2020-11-09T10:30:59-06:00 2019-12-31 990 2019-01-01 410714079 ST LUKE'S HOSPITAL OF DULUTH STLU 2182495555 915 EAST FIRST STREET DULUTH MN 55805 ERIC LOHN CHIEF FINANCIAL OFFICER 2182495555 2020-10-16 192.101.143.1 2020-10-16 11:21:12 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2019 2021-01-29 14:40:06Z KEVIN NOKELS 915 EAST FIRST STREET DULUTH MN 55805 546213216 0 X WWW.SLHDULUTH.COM X 1881 MN TO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION. 14 10 3616 269 7472460 0 1742028 1880363 513204492 511369562 5796795 5267854 2985634 3111525 523728949 521629304 605871 652897 0 0 286847983 297305431 0 0 0 202714536 217981869 490168390 515940197 33560559 5689107 354194269 365911818 276564960 275884072 77629309 90027746 X THE PATIENT ABOVE ALL ELSE. 0 0 457485535 652897 504020488 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 EDUCATION 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 2019, ST. LUKE'S DONATED MORE THAN 5000 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. 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.DURING 2019, THERE WERE 12,283 ADMISSIONS, 61,156 PATIENT DAYS, 71,941 EMERGENCY/URGENT CARE VISITS, 157,337 OUTPATIENT REGISTRATIONS AND 677,818 CLINIC VISITS. 457485535 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 0 1 1 1 0 0 1 61 0 3616 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 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 1407487 0 30727 KALYAN VUNNAMADALA MD PHYSICIAN 40.00 0.00 X 1342356 0 30727 JOHN STRANGE PRESIDENT/CEO (THROUGH 2/2019) 35.00 5.00 X X 852580 0 153164 MARY BOYLAN MD PHYSICIAN 40.00 0.00 X 953914 0 35188 JOHN WATKINS MD PHYSICIAN 40.00 0.00 X 901497 0 31229 JOHN STYLIARAS MD PHYSICIAN 40.00 0.00 X 902994 0 15468 PORUR SOMASUNDARAM MD PHYSICIAN 40.00 0.00 X 881391 0 30727 ROBERT BEJNAROWICZ MD PHYSICIAN 40.00 0.00 X 857182 0 23920 ERIC LOHN VICE PRESIDENT/CFO/INTERIM CEO 35.00 5.00 X 595366 0 111948 TIMOTHY KLEINSCHMIDT MD BOARD MEMBER/CHIEF OF STAFF 40.00 0.00 X 549511 0 33193 AIMEE VANSTRAATEN MD SECRETARY/PHYSICIAN 40.00 0.00 X X 337350 0 30727 KEVIN NOKELS PRESIDENT/CEO (AS OF 8/2019) 35.00 5.00 X X 256961 0 68875 MARK PLACHTA BOARD MEMBER/PHYSICIAN 40.00 0.00 X 233160 0 35382 JEFF BORLING BOARD CHAIR 1.00 0.00 X X 0 0 0 BARBARA HAYDEN HAUGEN VICE CHAIR 1.00 0.00 X X 0 0 0 KEVIN BEARDSLEY TREASURER 1.00 1.00 X X 0 0 0 BRIAN MURPHY PAST CHAIR (THROUGH 5/2019) 1.00 0.00 X X 0 0 0 JOHN CLOUTIER BOARD MEMBER 1.00 1.00 X 0 0 0 JESSE FRYE BOARD MEMBER (THROUGH 5/2019) 1.00 1.00 X 0 0 0 EDWIN KING HALL BOARD MEMBER 1.00 1.00 X 0 0 0 PATRICK HEFFERNAN BOARD MEMBER 1.00 0.00 X 0 0 0 AMANDA IMES BOARD MEMBER 1.00 0.00 X 0 0 0 HERBERT MINKE BOARD MEMBER (AS OF 5/2019) 1.00 0.00 X 0 0 0 BRYCE NIXON BOARD MEMBER (THROUGH 5/2019) 1.00 0.00 X 0 0 0 YVONNE PRETTNER SOLON BOARD MEMBER 1.00 0.00 X 0 0 0 RUTH WESTRA DO BOARD MEMBER 1.00 0.00 X 0 0 0 10071749 0 631275 490 0 1 0 ERDMAN COMPANY PO BOX 88670 MILWAUKEE WI 53288 CONSTRUCTION SERVICES 9471769 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 9423403 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 60689 IT SERVICES 4850882 MEDICAL INFORMATION TECH INC PO BOX 74569 CHICAGO IL 60696 IT SERVICES 3335292 MAYO COLLABORATIVE SERVICES PO BOX 9416 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2585797 89 691847 740327 448189 1880363 MEDICAL SERVICES 621990 348222147 348222147 PHARMACY 446110 162918905 155798341 7088793 31771 CREDENTIALING 541900 115403 115403 GUEST