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ST LUKES HOSPITAL OF DULUTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOSPITAL OF DULUTH (EIN 41-0714079)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-28
IRS object ID
202133019349302098
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-10-28T16:20:54-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410714079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL OF DULUTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLUBusinessNameControlTxt
Phone2182495555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC LOHNPersonNm
Person TitleCO-PRESIDENT/CEO & CFOPersonTitleTxt
Phone2182495555PhoneNum
Signature2021-10-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstERICPersonFirstNm
Person LastLOHNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARRYN MCGARVEYPreparerPersonNm
PTINP00958683PTIN
Phone6123764500PhoneNum
Preparation2021-10-22PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC LOHNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$537,215,258GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SLHDULUTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1881FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee3011TotalEmployeeCnt
Total Volunteers99TotalVolunteersCnt
Total Gross UBI$1,729,867TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$159,330NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,880,363PYContributionsGrantsAmt
CY Contributions Grants$19,591,237CYContributionsGrantsAmt
PY Program Service Revenue$511,369,562PYProgramServiceRevenueAmt
CY Program Service Revenue$470,892,501CYProgramServiceRevenueAmt
PY Investment Income$5,267,854PYInvestmentIncomeAmt
CY Investment Income$9,522,597CYInvestmentIncomeAmt
PY Other Revenue$3,111,525PYOtherRevenueAmt
CY Other Revenue$6,427,429CYOtherRevenueAmt
PY Total Revenue$521,629,304PYTotalRevenueAmt
CY Total Revenue$506,433,764CYTotalRevenueAmt
PY Grants And Similar Paid$652,897PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$492,439CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$297,305,431PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$284,298,679CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$217,981,869PYOtherExpensesAmt
CY Other Expenses$210,125,971CYOtherExpensesAmt
PY Total Expenses$515,940,197PYTotalExpensesAmt
CY Total Expenses$494,917,089CYTotalExpensesAmt
PY Revenues Less Expenses$5,689,107PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,516,675CYRevenuesLessExpensesAmt
Total Assets BOY$365,911,818TotalAssetsBOYAmt
Total Assets EOY$431,806,158TotalAssetsEOYAmt
Total Liabilities BOY$275,884,072TotalLiabilitiesBOYAmt
Total Liabilities EOY$330,849,907TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$90,027,746NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$100,956,251NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PATIENT ABOVE ALL ELSE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$434,106,975ExpenseAmt
Grant$492,439GrantAmt
Revenue$469,077,947RevenueAmt
DescORGANIZATIONAL 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 2020, 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 2020, THERE WERE 11,229 ADMISSIONS, 58,576 PATIENT DAYS, 63,553 EMERGENCY/URGENT CARE VISITS, 150,344 OUTPATIENT REGISTRATIONS AND 666,415 CLINIC VISITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescORGANIZATIONAL 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$434,106,975TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3011EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIC LOHNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2182495475PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIMOTHY KLEINSCHMIDT MD
BOARD MEMBER/CHIEF OF STAFF40.000.00Yes (X)$491,504$0$33,470
AIMEE VANSTRAATEN MD
SECRETARY/PHYSICIAN40.000.00Yes (X)$387,379$0$31,502
MITCHELL CARDWELL DO BOARD
MEMBER (AS OF 11/2020)/PHYSICIAN40.000.00Yes (X)$316,554$0$32,776
NYASHA SPEARS MD BOARD
MEMBER (AS OF 11/2020)/PHYSICIAN40.000.00Yes (X)$145,498$0$6,405
MARK PLACHTA BOARD
MEMBER/PHYSICIAN (THROUGH 4/2020)40.000.00Yes (X)$83,458$0$17,853
JEFF BORLING
BOARD CHAIR1.000.00Yes (X)$0$0$0Yes (X)
BARBARA HAYDEN HAUGEN
VICE CHAIR (THROUGH 6/2020)1.000.00Yes (X)$0$0$0Yes (X)
HERBERT MINKE
VICE CHAIR (AS OF 6/2020)1.000.00Yes (X)$0$0$0Yes (X)
KEVIN BEARDSLEY
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
JOHN CLOUTIER
BOARD MEMBER1.001.00Yes (X)$0$0$0
EDWIN KING HALL
BOARD MEMBER1.001.00Yes (X)$0$0$0
PATRICK HEFFERNAN
BOARD MEMBER1.001.00Yes (X)$0$0$0
AMANDA IMES
BOARD MEMBER1.000.00Yes (X)$0$0$0
YVONNE PRETTNER SOLON
BOARD MEMBER1.000.00Yes (X)$0$0$0
RENE SETTERGREN
BOARD MEMBER (AS OF 11/2020)1.000.00Yes (X)$0$0$0
RUTH WESTRA DO
BOARD MEMBER1.000.00Yes (X)$0$0$0
KEVIN NOKELS
PRESIDENT/CEO35.005.00$661,922$0$171,953Yes (X)
ERIC LOHN
CFO35.005.00$625,178$0$117,642Yes (X)
NICHOLAS VAN DEELEN MD
CMO35.005.00$385,425$0$112,139Yes (X)
JOHN YOON MD
PHYSICIAN40.000.00$1,287,555$0$31,391Yes (X)
ROBERT DAHLIN MD
PHYSICIAN40.000.00$848,509$0$24,795Yes (X)
MARY BOYLAN MD
PHYSICIAN40.000.00$835,719$0$35,861Yes (X)
JOHN STYLIARAS MD
PHYSICIAN40.000.00$846,434$0$20,696Yes (X)
