARE REPORTING ALL RELATED ORGANIZATIONS OF THE HEALTH SYSTEM IN PARTS II, III & IV. FOR PART V REPORTING, THE TRANSACTIONS DISCLOSED ARE THOSE BETWEEN THE DIRECTLY CONTROLLED PARENT-SUBSIDIARY ONLY.Explanation

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationTHE ORGANIZATION E-FILED A REQUEST FOR AN ADDITIONAL EXTENSION OF TIME TO FILE TO NOVEMBER 15, 2012, ON PART II OF FORM 8868. THE E-FILED EXTENSION WAS ACCEPTED BY THE IRS ON JULY 31, 2012; HOWEVER, THE IRS ISSUED NOTICE CP211A, DATED AUGUST 27, 2012, WITH AN INCORRECT DATE FOR PART II OF AUGUST 15, 2012 INSTEAD OF NOVEMBER 15, 2012. AS SUCH, THE ORGANIZATION RESPECTUFLLY REQUESTS THE ORGANIZATION'S RECORDS BE UPDATED ACCORDINGLY TO SHOW THIS FORM 990 AS BEING EXTENDED TO NOVEMBER 15, 2012, AND TIMELY FILED.Explanation

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