CARE 541900 48241 48241 TRANSCRIPTION 541900 39362 15567 23795 25504 13903 11601 511369562 3690638 3690638 794792 794792 1085224 862575 222649 222649 222649 24344908 39304 23601788 0 743120 39304 782424 782424 114135 119549 -5414 -5414 MEALS/VENDING INCOME 900099 1952430 1952430 PARKING LOT INCOME 900099 652811 652811 LAUNDRY SERVICES 812300 170452 120197 50255 118597 118597 2894290 521629304 504020488 7472460 8255993 466454 466454 186443 186443 3258220 3258220 239839430 216927516 22911914 8807267 7859140 948127 30857789 27535863 3321926 14542725 12673970 1868755 577850 577850 97490 97490 66549 66549 177195 177195 32148310 19154405 12993905 850769 850769 8021935 4447385 3574550 5747320 4753682 993638 24013645 18441844 5571801 1918156 1692814 225342 5511029 6152183 -641154 13250052 9380675 3869377 1966091 1966091 MEDICAL SUPPLIES 48364731 48364731 DRUGS 43980563 43980563 BAD DEBT EXPENSE 10453292 10453292 MN CARE 5038182 5038182 15798710 13834764 1963946 515940197 457485535 58454662 0 44791064 35778471 59771956 62846065 9733357 11689105 3862716 3403157 293475998 177247891 96574995 116228107 56675976 40667644 55368233 62358239 6772168 6933313 1722777 1929577 18921027 24078140 354194269 365911818 52719833 52914287 109694112 107795487 8617 0 34257611 31982157 144950 144950 79739837 83047191 276564960 275884072 X 77629309 90027746 77629309 90027746 354194269 365911818 X 5689107 5809070 900260 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 11703 0 1 54846 66549 0 PART II-B, LINE 1: A PORTION OF THE DUES THAT ST. LUKE'S HOSPITAL PAYS TO THE AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION ARE USED TO ADVOCATE ON BEHALF OF THE HOSPITAL AND ISSUES RELATING TO HEALTHCARE. IN ADDITION TO THE ABOVE, ST. LUKE'S HOSPITAL ALSO PAID LAW FIRMS TO LOBBY ON BEHALF OF THE HOSPITAL. 0 0 7529380 7529380 117199092 69209146 47989946 5622178 2172469 3449709 147223272 105866276 41356996 15902076 15902076 116228107 SHORT TERM INVESTMENTS 62358239 F 62358239 DEFERRED COMPENSATION 22251720 CASH SURRENDER LIFE INSURANCE 23168 DUE FROM RELATED PARTY 1803252 24078140 EMPLOYEE BENEFIT OBLIGATIONS 77966010 DEFERRED RENT LIABILITY 2828001 ASSET RETIREMENT OBLIGATION 1628180 MALPRACTIVE LIABILITY RESERVE 625000 83047191 X 508510789 982124 982124 507528665 14100639 14100639 521629304 506469029 982124 982124 505486905 10453292 10453292 515940197 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 THAT ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 862,575. GIFT SHOP EXPENSES 119,549. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 3,647,347. PROVISION FOR BAD DEBT 10,453,292. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 862,575. GIFT SHOP EXPENSES 119,549. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 10,453,292. ROUNDING 1 1 X 1 X 1 X 1 1 0 1 1 2101014 2101014 0.00410 57875085 45643194 12231891 0.02370 59976099 45643194 14332905 0.02780 8094788 8094788 0.01570 38024747 31797440 6227307 0.01210 490334 490334 0.00100 46609869 31797440 14812429 0.02880 106585968 77440634 29145334 0.05660 7654 7654 0.00000 32340 32340 0.00010 1850 1850 0.00000 30109 30109 0.00010 6955 6955 0.00000 78908 78908 0.00020 1 10453292 0 204907952 257779758 -52871806 X 1 1 1 PAVILION SURGERY CENTER OUTPATIENT AMBULATORY SURGERY 0.50000 0.00000 0.50000 1 1 ST LUKES 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 HTTPS://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X X 1 19 1 HTTPS://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 