JOHN WATKINS MD
PHYSICIAN40.000.00$823,607$0$32,372Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,738,742TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$668,855TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K474IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ERDMAN COMPANY
PO BOX 88670MILWAUKEEWI53288CONSTRUCTION SERVICES$17,553,445
MAYO COLLABORATIVE SERVICES
PO BOX 9416MINNEAPOLISMN55480LABORATORY SERVICES$4,511,574
COMPHEALTH
PO BOX 972651DALLASTX75397STAFFING SERVICES$2,839,632
MEDICAL INFORMATION TECH INC
PO BOX 74569CHICAGOIL60696IT SERVICES$1,231,495
CDW GOVERNMENT INC
75 REMITTANCE DRIVE SUITE 1515CHICAGOIL60675CONSTRUCTION SERVICES$1,022,400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K82CntrctRcvdGreaterThan100KCnt
Related Organizations$1,086,324RelatedOrganizationsAmt
Government Grants$178,009GovernmentGrantsAmt
All Other Contributions$18,326,904AllOtherContributionsAmt
Total Contributions$19,591,237TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MEDICAL SERVICES621500$305,917,532$305,917,532
PHARMACY621500$164,784,442$163,160,415$1,589,482$34,545
CREDENTIALING SERVICES621500$117,272$82,350$34,922
TRANSCRIPTION SERVICES621500$29,052$29,052
LABORATORY SERVICES621500$21,087$21,087

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,116TotalRevenueColumnAmt
Exclusion$23,116ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$470,892,501TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,818,726TotalRevenueColumnAmt
Exclusion$2,818,726ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$314,896TotalRevenueColumnAmt
Exclusion$314,896ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$524,848RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$276,496RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$248,352RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$248,352TotalRevenueColumnAmt
Exclusion$248,352ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$36,856,224SecuritiesAmt
Other$5,395OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$30,472,644SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,383,580SecuritiesAmt
Other$5,395OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,388,975TotalRevenueColumnAmt
Exclusion$6,388,975ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$20,271GrossSalesOfInventoryAmt
Cost Of Goods Sold$32,354CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,083TotalRevenueColumnAmt
Exclusion-$12,083ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
GAIN ON GOODWILL900099$3,853,949$3,853,949
MEALS/VENDING INCOME812300$1,438,812$1,438,812
PARKING LOT SERVICES561000$581,456$581,456

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$316,943TotalRevenueColumnAmt
Unrelated Business Revenue$58,035UnrelatedBusinessRevenueAmt
Exclusion$258,908ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,191,160OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$506,433,764TotalRevenueColumnAmt
Related Or Exempt Func Income$469,077,947RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,729,867UnrelatedBusinessRevenueAmt
Exclusion$16,034,713ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$305,868TotalAmt
Program Services$305,868ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$186,571TotalAmt
Program Services$186,571ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,620,655TotalAmt
Program Services$3,620,655ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$227,430,979TotalAmt
Program Services$204,469,712ProgramServicesAmt
Management And General$22,961,267ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,131,684TotalAmt
Program Services$8,966,059ProgramServicesAmt
Management And General$1,165,625ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,192,096TotalAmt
Program Services$25,833,617ProgramServicesAmt
Management And General$3,358,479ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,923,265TotalAmt
Program Services$12,165,871ProgramServicesAmt
Management And General$1,757,394ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$535,885TotalAmt
Management And General$535,885ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,951TotalAmt
Management And General$105,951ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$67,869TotalAmt
Program Services$67,869ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$188,171TotalAmt
Management And General$188,171ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,247,020TotalAmt
Program Services$12,814,012ProgramServicesAmt
Management And General$13,433,008ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$599,301TotalAmt
Program Services$599,301ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,327,592TotalAmt
Program Services$3,697,710ProgramServicesAmt
Management And General$3,629,882ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,046,344TotalAmt
Program Services$4,967,658ProgramServicesAmt
Management And General$1,078,686ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,475,581TotalAmt
Program Services$19,395,946ProgramServicesAmt
Management And General$6,079,635ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,308,773TotalAmt
