2022-10-28T08:54:05-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2021-01-01 410714079 ST LUKE'S HOSPITAL OF DULUTH STLU 2182495555 915 EAST FIRST STREET DULUTH MN 55805 ERIC LOHN CO-PRESIDENT/CEO & CFO 2182495555 2022-10-27 1 ERIC LOHN 999009999 DARRYN MCGARVEY P00958683 6123764500 2022-10-27 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ERIC LOHN 915 EAST FIRST STREET DULUTH MN 55805 571055859 0 X WWW.SLHDULUTH.COM X 1881 MN TO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION. 15 10 3450 129 1815640 23318 19591237 11200073 470892501 517131873 9522597 7073856 6427429 2358996 506433764 537764798 492439 459501 0 0 284298679 300232024 0 0 0 210125971 222455045 494917089 523146570 11516675 14618228 431806158 424508169 330849907 286494053 100956251 138014116 X THE PATIENT ABOVE ALL ELSE. 0 0 470561810 459501 509500713 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 2021, ST. LUKE'S DONATED MORE THAN 2,000 HOURS TO ENRICH THE HEALTHCARE OF THE COMMUNITY, INCLUDING SERVING ON BOARDS OF THE MN 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 2021, THERE WERE 10,867 ADMISSIONS, 61,943 PATIENT DAYS, 58,471 EMERGENCY/URGENT CARE VISITS, 168,778 OUTPATIENT REGISTRATIONS AND 700,812 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. 470561810 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 71 0 3450 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 10 0 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X ERIC LOHN 2182495475 915 EAST FIRST STREET DULUTH MN 55805 JOHN YOON MD PHYSICIAN 40.00 0.00 X 1221474 0 31442 MARY BOYLAN MD PHYSICIAN 40.00 0.00 X 1060795 0 38721 KEVIN NOKELS PRESIDENT/CEO (THROUGH MARCH 2021) 38.00 2.00 X 1021958 0 44198 JOHN WATKINS MD PHYSICIAN 40.00 0.00 X 969962 0 33771 ERIC LOHN CO-PRESIDENT/CEO & CFO 38.00 2.00 X 748380 0 185686 ROBERT DAHLIN MD PHYSICIAN 40.00 0.00 X 897856 0 24618 JOHN STYLIARAS MD PHYSICIAN 40.00 0.00 X 895291 0 24702 NICHOLAS VAN DEELEN MD CO-PRESIDENT/ CEO & CMO 38.00 2.00 X 636937 0 187357 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 40.00 0.00 X 565816 0 33846 AIMEE VANSTRAATEN MD SECRETARY/PHYSICIAN 40.00 0.00 X 363639 0 31428 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 40.00 0.00 X 348302 0 34844 NYASHA SPEARS MD BOARD MEMBER/PHYSICIAN 40.00 0.00 X 154542 0 6274 JEFF BORLING BOARD CHAIR (THROUGH MAY 2021) 1.00 0.00 X X 0 0 0 HERBERT MINKE BOARD CHAIR (AS OF JUNE 2021) 1.00 0.00 X X 0 0 0 YVONNE PRETTNER SOLON VICE CHAIR (AS OF JUNE 2021) 1.00 0.00 X X 0 0 0 KEVIN BEARDSLEY TREASURER 1.00 1.00 X X 0 0 0 JOHN CLOUTIER BOARD MEMBER (THROUGH MAY 2021) 1.00 1.00 X 0 0 0 PATRICK HEFFERNAN BOARD MEMBER 1.00 0.00 X 0 0 0 RICK HOGENSON BOARD MEMBER (AS OF JUNE 2021) 1.00 0.00 X 0 0 0 AMANDA IMES BOARD MEMBER 1.00 0.00 X 0 0 0 EDWIN KING HALL BOARD MEMBER 1.00 1.00 X 0 0 0 PAKOU LY BOARD MEMBER (AS OF JUNE 2021) 1.00 1.00 X 0 0 0 BRIAN MURPHY BOARD MEMBER 1.00 0.00 X 0 0 0 RENE SETTERGREN BOARD MEMBER 1.00 0.00 X 0 0 0 RUTH WESTRA DO BOARD MEMBER 1.00 0.00 X 0 0 0 8884952 0 676887 488 0 1 0 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 3171055 MAYO COLLABORATIVE SERVICES PO BOX 9416 MINNEAPOLIS MN 55480 LABORATORY SERVICES 3052406 THE STELLAR HEALTH GROUP 2345 RICE STREET SUITE 230 ROSEVILLE MN 55113 IT SERVICES 1821794 MEDICAL INFORMATION TECH INC PO BOX 74569 CHICAGO IL 60696 IT SERVICES 1385190 CDW GOVERNMENT INC 75 REMITTANCE DRIVE SUITE 1515 CHICAGO