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 (AMERICAN 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, INSTITIUTE 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, 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 BYESSENTIA 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: 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. ST LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 11: EVERY THREE YEARS, BRIDGING HEALTH DULUTH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TOSYSTEMATICALLY IDENTIFY, ANALYZE AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE MISSION OF BRIDGING HEALTHDULUTH IS TO SUPPORT A HEALTHIER COMMUNITY FOR ALL. BRIDGING HEATH DULUTH SEEKS OUT AND BRINGS TOGETHERINDIVIDUALS AND ORGANIZATIONS WHO ARE INTERESTED IN POSITIVELY IMPACTING THE PRIORITY AREAS IDENTIFIED INTHE CHNA. WE BELIEVE THROUGH COLLABORATION AND COMPLEMENTARY INITIATIVES, WE WILL HAVE THE GREATESTPOSITIVE IMPACT ON THE HEALTH OF DULUTHIANS. THE IMPLEMENTATION PLANNING PROCESS WAS ALSO CONDUCTED INCOLLABORATION WITH MANY PARTNERS INCLUDING ORGANIZATIONS OR INDIVIDUALS THAT REPRESENT BOARD INTERESTS INTHE COMMUNITY, INCLUDING THOSE MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND POPULATIONS THATARE AT HIGHER RISK FOR ILL HEALTH.ONCE PRIORITY HEALTH NEEDS WERE IDENTIFIED, BRIDGING HEALTH DULUTH DESIGNED AN IMPLEMENTATION STRATEGYTO ADDRESS THE NEEDS WITH INTERNAL STAKEHOLDERS AND COMMUNITY PARTNERS. THE PLAN IS DESIGNED TOLEVERAGE 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 THE2020 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 SEEKOPPORTUNITIES TO BOTH ENHANCE THE CARE WE PROVIDE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. INCONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, BRIDGING HEALTH DULUTH HAS COLLABORATED WITHCOMMUNITY PARTNERS TO EMBRACE THESE GUIDING PRINCIPLES:COLLABORATE TOWARDS SOLUTIONS WITH MULTIPLE STAKEHOLDERS (E.G. SCHOOLS, WORKSITES, MEDICALCENTERS, 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 INDICATORSTHE GOALS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO:1. ASSESS THE HEALTH NEEDS, DISPARITIES, ASSETS AND FORCES OF CHANGE IN DULUTH2. PRIORITIZE HEALTH NEEDS BASED ON COMMUNITY INPUT AND FEEDBACK3. DESIGN AN IMPLEMENTATION STRATEGY TO REFLECT THE OPTIMAL USAGE OF RESOURCES IN OUR COMMUNITY4. ENGAGE OUR COMMUNITY PARTNERS AND STAKEHOLDERS IN ALL ASPECTS OF THE COMMUNITY HEALTH NEEDSASSESSMENT PROCESS, INCLUDING DATA COLLECTION, DATA ANALYSIS, ISSUE PRIORITIZATION, IMPLEMENTATIONPLAN CREATION, AND MONITORING OF RESULTS.2019 ACTIVITIES INCLUDE: 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. 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 INCLUDEDAMONG 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 AREINTERRELATED. ADDITIONALLY, BRIDGING HEALTH DULUTH WILL CONTINUE TO FOCUS EFFORTS ON THE HIGHEST NEEDS ANDCOLLABORATE 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 VALUE OF THEIR INCOME AND ASSETS COMPUTED ON THE "ST. LUKE'S FINANCIAL ASSISTANCE ELIGIBILTY 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 AVAILABILTY AT: HTTPS://WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/ 57 1 - MOUNT ROYAL MEDICAL CLINIC 1400 WOODLAND AVE DULUTH MN 55803 OUTPATIENT MEDICAL 2 - DENFELD MEDICAL CLINIC 4702 GRAND AVE DULUTH MN 55807 OUTPATIENT MEDICAL 3 - ST LUKE'S CARDIOLOGY ASSOCIATES 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 4 - ST LUKE'S OCCUPATIONAL