2024-11-07T19:17:25-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 410714079 ST LUKE'S HOSPITAL OF DULUTH STLU 2182495555 915 EAST FIRST STREET DULUTH MN 55805 JERRY M YANG SENIOR VP - CFO 2182495555 2024-11-04 1 0 KURT BENNION CPA P01469618 6123764500 2024-11-04 2023 2024-10-15 13:58:12Z NICHOLAS VAN DEELEN MD 915 EAST FIRST STREET DULUTH MN 55805 610030699 0 X WWW.SLHDULUTH.COM X 1881 MN TO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION. 15 11 3428 146 1810167 83933 10525758 1746672 530799914 542081059 6104553 10538103 1331130 2385316 548761355 556751150 616482 563441 0 0 300835925 315523670 0 0 0 241470009 253850453 542922416 569937564 5838939 -13186414 506268982 493989659 362216996 362804041 144051986 131185618 X THE PATIENT ABOVE ALL ELSE. 0 0 501330887 563441 533681562 ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT: A. OUR MISSION IS TO SERVE AS A LEADING PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR LOCAL COMMUNITY AND THE SURROUNDING REGION OF NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN. AS THE FEDERALLY DESIGNATED REGIONAL TRAUMA CENTER FOR THIS REGION, ST. LUKE'S PROVIDES CRITICAL ACCESS TO HIGH QUALITY ACUTE HEALTHCARE SERVICES.B. ST. LUKE'S RECOGNIZES ITS RESPONSIBILITY TO THE COMMUNITY BY PROVIDING FINANCIAL SUPPORT TO COMMUNITY ORGANIZATIONS; OFFERING EDUCATIONAL PROGRAMS, OUTREACH PROGRAMS, AND SUPPORTING THE COMMUNITY THROUGH EMPLOYEE VOLUNTEER EFFORTS AND DONATIONS. WE SUPPORT THE LAKE SUPERIOR COMMUNITY HEALTH CENTER AND THE HEALTH CARE ACCESS OFFICE. IN 2023, ST. LUKE'S DONATED MORE THAN 6,500 HOURS TO ENRICH THE HEALTHCARE OF THE COMMUNITY, INCLUDING SERVING ON BOARDS OF THE MINNESOTA HOMECARE ASSOCIATION, UNITED WAY, AND OTHER NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY.C. ST. LUKE'S SERVES A DISPROPORTIONATE SHARE OF MEDICARE AND MEDICAID PATIENTS. THROUGH OUR PATIENT ASSISTANCE PROGRAM, WE PROVIDE FULL OR PARTIALLY SUBSIDIZED SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE UNABLE TO PAY. AT ADMISSION AND THROUGH PATIENT HANDBOOKS, PATIENTS ARE GIVEN INFORMATION TO CONTACT ST. LUKE'S FINANCIAL COUNSELORS FOR INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAMS. INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. ALSO, ST. LUKE'S PROVIDES MEDICAL TRANSPORT SERVICES AT LESS THAN COST TO OUR PATIENTS IN THE REGION. DURING 2023, THERE WERE 10,607 ADMISSIONS, 56,033 PATIENT DAYS, 53,600 EMERGENCY/URGENT CARE VISITS, 155,228 OUTPATIENT REGISTRATIONS AND 677,217 CLINIC VISITS. 0 0 0 ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION:ST. LUKE'S IS A NOT-FOR-PROFIT, COMMUNITY-BASED, NON-DENOMINATIONAL HOSPITAL, GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. ST. LUKE'S EMERGENCY DEPARTMENT SERVES PATIENTS REGARDLESS OF ABILITY TO PAY. ST. LUKE'S RESEARCH DEPARTMENT, THE WHITESIDE INSTITUTE FOR CLINICAL RESEARCH, PARTICIPATES IN INVESTIGATIONAL DRUG PROTOCOLS THAT ARE NON-FUNDED OR UNDER-FUNDED.ST. LUKE'S IS A CLINICAL TRAINING SITE FOR MANY HEALTHCARE STUDENTS. IN ADDITION TO MEDICAL STUDENTS AND RESIDENTS, WE PROVIDE CLINICAL TRAINING FOR STUDENTS IN NURSING, PHYSICAL MEDICINE, RADIOLOGY, RESPIRATORY, LAB, MEDICAL ASSISTANT, OCCUPATIONAL THERAPY, PHYSICIAN ASSISTANT, DIETETICS, SOCIAL WORK, MEDICAL RECORD CODING, PARAMEDIC, HEALTH UNIT COORDINATOR, SURGICAL TECHNOLOGY, ANESTHESIA, AND PHARMACY. WE CONTRIBUTED TO SCHOLARSHIP FUNDS FOR MEDICAL STUDENTS AT THE UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE AND NURSING STUDENTS AT THE COLLEGE OF ST. SCHOLASTICA AND LAKE SUPERIOR COLLEGE.OTHER EDUCATION ACTIVITIES REACH TENS OF THOUSANDS OF PEOPLE THROUGH COMMUNITY EDUCATION AND OUTREACH, HEALTH SCREENINGS, SUPPORT GROUPS, AND OTHER COMMUNITY SERVICES. OUR SPEAKERS BUREAU OFFERED PROGRAMS AT NO CHARGE TO THOUSANDS MORE. TOPICS PRESENTED INCLUDED MEN'S HEALTH, WOMEN AND BREAST CANCER, CHILDREN'S NUTRITION, MENTAL HEALTH ISSUES, CARDIAC ISSUES, FALL PREVENTION, FIRST AID, DIABETES, EYE AND LUNG ISSUES, AND INFECTION CONTROL. WE ALSO OFFERED TOURS TO DOZENS OF COMMUNITY AND SCHOOL GROUPS, MADE MEDICAL SUPPLIES/EQUIPMENT DONATIONS TO COMMUNITY AND MEDICAL RELIEF ORGANIZATIONS, DONATED NEWSPAPER ADVERTISING SPACE FOR THE JUNIOR LEAGUE OF DULUTH, PARTICIPATED IN THE COMMUNITY COALITION FOR FALL PREVENTION AND OFFERED BROCHURE PRINTING SERVICES TO A LOCAL MEDICAL PROFESSIONAL GROUP. ANNUALLY, WE PROVIDE RENT-FREE, HUNDREDS OF HOURS OF FREE MEETING SPACE FOR COMMUNITY GROUPS, SUCH AS LYME DISEASE SUPPORT GROUP, MOTHERS OF MULTIPLES AND THE OSTOMY CLUB, AND ORGANIZATIONS SUCH AS THE MINNESOTA HOMECARE ASSOCIATION, THE BOY SCOUTS, AND THE COLLEGE OF ST. SCHOLASTICA.WE OFFER SUPPORT GROUPS TO THE COMMUNITY, INCLUDING:- HEART-TO-HEART SUPPORT GROUP- PARKINSON'S DISEASE- LOOK GOOD, FEEL GOOD GROUP (THROUGH THE AMERICAN CANCER SOCIETY)- CANCER INFORMATION AND SUPPORT GROUP- OSTOMY CLUB- BREAST CANCER SUPPORT GROUP- DIABETES SUPPORT GROUP (SPONSORED BY ST. LUKE'S, DULUTH DIABETES CENTER, AND THE DULUTH FAMILY PRACTICE CENTER)- INSULIN PUMP SUPPORT GROUP (SPONSORED BY ST. LUKE'S DULUTH DIABETES CENTER, AND THE DULUTH FAMILY PRACTICE CENTER)- CELIAC SUPPORT GROUP (SPONSORED BY ST. LUKE'S AND ST. MARY'S/DULUTH CLINIC)WE PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. 501330887 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 16 0 3428 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X JERRY M YANG 2182495555 520 NORTH 32ND AVENUE WAUSAU WI 54401 JOHN YOON MD PHYSICIAN 40.00 0.00 X 1149796 0 25525 ERIC LOHN CO-PRESIDENT/CEO & CFO 35.00 5.00 X 1026111 0 79070 MARY BOYLAN MD PHYSICIAN 40.00 0.00 X 1037374 0 38896 NICHOLAS VAN DEELEN MD CO-PRESIDENT/CEO & CMO 35.00 5.00 X 990213 0 79070 ROBERT DAHLIN MD PHYSICIAN 40.00 0.00 X 963714 0 7602 JOHN STYLIARAS MD PHYSICIAN 40.00 0.00 X 894545 0 34564 ROBERT BEJNAROWICZ MD PHYSICIAN 40.00 0.00 X 904011 0 9897 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 40.00 0.00 X 654122 0 38896 AIMEE VANSTRAATEN MD BOARD SECRETARY/PHYSICIAN 40.00 0.00 X X 453772 0 34771 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 40.00 0.00 X 364555 0 30685 NYASHA SPEARS MD BOARD MEMBER/PHYSICIAN (THROUGH MAY 2023) 40.00 0.00 X 155315 0 7167 YVONNE PRETTNER SOLON BOARD CHAIR 1.00 0.00 X X 0 0 0 RENE SETTERGREN BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 KEVIN BEARDSLEY BOARD TREASURER 1.00 1.00 X X 0 0 0 PATRICK HEFFERNAN BOARD MEMBER 1.00 0.00 X 0 0 0 RICK HOGENSON BOARD MEMBER (THROUGH MAY 2023) 1.00 0.00 X 0 0 0 AMANDA IMES BOARD MEMBER (THROUGH MAY 2023) 1.00 0.00 X 0 0 0 HELENA JACKSON BOARD MEMBER (AS OF JUNE 2023) 1.00 0.00 X 0 0 0 PAKOU LY BOARD MEMBER 1.00 1.00 X 0 0 0 SCOTT LYONS BOARD MEMBER (AS OF JUNE 2023) 1.00 1.00 X 0 0 0 HERBERT MINKE BOARD MEMBER (THROUGH MAY 2023) 1.00 0.00 X 0 0 0 BRIAN MURPHY BOARD MEMBER 1.00 0.00 X 0 0 0 RICK REVOIR BOARD MEMBER 1.00 0.00 X 0 0 0 ANNA SACKETTE-URNESS BOARD MEMBER 1.00 0.00 X 0 0 0 JACK SEILER BOARD MEMBER 1.00 0.00 X 0 0 0 PHIL STROM BOARD MEMBER (THROUGH MAY 2023) 1.00 0.00 X 0 0 0 KIERA WILSON BOARD MEMBER (AS OF JUNE 2023) 1.00 1.00 X 0 0 0 8593528 0 386143 593 0 1 0 ERDMAN COMPANY 1 ERDMAN PLACE MADISON WI 53717 CONSTRUCTION SERVICES 3795960 JOHNSON WILSON CONSTRUCTION 4431 W MICHIGAN STREET DULUTH MN 55807 CONSTRUCTION SERVICES 3017056 AW KUETTEL & SONS 3930 AIRPARK BOULEVARD DULUTH MN 55811 CONSTRUCTION SERVICES 2710193 MAYO COLLABORATIVE SERVICES PO BOX 9416 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2249838 COMPHEALTH 7259 S BINGHAM JUNCTION BOULEVARD MIDVALE UT 84047 STAFFING SERVICES 2173668 274 787975 958697 1746672 MEDICAL SERVICES 621500 379489298 379489298 PHARMACY 621500 162402628 154192264 1717497 6492867 CREDENTIALING SERVICES 621500 129314 92670 36644 BIOMEDICAL SERVICES 621500 29943 29943 LABORATORY SERVICES 621500 20719 20719 9157 9157 542081059 5050419 5050419 2798540 2798540 836259 877673 -41414 -41414 -41414 55017069 52031840 296085 2985229 -296085 2689144 2689144 136025 73951 62074 62074 MEALS/VENDING INCOME 812300 1428339 1428339 PARKING LOT SERVICES 561000 551019 551019 ALL OTHER REVENUE 812300 260231 260231 125067 125067 2364656 556751150 533681562 1810167 19512749 446322 446322 117119 117119 12819548 12819548 244312059 225463524 18848535 9884631 8667249 1217382 32575487 28563521 4011966 15931945 13709062 2222883 1053324 1053324 118848 118848 97945 97945 230928 230928 46940336 31247295 15693041 580185 580185 7779141 4173573 3605568 7884356 6867371 1016985 29788158 22127798 7660360 1743190 1533767 209423 4728339 507155 4221184 16796647 11937682 4858965 1643637 1643637 UBI TAXES 28146 28146 MEDICAL SUPPLIES 54473498 54473498 DRUG SUPPLIES 51683276 51683276 MISCELLANEOUS EXPENSE 15083279 11474140 3609139 13197220 13197220 569937564 501330887 68606677 0 18730763 3356088 90371046 110944572 12801405 13967329 5431789 4035740 404173235 240912434 143038665 163260801 73659964 51169777 73051474 58427489 16095083 17099516 1959352 2827768 71129441 68900579 506268982 493989659 71783374 75896528 185536091 182019306 18202705 20307132 144950 144950 86549876 84436125 362216996 362804041 X 144051986 131185618 144051986 131185618 506268982 493989659 X -13186414 1962593 -1642547 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 18568 0 1 79377 97945 0 PART II-B, LINE 1: A PORTION OF THE DUES THAT ST. LUKE'S HOSPITAL PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION WERE USED TO ADVOCATE ON BEHALF OF THE HOSPITAL AND ISSUES RELATING TO HEALTHCARE. ST. LUKE'S HOSPITAL ALSO PAID LAW FIRMS TO LOBBY ON BEHALF OF THE HOSPITAL. 