ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST LUKES CORNWALL HEALTH SYSTEM FOUNDATION INC (EIN 22-3026263)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-28
IRS object ID
201113019349300306
Schema version
2010v3.4
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)
Timestamp2011-10-28T08:36:27-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-09-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN L STAPLES CPAName
Phone8455679000Phone
Date Prepared2011-09-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts1433893GrossReceipts
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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers58TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2586587ContributionsGrantsPriorYear
Contributions Grants Current Year1049402ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3164InvestmentIncomePriorYear
Investment Income Current Year-1490InvestmentIncomeCurrentYear
Other Revenue Prior Year97547OtherRevenuePriorYear
Other Revenue Current Year-70260OtherRevenueCurrentYear
Total Revenue Prior Year2687298TotalRevenuePriorYear
Total Revenue Current Year977652TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1414482GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1344918GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year257868TotalFundrsngExpCurrentYear
Other Expense Prior Year584476OtherExpensePriorYear
Other Expenses Current Year788254OtherExpensesCurrentYear
Total Expenses Prior Year1998958TotalExpensesPriorYear
Total Expenses Current Year2133172TotalExpensesCurrentYear
Revenues Less Expenses Prior Year688340RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1155520RevenuesLessExpensesCY
Total Assets BOY3516758TotalAssetsBOY
Total Assets EOY2505087TotalAssetsEOY
Total Liabilities BOY182169TotalLiabilitiesBOY
Total Liabilities EOY161801TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3334589NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2343286NetAssetsOrFundBalancesEOY
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
Expense1772200Expense
Grants1344918Grants
DescriptionTO PROMOTE EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE SERVICES TO THE RESIDENTS OF THE MID-HUDSON VALLEYDescription
Total Program Service Expense1772200TotalProgramServiceExpense
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 With109620NumberFormsTransmittedWith1096
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MR ALLAN E ATZROTT
PRESIDENT1.00XX0560805156262
MS MARY ELIZABETH DUFFY
TREASURER1.00XX034487541792
MS JACI CANNING-MURPHY
SECRETARY1.00XX000
DR GINA DEL SAVIO
DIRECTOR1.00X000
MR PETER DUGGAN
DIRECTOR1.00X000
MS CYNTHIA ROZENBERG
DIRECTOR1.00X000
MR JAMES LETTERIO
CHAIRMAN1.00XX000
DR ARIF MUSLIM
DIRECTOR1.00X000
MR JOHN H SMITH SR
IMMED. PAST1.00X000
MR MARK T STARKMAN
DIRECTOR1.00X000
MR PETER NEUMAN
VICE CHAIRMA1.00XX000
MS MELLANY BAGTAS
DIRECTOR1.00X000
MR KEVIN BLOOM
DIRECTOR1.00X000
MR CHARLES WALWYN III
DIRECTOR1.00X000
MR BRENDA HOTALING
DIRECTOR1.00X000
MS EILEEN OSTERBY
DIRECTOR1.00X000
MR GIOVANNI PALLADINO
DIRECTOR1.00X000
MR JOHN PELELLA
DIRECTOR1.00X000
MR JUSTIN SANDLER
DIRECTOR1.00X000
MS SUE SULLIVAN
EXEC. DIR.40.00X014955327968
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1055233TotalReportableCompFrmRltdOrgs
Total Other Compensation226022TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
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 ServicesSPECIAL EVENTSDescriptionOfServices
Compensation122954Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events590915FundraisingEvents
All Other Contributions458487AllOtherContributions
Noncash Contributions34665NoncashContributions
Total Contributions1049402TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1910TotalRevenueColumn
Exclusion$1,910ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6346Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9746Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3400Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3400TotalRevenueColumn
Exclusion-$3,400ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events155800GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events590915CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses430654FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-274854TotalRevenueColumn
Exclusion-$274,854ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory220435GrossSalesOfInventory
Cost Of Goods Sold15841CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column204594TotalRevenueColumn
Exclusion$204,594ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column977652TotalRevenueColumn
Exclusion-$71,750ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1341418Total
Program Services1341418ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3500Total
Program Services3500ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18000Total
Program Services6300ProgramServices
Management And General11700ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total55722Total
Program Services19910ProgramServices
Management And General9613ManagementAndGeneral
Fundraising26199Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total89927Total
Program Services82075ProgramServices
Management And General7852ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1502Total
Program Services897ProgramServices
Management And General121ManagementAndGeneral
Fundraising484Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8619Total
Program Services2155ProgramServices
Management And General6464ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES43933215376665900219666
BAD DEBTS145843145843
MISCELLANEOUS EXPENSE188381623411481456
DONOR RECOGNITION1006310063
TRAINING408102306