HEALTH CLINIC 4702 GRAND AVE DULUTH MN 55807 OUTPATIENT MEDICAL 5 - ST LUKE'S PHYSICAL MEDICINE & REHAB ASS 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 6 - ST LUKE'S NEUROSURGERY ASSOCIATES 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 7 - ST LUKE'S ALLERGY & IMMUNOLOGY ASSOCIAT 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 8 - PAVILION OUTPATIENT SURGERY CENTER 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 9 - ST LUKE'S ENDOCRINOLOGY ASSOCIATES 1011 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 10 - ST LUKE'S RHEUMATOLOGY ASSOCIATES 1000 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 11 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIA 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 12 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES 1001 E SUPERIOR ST DULUTH MN 55805 OUTPATIENT MEDICAL 13 - ST LUKE'S DERMATOLOGY ASSOC 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 14 - LAURENTIAN MEDICAL CLINIC 8373 UNITY DRIVE MOUNTAIN IRON MN 55768 OUTPATIENT MEDICAL 15 - BAY AREA MEDICAL CLINIC 50 OUTER DRIVE SILVER BAY MN 55614 OUTPATIENT MEDICAL 16 - HIBBING FAMILY MEDICAL CLINIC 1120 E 34TH ST HIBBING MN 55746 OUTPATIENT MEDICAL 17 - MILLER CREEK MEDICAL CLINIC 4190 LOBERG AVENUE HERMANTOWN MN 55811 OUTPATIENT MEDICAL 18 - PS RUDIE MEDICAL CLINIC 26 EAST SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 19 - Q-CARE EXPRESS CLINIC - CUB 619 W CENTRAL ENTRANCE DULUTH MN 55811 OUTPATIENT MEDICAL 20 - ST LUKE'S PLASTIC SURGERY ASSOCIATES 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 21 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOC 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 22 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 23 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES 920 E 1ST ST DULUTH MN 55802 OUTPATIENT MEDICAL 24 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 25 - ST LUKE'S ORTHOPEDICS & SPORTS MEDICINE 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 26 - ST LUKE'S SURGICAL ASSOCIATES 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 27 - ST LUKE'S MENTAL HEALTH 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 28 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 29 - ST LUKE'S UROLOGY ASSOCIATES 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 30 - ST LUKE'S MEDICAL ARTS CLINIC 324 W SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 31 - ST LUKE'S PEDIATRIC ASSOCIATES 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 32 - LESTER RIVER MEDICAL CLINIC 6351 E SUPERIOR ST DULUTH MN 55804 OUTPATIENT MEDICAL 33 - CHEQUAMEGON CLINIC 415 ELLIS AVE ASHLAND WI 54806 OUTPATIENT MEDICAL 34 - MARINER MEDICAL CLINIC 109 N 28TH ST E SUPERIOR WI 54880 OUTPATIENT MEDICAL 35 - MARINER CLINIC URGENT CARE 109 N 28TH ST E SUPERIOR WI 54880 OUTPATIENT MEDICAL 36 - MARINER OUTPATIENT SURGERY CENTER 109 N 28TH ST E SUPERIOR WI 54880 OUTPATIENT MEDICAL & AMBULATORY SURGERY 37 - ST LUKE'S HOME CARE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 38 - ST LUKE'S OBSTETRICS AND GYNECOLOGY ASSO 1000 E 1ST ST SUITE LL DULUTH MN 55805 OUTPATIENT MEDICAL 39 - ST LUKE'S HOSPICE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 40 - OUTPATIENT THERAPY LAKEVIEW BUILDING 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 41 - ST LUKE'S OPHTHALMOLOGY ASSOC 324 W SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 42 - ST LUKE'S URGENT CARE 915 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 