8572352 8572352 169733116 88852361 80880755 6818738 3139209 3679529 182203324 148920864 33282460 36845705 36845705 163260801 SHORT-TERM INVESTMENTS 58427489 F 58427489 DEFERRED COMPENSATION 29688445 CASH SURRENDER VALUE OF LIFE INSURANCE POLICIES 11147 DUE FROM RELATED ORGANIZATIONS 533014 RIGHT-OF-USE LEASE ASSETS 38667973 68900579 EMPLOYEE BENEFIT OBLIGATIONS 40965982 ASSET RETIREMENT OBLIGATION 1979063 MALPRACTICE LIABILITY RESERVE 225000 RIGHT-OF-USE LEASE LIABILITIES 41266080 84436125 X 553774466 1962593 692036 2654629 551119837 5631313 5631313 556751150 564838032 531781 531781 564306251 5631313 5631313 569937564 PART X, LINE 2: ST. LUKE'S IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) THAT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. PAVILION AND ST. FRANCIS APARTMENTS ARE DISREGARDED ENTITIES OF ST. LUKE'S. THE SYSTEM HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE SYSTEM FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 73,951. RENTAL EXPENSES 457,830. SINGLE-MEMBER LLC NET RENTAL LOSS 160,255. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 5,631,313. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 457,830. GIFT SHOP EXPENSES 73,951. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 5,631,313. 1 1 X 1 X 1 X 1 1 0 1 1 2249496 2249496 0.00400 57402052 48554890 8847162 0.01570 59651548 48554890 11096658 0.01970 4393668 4393668 0.00780 44616589 31884023 12732566 0.02260 457271 457271 0.00080 49467528 31884023 17583505 0.03120 109119076 80438913 28680163 0.05090 8270 8270 0.00000 2250 2250 0.00000 9564 9564 0.00000 179869 179869 0.00030 1225 1225 0.00000 201178 201178 0.00030 1 5235207 0 190370637 242076060 -51705423 X 1 1 1 1 ST LUKE'S HOSPITAL 915 EAST FIRST STREET DULUTH MN 55805 WWW.SLHDULUTH.COM 365862 X X X X X ST LUKE'S HOSPITAL OF DULUTH 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE LINE 7D X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X SEE LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 5: DURING THE FALL OF 2021, THE CHNA TEAM CONDUCTED A COMMUNITY INPUT SURVEY TO GATHER FEEDBACK ON THE MOST IMPORTANT HEALTH ISSUES IN THE COMMUNITY. THE PROCESS WAS CHOSEN AS AN ALTERNATIVE TO FORMAL IN-PERSON FOCUS GROUPS DUE TO THE ONGOING COVID-19 PANDEMIC. INCREASING THE DIVERSE DEMOGRAPHIC MAKEUP OF THE SURVEY RESPONDENTS WAS A KEY PRIORITY FOR THIS CHNA PROCESS. 340 COMMUNITY MEMBERS COMPLETED THE SURVEY. 128 COMMUNITY MEMBERS SHARED PERSONAL EXPERIENCES AND STORIES RELATED TO HEALTH NEEDS. ADDITIONALLY, A VIRTUAL MEETING WAS HELD TO REVIEW THE HEALTH DATA AND INVITE PEOPLE TO PROVIDE FEEDBACK ON THE PRIORITIES. NINETY-TWO INDIVIDUALS ATTENDED THE VIRTUAL MEETING, REPRESENTING HEALTHCARE, SCHOOL DISTRICTS, CITY AND COUNTY GOVERNMENTS, NON-PROFIT ORGANIZATIONS, POLICY MAKERS, AND OTHER COMMUNITY STAKEHOLDERS. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BY ESSENTIA HEALTH - DULUTH, ESSENTIA HEALTH - ST. MARY'S MEDICAL CENTER, AND ST. LUKE'S HOSPITAL OF DULUTH. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH A COLLABORATIVE PROCESS WITH LEADERSHIP FROM THE FOLLOWING BRIDGING HEALTH DULUTH STEERING COMMITTEE MEMBER ORGANIZATIONS: DULUTH BRANCH NAACP ESSENTIA HEALTH GENERATIONS HEALTH CARE INITIATIVES HEALTH EQUITY NORTHLAND LAKE SUPERIOR COMMUNITY HEALTH CENTER NATIONAL RURAL HEALTH RESOURCE CENTER ST. LOUIS COUNTY PUBLIC HEALTH ST. LUKE'S HOSPITAL WILDERNESS HEALTH ZEITGEIST CENTER FOR ARTS & COMMUNITY ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 7D: THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT:WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/BRIDGINGHEALTHDULUTH.ORG/WP-CONTENT/UPLOADS/2022/06/DULUTH-CHNA-2023.PDFWWW.ESSENTIAHEALTH.ORG/-/MEDIA/PROJECT/ESSENTIA/ESSENTIA/PAGES/DOCUMENTS/CHNA/IMPLEMENTATION-PLAN-2023-2025.PDF?REV=16A68257BBB2454AB23BAAC65B61AD8F&HASH=A7A75BC0352D1EC4B965C1D63587D838 ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BY ESSENTIA HEALTH-DULUTH, ESSENTIA HEALTH- ST. MARY'S MEDICAL CENTER, ST. LUKE'S HOSPITAL OF DULUTH, ST. LOUIS COUNTY PUBLIC HEALTH, LAKE SUPERIOR COMMUNITY HEALTH CENTER, GENERATIONS HEALTH CARE INITIATIVES, AND THE ZEITGEIST CENTER FOR ARTS AND COMMUNITY. THIS COLLABORATION IS KNOWN AS BRIDGING HEALTH DULUTH. BRIDGING HEALTH DULUTH SEEKS OUT AND BRINGS TOGETHER INDIVIDUALS AND ORGANIZATIONS WHO ARE INTERESTED IN POSITIVELY IMPACTING THE HEALTH OF THE COMMUNITY. THE STEERING COMMITTEE ORGANIZATIONS HAVE ALIGNED THEIR RESOURCES, SKILLS, EXPERTISE AND INTERESTS TO COLLABORATE TOWARDS A HEALTHIER DULUTH. EVERY THREE YEARS, BRIDGING HEALTH DULUTH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO SYSTEMATICALLY IDENTIFY, ANALYZE AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE PROCESS IS CONDUCTED IN COLLABORATION WITH MANY COMMUNITY PARTNERS, INCLUDING OTHER HEALTHCARE SYSTEMS, LOCAL PUBLIC HEALTH DEPARTMENTS, AND ORGANIZATIONS AND INDIVIDUALS THAT REPRESENT THE BROAD INTERESTS IN THE COMMUNITY. THIS INCLUDES MEMBERS OF MEDICALLY UNDERSERVED COMMUNITIES, LOW-INCOME INDIVIDUALS AND POPULATIONS WITH HIGHER HEALTH RISKS. ONCE THE PRIORITY HEALTH NEEDS ARE IDENTIFIED, BRIDGING HEALTH DULUTH WORKS WITH PARTNERS TO DESIGN AN IMPLEMENTATION PLAN TO LEVERAGE EXISTING COMMUNITY STRENGTHS AND RESOURCES TO IMPROVE COMMUNITY HEALTH. ALL THREE HOSPITALS ALSO PARTNERED WITH GENERATIONS HEALTH CARE INITIATIVES AND MANY OTHER STAKEHOLDERS ACROSS NORTHEAST MINNESOTA AND NORTHWEST WISCONSIN TO CONDUCT THE BRIDGE TO HEALTH SURVEY IN 2020, WHICH PROVIDES LOCAL AND REGIONAL DATA THAT WAS USED IN THIS ASSESSMENT. FROM DECEMBER 2021 TO APRIL 2022 BRIDGING HEALTH DULUTH ANALYZED DATA, CONVENED COMMUNITY PARTNERS, SOUGHT INPUT FROM COMMUNITY MEMBERS. AFTER REVIEWING COMMUNITY INPUT DATA AND SECONDARY DATA, CHNA ACTION TEAM MEMBERS DEVELOPED THE FOLLOWING CRITERIA TO PRIORITIZE KEY HEALTH NEEDS:- CLEAR: DOES IT MAKE SENSE? IS THE STRATEGY WE'RE DEVELOPING SPECIFIC ENOUGH? - FEASIBLE: CAN WE DO SOMETHING ABOUT IT WITH AVAILABLE TIME AND RESOURCES? - IMPACT: WILL IT AFFECT THOSE WITH THE HIGHEST DISPARITIES? WILL IT MOVE THE NEEDLE?- VALUE: DOES THE COMMUNITY FIND IT IMPORTANT? THE BRIDGING HEALTH DULUTH STEERING COMMITTEE APPROVED THE FINAL PRIORITIES IN DECEMBER 2021 WITH HOSPITAL BOARD APPROVAL AND ADOPTION IN 2022 FOR THE 2023-2025 IMPLEMENTATION PLAN. PRIORITIES ARE AS FOLLOWS:1. MENTAL AND SOCIAL WELLBEING2. FOOD SECURITY3. SUBSTANCE USE4. HOUSINGCOMMUNITY MEMBERS WHO COMPLETED THE SURVEY WERE ASKED TO SHARE PERSONAL EXPERIENCES REGARDING THE PRIORITY AREAS IF COMFORTABLE. ONE-HUNDRED-TWENTY-EIGHT COMMUNITY MEMBERS SHARED THEIR ANECDOTAL FEEDBACK, INCLUDING HOW TO ADDRESS THE IDENTIFIED PRIORITY AREAS AND IDENTIFYING COMMUNITY RESOURCES THAT ARE AVAILABLE. ADDITIONAL COMMUNITY MEMBERS WERE INVITED TO PARTICIPATE IN THE COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS.NEEDS NOT ADDRESSED IN THE CHNA:MANY COMMUNITY RESIDENTS AND STAKEHOLDERS IDENTIFIED ECONOMIC OPPORTUNITY, CHRONIC CONDITIONS AND HEALTHCARE ACCESS AS IMPORTANT HEALTH ISSUES. AFTER THOROUGH AND THOUGHTFUL DISCUSSION, IT WAS NOTED ALL ISSUES REVIEWED ARE INTERTWINED AND WILL IN SOME WAY BE IMPACTED BY THE WORK THAT WE DO IN THE OTHER FOUR APPROVED PRIORITY AREAS. GIVEN LIMITED RESOURCES, IT IS NOT POSSIBLE TO ADDRESS EVERY NEED IN THE COMMUNITY. ECONOMIC OPPORTUNITY, CHRONIC CONDITIONS AND HEALTHCARE ACCESS ARE ALL BEING ADDRESS THROUGH COMMUNITY INITIATIVES OUTSIDE OF BRIDGING HEALTH DULUTH. BRIDGING HEALTH DULUTH WORKED WITH SEVERAL STAKEHOLDERS AND COMMUNITY PARTNERS IN THE DULUTH AREA TO DESIGN STRATEGIES THAT ADDRESS THREE OF THE PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE STRATEGIES OUTLINE ACTIONS THAT WILL BE TAKEN TO RESPOND TO THE IDENTIFIED NEEDS. TO BEST MEET THE NEEDS OF OUR COMMUNITY, BRIDGING HEALTH DULUTH DECIDED THAT CREATING A JOINT IMPLEMENTATION PLAN WILL BEST SUPPORT A COHESIVE, COLLECTIVE IMPACT MODEL WITH SHARED DATA, BEST PRACTICE SHARING, AND THE OPPORTUNITY TO AVOID DUPLICATION OF EFFORTS WHILE FILLING GAPS.A THREE-YEAR PLAN TO ADDRESS FOOD SECURITY, MENTAL AND SOCIAL WELLBEING, AND SUBSTANCE USE IN THE COMMUNITY AND WILL BE REVIEWED ANNUALLY WITH PROGRESS SHARED WITH HOSPITAL LEADERSHIP AND THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. ADDITIONALLY, BRIDGING HEALTH DULUTH WILL CONTINUE HOSTING AN ANNUAL COMMUNITY EVENT TO ENSURE TRANSPARENCY AND ACCOUNTABILITY AROUND ADDRESSING COMMUNITY HEALTH NEEDS. DURING THE FISCAL YEARS 2023-2025 CHNA IMPLEMENTATION CYCLE, SOME ACTIVITIES WILL BE LED BY THE INDIVIDUAL ORGANIZATIONS, WHILE OTHERS WILL BE COORDINATED ACROSS BRIDGING HEALTH DULUTH.DESIRED RESULTS AND DATA INDICATORS: THE RESULTS AND INDICATORS LISTED BELOW ARE A RESPONSE TO COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THEY OUTLINE THE DESIRED RESULTS OF COMMUNITY ACTION AND DATA POINTS TO HELP INDICATE PROGRESS. BRIDGING HEALTH DULUTH USES RESULTS-BASED ACCOUNTABILITY TO FRAME AND IMPLEMENT THIS PLAN. RESULT: A COMMUNITY WHERE EVERYONE HAS ACCESS TO SUBSTANCE USE RECOVERY, HEALTH, AND WELLBEING - INDICATOR: EMERGENCY ROOM VISITS FROM NONFATAL OVERDOSE AMONG ST. LOUIS COUNTY RESIDENTS (SOURCE: MN HOSPITAL DISCHARGE DATA) RESULT: A COMMUNITY WHERE EVERYONE CAN ACHIEVE A STATE OF WELLBEING IN WHICH THEY KNOW THEIR OWN ABILITIES, CAN COPE WITH NORMAL STRESS, CAN WORK EFFECTIVELY, AND ARE ABLE TO CONTRITE TO THEIR COMMUNITY. - INDICATOR: ADULTS REPORTING 14 OR MORE POOR MENTAL HEALTH DAYS IN THE LAST 30 DAYS (SOURCE: BRIDGE TO HEALTH SURVEY) RESULT: A COMMUNITY WHERE EVERYONE HAS ACCESS TO ENOUGH AFFORDABLE, NUTRITIOUS, CULTURALLY APPROPRIATE FOOD. - INDICATOR: ADULTS WITH FOOD ACCESS BARRIERS (SOURCE: BRIDGE TO HEALTH SURVEY)THE BRIDGING HEALTH DULUTH PUBLIC PRESENTATION "CONVERSATIONS FOR A HEALTHIER COMMUNITY" OF WHICH ST. LUKE'S WAS A CO-SPONSOR AND CO-ORGANIZER WAS HELD IN OCTOBER 2023. THE ANNUAL EVENT FOCUSED ON COMMUNITY DIALOGUE WITH PANELISTS WHO'S WORK FOCUSES AROUND THE FOUR PRIORITY AREAS IDENTIFIED IN THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING MENTAL AND SOCIAL WELLBEING, FOOD SECURITY, HOUSING, AND SUBSTANCE USE. THE EVENT INCLUDED OPPORTUNITIES FOR ATTENDEES TO CONNECT WITH COMMUNITY PROFESSIONALS, EXPLORE ASSESSMENT RESULTS AND ACTION PLANS, LEARN ABOUT BRIDGING HEALTH DULUTH'S WORK, DISCUSS COMMUNITY EFFORTS TO ADDRESS HEALTH DISPARITIES, AND FIND OUT HOW TO GET INVOLVED. THE FREE COMMUNITY LUNCH AND PRESENTATION WAS WIDELY COVERED BY LOCAL PRESS.IN 2023: ST. LUKE'S TOOK THE FOLLOWING STEPS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS:GLOBAL ACTIONS:TWO STAFF WERE INVOLVED IN THE BRIDGING HEALTH DULUTH STEERING COMMITTEE AND PARTICIPATED IN DEVELOPING THE INFRASTRUCTURE FOR THE ACTION TEAMS.- ONE OF THESE TEAMS WAS FOCUSED ON MENTAL HEALTH- ONE TEAM FACILITATED ONE PROGRAM FOR FARMERS MARKET CHILDREN'S PROGRAMMING AND IDENTIFIED FUNDING PRIORITY AROUND SUBSTANCE USE RECOVERY LISTED FURTHER IN THIS DOCUMENT.ASSISTANCE WITH PLANNING AND CO-HOSTING AND ADVERTISING THE CONVERSATIONS FOR A HEALTHIER COMMUNITY EVENT.ST. LUKE'S HOSPITAL DEVELOPED AND IMPLEMENTED SOCIAL DETERMINANTS OF HEALTH SCREENING WITHIN THE INPATIENT HOSPITAL SETTING, WITH ROLLOUT IN OCTOBER 2023. WITH THIS PROJECT, EDUCATION WAS PROVIDED TO INPATIENT NURSING AND CASE MANAGEMENT STAFF TO REVIEW WHAT SOCIAL DETERMINANTS OF HEALTH ARE, HOW THEY IMPACT OUR PATIENT'S LIVES, AND THE SCREENING AND REFERRAL PROCESS. THE SCREENING TOOL DEVELOPED SCREENS FOR DOMESTIC VIOLENCE, ABUSE, NEGLECT, IN ADDITION TO HOUSING INSECURITY, FOOD INSECURITY, TRANSPORTATION ACCESS, AND FINANCIAL INSECURITY, INCLUDING ABILITY TO SUPPORT IN HOME UTILITIES. THIS SCREENING PROCESS, IF FLAGGED POSITIVE ON ANY OF THE ELEMENTS, CREATES A CONSULT TO CASE MANAGEMENT FOR INTERVENTION. ST. LUKE'S STAFF HAVE SUCCESSFULLY SCREENED 74% OF ACUTELY HOSPITALIZED PATIENTS AND PROVIDED RESOURCES TO THOSE AT RISK.TRANSPORTATION ACCESS REMAINS A SIGNIFICANT BARRIER TO HEALTH ACCESS WITHIN THE COMMUNITIES SERVED BY ST. LUKE'S HOSPITAL. FROM JULY, 1 2023-DECEMBER 31, 2023, ST. LUKE'S PROVIDED COVERAGE FOR $77,000 OF UNCOMPENSATED NON-EMERGENT MEDICAL TRANSPORT (NEMT) SERVICES TO PATIENT NEEDING ACCESS TO CARE INCLUDING DISCHARGE TO HOME. - THE DIRECTOR OF CASE MANAGEMENT HAS WORKED WITH THE REGIONAL RURAL TRANSPORTATION COALITION TO DEVELOP A HEALTHCARE SUB-COMMITTEE FOCUSED ON CLOSING THE GAP IN NEMT IN THE REGION. COLLABORATIVE WORK WITH ST. LUKE'S, ESSENTIA HEALTH, MNDOT, DHS, AND THE TRANSPORTATION COALITION HAS LED TO DATA COLLECTION, INCLUDING SPEND, TO DRIVE OBJECTIVE DATA TO THE MNDOT STRATEGIC PLANNER TO PURSUE LEGISLATIVE CHANGE FOR NEMT COVERAGE IN THE STATE OF MINNESOTA TO INCREASE ASSESS TO NEMT FOR THOSE FACING FINANCIAL INSECURITY.(CONTINUED AT THE END OF SECTION C) ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 13B: PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE VALUE OF THEIR INCOME AND ASSETS COMPUTED ON THE "ST. LUKE'S FINANCIAL ASSISTANCE ELIGIBILITY WORKSHEET". ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 16J: A "PATIENT NOTICE OF FINANCIAL ASSISTANCE" WILL BE POSTED IN PUBLIC AREAS ACCESSIBLE TO PATIENTS. IN ADDITION, THE NOTICE IS AVAILABLE TO PATIENTS IN PRINTED FORM, INCLUDING A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY PRINTED ON A PATIENT'S BILL. THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ONLINE AT:WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ASPIRUS-ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/. PART V, SECTION B, LINE 11 (CONTINUED): - ST. LUKE'S PARTICIPATED IN A STUDY IN TANDEM WITH MINNESOTA HOSPITAL ASSOCIATION TO EVALUATE INPATIENT AVOIDABLE DAYS, TO DETERMINE THE NUMBER OF PATIENT DAYS AT EACH HOSPITAL FOR PATIENTS WHO NO LONGER MET ACUTE LEVEL OF CARE, BUT WERE FACING DISCHARGE BARRIERS INCLUDING LACK OF MEDICAID FUNDING FOR LONG TERM CARE, HOMELESSNESS, AND OR OTHER COMPLEX BARRIERS. IN THIS TIME INITIAL STUDY FROM JANUARY 1, 2023 TO MAY 31, 2023, 208 PATIENT EXPERIENCED AVOIDABLE DAYS TOTALING 2,581 DAYS WITH 90 PATIENTS EXPERIENCING AVOIDABLE EMERGENCY DEPARTMENT DAYS, TOTALING 134 AVOIDABLE DAYS . IN A SUPPLEMENTAL STUDY OF JUNE 1, 2023-OCTOBER 31, 2023, ST. LUKE'S HAD 158 PATIENTS EXPERIENCING A TOTAL OF 1,751 AVOIDABLE HOSPITAL DAYS. DURING THIS SAME TIME PERIOD, 69 PATIENTS EXPERIENCE AVOIDABLE DAYS IN THE EMERGENCY DEPARTMENT TOTALING 85 DAYS DUE TO LACK OF ACCESS TO MENTAL HEALTH SERVICES OR APPROPRIATE COMMUNITY RESOURCES. FOR BOTH OF THESE STUDIES, THE DIRECTOR OF NURSING SPENT OVER 100 HOURS OF COMPENSATED TIME FOR CHART REVIEW AND DATA COLLECTION/SUBMISSION. THIS LED TO A SUBSEQUENT PROCESS FOR MORE ROBUST AVOIDABLE DAY TRACKING FOR FUTURE PROJECTS WITHIN THE ELECTRONIC MEDICAL RECORD.MENTAL AND SOCIAL WELLBEING:ON NOVEMBER 2022, ST. LUKE'S TOOK OVER THE CONTRACT FOR JAIL MEDICAL SERVICES AT ST. LOUIS COUNTY JAIL AND THE NORTH EAST REGIONAL CORRECTIONAL CENTER. ONE OF THE LARGEST INITIATIVES, TO NOT ONLY PROVIDER 24/7 ON SITE MEDICAL SERVICES, BUT TO PROVIDE 40 HOURS OF MENTAL HEALTH SERVICES PER WEEK ON SITE. IN 2023, ST. LUKE'S HOSPITAL SUPPORTED THE COMMUNITY MEMBERS INCARCERATED AT THE JAIL WITH ONE FULL TIME AND ONE PART TIME MENTAL HEALTH PROFESSIONAL TO PROMOTE MENTAL HEALTH STABILITY AND TRANSITION PLANNING BACK INTO THE COMMUNITY.IN 2023, ST. LUKE'S HOSPITAL PARTICIPATED IN A 45 DAY STUDY OF MINNESOTA HOSPITALS FOCUSING ON DISCHARGE DELAYS FOR BOTH INPATIENT AND EMERGENCY DEPARTMENT BEHAVIORAL HEALTH PATIENTS, REQUIRING A 2 WEEK DATA SUBMISSION. ST. LUKE'S PARTICIPATED FROM OCTOBER 3RD, 2023-OCTOBER 17, 2023. ACUTE CARE CASE MANAGEMENT STAFF UTILIZED TWO TOOLS FOR TRACKING CASES AND AND WERE SUBMITTED VIA ELECTRONIC SECURE MEANS BY THE DIRECTOR OF CASE MANAGEMENT. THE RESULTS OF THE STUDY ARE UTILIZED TO QUANTIFY SERVICE NEEDS, OBTH INSIDE AND OUTSIDE OF HOSPITALS AND IN SURROUNDING COMMUNITIES. THE STUDY TOOK APPROXIMATELY 30 HOURS TOTAL OF CASE MANAGEMENT STAFF TIME, WHICH WAS COMPENSATED BY ST. LUKE'S HOSPITAL. THE RESULTS OF THE STUDY WERE PUBLISHED JULY OF 2024 AND CAN BE FOUND HERE: HTTPS://WWW.HEALTH.STATE.MN.US/DATA/ECONOMICS/DOCS/DISCHARGEDELAYS.PDF IDENTIFYING THE ONGOING GAPS IN ACCESS TO MENTAL HEALTH SERVICES, ST. LUKE'S HAS CONTINUE TO GROW ITS MENTAL HEALTH SERVICES AVAILABLE TO THE COMMUNITY. IT IS CURRENTLY STAFFED WITH EIGHT ADULT THERAPISTS, TWO CHILD THERAPISTS, FOUR ADULT PSYCHOLOGISTS, ONE CHILD PSYCHOLOGIST, ONE CHILD PSYCHIATRICS, THREE ADULT PSYCHIATRISTS AND TWO ADULT PSYCHIATRIC CERTIFIED NURSE PRACTITIONERS. - THE DEVELOPMENT OF THIS PROGRAMMING HAS INCLUDED THE EXPANSION OF THE TRANSCRANIAL MAGNETIC STIMULATION SERVICE FOR THOSE WHO EXPERIENCE REFRACTORY MAJOR DEPRESSIVE DISORDER, OBSESSIVE-COMPULSIVE DISORDER, IN ADDITION TO OTHER DIAGNOSES WHEN STANDARD TREATMENTS HAVE NOT WORKED.