Program Services$1,232,080ProgramServicesAmt
Management And General$76,693ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,645,292TotalAmt
Program Services$6,303,363ProgramServicesAmt
Management And General-$658,071ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,534,005TotalAmt
Program Services$11,214,768ProgramServicesAmt
Management And General$4,319,237ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,124,932TotalAmt
Program Services$2,124,932ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$45,781,283$45,781,283
DRUG SUPPLIES$43,481,393$43,481,393
MISCELLANEOUS EXPENSE$12,620,650$9,842,378$2,778,272
BAD DEBT EXPENSE$8,928,155$8,928,155

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,107,774TotalAmt
Program Services$8,107,774ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$494,917,089TotalAmt
Program Services$434,106,975ProgramServicesAmt
Management And General$60,810,114ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,778,471BOYAmt
EOY$91,786,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$62,846,065BOYAmt
EOY$62,365,637EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,689,105BOYAmt
EOY$12,720,977EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,403,157BOYAmt
EOY$3,960,868EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$327,080,291LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$192,521,050LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$116,228,107BOYAmt
EOY$134,559,241EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$40,667,644BOYAmt
EOY$13,837,842EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$62,358,239BOYAmt
EOY$67,533,155EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,933,313BOYAmt
EOY$12,954,440EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,929,577BOYAmt
EOY$1,664,437EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,078,140BOYAmt
EOY$30,423,561EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$365,911,818BOYAmt
EOY$431,806,158EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,914,287BOYAmt
EOY$50,711,379EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,795,487BOYAmt
EOY$106,009,756EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$31,982,157BOYAmt
EOY$36,657,368EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$144,950BOYAmt
EOY$144,950EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,047,191BOYAmt
EOY$137,326,454EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$275,884,072BOYAmt
EOY$330,849,907EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$90,027,746BOYAmt
EOY$100,956,251EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$90,027,746BOYAmt
EOY$100,956,251EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$365,911,818BOYAmt
EOY$431,806,158EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,516,675ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,072,496NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,484,326OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$12,870DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$55,000OtherActivitiesAmt
Total Lobbying Expenditures$67,870TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,882,008OtherCostOrOtherBasisAmt
Book Value$7,882,008BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$146,651,177OtherCostOrOtherBasisAmt
Depreciation$73,802,158DepreciationAmt
Book Value$72,849,019BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,801,660OtherCostOrOtherBasisAmt
Depreciation$2,375,255DepreciationAmt
Book Value$3,426,405BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$164,538,076OtherCostOrOtherBasisAmt
Depreciation$116,343,637DepreciationAmt
Book Value$48,194,439BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,207,370OtherCostOrOtherBasisAmt
Book Value$2,207,370BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$134,559,241TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescSHORT-TERM INVESTMENTSDesc
Book Value$67,533,155BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$67,533,155TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEFERRED COMPENSATION$26,733,363
CASH SURRENDER LIFE INSURANCE$23,027
DUE FROM RELATED PARTY$3,667,171
FieldValueIRS element (for citing)
Total Book Value Other Assets$30,423,561TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
EMPLOYEE BENEFIT OBLIGATIONS$76,473,585
DEFERRED RENT LIABILITY$2,859,280
ASSET RETIREMENT OBLIGATION$1,709,589
MALPRACTICE LIABILITY RESERVE$1,125,000
CARES ACT ACCELERATED PAYMENTS$55,159,000
FieldValueIRS element (for citing)
Total Liability$137,326,454TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$485,547,055TotalRevEtcAuditedFinclStmtAmt
Other Revenue$308,850OtherRevenueAmt
Revenue Not Reported$308,850RevenueNotReportedAmt
Revenue Subtotal$485,238,205RevenueSubtotalAmt
Other Revenues Not Included$21,195,559OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$21,195,559RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$506,433,764TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$486,297,784TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$308,850OtherExpensesIncludedAmt
Expenses Not Reported$308,850ExpensesNotReportedAmt