43 - ST LUKE'S NEUROLOGY ASSOCIATES 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 44 - DENFELD MEDICAL CLINIC URGENT CARE 4702 GRAND AVE DULUTH MN 55807 OUTPATIENT MEDICAL 45 - LAURENTIAN MEDICAL CLINIC URGENT CARE 8373 UNITY DRIVE MOUNTAIN IRON MN 55768 OUTPATIENT MEDICAL 46 - MILLER CREEK MEDICAL CLINIC URGENT CARE 4190 LOBERG AVENUE HERMANTOWN MN 55811 OUTPATIENT MEDICAL 47 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMEN 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL 48 - ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING 930 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 49 - Q-CARE EXPRESS CLINIC - MT ROYAL 1400 WOODLAND AVE DULUTH MN 55803 OUTPATIENT MEDICAL 50 - ST LUKE'S ENT ASSOCIATES 920 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 51 - ST LUKE'S NEPHROLOGY ASSOCIATES 925 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 52 - ST LUKE'S VASCULAR SURGERY ASSOCIATES 1000 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 53 - ST LUKE'S ADVANCED WOUND CARE & HYPERBA 1000 E 1ST ST DULUTH MN 55805 OUTPATIENT MEDICAL 54 - SURGICAL & PROCEDURAL CARE 1012 E 2ND ST DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 55 - ST LUKE'S GENETIC COUNSELING CLINIC 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 56 - ST LUKE'S COMMUNITY CARE TEAM 1001 E SUPERIOR ST DULUTH MN 55802 OUTPATIENT MEDICAL 57 - ST LUKE'S PROCTOR FITNESS CENTER 131 9TH AVENUE PROCTOR MN 55810 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 ELIGIBILTY 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 ($3,055,477), WOMEN AND CHILDREN SERVICES ($2,836,625), AND HOMECARE/HOSPICE SERVICES ($335,206). PART I, LN 7 COL(F): BAD DEBT EXPENSE FOR 2019 IS $10,453,292 AS REPORTED IN PART III, LINE 2. THIS AMOUNT HAS BEEN ELIMINATED WHEN CALCULATING THE COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS, AND OTHER EXPENDITURES FOR THE DEVELOPMENT OF 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 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 ARRANGEMENT.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 9 OF THE ATTACHED AUDITED FINANCIAL STATMENTS. 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 HIS OR HER 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 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, THE TWIN PORTS HEALTHCARE ACCESS GROUP WAS FORMED. 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 WEB SITE (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: COMMUNITY OR COMMUNITIES THE ORGANIZATION SERVES: 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 (86,265); SUPERIOR, WI (27,244)MEDIAN HOUSEHOLD INCOME: DULUTH, MN ($47,227); SUPERIOR, WI ($43,836)% OF INDIVIDUALS BELOW FPG: DULUTH, MN (20.3%); SUPERIOR, WI (18.0%)HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET):ST. LUKE'S HOSPITAL OF DULUTHLAKE VIEW MEMORIAL HOSPITALCLOQUET COMMUNITY MEMORIAL HOSPITAL ESSENTIA HEALTH SMDC MEDICAL CENTER (FORMERLY MILLER DWAN)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 HEALTH CARE PROFESSIONALS, INCLUDING A MEDICAL STAFF OF 449 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS, MAKE UP ST. LUKE'S STAFF. WITH RAPID ACCESS TO ST. LUKE'S ELECTRONIC MEDICAL RECORDS, PHYSICIANS CAN MAKE INFORMED TREATMENT DECISIONS FOR THEIR PATIENTS. ST. LUKE'S 12 PRIMARY CARE CLINICS INCLUDE 10 FAMILY PRACTICE CLINICS LOCATED IN DULUTH (4), AND ACROSS MINNESOTA IN SILVER BAY, HIBBING, MOUNTAIN IRON AND HERMANTOWN, MN AS WELL AS IN ASHLAND AND SUPERIOR, WI. IN ADDITION, ST. LUKE'S MEDICAL ARTS CLINIC IS LOCATED IN DOWNTOWN DULUTH WHILE ST. LUKE'S INTERNAL MEDICINE ASSOCIATES AND ST. LUKE'S PEDIATRIC ASSOCIATES ARE LOCATED ON THE ST. LUKE'S CAMPUS. AN ADDITIONAL 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. 