IL 60675 CONSTRUCTION SERVICES 1223024 61 739327 1337454 9123292 11200073 MEDICAL SERVICES 621500 353319270 353319270 PHARMACY 621500 163595217 156181443 1722611 5691163 CREDENTIALING SERVICES 621500 128159 93029 35130 LABORATORY SERVICES 621500 48516 48516 TRANSCRIPTION SERVICES 621500 29988 29988 10723 10723 517131873 3165338 3165338 58275 58275 307349 261891 45458 45458 45458 36856224 33005981 3850243 3850243 3850243 152 23189 -23037 -23037 MEALS/VENDING INCOME 812300 1471859 1471859 PARKING LOT SERVICES 561000 591524 591524 ALL OTHER REVENUE 812300 150158 150158 123034 123034 2336575 537764798 509500713 1815640 15248372 338905 338905 120596 120596 10084811 10084811 232122728 215045471 17077257 10382033 9215938 1166095 33076995 29364048 3712947 14565457 12743604 1821853 648937 648937 129592 129592 74011 74011 217202 217202 28159425 17760850 10398575 694890 694890 7086328 4026395 3059933 6584705 5426905 1157800 26565299 20955454 5609845 1262295 1178270 84025 6711824 7241346 -529522 16968684 12353572 4615112 1018420 1018420 MEDICAL SUPPLIES 51741133 51741133 DRUG SUPPLIES 43631602 43631602 MISCELLANEOUS EXPENSE 14820536 11405427 3415109 BAD DEBT EXPENSE 7632445 7632445 8507717 8507717 523146570 470561810 52584760 0 91786000 59853652 62365637 57324327 12720977 13941664 3960868 4931266 349064430 209325391 134559241 139739039 13837842 14675301 67533155 82462356 12954440 13467497 1664437 1580547 30423561 36532520 431806158 424508169 50711379 53976646 106009756 112690630 36657368 25265899 144950 144950 137326454 94415928 330849907 286494053 X 100956251 138014116 100956251 138014116 431806158 424508169 X 14618228 380980 235389 21823268 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 14011 0 1 60000 74011 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. 8240581 8240581 160584653 79251127 81333526 6239413 2591310 3648103 171187526 127482954 43704572 2812257 2812257 139739039 SHORT-TERM INVESTMENTS 82462356 F 82462356 DEFERRED COMPENSATION 30378134 CASH SURRENDER VALUE OF LIFE INSURANCE POLICIES 21386 DUE FROM RELATED ORGANIZATIONS 6133000 36532520 EMPLOYEE BENEFIT OBLIGATIONS 56748202 DEFERRED RENT LIABILITY 2755097 ASSET RETIREMENT OBLIGATION 1799281 MALPRACTICE LIABILITY RESERVE 725000 CARES ACT ACCELERATED PAYMENTS 32388348 94415928 X 521795668 118044 118044 521677624 16087174 16087174 537764798 513882819 118044 118044 513764775 9381795 9381795 523146570 PART X, LINE 2: ST. LUKE'S HOSPITAL OF DULUTH A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) THAT IS EXEMPT FROM FEDERAL INCOME TAXES ON UNRELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. THE SURGERY CENTER 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 23,189. RENTAL EXPENSES 94,855. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 7,619,607. INTEREST INCOME 1,782,478. GAIN ON SALE OF SECURITIES 3,850,243. SINGLE-MEMBER LLC REVENUES 2,834,846. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 94,855. GIFT SHOP EXPENSES 23,189. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 7,619,607. SINGLE-MEMBER LLC EXPENSES 1,762,188. 