- THE BEHAVIORAL HEALTH CLINIC HAS PARTICIPATED IN COMMUNITY DIVERSITY EQUITY AND INCLUSION EVENTS INCLUDING TRANS JOY FEST AND DULUTH/SUPERIOR PRIDE, IN ADDITION TO PRESENTING TO LOCAL COLLEGE STUDENTS ON DEI. IN THE INTEREST OF BUILDING COMMUNITY, THE COMMUNITY ACTION DULUTH FARMERS MARKET ASKED ST. LUKE'S TO CONTRIBUTE TIME AND KIDS ACTIVITIES AT THE LOCAL FARMERS MARKET WITH THE IDEA TO HAVE CHILDREN SPEND MORE TIME COMPLETING THESE ACTIVITIES AT THE EVENT, THEREBY BUILDING COMMUNITY. BRIDGING HEALTH DULUTH COORDINATED PARTICIPATION IN THIS EVENT WITH ST. LUKE'S PARTICIPATING IN ONE OF THE WEEKS FOR A TOTAL OF 2 HOURS OF TIME.IN 2023, THE ST. LUKE'S PEDIATRIC CLINIC COORDINATED A BACKPACK EVENT AND SCHOOL SUPPLY DRIVE FOR THE PRE-START-OF-SCHOOL UNITY IN THE COMMUNITY EVENT. 5 STAFF MEMBERS PARTICIPATED FOR A TOTAL OF 12 HOURS. DONATIONS WERE COLLECTED FROM ST. LUKE'S EMPLOYEES AND DONATED TO EVERY SCHOOL IN THE709 DISTRICT, K-12.IN THE INTEREST OF SUPPORTING PATIENT SERVED AT ST. LUKE'S WHO MAY NOT HAVE ADEQUATE CLOTHING DUE TO LIMITED FINANCIAL MEANS AND IMPACTED BY SOCIAL DETERMINANTS OF HEALTH, THE HOSPITAL SUPPORTED CLOTHING DISTRIBUTION FOR PATIENTS FREE OF CHARGE. ST. LUKE'S CONTRIBUTED $8,702.26 IN NEW CLOTHING ITEMS FOR PATIENTS INCLUDING SHOES AND JACKETS.ST. LUKE'S FACILITATES SEVERAL FREE SUPPORT GROUPS THAT HELP IN PROMOTING MENTAL HEALTH:- THE DIRECTOR OF CHAPLAINCY PROVIDES BEREAVEMENT SUPPORT TO INDIVIDUALS WHO HAVE EXPERIENCE THE DEATH OF A LOVED ONE. THIS GRIEF SUPPORT GROUP IS HELD THE FIRST TUESDAY OF EVERY MONTH FROM 2-3 PM AND THE THIRD THURSDAY OF THE MONTH FROM 6:30-7:30 PM FREE OF CHARGE. THE GROUP WELCOMES ALL MEMBERS OF THE COMMUNITY.- PATIENTS EXPERIENCING PERINATAL LOSS ARE PROVIDED WITH THE MENDING HEARTS CURRICULUM THAT WAS PURCHASED THROUGH THE ST. LUKE'S FOUNDATION. THE CURRICULUM CONSISTS OF HANDOUTS, WITH ST. LUKE'S SPENDING 1-2 HOURS PER MONTH PREPARING FOR THESE GROUPS AND 1 HOUR MONTHLY FACILITATING THE GROUP. THERE ARE AN AVERAGE OF 3-10 PARTICIPANTS EACH MONTH WHO ARE PROVIDED WITH THE CURRICULUM. THIS PROGRAM IS AVAILABLE TO COMMUNITY MEMBERS WHO ALSO HAVE RECEIVED CARE OUTSIDE OF ST. LUKE'S AND IS FREE OF CHARGE. FIVE MATERNAL CHILD HEALTH NURSES ROTATE CO-FACILITATING WITH ST. LUKE'S COMPENSATING THEIR TIME IN CONJUNCTION WITH PARTICIPATION FROM COMMUNITY PARTNERS THREESIXTY THERAPY AND DULUTH PERINATAL.- THE ONCOLOGY CLINIC SOCIAL WORKERS SUPPORT TWO FREE SUPPORT GROUPS INCLUDING: A. THE GENERAL CANCER SUPPORT GROUP: WITH ST. LUKE'S COMPENSATED TIME, THE SOCIAL WORKER FACILITATES A 90 MINUTE CANCER SUPPORT GROUP ON THE FIRST TUESDAY OF EVERY MONTH SERVING 8-12 PATIENTS PER MONTH WITH SOCIAL AND COPING SUPPORT FOR THEIR OWN OR THEIR LOVED ONES CANCER DIAGNOSIS. THIS SUPPORT GROUP IS AVAILABLE FREE OF CHARGE TO COMMUNITY MEMBERS. FREE SNACKS AND REFRESHMENTS ARE PROVIDED BY ST. LUKE'S HOSPITAL.B. THE BREAST CANCER SUPPORT GROUP: WITH ST. LUKE'S COMPENSATED TIME, THE SOCIAL WORKER FACILITATES A 90 MINUTE BREAST CANCER SUPPORT GROUP ON THE FIRST MONDAY OF EVERY MONTH. THIS SUPPORT GROUP IS OFFERED FREE OF CHARGE TO PATIENTS AND THEIR LOVED ONES EXPERIENCING BREAST CANCER IS OPEN TO THE PUBLIC AND PROVIDES COPING AND SOCIAL SUPPORT. FREE SNACKS AND REFRESHMENTS ARE PROVIDED BY ST. LUKE'S HOSPITAL. ON JUNE 27, 2023, ST. LUKE'S HOSTED A FREE COMMUNITY EVENT COVERING THE TOPIC OF NAVIGATING CANCER; GET TO KNOW THE TEAM WITH ST. LUKE'S SPEAKERS INCLUDING PHARMACY, ONCOLOGY PHYSICIANS, ONCOLOGY NURSES, RESEARCH STAFF, REGISTERED DIETICIANS AS WELL AS OCCUPATIONAL THERAPISTS TO ENGAGE COMMUNITY UNDERSTANDING IN NAVIGATING A CANCER DIAGNOSIS FOR SELF OR LOVED ONES.ST. LUKE'S ONCOLOGIC STAFF SCREEN PATIENTS UTILIZING A DISTRESS THERMOMETER AND SCREENING TOOL FOR MEASUREMENT OF PATIENT DISTRESS. BASED ON THESE SCREENINGS RESOURCES ARE PROVIDED THROUGH GRANT FUNDED OPPORTUNITIES FOR GAS CARDS, LOCAL HOTEL LODGING SUPPORT, GROCERY GIFT CARS, CHEMOTHERAPY SUPPLY BAGS AND ENSURE FOR PATIENTS THAT ARE FACING DISPARITIES IN MAINTAINING WELL BEING AND ACCESSING CARE. ST. LUKE'S ONCOLOGIC STAFF MAINTAIN A WIG ROOM, INCLUDING A SUPPLY OF HATS AND SCARVES. THE ONCOLOGY CLINIC SOCIAL WOKER ASSISTS STAFF WHO ARE IN NEED WITH FINDING AN APPROPRIATE FIT TO IMPROVE THE PATIENTS OVERALL WELLBEING AND COPING WITH THEIR DIAGNOSIS. APPROXIMATELY 5 WIGS ARE PROVIDED PER WEEK WITH STAFF COMPENSATED FOR THEIR TIME IN ASSISTING PATIENTS.THE ST. LUKE'S REJUVENATION CLINIC AESTHETICIAN SUPPORTS THE BRAVE FACES PROGRAM. THE SKIN CARE SUPPLIES ARE FOUNDATION GRANT SUPPORTED, BUT THE CLASS TIME IS SUPPORTED THROUGH COMPENSATED WAGES. THIS CLASS PROVIDES 8 CLASSES ANNUALLY ON A REFERRAL PROCESS VIA THE ONCOLOGY CLINIC SOCIAL WORKER TO ASSIST PATIENTS UNDERGOING ONCOLOGY TREATMENT ON APPROPRIATE SKIN CARE.ST. LUKE'S STAFF MAINTAIN A RESOURCE LIST OF BOTH LOCAL CRISIS RESOURCES, INCLUDING THE NATIONAL 988 NUMBER IN ADDITION TO RESOURCES FOR MENTAL HEALTH TREATMENT THAT ARE REVIEWED AND UPDATED ANNUALLY AND DISSEMINATED TO PATIENTS.ST. LUKE'S PARTNERED WITH SAFE HAVEN FOR ONGOING EMPLOYEE EDUCATION SURROUNDING DOMESTIC PARTNER VIOLENCE AND PROVIDES BOTH 211 UNITED WAY CARDS AND SAFE HAVEN BUSINESS CARDS TO THOSE WHO FLAG POSITIVE FOR DOMESTIC PARTNER VIOLENCE ON HITS SCREENING (HURT, INSULT, THREATEN, SCREAM, STRANGLE). PART V, SECTION B, LINE 11 (CONTINUED): ST. LUKE'S HOSPITAL PROVIDED FUNDING TO THE FOLLOWING ORGANIZATIONS TO AID IN ADDRESSING MENTAL AND SOCIAL WELL-BEING:- NORTHERN EXPRESSIONS ARTS COLLECTIVE PROGRAMMING, YMCA KIDS CLUB AND EVENTS, CHESTER BOWL IMPROVEMENT PROJECT, MOVIES IN THE PARK AND SIDEWALK DAYS THROUGH THE GREATER DOWNTOWN COUNCIL, YOUNG ATHLETES FOUNDATION, ZEITGEIST'S HEALTHY HILLSIDE INITIATIVE, CLARITY PROJECT-URGENT CARE BEHAVIORAL HEALTH PROJECT, FIRST WITNESS, SANE/PAVSA, ALZHEIMER'S WALK AND THE JUNETEENTH EVENT.- THE ST. LUKE'S HOSPITAL EMERGENCY DEPARTMENT SOCIAL WORKER PARTICIPATES MONTHLY IN THE COMMUNITY INTERVENTION GROUP EQUATING TO 12 HOURS PER YEAR IN COMMITTEE WITH AN ADDITIONAL 23 HOURS PER YEAR UPDATING MEDICAL RECORDS WITH APPROPRIATE RELEASE OF INFORMATION DOCUMENTS AND SPECIAL INDICATORS. THE CIG WORK FOCUSES ON PROVIDING SOCIAL STRUCTURE AND SUPPORTS FOR PATIENTS WHO EXPERIENCE HIGH LAW ENFORCEMENT, CORRECTIONS, HOMELESSNESS, AND HOSPITAL RECIDIVISM TO REDUCE RISK, IMPROVE PATIENT OUTCOMES, AND DECREASE CRIMINALIZATION OF HOMELESSNESS, MENTAL HEALTH AND SUBSTANCE USE DISORDER.- THE ST. LUKE'S MARINER CLINIC MAINTAINED A SUPPLY CLOSET IN 2023, SERVING APPROXIMATELY 60 PATIENTS WITH PERSONAL HYGIENE ITEMS. THERE IS A LAMINATED MESSAGE WITHIN THE CLINIC WAITING ROOM NOTIFYING PATIENTS OF THE RESOURCE. IF SOMEONE NEEDS SUPPLIES, THEY ARE ASSISTED TO THE SUPPLY ROOM AND PROVIDED A DISCRETE BAG FOR SUPPLIES. THE CLINIC STAFF COORDINATE DONATIONS WITH LOCAL AGENCIES TO SUPPLY THE CLOSET.FOOD SECURITY:ST. LUKE'S SUPPORTS THE LOCAL COMMUNITY BY PROVIDING FOOD TO THE LOCAL SECOND HARVEST NORTHLAND FOODBANK THROUGHOUT THE YEAR FROM THE BLUE WAVES CAF, THE CAFETERIA AT ST. LUKE'S HOSPITAL. IN 2023, ST. LUKE'S PROVIDED 711 POUNDS OF FOOD EQUATING TO 569 MEALS TO BE PROVIDED TO THE LOCAL COMMUNITY. ST. LUKE'S PROVIDED AND SUPPORTED COMMUNITY-LED PARTNERSHIPS THAT FOCUS ON CULTURALLY APPROPRIATE FOOD ACCESS AND EDUCATION AS OPPORTUNITIES ARISE INCLUDING AICHO'S FOOD SOVEREIGNTY PROGRAMS AND EVENTS, THE GIVING GARDEN, AND FREEDOM FARM. IN 2023, IN COORDINATION WITH COMMUNITY ACTION DULUTH AND BRIDGING HEALTH DULUTH, ST. LUKE'S ARRANGED FAMILY-FRIENDLY ACTIVITIES AT THE HARRISON PARK FARMERS MARKET.ST. LUKE'S STAFF PARTICIPATED IN THE DULUTH FARM TO SCHOOL PROGRAM AND THE LINCOLN PARK MIDDLES SCHOOL FOOD SHELF AND THE LAURA MACARTHUR SCHOOL FOOD DRIVE.ST. LUKE'S CONTINUES TO BUILD A COMMUNITY APPROACH TO SCREENING FOR FOOD INSECURITY AND CONNECTING PEOPLE FACING FOOD INSECURITY WITH RESOURCES, INCLUDING GROWING UTILIZATION AND EFFECTIVENESS OF WWW.WEARERESOURCEFUL.COM IN THE ACUTE AND AMBULATORY SETTING WITH FOOD ACCESS SCREENING IN THE ACUTE CARE HOSPITAL, ONCOLOGY AND MATERNAL CHILD HEALTH CLINICS.