1 LAKE SUPERIOR COMMUNITY HEALTH CENTER 4325 GRAND AVENUE DULUTH MN 55807 237167576 501(C)(3) 72500 TO SERVE LOW INCOME, UNINSURED CLIENTS PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT 32 EAST 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501(C)(3) 65000 TRAINING AND SUPPORT FOR SEXUAL ASSAULT NURSE EXAMINER PROGRAM PROCTOR SCHOOL DISTRICT ISD 704 131 NINTH AVENUE PROCTOR MN 55810 416003748 STATE OF MINNESOTA 60000 SPONSOR SPORTS CENTER DULUTH AIR AVIATION EXPO 2110 W FIRST ST DULUTH MN 55806 411977239 50000 SPONSOR DULUTH AIR AVIATION EXPO DULUTH AREA CHAMBER OF COMMERCE 5 WEST FIRST STREET 101 DULUTH MN 55802 410225910 501(C)(6) 17400 SPONSOR FOR VARIOUS COMMUNITY EVENTS DULUTH AREA FAMILY YMCA 302 W FIRST STREET DULUTH MN 55802 410693931 501(C)(3) 15000 SPONSOR FOR VARIOUS COMMUNITY EVENTS GREATER DOWNTOWN COUNCIL 5 WEST FIRST STREET 101 DULUTH MN 55802 411467228 501(C)(6) 13400 PARTNER SPONSOR CONDUENT HEALTHY COMMUNITIES CORP PO BOX 201322 DALLAS TX 75320 300484431 12000 PARTNER SPONSOR GREAT LAKES AQUARIUM 353 HARBOR DRIVE DULUTH MN 55802 411659809 501(C)(3) 10000 SPONSOR FOR VARIOUS COMMUNITY EVENTS NORTH SHORE INLINE MARATHON 525 SOUTH LAKE AVENUE DULUTH MN 55802 411871361 501(C)(3) 10000 PARTNER SPONSOR MINNESOTA WILDERNESS 1111 CLOQUET AVENUE SUITE 1 CLOQUET MN 55720 460623467 10000 PARTNER SPONSOR KRAUS ANDERSON COMMUNITY FOUNDATION 3716 ONEOTA ST DULUTH MN 55807 473012976 501(C)(3) 8500 PARTNER SPONSOR DULUTH FOOTBALL CLUB 5219 KINGSTON STREET DULUTH MN 55804 470358877 8500 SPONSOR DULUTH FOOTBALL CLUB DULUTH SUPERIOR SYMPHONY ORCHESTRA ASSOCIATION 130 W SUPERIOR ST DULUTH MN 55802 410760835 501(C)(3) 7500 SPONSOR FOR VARIOUS COMMUNITY EVENTS HERMANTOWN AREA FUTBOL CLUB 4860 MAPLE GROVE RD HERMANTOWN MN 55811 812900230 7500 SPONSOR HERMANTOWN FOOTBALL CLUB UMD MEN'S RUGBY CLUB 1216 ORDEAN COURT 153 SPORTS HEALTH CENTER DULUTH MN 55812 416007513 7500 SPONSOR UMD MEN'S RUGBY CLUB DULUTH SUPERIOR AREA EDUCATIONAL TELEVISION CORPORATION DBA WDSE-SRPT 632 NIAGRA COURT DULUTH MN 55811 410877607 501(C)(3) 6800 PARTNER SPONSOR FOR DOCTORS ON CALL CLAYTON JACKSON MCGHIE MEMORIAL INC 222 E SUPERIOR ST DULUTH MN 55802 043746191 501(C)(3) 6500 PARTNER SPONSOR SUPERIOR ANGLING 2701 E 2ND ST DULUTH MN 55812 813180302 6500 PARTNER SPONSOR 10 9 TUITION ASSISTANCE 94 186443 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 $3,000.00 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 0 1 X X X X X 0 1 0 0 0 0 0 0 0 JOHN YOON MD PHYSICIAN 1403197 0 0 0 4290 0 6600 0 24127 0 1438214 0 0 0 KALYAN VUNNAMADALA MD PHYSICIAN 1342056 0 0 0 300 0 6600 0 24127 0 1373083 0 0 0 JOHN STRANGE PRESIDENT/CEO (THROUGH 2/2019) 614089 0 236879 0 1612 0 12773 0 140391 0 1005744 0 0 0 MARY BOYLAN MD PHYSICIAN 951934 0 0 0 1980 0 10559 0 24629 0 989102 0 0 0 JOHN WATKINS MD PHYSICIAN 901047 0 0 0 450 0 6600 0 24629 0 932726 0 0 0 JOHN STYLIARAS MD PHYSICIAN 899694 0 0 0 3300 0 6600 0 8868 0 918462 0 0 0 PORUR SOMASUNDARAM MD PHYSICIAN 877701 0 0 0 3690 0 6600 0 24127 0 912118 0 0 0 ROBERT BEJNAROWICZ MD PHYSICIAN 853492 0 0 0 3690 0 6600 0 17320 0 881102 0 0 0 ERIC LOHN VICE PRESIDENT/CFO/INTERIM CEO 524696 0 70158 0 512 0 