2023-11-07T10:46:15-06:00 2022-12-31 ERNST & YOUNG US LLP One Manhattan West NEW YORK NY 10001 990 2022-01-01 223026263 ST LUKE'S CORNWALL HEALTH SYSTEM FOUNDATION INC % THOMAS J GIBNEY CPA STLU 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 Thomas J Gibney CPA Treasurer/SVP,CFO 8455682881 2023-11-06 true Thomas J Gibney CPA 999009999 NICOLE M SOKOLOWSKI P01683199 2127733000 2 2022 2023-04-26 12:10:37Z Daniel J Maughan 70 DUBOIS STREET NEWBURGH NY 125504851 3061070 false X WWW.MONTEFIORESLC.ORG X 1988 NY TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HOSPITAL WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY. 16 14 4 40 0 0 1344812 2970177 0 0 83 72 -86721 -88601 1258174 2881648 10000 525945 0 0 213345 50030 0 0 116622 98058 66592 321403 642567 936771 2239081 2610187 4564028 583657 298417 2026530 4265611 THE MISSION OF ST. LUKE'S CORNWALL HOSPITAL FOUNDATION, INC. IS TO FINANCIALLY SUPPORT HEALTHCARE INITIATIVES OF THE ST. LUKE'S CORNWALL HOSPITAL WHOSE SERVICES BENEFIT THE RESIDENTS OF THE MID-HUDSON VALLEY. THE ST. LUKE'S CORNWALL HOSPITAL FOUNDATION, INC. ACCOMPLISHES THIS MISSION BY: (1) DIRECTING DEVELOPMENT ACTIVITIES, INCLUDING INVESTMENTS TO SUPPORT CAPITAL NEEDS OF ST. LUKE'S CORNWALL HOSPIAL AND INNOVATIVE, EFFECTIVE PROGRAMS WHICH IMPROVE COMMUNITY RESIDENT'S ACCESS TO QUALITY HEALTHCARE SERVICES AND INFORMATION; AND (2) PROVIDING ADVOCACY TO ENSURE THE AVAILABILITY OF QUALITY MEDICAL CARE. false false 525945 525945 0 The Foundation provides FINANCIAL SUPPORT for HEALTHCARE INITIATIVES OF ST. LUKE'S CORNWALL Hospital WHOSE SERVICES BENEFITS THE RESIDENTS OF THE MID-HUDSON VALLEY. The Foundation is involved in development activities to support the capital needs of St Luke's Cornwall Hospital, improve community resident's access to quality healthcare services and information and provide advocacy to ensure the availability of quality medical care. 525945 true true false false false false false false false true false false false false true false false true false false false false false false true true false true true true false false false false false false false false false false false false false true true true false false true X 0 0 true 4 true false false false false false true true false false false false false false X 16 14 false false true false true true true true true false false true true true true true true false false false NY X THOMAS J GIBNEY CPA 8455682881 70 DUBOIS STREET NEWBURGH NY 125504851 Daniel Maughan RN President & CEO 1.0 54.0 X X 0 677381 15798 THOMAS J GIBNEY Board Treasurer/SVP & CFO 1.0 54.0 X X 0 534255 52545 JOAN CUSACK-MCGUIRK FORMER OFFICER 0.0 1.0 X 0 341271 0 Katherine M Dabroski Executive Director 14.0 41.0 X 0 232358 50294 JILL CAPPA Immediate Past Chair 1.0 0.0 X X 0 0 0 JEFFREY DEGEN MD VICE CHAIR 1.0 0.0 X X 0 0 0 ROBERT HATFIELD Chair 1.0 0.0 X X 0 0 0 MARGARET PELELLA DIRECTOR (Resigned 12/2022) 1.0 0.0 X 0 0 0 Manita Sawhney DO Director 1.0 54.0 X 0 0 0 Charles Frankel Esq Director 1.0 0.0 X 0 0 0 Michael Kirtio Secretary 1.0 0.0 X X 0 0 0 Mehul P Patel MD Director (Term 12/31/22) 1.0 0.0 X 0 0 0 Susan J Paunovic DDS Director (Term 12/31/22) 1.0 0.0 X 0 0 0 Jocelyn Calabretta-Canning Director (Resigned 6/3/22) 1.0 0.0 X 0 0 0 Eileen V Osterby Director ( Resigned 1/2022) 1.0 0.0 X 0 0 0 Debra Stillman Director 1.0 0.0 X 0 0 0 James Crinieri director 1.0 0.0 X 0 0 0 Donna M Conklin Director 1.0 0.0 X 0 0 0 Gregory T DeBenedictus Director 1.0 0.0 X 0 0 0 Joseph B Steffy IV Director 1.0 0.0 X 0 0 0 Linda Dombroski Director (as of Sept 2022) 1.0 0.0 X 0 0 0 0 1785265 118637 0 true true false None 0 X 367834 2602343 11375 2970177 0 72 0 0 72 0 0 0 0 0 0 65581 367834 169302 -103721 0 -103721 25240 10120 15120 0 0 15120 0 0 0 0 2881648 0 0 -88529 X 520445 520445 5500 5500 0 0 0 0 40347 0 0 40347 0 9683 0 0 9683 0 0 0 0 0 0 0 14797 0 0 14797 0 26269 0 0 26269 0 0 0 0 0 0 0 0 0 0 MISC FUNDRAISING EXPENSES 21347 0 0 21347 DONOR RECOGNITION 4179 0 0 4179 642567 525945 0 116622 0 0 2554844 4495071 36410 49474 0 0 0 0 0 0 0 0 0 0 18933 19483 0 0 0 0 0 0 0 0 0 0 0 0 2610187 4564028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 583657 298417 583657 298417 X 399364 357718 1627166 3907893 2026530 4265611 2610187 4564028 2239081 X false true X true false X 784841 675950 557656 1344812 2970177 6333436 0 0 784841 675950 