1 1 X 1 X 1 X 1 1 0 1 1 2074792 2074792 0.00400 67541849 52785461 14756388 0.02860 69616641 52785461 16831180 0.03260 5664810 5664810 0.01100 38423149 33883792 4539357 0.00880 344013 344013 0.00070 44431972 33883792 10548180 0.02050 114048613 86669253 27379360 0.05310 22371 22371 0.00000 12116 12116 0.00000 1093 1093 0.00000 11399 11399 0.00000 3519 3519 0.00000 50498 50498 0.00000 1 7619607 0 204213240 257059294 -52846054 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 19 1 1 1 1 X SEE LINE 7D X X 1 19 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: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATION AND PARTNERSHIP BETWEEN ESSENTIA HEALTH-DULUTH, ESSENTIA HEALTH-ST. MARY'S MEDICAL CENTER, ST. LUKE'S HOSPITAL, LAKE VIEW MEMORIAL HOSPITAL, LAKE SUPERIOR COMMUNITY HEALTH CENTER, AND ST. LOUIS COUNTY PUBLIC HEALTH. ASSESSMENT PARTNERS ALSO INCLUDED STAKEHOLDERS FROM COMMUNITY ORGANIZATIONS WORKING TO IMPROVE HEALTH OUTCOMES AND REDUCE INEQUITIES INCLUDING: GENERATIONS HEALTHCARE INITIATIVES, ZEITGEIST CENTER FOR ARTS AND COMMUNITY, HEALTHY NORTHLAND, MINNESOTA DEPARTMENT OF HEALTH, VOICES FOR RACIAL JUSTICE, DULUTH PUBLIC SCHOOLS, CHURCHES UNITED IN MINISTRY, COMMUNITY ACTION DULUTH, ARROWHEAD PARISH NURSE ASSOCIATION, AMERICAN LUNG ASSOCIATION, FAIR FOOD ACCESS, FUSE DULUTH, DULUTH NEWS TRIBUNE, INN ON LAKE SUPERIOR, WESTERN LAKE SUPERIOR SANITARY DISTRICT, KRAUS-ANDERSON, DF DESIGN, WOODLAND HILLS, PAVSA (PROGRAM TO AID VICTIMS OF SEXUAL VIOLENCE), CAIR, ALL NATIONS INDIGENOUS CENTER, LIFE HOUSE, AICHO (AMERICA INDIAN COMMUNITY HOUSING ORGANIZATION), DULUTH LISC, MAURICES, NATIONAL BANK OF COMMERCE, GREATER DOWNTOWN COUNCIL, LAKE SUPERIOR COMMUNITY HEALTH CENTER, MYERS-WILKINS COMMUNITY SCHOOL, PEACE CHURCH, ST. SCHOLASTICA, WOMEN OF ELCA, INSTITUTE FOR A SUSTAINABLE FUTURE, PROTECT MINNESOTA, CROSS CULTURAL ALLIANCE OF DULUTH, HEALTH & WELLNESS TABLE, PS RUDIE CLINIC. THESE PARTNERS ASSISTED IN DEVELOPING THE COMMUNITY-CENTERED PROCESS, FOCUS GROUPS, AND COMMUNITY DIALOGUES AS WELL AS PRIORITIZING COMMUNITY NEEDS.COMMUNITY INPUT WAS GATHERED THROUGH A SERIES OF FOCUS GROUPS AND COMMUNITY MEETINGS THAT TOOK PLACE BETWEEN JULY 2018 AND MAY 2019. THIS INPUT INCLUDED INDIVIDUALS REPRESENTING PERSONS WITH EXPERTISE IN PUBLIC HEALTH; LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS; AND POPULATIONS WITH CHRONIC DISEASE NEEDS FROM THE COMMUNITY SERVED BY THE HOSPITAL. 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: ST. LUKE'S COLLABORATED WITH GENERATIONS HEALTH CARE INITIATIVES, ST. LOUIS COUNTY PUBLIC HEALTH, AND ZEITGEIST CENTER FOR ARTS AND COMMUNITY IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 7D: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. 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, 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 PARTNERS DEVELOPED A COMMUNITY-CENTERED PROCESS, INCLUDING FOCUS GROUPS AND COMMUNITY DIALOGUES WHICH SERVED TO PRIORITIZE COMMUNITY NEEDS AND BUILD THE IMPLEMENTATION PLAN THROUGH A COLLECTIVE IMPACT MODEL.BRIDGING HEALTH DULUTH PUBLIC PRESENTATION "SHAPING A HEALTHIER COMMUNITY" OF WHICH ST LUKE'S WAS A CO-SPONSOR AND CO-ORGANIZER. THE 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN WAS SHARED AND SOUGHT COMMUNITY INVOLVEMENT IN WORK AROUND THREE PRIORITY AREAS: YOUTH SUBSTANCE USE, MENTAL HEALTH, AND FOOD INSECURITY. THE EVENT INCLUDED OPPORTUNITIES FOR ATTENDEES TO CONNECT WITH COMMUNITY PROFESSIONALS, EXPLORE THE ASSESSMENT RESULTS AND ACTION PLAN, 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. EVERY THREE YEARS, BRIDGING HEALTH DULUTH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO SYSTEMATICALLY IDENTIFY, ANALYZE AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE MISSION