- FOR PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY, THE ST. LUKE'S PEDIATRIC CLINIC OFFERS SERVICES, SUPPORTS AND RESOURCES. STAFF SPENT 10 HOURS IN 2023 SHOPPING FOR ITEMS AND 12 HOURS PER YEAR ORGANIZING AND MAINTAINING A FOOD PANTRY IN THE CLINIC. IN 2023, 9 FAMILIES WERE HELPED WITH 188 ITEMS IN THE CLOSET.- THE ONCOLOGY CLINIC PROVIDES GRANT FUNDED GROCERY CARDS, IN ADDITION TO ENSURE FOR PATIENTS EXPERIENCING FOOD INSECURITY AND OR RISK FOR MALNUTRITION DURING ACTIVE CANCER TREATMENT.IN 2023, 19 EMPLOYEES FROM THE ST. LUKE'S 5 WEST AND FLOAT POOL NURSING STAFF PARTICIPATED IN PACKING FOOD BOXES FOR FAMILIES IN NEED AT SECOND HARVEST NORTHLAND. 19 EMPLOYEES PARTICIPATED FOR 2 HOURS EACH, TOTALING 38 HOURS. THEIR CONTRIBUTION PROVIDED A RESULT OF 1,000 BOXES OF FOOD BEING PACKED FOR DISTRIBUTION IN THE COMMUNITY.SUBSTANCE USE:ONGOING ACUTE CARE COORDINATION SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) TRAIN THE TRAINER AND INTERVENTION FOR ACUTELY HOSPITALIZED TRAUMA PATIENTS WHO FLAG POSITIVE FOR SUBSTANCE USE AND OR ALCOHOL USE ON INITIAL SCREENING. THE GOAL IS TO PROVIDE RISK REDUCTION FOR THOSE WHO ARE AT RISK FOR POOR HEALTH OUTCOMES RELATED TO THEIR SUBSTANCE USE, AND OR ENGAGE THE PATIENT IN REFERRAL TO TREATMENT FOR THOSE WHO HAVE A HIGH PROBABILITY OF A SUBSTANCE USE DISORDER AND OR ALCOHOL USE DISORDER. ST. LUKE'S STAFF MAINTAIN A RESOURCE LIST OF SUBSTANCE USE TREATMENT RESOURCES THAT ARE REVIEWED AND UPDATED ANNUALLY FOR PATIENT DISSEMINATION.A ST. LUKE'S STAFF MEMBER WAS THE LEAD OF AN ACTION TEAM THAT FACILITATED PROGRAMMING FOR SUBSTANCE USE RECOVERY.PROGRAMMATIC SUPPORT WAS PURSUED BY A PHARMACIST AT ST. LUKE'S THROUGH A COMMUNITY GRANT TO SUPPORT THE PURCHASE OF NARCAN KITS. THESE KITS ARE PROVIDED IN THE ST. LUKE'S EMERGENCY DEPARTMENT TO PATIENTS WHO THEMSELVES EXPERIENCE OPIOID USE OR LIVE WITH THOSE WHO EXPERIENCE OPIOID USE. THE STATE OPIOID RESPONSE GRANT THAT WAS PURSUED IN TANDEM WITH ESSENTIA HEALTH HAD TWO FOCUSES TO SUPPORT AND INCREASE ACCESS TO MEDICATION FOR OPIOID USE DISORDER (MOUD) TREATMENT AND CREATE FORMAL PATHWAYS TO ENHANCE TRANSITIONS BETWEEN EMERGENCY DEPARTMENTS AND OTHER COMMUNITY ENTITIES. THE PHARMACIST SPENT APPROXIMATELY 60 HOURS OF COMPENSATED TIME AND WORK INCLUDED FACILITATION OF AN INTERDISCIPLINARY TEAM OF ST. LUKE'S STAFF FOR REIMBURSEMENT FOR BUPRENORPHINE WAIVER TRAINING FOR EMERGENCY DEPARTMENT PROVIDERS, MEMBERSHIP ACCESS FOR ST. LUKE'S NURSES TO THE INTERNATIONAL NURSES SOCIETY ON ADDICTIONS, EMERGENCY DEPARTMENT BUS PASSES TO INCREASE ACCESS TO TREATMENT SERVICES AND $8,555 OF 180 2-DOSE PACKS OF NARCAN. IN 2023, APPROXIMATELY 60 NARCAN KITS WERE PROVIDED TO PATIENTS IN NEED TO REDUCE THE RISK OF OVERDOSE, POOR OUTCOMES, UP TO AND INCLUDING DEATH.ON NOVEMBER 2022, ST. LUKE'S TOOK OVER THE CONTRACT FOR JAIL MEDICAL SERVICES AT ST. LOUIS COUNTY JAIL AND THE NORTH EAST REGIONAL CORRECTIONAL CENTER. IN 2023, ST. LUKE'S HOSPITAL SUPPORTED THE COMMUNITY MEMBERS INCARCERATED AT ST. LOUIS COUNTY JAIL WITH MEDICATION ASSISTED TREATMENT WITH SUBOXONE, A SHORT ACTING COMBINATION OF BUPRENORPHINE AND NALOXONE USED TO TREAT OPIOID USE DISORDER, TO DECREASE THE RISK OF WITHDRAWAL AS WELL AS OVERDOSE. IT WAS IDENTIFIED THAT WITH TRANSITIONS OUT OF THE HOSPITAL, BARRIERS WITH PRIOR AUTHORIZATION, AND FOLLOW UP, THAT A MOVE TO PROVIDING SUBLOCADE, A 30 DAY LONG ACTING FORM OF BUPRENORPHINE USED TO TREAT MODERATE TO SEVERE OPIOID USE DISORDER, WOULD BE BENEFICIAL. TREATMENT PLANNING FOR THIS PROGRAMMATIC DEVELOPMENT BEGAN IN 2023 TO REDUCE THE RISK FOR OVERDOSE AND DEATH AS INMATES TRANSITION OUT OF THE JAIL AND INTO THE COMMUNITY.ST. LUKE'S HOSPITAL PROVIDED FUNDING FOR RECOVERY ALLIANCE DULUTH'S MONTHLY MEETING TO SECURE ONGOING ENGAGEMENT AND LEADING TO COMMUNITY BUILDING. THIS GROUP FOCUSES ON PROVIDING PEER RECOVERY SUPPORT TO THOSE EXPERIENCING SUBSTANCE USE DISORDER.ST. LUKE'S HOSPITAL CONTINUED TO PARTICIPATE IN THE COMMUNITY INITIATIVE WITH THE CLARITY PROJECT, A INTERFACILITY COLLABORATIVE APPROACH TO DEVELOP A BEHAVIORAL HEALTH URGENT CARE WITHIN THE CITY OF DULUTH THAT WOULD CONCOMITANTLY PROVIDE COMPREHENSIVE ASSESSMENTS TO ACCESS TREATMENT SERVICES FOR SUBSTANCE USE DISORDERS AS WELL AS MEDICATION ASSISTED THERAPY (MAT) FOR SUBSTANCE USE DISORDER. PARTICIPATION INCLUDED ONE STAFF MEMBER PARTICIPATING MONTHLY FOR APPROXIMATELY ONE HOUR.ASPIRUS ST. LUKE'S, THROUGH BRIDGING HEALTH DULUTH, HAS BEEN INVOLVED IN THE COMMUNITY SOLUTIONS FOR SUBSTANCE USE AND RECOVERY (CSSUR) COALITION. THE COALITION AIMS TO TO REDUCE HARM, INCREASE SAFETY, AND SUPPORT RECOVERY THROUGH COMMUNITY-BASED SOLUTIONS FOR THOSE IMPACTED BY SUBSTANCE USE. COALITION STRATEGIES INCLUDE: - ENGAGE THE COMMUNITY TO CREATE AND HIGHLIGHT SOLUTIONS TO POSITIVELY SUPPORT INDIVIDUALS, ORGANIZATIONS AND COMMUNITIES IMPACTED BY SUBSTANCE US (COMMUNITY AWARENESS WORKGROUP)- ADDRESS STIGMA, INCREASE ADVOCACY AND DEVELOP CONNECTIONS WITHIN THE COMMUNITY TO SUPPORT INDIVIDUALS IMPACTED BY SUBSTANCE USE (RECOVERY COMMUNITY WORKGROUP)- MONITOR OPPORTUNITIES FOR POLICY/ADVOCACY TO SUPPORT INCREASE ACCESS AND SUPPORT FOR SUBSTANCE USE RECOVERY. PART V, SECTION B, LINE 11 (CONTINUED): HOUSING:A NOTE ON HOUSING: BRIDGING HEALTH DULUTH RECOGNIZED THAT STABLE HOUSING IS FOUNDATIONAL TO THE HEALTH AND WELL-BEING OF THE ENTIRE COMMUNITY. HOUSING STABILITY IS IMPACTED BY MANY FACTORS, INCLUDING INCOME, STRUCTURAL RACISM, INCARCERATION, PUBLIC POLICY, AND PARTICULARLY MENTAL HEALTH AND SUBSTANCE USE DISORDERS. HOUSING IS A HAVEN FOR CHILDREN TO GROW AND LEARN, PEOPLE TO RECOVER FROM ILLNESS, REST, AND SAFETY, AND IS A PLACE TO BELONG. HOUSING IS A BASIC HUMAN DIGNITY, REQUIRED TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. BRIDGING HEALTH DULUTH HAS IDENTIFIED A LACK OF AFFORDABLE HOUSING AND HOUSING STABILITY IN DULUTH AS PRIMARY THREATS TO HEALTH AND HEALTH EQUITY AND IS COMMITTED TO ENGAGING WITH HOUSING STAKEHOLDERS IN DULUTH TO PROMOTE HOUSING STABILITY. BRIDGING HEALTH DULUTH DID NOT DEVELOP ITS OWN IMPLEMENTATION PLAN TO ADDRESS HOUSING, BUT THE STEERING COMMITTEE ORGANIZATIONS WILL CONTINUE TO PARTICIPATE IN, COLLABORATE WITH, AND SUPPORT STRATEGIES LED BY THE MANY COMMITTED PARTNERS AND COLLABORATIVES ALREADY WORKING ON THIS ISSUE IN DULUTH.THE CORE ASPIRUS ST. LUKE'S EMERGENCY DEPARTMENT SOCIAL WORKER PARTICIPATES IN A MONTHLY MEETING TO FACILITATE COMMUNITY SUPPORTS WITH THE HEALTH AND HOMELESSNESS COMMITTEE. THIS EQUATES TO 12 HOURS PER YEAR PARTICIPATING IN THIS COMMITTEE, WHICH FOCUSES ON THE SUPPORT OF THE MEDICAL RESPITE HOUSE, NAMED BOB TAVANI HOUSE. THIS HOME, PROVIDES TRANSITIONAL SUPPORT TO PATIENTS WHO ARE EXPERIENCING MEDICAL FRAGILITY FOLLOWING ACUTE HOSPITALIZATION WHO WOULD BE AT GREATEST RISK FOR DECOMPENSATION SHOULD THEY RETURN TO A HOMELESS SHELTER. THE HOSPITAL CASE MANAGEMENT TEAM WORKS CLOSELY WITH THIS GROUP TO IDENTIFY HIGH RISK PATIENTS APPROPRIATE FOR UTILIZATION OF THESE FREE SERVICES.ST. LUKE'S CONTINUES TO SUPPORT HOUSING FOR THOSE WHO ARE EXPERIENCING LONG TERM HOMELESSNESS AND ARE OF ADVANCED AGE. ST. LUKE'S OWNS AND MAINTAINS THE PROPERTY, THE ST. FRANCIS APARTMENTS IN COLLABORATION WITH CHUM WHO PROVIDES SERVICES TO THE TENANTS. THE PROGRAM PROVIDES 32 UNITS TO PEOPLE EXPERIENCING CHRONIC HOMELESSNESS WHO QUALIFY FOR THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT'S PROJECT-BASED PERMANENT SUPPORTIVE HOUSING SUBSIDY VOUCHER. THE REMAINING 11 UNITS ARE OFFERED TO THOSE EXPERIENCING LONG-TERM HOMELESSNESS WHO QUALIFY FOR HOUSING WITH SUPPORT SUBSIDIES AS PER ST. LOUIS COUNTY.ST. LUKE'S HOSPITAL INS 2023 PROVIDED ARE REPLACEMENT WASHING MACHINE TO THE FACILITY, AT A COST OF $489, TO PROVIDE ONGOING ACCESS TO LAUNDERING OF CLOTHING AND BEDDING FOR TENANTS AT THE FACILITY. 