Expenses Subtotal$485,988,934ExpensesSubtotalAmt
Other Expenses Not Included$8,928,155OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,928,155ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$494,917,089TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE SYSTEM IS COMPRISED OF THREE SEPARATE NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) THAT ARE EXEMPT FROM FEDERAL INCOME TAXES ON UNRELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE IRC. 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:RENTAL EXPENSES 276,496. GIFT SHOP EXPENSES 32,354.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSES 8,928,155. INTEREST INCOME 2,024,480. GAIN ON SALE OF SECURITIES 6,383,580. GAIN ON SALE OF OTHER ASSETS 5,395. GAIN ON GOODWILL 3,853,949.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 276,496. GIFT SHOP EXPENSES 32,354.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 8,928,155.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,171,771TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,171,771NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,455,591TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,935,736DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,519,855NetCommunityBenefitExpnsAmt
Total Expense0.02580TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,627,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,935,736DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,691,626NetCommunityBenefitExpnsAmt
Total Expense0.03030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,778,005TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,778,005NetCommunityBenefitExpnsAmt
Total Expense0.00980TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,906,790TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,752,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,154,758NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$307,909TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$307,909NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,992,704TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,752,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,240,672NetCommunityBenefitExpnsAmt
Total Expense0.02100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$101,620,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,687,768DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,932,298NetCommunityBenefitExpnsAmt
Total Expense0.05130TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,703TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,703NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,037TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,037NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,864TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,864NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$687TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$687NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,489TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,489NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,607TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,607NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,387TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,387NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,928,155BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$181,402,775ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$237,273,687CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$55,870,912MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 PAVILION SURGERY CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesOUTPATIENT AMBULATORY SURGERYPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SLHDULUTH.COMWebsiteAddressTxt
State License365862StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL OF DULUTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. LUKE'S HOSPITAL OF DULUTHPART 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 DULUTHPART 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 DULUTHPART 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 DULUTHPART 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 DULUTHPART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED ARE: MENTAL HEALTH; ALCOHOL, TOBACCO AND OTHER DRUGS; SOCIO-ECONOMIC DISPARITIES BASED ON RACE AND NEIGHBORHOOD; AND OBESITY, INCLUDING LACK OF ACCESS TO HEALTHY FOODS AND PHYSICAL INACTIVITY. EACH PRIORITY AREA HAS MULTIPLE ASPECTS IN WHICH THE HOSPITALS WILL WORK WITH COMMUNITY PARTNERS AND STAKEHOLDERS TO COLLABORATE TO ADDRESS. BY ADOPTING A COLLECTIVE IMPACT MODEL TO IMPROVE OVERALL HEALTH AND WELLNESS IN OUR COMMUNITY, NOT ALL ISSUES WILL BE DIRECTLY ADDRESSED BY THE HOSPITALS, BUT THROUGH A MULTI-SECTOR COALITION BASED APPROACH. DURING 2020, ST LUKE'S IMPLEMENTED A VARIETY OF MENTAL HEALTH MINDFULNESS AND CULTURAL PRACTICES, UTILIZED SOCIAL MEDIA TO RAISE AWARENESS AND REDUCE THE STIGMA OF MENTAL ILLNESS, BECAME INVOLVED IN COALITIONS SUPPORTING MENTAL HEALTH INITIATIVE INCLUDING THE CLARITY PROJECT, NORTHLAND HEALTHY MINDS, AND THE CHILDREN'S MENTAL HEALTH INITIATIVE."