OF BRIDGING HEALTH DULUTH IS TO SUPPORT A HEALTHIER COMMUNITY FOR ALL. BRIDGING HEATH DULUTH SEEKS OUT AND BRINGS TOGETHER INDIVIDUALS AND ORGANIZATIONS WHO ARE INTERESTED IN POSITIVELY IMPACTING THE PRIORITY AREAS IDENTIFIED IN THE CHNA. WE BELIEVE THROUGH COLLABORATION AND COMPLEMENTARY INITIATIVES, WE WILL HAVE THE GREATEST POSITIVE IMPACT ON THE HEALTH OF DULUTHIANS. THE IMPLEMENTATION PLANNING PROCESS WAS ALSO CONDUCTED IN COLLABORATION WITH MANY PARTNERS INCLUDING ORGANIZATIONS OR INDIVIDUALS THAT REPRESENT BOARD INTERESTS IN THE COMMUNITY, INCLUDING THOSE MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND POPULATIONS THAT ARE AT HIGHER RISK FOR ILL HEALTH. ONCE PRIORITY HEALTH NEEDS WERE IDENTIFIED, BRIDGING HEALTH DULUTH DESIGNED AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS WITH INTERNAL STAKEHOLDERS AND COMMUNITY PARTNERS. THE PLAN IS DESIGNED TO LEVERAGE EXISTING COMMUNITY STRENGTHS AND RESOURCES AVAILABLE TO IMPROVE HEALTH FOR DULUTHIANS. FROM JULY 2018 TO MAY 2019, BRIDGING HEALTH DULUTH ANALYZED DATA, CONVENED COMMUNITY PARTNERS, SOUGHT INPUT FROM COMMUNITY MEMBERS, AND LED A PROCESS TO IDENTIFY THE FOLLOWING PRIORITY AREAS FOR THE 2020 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. MENTAL HEALTH2. YOUTH SUBSTANCE USE3. FOOD INSECURITYBRIDGING HEALTH DULUTH SUPPORTS A HEALTHIER COMMUNITY FOR ALL. TO FULFILL THAT MISSION, WE SEEK OPPORTUNITIES TO BOTH ENHANCE THE CARE WE PROVIDE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, BRIDGING HEALTH DULUTH HAS COLLABORATED WITH COMMUNITY PARTNERS TO EMBRACE THESE GUIDING PRINCIPLES: - COLLABORATE TOWARDS SOLUTIONS WITH MULTIPLE STAKEHOLDERS (E.G. SCHOOLS, WORKSITES, MEDICAL CENTERS, PUBLIC HEALTH) TO IMPROVE COMMUNITY HEALTH.- BUILD TRUST THROUGH COLLABORATION WITH COMMUNITY MEMBERS EXPERIENCING HEALTH DISPARITIES.- PRIORITIZE SUSTAINABLE EVIDENCE-BASED EFFORTS AROUND THE GREATEST COMMUNITY GOOD.- CREATE CLEAR, SPECIFIC, REALISTIC, AND ACTION-ORIENTED GOALS TO IMPROVE PRIORITY HEALTH INDICATORS.THE GOALS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO:1. ASSESS THE HEALTH NEEDS, DISPARITIES, ASSETS AND FORCES OF CHANGE IN DULUTH.2. PRIORITIZE HEALTH NEEDS BASED ON COMMUNITY INPUT AND FEEDBACK.3. DESIGN AND IMPLEMENTATION STRATEGY TO REFLECT THE OPTIMAL USAGE OF RESOURCES IN OUR COMMUNITY.4. ENGAGE OUR COMMUNITY PARTNERS AND STAKEHOLDERS IN ALL ASPECTS OF THE COMMUNITY HEALTH NEEDS.5. ASSESSMENT PROCESS, INCLUDING DATA COLLECTION, DATA ANALYSIS, ISSUE PRIORITIZATION, IMPLEMENTATION.6. PLAN CREATION AND MONITORING OF RESULTS.DURING 2021, ST. LUKE'S TOOK THE FOLLOWING STEPS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS:- TWO ST LUKE'S STAFF WERE INVOLVED IN THE BRIDGING HEALTH DULUTH STEERING COMMITTEE AND PARTICIPATED IN DEVELOPING THE INFRASTRUCTURE FOR ACTION TEAMS- ST LUKE'S STAFF ASSISTED WITH DATA DEVELOPMENT AND ANALYSIS IN DEVELOPING THE CHNA- ASSISTANCE WITH PLANNING, CO-HOSTING AND ADVERTISING THE SHAPING A HEALTHIER COMMUNITY SESSION - OFFERED "TRAIN THE TRAINER" PROGRAM FOR SBIRT INTERVENTION, AN EVIDENCE-BASED TOOL FOR CLINICIANS TO REDUCE SUBSTANCE ABUSE AND RISKY BEHAVIORS- NOTE THIS POSITION WAS WITH WILDERNESS HEALTH FUNDING - BEGAN IMPLEMENTING THE MN HOSPITAL ASSOCIATION'S NEONATAL ABSTINENCE SYNDROME ROADMAP, TO DEVELOP A SAFE MOM AND BABY PROGRAM FOR THOSE WITH SUBSTANCE ABUSE.SIGNIFICANT NEEDS NOT ADDRESSED IN THE CHNA:OTHER ISSUES IDENTIFIED THROUGH THE PROCESS BUT NOT INCLUDED AMONG THE TOP THREE PRIORITIES INCLUDED DISABILITY, MATERNAL HEALTH, ACCESS TO HEALTHCARE, HEART CONDITIONS, DIABETES, AND CANCER. THESE NEEDS WILL BE ADDRESSED IN PART THROUGH THE SELECTED PRIORITIES AS THEY ARE INTERRELATED. ADDITIONALLY, BRIDGING HEALTH DULUTH WILL CONTINUE TO FOCUS EFFORTS ON THE HIGHEST NEEDS AND COLLABORATE WITH LOCAL PARTNERS TO ADDRESS OTHER ISSUES NOT INCLUDED IN THE TOP THREE PRIORITIES. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 13B: PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE BALUE 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. WEBSITE AVAILABILITY AT:HTTPS://WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/ 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 ALLERGY & IMMUNOLOGY ASSOCIAT 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 6 - ST LUKE'S ENDOCRINOLOGY ASSOCIATES 1011 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 7 - ST LUKE'S RHEUMATOLOGY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 8 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIA 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 9 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 10 - ST LUKE'S DERMATOLOGY ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 11 - PS RUDIE MEDICAL CLINIC 26 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 12 - ST LUKE'S PLASTIC SURGERY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 13 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOCI 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 14 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 15 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 16 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 17 - ST LUKE'S ORTHOPEDICS & SPORTS MEDIC 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 18 - ST LUKE'S SURGICAL ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 19 - ST LUKE'S MENTAL HEALTH 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 20 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 21 - ST LUKE'S UROLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55805 OUTPATIENT MEDICAL 22 - ST LUKE'S PEDIATRIC ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 23 - LESTER RIVER MEDICAL CLINIC 6351 E SUPERIOR STREET DULUTH MN 55804 OUTPATIENT MEDICAL 24 - MARINER MEDICAL CLINIC 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL 25 - ST LUKE'S OUTPATIENT SURGERY CENTER 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL & AMBULATORY SURGERY 26 - ST LUKE'S HOME CARE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 27 - ST LUKE'S OBSTETRICS AND GYNECOLOGY ASS 1000 E 1ST STREET SUITE LL DULUTH MN 55805 OUTPATIENT MEDICAL 28 - ST LUKE'S HOSPICE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 29 - ST LUKE'S NEUROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 30 - MILLER CREEK MEDICAL CLINIC URGENT CARE 4190 LOBERG AVE HERMANTOWN MN 55811 OUTPATIENT MEDICAL 31 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMEN 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 32 - ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING 930 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 33 - MOUNT ROYAL MEDICAL CLINIC & QCARE 1400 WOODLAND AVE DULUTH MN 55803 OUTPATIENT MEDICAL 34 - ST LUKE'S ENT ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 35 - ST LUKE'S NEPHROLOGY ASSOCIATES 925 