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2133172Total
Program Services1772200ProgramServices
Management And General103104ManagementAndGeneral
Fundraising257868Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY328032BOY
EOY563098EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY498442BOY
EOY506524EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2629892BOY
EOY1410849EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12979BOY
EOY12720EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis80264LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68368LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33345BOY
EOY11896EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6427BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7641BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3516758BOY
EOY2505087EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY182169BOY
EOY161801EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY182169BOY
EOY161801EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1276991BOY
EOY1266928EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1566969BOY
EOY585729EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY490629BOY
EOY490629EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3334589BOY
EOY2343286EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3516758BOY
EOY2505087EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1155520ReconcilationRevenueExpenses
Reconcilation Other Changes164217ReconcilationOtherChanges
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 Years1661595CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1434110CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years552265CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2586587CurrentTaxYearMinus1Year
Current Tax Year1049402CurrentTaxYear
Total7283959Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1661595CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1434110CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years552265CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2586587CurrentTaxYearMinus1Year
Current Tax Year1049402CurrentTaxYear
Total7283959Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1523486AmountsSubstContributorsTotal
Public Support Total1705760473PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years123640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3164CurrentTaxYearMinus1Year
Current Tax Year1910CurrentTaxYear
Total243800Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years773105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years660851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years888472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year512162CurrentTaxYearMinus1Year
Total2834590Total
FieldValueIRS element (for citing)
Total Support10362349TotalSupport
Gross Receipts From Admissions Etc1085064GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.55590PublicSupportPertcentage170
Public Support Pertcent Prior Year0.52380PublicSupportPertcentPriorYear
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 Balance2057598BeginningOfYearBalance
Contributions311493Contributions
Other Expenditures1292733OtherExpenditures
End Of Year Balance1076358EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1141995BeginningOfYearBalance
Contributions1811338Contributions
Other Expenditures895735OtherExpenditures
End Of Year Balance2057508EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2087216BeginningOfYearBalance
Contributions312832Contributions
Other Expenditures1258053OtherExpenditures
End Of Year Balance1141995EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.54000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.46000PermanentEndowmentEOYBalance
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
Depreciation360Depreciation
Book Value2335BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis77569OtherCostOrOtherBasis
Depreciation68008Depreciation
Book Value9561BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11896TotalOfBookValueLandBuildings
Total Revenue977652TotalRevenue
Total Expenses2133172TotalExpenses
Excess Or Deficit For Year-1155520ExcessOrDeficitForYear
Net Unrealized GL On Investments3319NetUnrealizedGLOnInvestments
Other$160,898OtherAmount
Total Adjustments164217TotalAdjustments
Excess Or Deficit Per FS-991303ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1646474TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3319NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities54710DonatedSrvcAndUseOfFacilities
Other Revenues164298OtherRevenues
Revenue Not Rptd F990222327RevenueNotRptdF990
Revenue Subtotal1424147RevenueSubtotal
Other Revenues Not Included-446495OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-446495RevenueNotRptdOnFinStmt
Total Revenue Per Form990977652TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2637777TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities54710DonatedServicesUseOfFacilities
Other Expenses Included449895OtherExpensesIncluded
Expenses Not Rptd F990504605ExpensesNotRptdF990
Expenses Subtotal2133172ExpensesSubtotal
Total Expenses Per Form9902133172TotalExpensesPerForm990

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 NEW GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE FOUNDATION ADOPTED THIS NEW GUIDANCE FOR THE YEAR ENDED DECEMBER 31, 2009. 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 2007.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8PRESENT VALUE ADJUSTMENT 160,898 REALIZED LOSS ON INVESTMENTS 3,400 COST OF GOODS SOLD OFFSET AGAINST REVENUE 15,841 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 430,654 COST OF GOODS SOLD OFFSET AGAINST REVENUE -15,841 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -430,654 REALIZED LOSS ON INVESTMENT -3,400
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DPRESENT VALUE ADJUSTMENT 160,898 REALIZED LOSS ON INVESTMENTS 3,400
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BCOST OF GOODS SOLD OFFSET AGAINST REVENUE -15,841 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE -430,654
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DCOST OF GOODS SOLD OFFSET AGAINST REVENUE 15,841 SPECIAL EVENTS EXPENSE OFFSET AGAINST REVENUE 430,654 REALIZED LOSS ON INVESTMENT 3,400

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALA BALLNameOfEvent1
Gross Receipts Event1541725GrossReceiptsEvent1
Charitable Contributions Event1416725CharitableContributionsEvent1
Gross Revenue Event1125000GrossRevenueEvent1
Other Direct Expenses Event1388222OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2204990GrossReceiptsEvent2
Charitable Contributions Event2174190CharitableContributionsEvent2
Gross Revenue Event230800GrossRevenueEvent2
Other Direct Expenses Event242432OtherDirectExpensesEvent2
Gross Receipts Total746715GrossReceiptsTotal
Charitable Contributions Total590915CharitableContributionsTotal
Gross Revenue Total Events155800GrossRevenueTotalEvents
Other Direct Expenses Total Events430654OtherDirectExpensesTotalEvents
Direct Expense Summary Events430654DirectExpenseSummaryEvents
Net Income Summary-274854NetIncomeSummary

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 Grant1341418AmountOfCashGrant
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 PlanfalseSupplementalNonqualRetirePlan
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 OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Related OrgsBonusRelatedOrgs
MR ALLAN E ATZROTT
5134784732713900017262717067743393
MS MARY ELIZABETH DUFFY
2735903128534875691738666733878340000
MS SUE SULLIVAN
12191517638107041726417752117097110000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionOTHERDescription
Number Of Contributions76NumberOfContributions
Noncash Contribs Rptd F99034665NoncashContribsRptdF990
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.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS CONSIST OF UNREALIZED GAINS AND PRESENT VALUE ADJUSTMENT TO PLEDGES RECEIVABLE IN THE AMOUNT OF 3,319 AND 160,898, RESPECTIVELY, TOTALING 164,217.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 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

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Business Name Line2NameOfOtherOrganization/BusinessNameLine2Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST LUKE'S CORNWALL HOSPITAL
ST LUKE'S CORNWALL HOSPITALB1344918
ST LUKE'S CORNWALL HOSPTIAL
ST LUKE'S CORNWALL HOSPITALN439332

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