557656 1344812 2970177 6333436 3066994 3266442 538 545 369 83 72 1607 0 0 6335043 469904 0.51562 0.73519 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 490695 490695 490695 490695 490695 490695 490695 490695 498603 7908 490695 0.00000 1.00000 0.00000 false false 0 DUE TO AFFILIATES 298417 298417 SCHEDULE D, PART V, Line 4 The FUNDS are INVESTED TO PROVIDE PRESERVATION OF CAPITAL, PROVIDE additional financial RESOURCES FOR THE FOUNDATION'S PERPETUAL OPERATION, AND enhance THE FOUNDATION'S FINANCIAL INTEGRITY. Gala 299711 255086 44625 0 712 39497 51012 14123 24193 Golf event 129525 109559 19966 0 0 26303 0 0 12318 0 0 0 0 0 0 0 0 0 0 429236 364645 64591 0 712 65800 51012 14123 36511 168158 -103567 25240 10120 true 0.50000 25240 10120 10120 15120 NY true false false false 0.00000 1.00000 NICHOLAS SHANNON 70 Dubois Street Newburgh NY 125504851 false Katherine Dabroski 768 Administration of gaming activities X false Schedule G, Part II - Fundraising Events The total reported for Schedule G, Part II fundraising Events is not equal to what was reported in Part VIII, Line 8, Statement of Revenue, because Schedule G excludes two events where the gross receipts were $5,000 or less that is included in Part VIII. true ST LUKE'S CORNWALL HOSPITAL 70 DUBOIS STREET NEWBURGH NY 12550 141340054 501(C)(3) 520445 PROGRAM SUPPORT 1 0 SCHOLARSHIPS 5 5500 SCHEDULE I, PART III, LINE 1 The Foundation distributes funds for scholarships to accomplished students for higher education. Scholarships are awarded based on eligibility criterions. false false false false false false false true false JOAN CUSACK-MCGUIRK FORMER OFFICER 0 24482 0 78931 0 237858 0 0 0 0 0 341271 0 0 THOMAS J GIBNEY Board Treasurer/SVP & CFO 0 467231 0 59500 0 7524 0 15578 0 36967 0 586800 0 0 Katherine M Dabroski Executive Director 0 213722 0 18150 0 486 0 9253 0 41041 0 282652 0 0 Daniel Maughan RN President & CEO 0 519567 0 150000 0 7814 0 13743 0 2055 0 693179 0 0 SCHEDULE J, PART I, line 7 An annual incentive award paid by the organization to an officer was based on management discretion. Form 990, PART V, Lines 1 and 2A All vendors and employees of the Foundation are paid by St. Luke's Cornwall Hospital, EIN 14-1340054, the common paymaster. St. Luke's Cornwall Hospital issues all Forms 990s and W-2s and files all Federal Employment Tax returns relating to these individuals. Salaries are allocated to the Foundation based on the individuals employed at this organization. Form 990, PART VI, SECTION A, Line 4 The organization sole member was changed from ST. LUKE'S CORNWALL HEALTH SYSTEM, INC. to St. Luke's Cornwall Hospital effective 1/1/2022. The organization's former sole member, St. Luke's Cornwall Health System, Inc., is currently in the process of being legally dissolved. As a result of this conversion, there are plans in place to change both the name and purpose of the Foundation to St. Luke's Cornwall Hospital Foundation and its purpose to support the mission of the Hospital rather than the Health System. FORM 990, PART VI, SECTION A, Line 6 ST. LUKE'S CORNWALL Hospital IS THE SOLE MEMBER OF the organization as of 1-1-2022. FORM 990, PART VI, SECTION A, Line 7a St. Luke's Cornwall Hospital, THE SOLE MEMBER OF the organization, has THE authority TO appoint and remove the governing board of the Foundation. Form 990, PART VI, SECTION A, line 7b St. Luke's Cornwall Hospital, THE SOLE MEMBER OF the organization, has the powers granted by law to the member in their capacity as the corporate member including THE power to appoint and remove the governing board of the Foundation, authorize and approve amendments to the Certificate of Incorporation and Bylaws of the Foundation, authorize and approve any sale, lease, exchange or other disposition of all, or substantially all the assets of the Foundation and authorize and approve any merger, consolidation or non-judicial dissolution of the Foundation. Form 990, Part VI, Section B, Line 11 The Form 990 was prepared by the Montefiore's tax Department working closely with St. Luke's Finance team and assisted by various departments throughout the Health System. The Form 990 was reviewed and approved by the Vice-President-Finance and the ST. LUKE'S senior leadership including the Chief Financial Officer. In addition, an independent accounting firm was engaged to review the Form 