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 36 - ST LUKE'S VASCULAR SURGERY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 37 - ST LUKE'S ADVANCED WOUND CARE & HYPE 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 38 - SURGICAL & PROCEDURAL CARE 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 39 - ST LUKE'S COMMUNITY CARE TEAM 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 40 - ST LUKE'S PROCTOR FITNESS CENTER 131 9TH AVENUE PROCTOR MN 55810 OUTPATIENT MEDICAL 41 - ST LUKE'S PAVILION SURGERY CENTER 920 E 1ST STREET DULUTH MN 55805 AMBULATORY SURGERY 42 - ST LUKE'S EYE CARE - MEDICAL ARTS BUILD 324 W SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 43 - ST LUKE'S CLINIC DIAGNOSTICS 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL PART I, LINE 3C: 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". PATIENT HAS TO RECEIVE MEDICALLY NECESSARY CARE, LIVE IN ST. LUKE'S PRIMARY OR SECONDARY MARKET SERVICE AREA (UNLESS THEY PRESENT WITH AN URGENT, EMERGENT, OR LIFE-THREATENING MEDICAL CONDITION), AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION WITHIN THE REQUIRED TIME LIMIT. 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 $ 7,619,607. 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 NOTE ON PAGE 11 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, ALONG WITH ITS PRIMARY AND SPECIALTY CARE CLINICS, OFFERS A COMPREHENSIVE CONTINUUM OF CARE THAT INCLUDES TRAUMA, MEDICAL, SURGICAL, DIAGNOSTIC, THERAPEUTIC, AND REHAB SERVICES. MORE THAN 2,000 HEALTHCARE PROFESSIONALS MAKE UP ST. LUKE'S STAFF, INCLUDING A MEDICAL STAFF OF 959, WITH 463 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ST. LUKE'S 13 PRIMARY CARE CLINICS ARE LOCATED IN DULUTH AND ACROSS MINNESOTA IN SILVER BAY, HIBBING, MOUNTAIN IRON, AND HERMANTOWN, MN; AS WELL AS IN ASHLAND AND SUPERIOR, WI. AN ADDITIONAL 7 URGENT CARE CLINICS, 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 EAST 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501(C)(3) 65000 0 SANE ADULT/ADOLESCENT PROGRAM PROCTOR SCHOOL DISTRICT 131 NINTH AVE PROCTOR MN 55810 416003748 STATE OF MINNESOTA 60000 0 SPONSOR SPORTS CENTER DULUTH AREA FAMILY YMCA 302 W 1ST ST DULUTH MN 55802 410693931 501(C)(3) 42500 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 WEST 1ST ST 101 DULUTH MN 55802 410225910 501(C)(6) 13700 0 SPONSORSHIP AND VARIOUS EVENTS WILDERNESS HOCKEY 1111 CLOQUET AVE STE 1 CLOQUET MN 55720 460623467 10000 0 SPONSORSHIP DULUTH FOOTBALL CLUB 5219 KINGSTON ST DULUTH MN 55804 470358877 30000 0 SPONSORSHIP DULUTH SUPERIOR SYMPHONY ORCHESTRA 130 W SUPERIOR ST DULUTH MN 55802 410760835 501(C)(3) 10000 0 SUSTAINING PARTNER AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 27500 0 SPONSORSHIP DULUTH -SUPERIOR AREA EDUCATIONAL TELEVISION CORPORATION 632 NIAGARA COURT DULUTH MN 55811 410877607 501(C)(3) 13250 0 DOCTORS ON CALL HERMANTOWN AREA FUTBOL CLUB 7500 0 SPONSORSHIP MIRAGE HOCKEY BLUE LINE CLUB PO BOX 342 PEQUOT LAKES MN 56472 411939077 501(C)(3) 8500 0 SPONSORSHIP GREATER DOWNTOWN COUNCIL 5 WEST 1ST ST 101 DULUTH MN 55802 411467228 501(C)(6) 5900 0 SPONSORSHIP INDEPENDENT SCHOOL DISTRICT #97 413 BIRCH AVENUE MOOSE LAKE MN 55767 ISD 97 16667 0 ATHLETIC TRAINING SERVICES 8 6 TUITION ASSISTANCE 46 120596 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 1217184 0 0 0 4290 0 6675 0 24767 0 1252916 0 0 0 MARY BOYLAN MD PHYSICIAN 1057618 0 0 0 3177 0 11625 0 27096 