43 1 - DENFELD MEDICAL CLINIC 4702 GRAND AVE DULUTH MN 55807 OUTPATIENT MEDICAL 2 - ST LUKE'S CARDIOLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 3 - ST LUKE'S PHYSICAL MEDICINE & REHAB 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 4 - ST LUKE'S NEUROSURGERY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 5 - ST LUKE'S ENDOCRINOLOGY ASSOCIATES 1011 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 6 - ST LUKE'S RHEUMATOLOGY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 7 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIA 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 8 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 9 - ST LUKE'S DERMATOLOGY ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 10 - PS RUDIE MEDICAL CLINIC 26 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 11 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOCI 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 12 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 13 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES 915 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 14 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 15 - ST LUKE'S ORTHOPEDICS & SPORTS MEDIC 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 16 - ST LUKE'S SURGICAL ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 17 - ST LUKE'S MENTAL HEALTH 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 18 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 19 - ST LUKE'S UROLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55805 OUTPATIENT MEDICAL 20 - ST LUKE'S PEDIATRIC ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 21 - LESTER RIVER MEDICAL CLINIC 6351 E SUPERIOR STREET DULUTH MN 55804 OUTPATIENT MEDICAL 22 - MARINER MEDICAL CLINIC 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL 23 - ST LUKE'S OUTPATIENT SURGERY CENTER 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL & AMBULATORY SURGERY 24 - ST LUKE'S HOME CARE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 25 - ST LUKE'S OBSTETRICS AND GYNECOLOGY ASS 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 26 - ST LUKE'S HOSPICE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 27 - ST LUKE'S NEUROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 28 - MILLER CREEK MEDICAL CLINIC URGENT CARE 4190 LOBERG AVE HERMANTOWN MN 55811 OUTPATIENT MEDICAL 29 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMEN 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 30 - ST LUKE'S RAYUS RADIOLOGY 910 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 31 - MOUNT ROYAL MEDICAL CLINIC 1400 WOODLAND AVE DULUTH MN 55803 OUTPATIENT MEDICAL 32 - ST LUKE'S ENT ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 33 - ST LUKE'S NEPHROLOGY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 34 - ST LUKE'S VASCULAR SURGERY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 35 - ST LUKE'S ADVANCED WOUND CARE & HYPE 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 36 - SURGICAL & PROCEDURAL CARE 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 37 - ST LUKE'S PAVILION SURGERY CENTER 920 E 1ST STREET DULUTH MN 55805 AMBULATORY SURGERY 38 - ST LUKE'S EYE CARE - MEDICAL ARTS BUILD 324 W SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 39 - ST LUKE'S CLINIC DIAGNOSTICS 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 40 - ST LUKE'S VASCULAR ULTRASOUND 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 41 - MOOSE LAKE IMAGING 4791 COUNTY ROAD 10 SUITE 101 MOOSE LAKE MN 55767 OUTPATIENT MEDICAL 42 - ST LUKE'S ICU INTENSIVISTS 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 43 - ST LUKE'S GENETIC COUNSELING 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL PART I, LINE 3C: TO QUALIFY FOR FINANCIAL ASSISTANCE, (A) HOUSEHOLD INCOME MUST BE LESS THAN 300% OF FEDERAL POVERTY GUIDELINES, (B) THE VALUE OF ASSETS HELD MUST BE LESS THAN $25,000 FOR AN INDIVIDUAL OR $50,000 FOR A FAMILY, (C) THE INDIVIDUAL MUST RECEIVE MEDICALLY NECESSARY CARE, (D) LIVE IN ST. LUKE'S PRIMARY OR SECONDARY SERVICE AREA (UNLESS THEY PRESENT WITH AN URGENT, EMERGENT, OR LIFE-THREATENING MEDICAL CONDITION), AND (E) COMPLETE A FINANCIAL ASSISTANCE APPLICATION, INCLUDING REQUIRED SUPPORTING DOCUMENTS. PART I, LINE 7: ST. LUKE'S USED COST-TO-CHARGE RATIOS DERIVED FROM THE MOST RECENT COMPLETED MEDICARE COST REPORT FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAM; AND ACTUAL COSTS FOR OTHER COMMUNITY BENEFITS. PART I, LINE 7G: ST. LUKE'S INCLUDED SUBSIDIZED HEALTH SERVICES FROM MENTAL HEALTH SERVICES, WOMEN AND CHILDREN SERVICES, AND HOMECARE/HOSPICE SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,565,907. PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS, AND OTHER EXPENDITURES FOR THE DEVELOPMENT OF THE COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS SUCH AS: ECONOMIC DEVELOPMENT EVENTS, MEETINGS, AND MEMBERSHIP WITH AREA CHAMBERS OF COMMERCE, CITY COUNSEL, AND ST. LOUIS COUNTY; COMMUNITY SUPPORT OF LOCAL FUNDRAISERS, ORGANIZATIONS AND EVENTS; LEADERSHIP DEVELOPMENT, TRAINING, AND EDUCATION; COALITION BUILDING WITH AREA ASSOCIATIONS TO PROMOTE COLLABORATION ON WELLNESS INITIATIVES; COMMUNITY HEALTH IMPROVEMENT ADVOCACY IN PARTNERSHIP WITH LOCAL ORGANIZATIONS, EVENTS, AND SERVICES; AND WORKFORCE DEVELOPMENT VIA EDUCATION, MENTORSHIP, PANEL PRESENTATIONS, AND OTHER STUDENT PROGRAMS. PART III, LINE 2: BAD DEBT ACCOUNTS WILL MEET AT ALL OF THE FOLLOWING CRITERIA:I. ATTEMPTS HAVE BEEN MADE TO CONTACT THE PATIENT OR GUARANTOR BY MAIL AND TELEPHONE.II. PATIENT OR GUARANTOR HAS NOT RESPONDED DURING THE COLLECTION CYCLE IN A TIMELY AND RESPONSIBLE MANNER OR HAS DEFAULTED ON A PAYMENT ASSESSMENT.III. THERE ARE NO KNOWN CIRCUMSTANCES WHICH WOULD JUSTIFY RECONSIDERATION FOR FINANCIAL ASSISTANCE.APPROVAL FOR BAD DEBT WRITE-OFFS ARE AS FOLLOWS:$0 TO $2,499 - PATIENT ACCOUNTS MANAGER OR CBO MANAGER$2,500 TO $9,999 - BUSINESS SERVICES DIRECTOR OR CBO MANAGER$10,000 AND OVER - CHIEF FINANCIAL OFFICER PART III, LINE 3: ST. LUKE'S HOSPITAL OF DULUTH CANNOT REASONABLY ESTIMATE THE PORTION OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT RECEIVABLES AND ALLOWANCE FOR CREDIT LOSSES" PARAGRAPH IN NOTE 1 ON PAGES 11-12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THE INDIVIDUALS WHO PARTICIPATE IN THE MEDICARE PROGRAM ARE FREQUENTLY UNABLE TO AFFORD MEDICAL CARE WITHOUT THIS PROGRAM AND ST. LUKE'S HOSPITAL PARTICIPATES IN THE MEDICARE PROGRAM TO ASSIST THESE INDIVIDUALS DESPITE THE SIGNIFICANT FINANCIAL COST/LOSS TO THE HOSPITAL. THE COST-TO-CHARGE RATIO WAS THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED ON SCHEDULE H, PART III, LINE 6. PART III, LINE 9B: ST. LUKE'S HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AND THE PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH THEIR PAYMENT AGREEMENTS.IN THE EVENT THAT A PATIENT FAILS OR REFUSES TO FULFILL THEIR FINANCIAL OBLIGATION, ST. LUKE'S MAY ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS, INCLUDING:A. REFERRAL OF UNPAID BALANCES TO EXTERNAL COLLECTION AGENCIES;B. ACTIONS THAT REQUIRE A LEGAL OR JUDICIAL PROCESS SUCH AS A LIEN ON PROPERTY OR GARNISHMENT OF WAGES.PRIOR TO INITIATING ECA'S, ST. LUKE'S WILL FOLLOW ALL APPLICABLE REGULATIONS AND MAKE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL WHO HAS AN UNPAID ACCOUNT IS ELIGIBLE FOR FAP. ST. LUKE'S WILL REFRAIN FROM ANY ECA'S FOR AT LEAST 120 DAYS AFTER SENDING THE FIRST POST-DISCHARGE BILLING STATEMENT AND ALLOWING AT LEAST 240 DAYS TO APPLY FOR FINANCIAL ASSISTANCE.THE BILLING AND COLLECTIONS POLICY IS AVAILABLE TO THE PUBLIC ONLINE AT HTTPS://WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/ AND PAPER COPIES OF THE POLICY ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE BY MAIL, IN THE EMERGENCY ROOM, AND IN ALL ADMISSIONS AREAS. PART VI, LINE 2: ST. LUKE'S HAS A LONG HISTORY OF PARTICIPATING IN SUCCESSFUL, SUSTAINABLE COLLABORATIVE INITIATIVES ON LOCAL, REGIONAL, AND NATIONAL LEVELS. 1) ST. LUKE'S RESEARCH DEPARTMENT, THE WHITESIDE INSTITUTE FOR CLINICAL RESEARCH, WAS FORMED IN 1996 AS THE RESULT OF A PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, DULUTH (UMMSD), AND CONTINUES TO PROVIDE SERVICES TO ST. LUKE'S PATIENTS IN ACCESS TO LOCAL, NATIONAL, AND MULTI-NATIONAL CLINICAL STUDIES AS WELL AS TO ST. LUKE'S STAFF IN DEVELOPMENT OF RESEARCH STUDIES, REFERRAL TO UM COLLABORATORS, AND GRANT WRITING RESOURCES. 2) ST. LUKE'S HAS COLLABORATED WITH THE MULTI-STATE CONSORTIUM OF ABOUT 64 SUPPORTING ORGANIZATIONS INCLUDING COUNTY PUBLIC HEALTH DEPARTMENTS, HOSPITALS, AND CLINICS TO FUND THE BRIDGE TO HEALTH SURVEY. THIS PROJECT COLLECTED POPULATION-BASED, HEALTH STATUS DATA ON ADULTS (AGED 18+) IN THE REGION USING A SURVEY FORMAT AND WAS CONDUCTED IN 1995, 2000, 2005, 2010, 2015 AND 2020. TO ADDRESS A NEED THAT BECAME APPARENT AS A RESULT OF THE BRIDGE TO HEALTH SURVEY, ST. LUKE'S JOINED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO DEVELOP TWO PROGRAMS: SHARECARE, WHICH ESTABLISHED SLIDING FEE SCALES FOR CLINIC AND OUTPATIENT SERVICES TO DIMINISH THE FINANCIAL BARRIER TO PREVENTIVE, MENTAL HEALTH, AND PRIMARY CARE SERVICES; AND HEALTHSHARE, WHICH IS A COVERAGE MODEL FOR SMALL BUSINESSES FUNDED COLLABORATIVELY BY THE EMPLOYERS, EMPLOYEES, AND THE COMMUNITY. THIS COVERAGE MODEL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES FOR EMPLOYEES WITHIN A DEFINED NETWORK OF COMMUNITY PROVIDERS. 