990. Upon completion of the various reviews, the Form 990 was presented to the Foundation's Board of trustees for review and approval prior to filing. Form 990, Part VI, Section B, Line 12C THE ORGANIZATION AND THE SYSTEM REGULARLY MONITORs AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. Any duality of interest or possible CONFLICT of interest on the part of any member of the Board of Directors is REQUIRED to be disclosed to the other member of the Board of Directors and MADE a matter of record, either through the annual procedure or when the INTEREST becomes a matter of Board action. Any member of the Board of DIRECTORS having a duality of interest or possible conflict of interest on any matter is prohibited from voting or personally influences the Board on the matter. The Foundation has adopted the Conflict of Interest policy of St. Luke's CORNWALL Hospital. All officers and Board Members of the organization are required to complete an annual conflict of interest QUESTIONNAIRE, in their capacity as an officer of the Foundation or as a Board Member of the Foundation. Completed QUESTIONNAIRES ARE reviewed by the SECRETARY of THE BOARD OF TRUSTEES and concerns presented by the responses are disclosed to THE Hospital's COMPLIANCE OFFICER. ANY potential CONFLICTS ARE DISCLOSED AND REPORTED TO THE SYSTEM'S president/CEO AND THE Hospital's FINANCE COMMITTEE for discussion and alleviation of the conflict. DOCUMENTATION of the existence and resolution of the conflict, including any meeting minutes, is maintained by the Secretary of the Board. Form 990,Part VI, Section B, Line 15 THE ORGANIZATION IS AN AFFILIATE WITHIN Montefiore Health System, Inc., A Tax-Exempt INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH includes St. LUKE'S CORNWALL HOSPITAL ("HOSPITAL"). The CEO and TREASURER OF the Foundation are employed and compensated by the Hospital. As it relates to compensation from the Hospital: The St. Luke's Cornwall Hospital Board of Trustees has charged the Compensation Committee of the Board (which is comprised of independent Board members with no conflicts of interest in regards to executive compensation) with making all decisions related to compensation for the President/CEO and CFO of the hospital that are both Board Members and officers of the Foundation. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. The compensation committee's review process follows the Intermediate Sanctions guidelines for qualifying for the rebuttable presumption of reasonableness. The Committee retains an independent compensation consultant to assist it with this process. Compensation levels are established considering data for comparable organizations, an assessment of management performance (including the services provided to the community), and other business judgment factors, consistent with St. Luke's executive compensation philosophy. The Committee's decisions are made in the best interest of St Luke's, and are intended to ensure the recruitment and retention of key executive talent, consistent with the market practices of other not-for-profit healthcare organizations of comparable scope, mission and complexity. On an annual basis, the Committee provides the full Board of Trustees with a description of the committee's review and approval process and its decisions. All decisions made by the Compensation Committee are appropriately and timely documented in meeting minutes. Form 990, Part VI, Section C, Line 19 The CONFLICT OF INTEREST POLICY AND governing documents are made available upon request. Form 990, Part VIII, line 1C Included in the contributions from fundraising events was a $4,000 sponsorship from a related organization. FORM 990, PART IX, LINES 8, 9 & 10 Concerning employee benefits allocation: St. Luke's Cornwall Hospital is the common paymaster for the Foundation. All payroll taxes and employee benefits are paid by St. Luke's Cornwall Hospital and allocated back to the organization based on a composite rate of salaries for all benefit costs. The organization's assessment for employee benefits is reflected on line 9, other employees benefits, of part IX that includes cost for both pension and payroll taxes. 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Hospital N 85064 cost St Luke's Cornwall Hospital P 194229 cost St Luke's Cornwall Hospital B 520445 cost