6600 0 105348 0 707314 0 0 0 TIMOTHY KLEINSCHMIDT MD BOARD MEMBER/CHIEF OF STAFF 537103 0 0 0 12408 0 9066 0 24127 0 582704 0 0 0 AIMEE VANSTRAATEN MD SECRETARY/PHYSICIAN 333900 0 0 0 3450 0 6600 0 24127 0 368077 0 0 0 KEVIN NOKELS PRESIDENT/CEO (AS OF 8/2019) 255641 0 0 0 1320 0 0 0 68875 0 325836 0 0 0 MARK PLACHTA BOARD MEMBER/PHYSICIAN 228870 0 0 0 4290 0 10753 0 24629 0 268542 0 0 0 PART I, LINE 1A THE CEO HAS A MEMBERSHIP AT A SOCIAL CLUB FOR BUSINESS PURPOSES. THE SOCIAL CLUB ONLY ALLOWS MEMBERSHIPS TO INDIVIDUALS, NOT TO ORGANIZATIONS. THE SOCIAL CLUB SENDS AN INVOICE TO THE CEO, THE CEO SUBMITS THE INVOICE TO ST. LUKE'S, ST. LUKE'S PAYS THE INVOICE VIA ACCOUNTS PAYABLE. PART I, LINE 1B THE CFO SOUGHT GUIDANCE FROM THE AUDITORS REGARDING THE CEO HAVING A MEMBERSHIP AT A SOCIAL CLUB FOR BUSINESS PURPOSES. THE AUDITORS ASKED IF THERE WAS PERSONAL USE, THE CEO VERIFIED IT IS STRICTLY FOR BUSINESS PURPOSES, AND THE AUDITORS ADVISED TO DISCLOSE THE MEMBERSHIP ON THE 990. PART I, LINE 4B ST. LUKE'S MAINTAINS 457(F) NONQUALIFIED DEFERRED COMPENSATION PLANS FOR ELIGIBLE EMPLOYEES. MEMBERS IN THE 457(F) PLAN ARE: JOHN STRANGE (2019 DISTRIBUTION $236,879); KEVIN NOKELS (2019 DISTRIBUTION $0); AND ERIC LOHN (2019 DISTRIBUTION $70,158). 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 900848286 2018-12-13 39500000 FUND OPERATING SYSTEM UPGRADE 0 0 0 A 6730000 83148022 7166021 2176485 1625011 33335773 48537410 2015 1 0 0 1 B 39500000 27604698 2019 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2017 CASSANDRA BEARDSLEY FAMILY MEMBER OF BOARD MEMBER 148661 EMPLOYEE COMPENSATION 0 LARISSA HUBBARTT FAMILY MEMBER OF BOARD MEMBER 126853 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1 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 ONE CLASS OF MEMBERSHIPS: A) 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 MANAGEMENT REFERENCED MULTIPLE SOURCES OF INFORMATION IN ORDER TO ACCURATELY PREPARE THE 2019 FORM 990. THESE SOURCES INCLUDE THE INTERNAL REVENUE SERVICE WEBSITE, LEGAL COUNSEL, HEALTHCARE TRADE ASSOCIATIONS, AND OTHER VARIOUS PUBLICATIONS. ONCE THE FORM 990 WAS PREPARED, IT WAS REVIEWED BY THE FOLLOWING GROUPS: 1. ST. LUKE'S SENIOR MANAGEMENT (OCTOBER 2020) 2. ST. LUKE'S FINANCE COMMITTEE (OCTOBER 2020) 3. ST. LUKE'S BOARD OF DIRECTORS (OCTOBER 2020) ALL OF THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE FORM 990. IN OCTOBER 2020, 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 REVIEW 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 ON OR BEFORE NOVEMBER 15, 2020. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SHALL SIGN, AS A CONDITION TO 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 PERSENT 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 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 AND 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 19 ST. LUKE'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED ANNUALLY BY THE BOARD OF DIRECTORS. THEY ARE NOT 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 680,834. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 219,426. 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 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 691847 FAIR MARKET VALUE ST LUKE'S FOUNDATION L 379615 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC L 2009000 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC D 2874190 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC K 69381 FAIR MARKET VALUE