3) ST. LUKE'S WAS A LEAD PARTICIPANT IN THE WILDERNESS COALITION PHARMACY SERVICES PROJECT FUNDED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY. THIS 3-YEAR PROJECT SUCCESSFULLY IMPLEMENTED 24/7 PROFESSIONAL PHARMACY SERVICES FOR 10 RURAL HOSPITALS IN NORTHEASTERN MINNESOTA USING ST. LUKE'S 24-HOUR PHARMACY, AN ITV-BASED SYSTEM OF CONTINUING EDUCATION FOR SITES, PHARMACY POLICIES AND PROCEDURES ADAPTABLE FOR INDIVIDUAL SITES, AS WELL AS BEDSIDE VERIFICATION OF MEDICATION ADMINISTRATION AND MEDICATION BAR CODING AT SOME LOCATIONS. THOUGH PROJECT FUNDING HAS ENDED, THE SERVICES REMAIN AND THE PROGRAM IS NOW SELF-SUSTAINING. PART VI, LINE 3: ST. LUKE'S INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR ASSISTANCE THE FOLLOWING WAYS:- INFORMATION IS INCLUDED ON THE ST. LUKE'S WEBSITE (WWW.SLHDULUTH.COM) REGARDING WHO PATIENTS SHOULD CONTACT FOR INFORMATION OR FINANCIAL ASSISTANCE.- THERE ARE POSTINGS IN ALL REGISTRATION AREAS WITH CONTACT INFORMATION AND PHONE NUMBERS REGARDING HOW PATIENTS CAN OBTAIN ASSISTANCE (BOTH FROM ST. LUKE'S AND EXTERNAL ORGANIZATIONS).- ALL ST. LUKE'S EXTERNAL BILLING AND COLLECTION VENDORS HAVE BEEN INSTRUCTED TO REFER ANY PATIENT INDICATING THEY LACK THE FINANCIAL WHEREWITHAL TO MEET THEIR FINANCIAL OBLIGATIONS TO ST. LUKE'S FINANCIAL COUNSELORS. AS REQUIRED UNDER A BILLING AND COLLECTION AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL, ST. LUKE'S PERFORMS AN ANNUAL AUDIT OF ALL EXTERNAL VENDORS TO ENSURE COMPLIANCE WITH THIS INSTRUCTION AND ALL OTHER ST. LUKE'S POLICIES AND PROCEDURES.- ST. LUKE'S FINANCIAL COUNSELORS' BUSINESS CARDS ARE PROMINENTLY DISPLAYED AND AVAILABLE AT ALL REGISTRATION AREAS (INCLUDING THE EMERGENCY/URGENT CARE AREA) WITH THEIR CONTACT INFORMATION AND PHONE NUMBERS. PATIENTS ARE ENCOURAGED TO CONTACT FINANCIAL COUNSELORS.- THE ST. LUKE'S FINANCIAL COUNSELORS' PHONE NUMBER IS LISTED PROMINENTLY ON THE PATIENT BILLING STATEMENTS.- THE FINANCIAL COUNSELORS ARE AVAILABLE WEEKDAYS BY PHONE OR IN PERSON TO DISCUSS AND APPLY FOR FINANCIAL ASSISTANCE PROGRAMS.- ST. LUKE'S HAS ENGAGED AN EXTERNAL VENDOR TO MEET WITH PATIENTS AT BEDSIDE TO DISCUSS ELIGIBILITY FOR ASSISTANCE WITH GOVERNMENTAL ASSISTANCE PROGRAMS OR ST. LUKE'S FINANCIAL ASSISTANCE PROGRAM.- ST. LUKE'S INPATIENT BOOKLET CONTAINS INFORMATION REGARDING FINANCIAL ASSISTANCE AND CONTACT INFORMATION.- AT LEAST ANNUALLY, THE ST. LUKE'S AND MEDICAL STAFF NEWSLETTERS CONTAIN ARTICLES REGARDING PATIENT FINANCIAL ASSISTANCE. HOSPITAL AND MEDICAL STAFF MEMBERS ARE INFORMED THAT THEY HAVE THE RESPONSIBILITY TO LISTEN FOR FINANCIAL CONCERNS EXPRESSED BY PATIENTS AND TO PROACTIVELY REFER THOSE PATIENTS TO ST. LUKE'S FINANCIAL COUNSELORS. PART VI, LINE 4: ST. LUKE'S SERVICE AREA CONSISTS OF A 17-COUNTY REGION OF NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE WESTERN UPPER PENINSULA OF MICHIGAN WITH A POPULATION OF APPROXIMATELY 500,000. THE PRIMARY MARKET CONSISTS OF DULUTH, CLOQUET, AND TWO HARBORS, MINNESOTA, AND SUPERIOR, WISCONSIN. THIS PRIMARY MARKET SERVES URBAN AND SUBURBAN AREAS WITH A POPULATION OF APPROXIMATELY 166,000.DEMOGRAPHICS OF THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET) PER MOST RECENT CENSUS:POPULATIONS - DULUTH, MN (86,697); SUPERIOR, WI (26,751)MEDIAN HOUSEHOLD INCOME - DULUTH, MN ($54,084); SUPERIOR, WI ($48,830)% OF INDIVIDUALS BELOW FPG - DULUTH, MN (17.7%); SUPERIOR, WI (14.0%)HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET):ST. LUKE'S HOSPITAL OF DULUTHLAKE VIEW MEMORIAL HOSPITALCLOQUET COMMUNITY MEMORIAL HOSPITALESSENTIA HEALTH SMDC MEDICAL CENTER (FORMERLY MILLER DAWN)ESSENTIA HEALTH ST. MARY'S HOSPITAL OF SUPERIORESSENTIA HEALTH ST. MARY'S MEDICAL CENTERFEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY:MUA/P - DULUTH, MN (11); SUPERIOR, WI (7) PART VI, LINE 5: ST. LUKE'S HAS BUILT A REPUTATION OF PROVIDING QUALITY CARE AND PUTTING THE PATIENT FIRST. SINCE OPENING IN 1881, ST. LUKE'S HAS GROWN INTO A NATIONALLY RECOGNIZED HEALTH CARE SYSTEM SERVING 17 COUNTIES THROUGHOUT NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN. ST. LUKE'S HOSPITAL AND CLINICS OFFER A COMPREHENSIVE CONTINUUM OF CARE THAT INCLUDES MEDICAL, SURGICAL, DIAGNOSTIC, THERAPEUTIC, URGENT CARE AND REHAB SERVICES. MORE THAN 2,500 HEALTHCARE PROFESSIONALS MAKE UP ST. LUKE'S STAFF, INCLUDING A MEDICAL STAFF OF 1,000+, WITH 350+ PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ST. LUKE'S 13 PRIMARY CARE CLINICS ARE LOCATED IN DULUTH AND ACROSS MINNESOTA IN HIBBING, MOUNTAIN IRON, AND HERMANTOWN, MN; AS WELL AS IN ASHLAND AND SUPERIOR, WI. AN ADDITIONAL 2 PHARMACIES, 3 REGIONAL CENTERS IN TRAUMA, HEART & VASCULAR AND CANCER; AND 30+ SPECIALTY CLINICS LOCATED PRIMARILY ON THE ST. LUKE'S CAMPUS PROVIDE EXPERTISE IN MANY AREAS OF HEALTH CARE INCLUDING: CANCER CARE, CARDIAC CARE, HOME CARE AND HOSPICE, ADULT PSYCHIATRY, PLASTIC SURGERY, ALLERGY, ENDOCRINOLOGY, DERMATOLOGY, GASTROENTEROLOGY, INFECTIOUS DISEASE, PHYSICAL MEDICINE AND REHAB, UROLOGY, RHEUMATOLOGY, NEUROSURGERY, AND PULMONARY MEDICINE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 PROGRAM FOR AID TO VICITIMS OF SEXUAL ASSAULT 32 E 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501(C)(3) 80000 0 SANE ADULT/ADOLESCENT PROGRAM PROCTOR SCHOOL DISTRICT 131 NINTH AVENUE PROCTOR MN 55810 416003748 STATE OF MINNESOTA 60000 0 SPONSOR SPORTS CENTER DULUTH AREA FAMILY YMCA 302 W 1ST STREET DULUTH MN 55802 410693931 501(C)(3) 20000 0 KIDS CLUB AND VARIOUS EVENTS DULUTH HUSKIES BASEBALL CLUB PO BOX 16231 DULUTH MN 55815 442353480 25000 0 SPONSORSHIP DULUTH AREA CHAMBER OF COMMERCE 5 W 1ST STREET 101 DULUTH MN 55802 410225910 501(C)(6) 15150 0 SPONSORSHIP AND VARIOUS EVENTS WILDERNESS HOCKEY 1111 CLOQUET AVENUE SUITE 1 CLOQUET MN 55720 460623467 10000 0 SPONSORSHIP DULUTH FOOTBALL CLUB 5219 KINGSTON STREET DULUTH MN 55804 470358877 30000 0 SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 15000 0 SPONSORSHIP ALZHEIMER'S ASSOCIATION 225 N MICHIGAN AVENUE FLOOR 17 CHICAGO IL 60601 133039601 501(C)(3) 30000 0 SPONSORSHIP FIRST WITNESS CHILD ADVOCACY CENTER 4 W FIFTH STREET DULUTH MN 55806 411737291 501(C)(3) 25000 0 SPONSORSHIP NORTH SHORE INLINE MARATHON 525 S LAKE AVENUE DULUTH MN 55801 411871361 501(C)(3) 10000 0 SPONSORSHIP GREATER DOWNTOWN COUNCIL 5 W FIRST STREET SUITE 101 DULTH MN 55802 411467228 501(C)(6) 6500 0 SPONSORSHIP HERMANTOWN AREA FUTBOL CLUB 23 W CENTRAL ENTRANCE 318 DULUTH MN 55811 411517567 501(C)(3) 25000 0 SPONSORSHIP ARROWHEAD EMS ASSOCIATION INC 4219 ENTERPRISE CIRCLE DULUTH MN 55811 411522627 501(C)(3) 15000 0 SPONSORSHIP ZEITGEIST CENTER FOR ARTS AND COMMUNITY 222 E SUPERIOR STREET DULUTH MN 55802 206424699 501(C)(3) 7500 0 SPONSORSHIP YOUNG ATHLETES FOUNDATION 1540 MAIN STREET SUITE 218 WINDSOR CO 80550 811374486 501(C)(3) 10000 0 SPONSORSHIP 11 5 TUITION ASSISTANCE 38 117119 PART I, LINE 2: THE HOSPITAL REQUESTS THAT GRANTEES PROVIDE AN UPDATE ON THE IMPACT OF THE GRANT SIX MONTHS AFTER THE GRANT HAS BEEN MADE. IN ADDITION, THE ACCOUNTING DEPARTMENT REVIEWS INVOICES SUPPORTING THE FUNDS USED FROM THE GRANT. THE AFOREMENTIONED PROCESS HELPS ENSURE THE GRANT WAS USED FOR THE INTENDED PURPOSE. PART III: HR POLICY E-5: NON-CONTRACT EMPLOYEES WITH AN FTE OF 0.6 OR ABOVE ARE ELIGIBLE FOR REIMBURSEMENT FOR COURSES ONE (1) CALENDAR YEAR AFTER THEIR DATE OF HIRE. COURSES MUST BE TAKEN AT AN ACCREDITED INSTITUTION (COLLEGES, UNIVERSITIES, VOCATIONAL SCHOOLS, CORRESPONDENCE SCHOOLS). COMPLETION OF THE COURSE WITH AT LEAST A "C" GRADE OR EQUIVALENT IS REQUIRED. VERIFICATION OF SATISFACTORY COURSE COMPLETION MUST BE FURNISHED TO THE DEPARTMENT OF HUMAN RESOURCES FOR ALL COURSES TAKEN. THE EMPLOYEE MUST CONTINUE TO WORK AT ST. LUKE'S FOR AT LEAST ONE (1) CALENDAR YEAR AFTER COMPLETION OF THE COURSE. ST. LUKE'S REIMBURSES A PERCENTAGE OF THE TOTAL COST UP TO $3,000 PER CALENDAR YEAR, INCLUDING TUITION, REQUIRED BOOKS, AND REQUIRED COURSE FEES FOR COURSES COMPLETED DURING THE CALENDAR YEAR, FOR EMPLOYEES MEETING THE ABOVE ELIGIBILITY CRITERIA AND PROVIDING RECEIPTS FOR TUITION OR COURSE FEES. X X X X X 0 1 0 0 0 0 0 0 0 JOHN YOON MD PHYSICIAN 1144816 0 0 0 4980 0 8150 0 17375 0 1175321 0 0 0 ERIC LOHN CO-PRESIDENT/CEO & CFO 885321 0 139548 0 1242 0 8150 0 70920 0 1105181 0 0 0 MARY BOYLAN MD PHYSICIAN 