ST. LUKE'S HOSPITAL OF DULUTHPART 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 DULUTHPART 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/
FieldValueIRS element (for citing)
Facility57FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (57 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MOUNT ROYAL MEDICAL CLINIC
1400 WOODLAND AVEDULUTHMN55803OUTPATIENT MEDICAL
2 - DENFELD MEDICAL CLINIC
4702 GRAND AVEDULUTHMN55807OUTPATIENT MEDICAL
3 - ST LUKE'S CARDIOLOGY ASSOCIATES
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
4 - ST LUKE'S OCCUPATIONAL HEALTH CLINIC
4702 GRAND AVEDULUTHMN55807OUTPATIENT MEDICAL
5 - ST LUKE'S PHYSICAL MEDICINE & REHAB
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
6 - ST LUKE'S NEUROSURGERY ASSOCIATES
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
7 - ST LUKE'S ALLERGY & IMMUNOLOGY ASSOCIATES
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
8 - PAVILION OUTPATIENT SURGERY CENTER
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL & AMBULATORY SURGERY
9 - ST LUKE'S ENDOCRINOLOGY ASSOCIATES
1011 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
10 - ST LUKE'S RHEUMATOLOGY ASSOCIATES
1000 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
11 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIATE
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
12 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
13 - ST LUKE'S DERMATOLOGY ASSOCIATES
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
14 - LAURENTIAN MEDICAL CLINIC
8373 UNITY DRIVEMOUNTAIN IRONMN55768OUTPATIENT MEDICAL
15 - BAY AREA MEDICAL CLINIC
50 OUTER DRIVESILVER BAYMN55614OUTPATIENT MEDICAL
16 - HIBBING FAMILY MEDICAL CLINIC
1120 E 34TH STREETHIBBINGMN55746OUTPATIENT MEDICAL
17 - MILLER CREEK MEDICAL CLINIC
4190 LOBERG AVENUEHERMANTOWNMN55811OUTPATIENT MEDICAL
18 - PS RUDIE MEDICAL CLINIC
26 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
19 - Q-CARE EXPRESS CLINIC - CUB
619 W CENTRAL ENTRANCEDULUTHMN55811OUTPATIENT MEDICAL
20 - ST LUKE'S PLASTIC SURGERY ASSOCIATES
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
21 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOCIAT
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
22 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
23 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
24 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
25 - ST LUKE'S ORTHOPEDICS & SPORTS MEDIC
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
26 - ST LUKE'S SURGICAL ASSOCIATES
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL & AMBULATORY SURGERY
27 - ST LUKE'S MENTAL HEALTH
220 N 6TH AVE EDULUTHMN55805OUTPATIENT MEDICAL
28 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
29 - ST LUKE'S UROLOGY ASSOCIATES
1001 E SUPERIOR STREETDULUTHMN55805OUTPATIENT MEDICAL
30 - ST LUKE'S MEDICAL ARTS CLINIC
324 W SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