0 1099516 0 0 0 KEVIN NOKELS PRESIDENT/CEO (THROUGH MARCH 2021) 752674 0 0 0 269284 0 520 0 43678 0 1066156 0 0 0 JOHN WATKINS MD PHYSICIAN 969272 0 0 0 690 0 6675 0 27096 0 1003733 0 0 0 ERIC LOHN CO-PRESIDENT/CEO & CFO 747138 0 0 0 1242 0 5000 0 180686 0 934066 0 0 0 ROBERT DAHLIN MD PHYSICIAN 897586 0 0 0 270 0 0 0 24618 0 922474 0 0 0 JOHN STYLIARAS MD PHYSICIAN 891991 0 0 0 3300 0 6675 0 18027 0 919993 0 0 0 NICHOLAS VAN DEELEN MD CO-PRESIDENT/ CEO & CMO 633413 0 0 0 3524 0 9149 0 178208 0 824294 0 0 0 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 562366 0 0 0 3450 0 6750 0 27096 0 599662 0 0 0 AIMEE VANSTRAATEN MD SECRETARY/PHYSICIAN 360189 0 0 0 3450 0 6661 0 24767 0 395067 0 0 0 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 347012 0 0 0 1290 0 7748 0 27096 0 383146 0 0 0 NYASHA SPEARS MD BOARD MEMBER/PHYSICIAN 151092 0 0 0 3450 0 4589 0 1685 0 160816 0 0 0 PART I, LINE 4B ST. LUKE'S MAINTAINS 457(F) NONQUALIFIED DEFERRED COMPENSATION PLANS FOR ELIGIBLE EMPLOYEES. IN 2021, CONTRIBUTIONS TO THE 457(F) PLANS WERE: KEVIN NOKELS - $38,123 ERIC LOHN - $155,250 NICHOLAS VAN DEELEN, MD - $155,250 IN 2021, DISTRIBUTIONS FROM THE 457(F) PLAN WERE: KEVIN NOKELS - $267,964 ERIC LOHN - $72,474 A DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 26444CGT3 2012-10-10 83148022 REFINANCE SERIES 2002 BONDS; PURCHASE EQUIPMENT; FUND HOSPITAL ADDITION 0 0 0 B DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 2018-12-31 39500000 FUND OPERATING SYSTEM UPGRADE 0 0 0 C DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CJN3 2021-09-09 14236667 REFINANCE SERIES 2003 AND 2012 BONDS 0 0 0 A 14355000 83148022 7035984 2176485 1625011 33335773 48537410 2015 1 0 0 1 B 1155964 39500000 254374 39245626 2018 0 0 0 1 C 14236667 284028 13952639 2021 1 1 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 0 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 1 A 0 B 0 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2017 BRIAN CAPPS FAMILY MEMBER OF BOARD MEMBER 179073 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 2021 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 2021. 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 21,590,315. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 232,953. PAVILION SURGERY CENTER LLC 915 EAST FIRST STREET DULUTH MN 55805 411979428 SURGICAL SERVICES MN 9319 3057189 ST LUKE'S HOSPITAL OF DULUTH ST FRANCIS APARTMENTS LLC 102 WEST 2ND STREET DULUTH MN 55802 862674862 LOW-INCOME HOUSING MN 1063339 2890336 ST LUKE'S HOSPITAL OF DULUTH ST LUKE'S FOUNDATION 1000 EAST FIRST STREET NO 102 DULUTH MN 55805 411448118 FUNDRAISING SUPPORT FOR HEALTH CARE/HOSPITAL MN 501(C)(3) LINE 12A, I ST LUKE'S HOSPITAL OF DULUTH 1 LAKE VIEW MEMORIAL HOSPITAL INC 325 11TH AVENUE TWO HARBORS MN 55616 410786046 HEALTH CARE/HOSPITAL MN 501(C)(3) LINE 3 ST LUKE'S HOSPITAL OF DULUTH 1 LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA 325 11TH AVENUE TWO HARBORS MN 55616 411700972 FUNDRAISING SUPPORT FOR LAKE VIEW MEMORIAL HOSPITAL MN 501(C)(3) LINE 12A, I LAKE VIEW MEMORIAL HOSPITAL INC 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 ST LUKE'S FOUNDATION C 739327 FAIR MARKET VALUE ST LUKE'S FOUNDATION L 392061 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC D 2301442 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC K 70564 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC L 2073735 FAIR MARKET VALUE