1033564 0 0 0 3810 0 8150 0 30746 0 1076270 0 0 0 NICHOLAS VAN DEELEN MD CO-PRESIDENT/CEO & CMO 833406 0 149325 0 7482 0 8150 0 70920 0 1069283 0 0 0 ROBERT DAHLIN MD PHYSICIAN 963444 0 0 0 270 0 6413 0 1189 0 971316 0 0 0 JOHN STYLIARAS MD PHYSICIAN 891095 0 0 0 3450 0 8150 0 26414 0 929109 0 0 0 ROBERT BEJNAROWICZ MD PHYSICIAN 899721 0 0 0 4290 0 8150 0 1747 0 913908 0 0 0 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 650432 0 0 0 3690 0 8150 0 30746 0 693018 0 0 0 AIMEE VANSTRAATEN MD BOARD SECRETARY/PHYSICIAN 448912 0 1170 0 3690 0 8150 0 26621 0 488543 0 0 0 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 362575 0 0 0 1980 0 6511 0 24174 0 395240 0 0 0 NYASHA SPEARS MD BOARD MEMBER/PHYSICIAN (THROUGH MAY 2023) 151625 0 0 0 3690 0 5483 0 1684 0 162482 0 0 0 PART I, LINE 4B ST. LUKE'S MAINTAINS 457(F) NONQUALIFIED DEFERRED COMPENSATION PLANS FOR ELIGIBLE EMPLOYEES. IN 2023, CONTRIBUTIONS TO THE 457(F) PLANS WERE: ERIC LOHN - $43,607 NICHOLAS VAN DEELEN, MD - $43,607 IN 2023, DISTRIBUTIONS FROM THE 457(F) PLAN WERE: ERIC LOHN - $139,548 NICHOLAS VAN DEELEN, MD - $149,325 AIMEE VANSTRAATEN - $1,170 A DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 2018-12-31 39500000 FUND OPERATING SYSTEM UPGRADE 0 0 0 B DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CJN3 2021-09-09 14236667 REFINANCE SERIES 2003 AND 2012 BONDS 0 0 0 C DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CKL5 2022-05-12 79996284 PHASE II BUILDING A EXPANSION & HOSPITAL REMODEL 0 0 1 D DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CKF8 2022-03-17 58093185 REFINANCE SERIES 2012 BONDS 0 0 0 A 3588302 39500000 39245626 2018 0 0 0 1 B 14236667 284028 13952639 2021 1 1 1 1 C 79996284 40035838 8982158 851750 10457384 548092 2022 0 0 1 1 D 1505000 58093185 6986379 64059663 665800 354101 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 0 B 1 C 1 D 1 BRIAN CAPPS SPOUSE OF BOARD MEMBER 183749 EMPLOYEE COMPENSATION 0 CASSANDRA BEARDSLEY SPOUSE OF KEVIN BEARDSLEY, BOARD MEMBER 183761 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD AS THE PRESIDING OFFICER, ALL OTHER OFFICERS OF THE HOSPITAL WHO ARE DIRECTORS, AND SUCH ADDITIONAL DIRECTORS AS THE CHAIRPERSON MAY APPOINT. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL. INCLUDING THE AUTHORITY TO REVIEW THE COMPENSATION PAID TO THE HOSPITAL'S EMPLOYED PHYSICIANS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE, AND SHALL MEET AS NECESSARY. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL OVERSEE THE HOSPITAL'S PUBLIC RELATIONS ACTIVITIES AND KEEP THE CORPORATION'S HEALTH CARE EFFORTS CONTINUALLY BEFORE THE COMMUNITIES SERVED THROUGH THE USE OF PUBLICATIONS AND OTHER COMMUNICATIONS DESCRIBING THE HOSPITAL'S SERVICES, PROGRAMS, AND NEEDS. FORM 990, PART VI, SECTION A, LINE 6 ST. LUKE'S HOSPITAL SHALL HAVE THREE CLASSES OF MEMBERSHIPS: A) TENURED MEMBERS OF ST. LUKE'S HOSPITAL OF DULUTH - THE INDIVIDUALS AND ORGANIZATIONS LISTED ON THE HOSPITAL'S OFFICIAL ROSTER OF MEMBERS AS OF MAY 20, 2004 SHALL BE MEMBERS AND HAVE THE NUMBER OF VOTES AS IDENTIFIED ON THAT LIST. B) NON-TENURED MEMBERS OF ST. LUKE'S HOSPITAL OF DULUTH - ANY INDIVIDUAL OR ORGANIZATION THAT, SUBSEQUENT TO MAY 20, 2004, CONTRIBUTES $100 OR MORE TO THE HOSPITAL SHALL, UPON REQUEST FROM SUCH INDIVIDUAL OR ORGANIZATION AND APPROVAL BY THE BOARD OF DIRECTORS, BE A MEMBER OF THE ORGANIZATION WITH ONE VOTE. C) EX OFFICIO MEMBERS - EACH DIRECTOR AND THE PRESIDENT/CEO OF THE HOSPITAL SHALL BE A VOTING MEMBER OF THE HOSPITAL DURING HIS OR HER TERM IN SUCH OFFICE AND SHALL HAVE ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE VOTING RIGHTS OF THE MEMBERS OF THE CORPORATION SHALL BE LIMITED TO THE FOLLOWING MATTERS: A) APPROVAL OF ANY TRANSACTION THAT WOULD CULMINATE IN THE TRANSFER OF CONTROL OF HOSPITAL OPERATIONS TO A SECRETARIAN OR RELIGIOUS ORGANIZATION. B) APPROVAL OF ANY TRANSACTIONS WHICH WOULD CULMINATE IN THE TRANSFER OF CONTROL OF THE HOSPITAL'S OPERATIONS TO A FOR-PROFIT ENTITY. C) APPROVAL OF THE DISSOLUTION OF THE HOSPITAL OR THE CESSATION OF THE HOSPITAL OPERATIONS. THE FOREGOING ACTIONS SHALL BE APPROVED AND ADOPTED ONLY AFTER AUTHORIZATION BY THE BOARD OF DIRECTORS AND APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH THE HELP OF MANAGEMENT IN ORDER TO ACCURATELY PREPARE THE 2023 FORM 990. ONCE THE FORM 990 WAS PREPARED, IT WAS REVIEWED BY THE FOLLOWING GROUPS: 1. ST. LUKE'S SENIOR MANAGEMENT 2. ST. LUKE'S FINANCE COMMITTEE 3. ST. LUKE'S BOARD OF DIRECTORS ALL OF THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE FORM 990. THE CHIEF FINANCIAL OFFICER MADE A PRESENTATION TO THE BOARD REGARDING THE FORM 990 AND THEIR RESPONSIBILITIES. IN THE CASE OF THE FINANCE COMMITTEE AND BOARD OF DIRECTORS, THE FORM 990 WAS LISTED AS AN AGENDA ITEM AT THEIR RESPECTIVE MEETINGS. THE CFO OF ST. LUKE'S PROVIDED AN OVERVIEW OF THE RETURN AND ANSWERED ANY QUESTIONS OR CONCERNS FROM THE BOARD/COMMITTEE MEMBERS. ANY SUGGESTED CHANGES TO THE FORM 990 WERE EVALUATED, WITH LEGAL COUNSEL IF NECESSARY, AND INCORPORATED INTO THE RETURN AS APPROPRIATE. THE RETURN WAS THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, AND COMMITTEE MEMBER SHALL SIGN, AS A CONDITION SERVING THE CORPORATION IN HIS/HER RESPECTIVE ROLE AND ANNUALLY THEREAFTER, A STATEMENT AGREEING TO BE BOUND BY THE TERMS OF THE POLICY. PURSUANT TO THE POLICY, ANY DIRECTOR, OFFICER, OR COMMITTEE MEMBER HAVING A FINANCIAL INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF SUCH PERSON'S INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. THE BOARD OR COMMITTEE TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, OR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION TO OR RESPOND TO QUESTIONS) IN THE DISCUSSIONS AND DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTIONS. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION AT ST. LUKE'S HOSPITAL IS GOVERNED AND CONTROLLED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, ACCORDING TO THE POLICIES SET BY THE BOARD AS A WHOLE. THE COMMITTEE IS MADE UP ENTIRELY OF COMMUNITY LEADERS, NONE OF WHOM ARE EMPLOYED BY ST. LUKE'S HOSPITAL. THE COMPENSATION COMMITTEE REVIEWS ARE APPROVES THE COMPENSATION PROGRAM FOR THE CEO, CFO, AND OTHER EXECUTIVES AND PRESENTS THE SUMMARY OF ITS ANALYSIS TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. CONTEMPORANEOUS DOCUMENTS AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS ARE MAINTAINED BY THE CEO AND HUMAN RESOURCES DEPARTMENT. THE COMMITTEE, WITH THE AID OF AN INDEPENDENT CONSULTANT, HAS ESTABLISHED A COMPENSATION PHILOSOPHY FOR THE ORGANIZATION. THIS PHILOSOPHY DEFINES A PEER GROUP OF ORGANIZATIONS ACROSS THE COUNTRY AND INCLUDES ORGANIZATIONS OF SIMILAR SIZE, SCOPE, AND MANAGEMENT CHALLENGE. IT ALSO ESTABLISHES THE COMPETITIVE LEVEL AT WHICH THE COMMITTEE WANTS TO COMPENSATE ST. LUKE'S HOSPITAL EXECUTIVES COMPARED TO THE PEER GROUP ORGANIZATIONS. THE COMMITTEE REVIEWS COMPARABILITY DATA ON SALARY LEVELS, INCENTIVE PAY, AND BENEFIT COSTS. ASSESSING EACH ELEMENT OF COMPENSATION INDEPENDENTLY AND TOTAL COMPENSATION IN AGGREGATE. THE COMMITTEE RETAINS INDEPENDENT CONSULTANTS TO GATHER COMPARABILITY DATA ON EXECUTIVE COMPENSATION IN SLH'S PEER GROUP. THESE CONSULTANTS ASSIST THE COMMITTEE IN MAKING ITS DETERMINATION THAT EXECUTIVE COMPENSATION AT SLH REMAINS REASONABLE AND CONSISTENT WITH SLH'S BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE REVIEWS THE COMPENSATION PROGRAM FOR THE CEO, CFO, AND OTHER EXECUTIVES OF THE ORGANIZATION IN DEPTH EVERY FEW YEARS AND THE LAST FULL REVIEW OCCURRED IN 2023. IN THE YEARS BETWEEN COMPREHENSIVE REVIEWS, THE COMMITTEE RELIES ON UPDATES TO THE PEER GROUP DATA BASED ON THE YEAR-TO-YEAR MARKET MOVEMENT IN THE INDUSTRY, AS PROVIDED BY THE INDEPENDENT CONSULTANT. THE COMMITTEE DILIGENTLY FOLLOWS BEST PRACTICES IN GOVERNING EXECUTIVE COMPENSATION, INCLUDING THE PROCESS PRESCRIBED BY THE IRS FOR GOVERNING EXECUTIVE COMPENSATION IN THE TAX-EXEMPT SECTOR. IT IS COMMITTED TO ACCURATELY DISCLOSING EXECUTIVE COMPENSATION ON FORM 990. FORM 990, PART VI, SECTION C, LINE 19 ST. LUKE'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED ANNUALLY BY THE BOARD OF DIRECTORS. THEY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. FINANCIAL INFORMATION IS MADE AVAILABLE THROUGH ST. LUKE'S ANNUAL REPORT (PUBLISHED EVERY YEAR AND AVAILABLE ON ST. LUKE'S WEBSITE AT WWW.SLHDULUTH.COM). FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -1,893,280. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 250,733. 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