31 - ST LUKE'S PEDIATRIC ASSOCIATES
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
32 - LESTER RIVER MEDICAL CLINIC
6351 E SUPERIOR STREETDULUTHMN55804OUTPATIENT MEDICAL
33 - CHEQUAMEGON CLINIC
415 ELLIS AVEASHLANDWI54806OUTPATIENT MEDICAL
34 - MARINER MEDICAL CLINIC
109 N 28TH STREET ESUPERIORWI54880OUTPATIENT MEDICAL
35 - MARINER CLINIC URGENT CARE
109 N 28TH STREET ESUPERIORWI54880OUTPATIENT MEDICAL
36 - MARINER OUTPATIENT SURGERY CENTER
109 N 28TH STREET ESUPERIORWI54880OUTPATIENT MEDICAL & AMBULATORY SURGERY
37 - ST LUKE'S HOME CARE
220 N 6TH AVE EDULUTHMN55805OUTPATIENT MEDICAL
38 - ST LUKE'S OBSTETRICS AND GYNECOLOGY ASSOC
1000 E 1ST STREET SUITE LLDULUTHMN55805OUTPATIENT MEDICAL
39 - ST LUKE'S HOSPICE
220 N 6TH AVE EDULUTHMN55805OUTPATIENT MEDICAL
40 - OUTPATIENT THERAPY LAKEVIEW BUILDING
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
41 - ST LUKE'S OPHTHALMOLOGY ASSOCIATES
324 W SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
42 - ST LUKE'S URGENT CARE
915 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
43 - ST LUKE'S NEUROLOGY ASSOCIATES
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
44 - DENFELD MEDICAL CLINIC URGENT CARE
4702 GRAND AVEDULUTHMN55807OUTPATIENT MEDICAL
45 - LAURENTIAN MEDICAL CLINIC URGENT CARE
8373 UTILITY DRIVEMOUNTAIN IRONMN55768OUTPATIENT MEDICAL
46 - MILLER CREEK MEDICAL CLINIC URGENT CARE
4190 LOBERG AVEHERMANTOWNMN55811OUTPATIENT MEDICAL
47 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMENT
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
48 - ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING
930 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL
49 - Q-CARE EXPRESS CLINIC - MT ROYAL
1400 WOODLAND AVEDULUTHMN55803OUTPATIENT MEDICAL
50 - ST LUKE'S ENT ASSOCIATES
920 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
51 - ST LUKE'S NEPHROLOGY ASSOCIATES
925 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
52 - ST LUKE'S VASCULAR SURGERY ASSOCIATES
1000 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
53 - ST LUKE'S ADVANCED WOUND CARE & HYPE
1000 E 1ST STREETDULUTHMN55805OUTPATIENT MEDICAL
54 - SURGICAL & PROCEDURAL CARE
1012 E 2ND STREETDULUTHMN55805OUTPATIENT MEDICAL & AMBULATORY SURGERY
55 - ST LUKE'S GENETIC COUNSELING CLINIC
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
56 - ST LUKE'S COMMUNITY CARE TEAM
1001 E SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
57 - ST LUKE'S PROCTOR FITNESS CENTER
131 9TH AVENUEPROCTORMN55810OUTPATIENT MEDICAL

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 8,928,155.
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 10 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 IV:ST. LUKE'S HOSPITAL PURCHASED PAVILION SURGERY CENTER ON MAY 1, 2020, AT WHICH POINT IT CHANGED FROM A JOINT VENTURE TO A SINGLE-MEMBER LLC. AS SUCH, THE INFORMATION IN PART IV WAS ACCURATE THROUGH APRIL 30, 2020.
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 56 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, AND 2015. 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 (85,618); SUPERIOR, WI (25,977)MEDIAN HOUSEHOLD INCOME - DULUTH, MN ($52,463); SUPERIOR, WI ($46,957)% OF INDIVIDUALS BELOW FPG - DULUTH, MN (18.2%); SUPERIOR, WI (14.1%)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 STATESMN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROGRAM FOR AID TO VICITIMS OF SEXUAL ASSAULT
32 EAST 1ST STREET SUITE 200DULUTHMN55802411350021501(C)(3)$65,000SANE ADULT/ADOLESCENT PROGRAM
PROCTOR SCHOOL DISTRICT
131 NINTH AVEPROCTORMN55810416003748STATE OF MINNESOTA$60,000SPONSOR SPORTS CENTER
DULUTH AREA FAMILY YMCA
302 W 1ST STDULUTHMN55802410693931501(C)(3)$30,000KIDS CLUB AND VARIOUS EVENTS
DULUTH HUSKIES BASEBALL CLUB
PO BOX 16231DULUTHMN55815442353480$25,000SPONSORSHIP
LAKE SUPERIOR COMMUNITY HEALTH CENTER
4325 GRAND AVEDULUTHMN55807237167576501(C)(3)$18,125TO SERVE LOW INCOME, UNINSURED CLIENTS
DULUTH AREA CHAMBER OF COMMERCE
5 WEST 1ST ST 101DULUTHMN55802410225910501(C)(6)$16,600SPONSORSHIP AND VARIOUS EVENTS
WILDERNESS HOCKEY
1111 CLOQUET AVE STE 1CLOQUETMN55720460623467$10,000SPONSORSHIP
KRAUS ANDERSON COMMUNITY FOUNDATION
3716 ONEOTA STDULUTHMN55807473012976501(C)(3)$8,500SPONSOR BIKE FESTIVAL
DULUTH FOOTBALL CLUB
5219 KINGSTON STDULUTHMN55804470358877$8,500SPONSORSHIP
DULUTH SUPERIOR SYMPHONY ORCHESTRA
130 W SUPERIOR STDULUTHMN55802410760835501(C)(3)$7,500SUSTAINING PARTNER
HERMANTOWN AREA FUTBOL CLUB
4860 MAPLE GROVE RDDULUTHMN55811812900230$7,500SPONSORSHIP
NORTH SHORE INLINE MARATHON
525 S LAKE AVEDULUTHMN55802411871361501(C)(3)$7,500SPONSORSHIP
UMD SPORTS CLUBS - MEN'S RUGBY CLUB
1216 ORDEAN CTDULUTHMN55812416007513501(C)(3)$7,500SPONSORSHIP
DULUTH SUPERIOR AREA EDUCATIONAL TELEVISION CORP
632 NIAGRA CTDULUTHMN55811410877607501(C)(3)$6,500PARTNER FOR DOCTORS ON CALL
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTUITION ASSISTANCEGrantTypeTxt
Recipient91RecipientCnt
Cash Grant$186,571CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN YOON MD
PHYSICIAN$1,283,265$0$0$0$4,290$0$6,675$0$24,716$0$1,318,946$0$0$0
ROBERT DAHLIN MD
PHYSICIAN$848,269$0$0$0$240$0$0$0$24,795$0$873,304$0$0$0
MARY BOYLAN MD
PHYSICIAN$833,739$0$0$0$1,980$0$10,164$0$25,697$0$871,580$0$0$0
JOHN STYLIARAS MD
PHYSICIAN$843,134$0$0$0$3,300$0$6,675$0$14,021$0$867,130$0$0$0
JOHN WATKINS MD
PHYSICIAN$822,917$0$0$0$690$0$6,675$0$25,697$0$855,979$0$0$0
KEVIN NOKELS
PRESIDENT/CEO$635,922$0$0$0$26,000$0$4,275$0$167,678$0$833,875$0$0$0
ERIC LOHN
CFO$551,311$0$73,057$0$810$0$6,300$0$111,342$0$742,820$0$0$0
TIMOTHY KLEINSCHMIDT MD
BOARD MEMBER/CHIEF OF STAFF$475,550$0$0$0$15,954$0$8,675$0$24,795$0$524,974$0$0$0
NICHOLAS VAN DEELEN MD
CMO$380,986$0$0$0$4,439$0$8,212$0$103,927$0$497,564$0$0$0
AIMEE VANSTRAATEN MD
SECRETARY/PHYSICIAN$383,929$0$0$0$3,450$0$6,707$0$24,795$0$418,881$0$0$0
MITCHELL CARDWELL DO BOARD
MEMBER (AS OF 11/2020)/PHYSICIAN$315,264$0$0$0$1,290$0$7,079$0$25,697$0$349,330$0$0$0
NYASHA SPEARS MD BOARD
MEMBER (AS OF 11/2020)/PHYSICIAN$142,081$0$0$0$3,417$0$4,697$0$1,708$0$151,903$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationST. LUKE'S MAINTAINS 457(F) NONQUALIFIED DEFERRED COMPENSATION PLANS FOR ELIGIBLE EMPLOYEES. IN 2020, CONTRIBUTIONS TO THE 457(F) PLANS WERE: KEVIN NOKELS - $149,500 ERIC LOHN - $86,941 NICHOLAS VAN DEELEN, MD - $77,969 IN 2020, DISTRIBUTIONS FROM THE 457(F) PLAN WERE: ERIC LOHN - $73,057ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DULUTH ECONOMIC DEVELOPMENT AUTHORITY
A41600510526444CGT32012-10-10$83,148,022REFINANCE SERIES 2002 BONDS; PURCHASE EQUIPMENT; FUND HOSPITAL ADDITION000
DULUTH ECONOMIC DEVELOPMENT AUTHORITY
B4160051052018-12-31$39,500,000FUND OPERATING SYSTEM UPGRADE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$8,745,000$83,148,022$7,035,984$2,176,485$1,625,011$33,335,773$48,537,4102015Yes (1)00Yes (1)
B$39,500,000$254,3742018000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)00000
B0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2017ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CASSANDRA BEARDSLEY
FAMILY MEMBER OF BOARD MEMBER$152,799EMPLOYEE COMPENSATION0
LARISSA HUBBARTT
FAMILY MEMBER OF BOARD MEMBER$120,113EMPLOYEE COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 6ST. 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 7BTHE 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 11BTHE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH THE HELP OF MANAGEMENT IN ORDER TO ACCURATELY PREPARE THE 2020 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 12CEACH 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 15EXECUTIVE 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 2019. 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 19ST. 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 1,148,663. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 335,663.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PAVILION SURGERY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd
FieldValueIRS element (for citing)
EIN411979428EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL OF DULUTHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST LUKE'S FOUNDATION
1000 EAST FIRST STREET NO 102DULUTHMN55805411448118FUNDRAISING SUPPORT FOR HEALTH CARE/HOSPITALMN501(C)(3)LINE 12A, IST LUKE'S HOSPITAL OF DULUTHYes (1)
LAKE VIEW MEMORIAL HOSPITAL INC
325 11TH AVENUETWO HARBORSMN55616410786046HEALTH CARE/HOSPITALMN501(C)(3)LINE 3ST LUKE'S HOSPITAL OF DULUTHYes (1)
LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA
325 11TH AVENUETWO HARBORSMN55616411700972FUNDRAISING SUPPORT FOR LAKE VIEW MEMORIAL HOSPITALMN501(C)(3)LINE 12A, ILAKE VIEW MEMORIAL HOSPITAL INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST LUKE'S FOUNDATION
C$1,086,324FAIR MARKET VALUE
ST LUKE'S FOUNDATION
L$395,331FAIR MARKET VALUE
LAKE VIEW MEMORIAL HOSPITAL INC
D$2,593,890FAIR MARKET VALUE
LAKE VIEW MEMORIAL HOSPITAL INC
K$69,972FAIR MARKET VALUE
LAKE VIEW MEMORIAL HOSPITAL INC
L$1,922,000FAIR MARKET VALUE