2018-11-06T13:17:24-06:00 2017-12-31 990 2017-01-01 410714079 ST LUKE'S HOSPITAL OF DULUTH STLU 2182495555 915 EAST FIRST STREET DULUTH MN 55805 ERIC LOHN CHIEF FINANCIAL OFFICER 2182495555 2018-11-06 192.101.143.1 2018-11-06 13:09:55 CS P C494F47B67DAB1626BBF5AB9DF094D21C8810BC8 C494F47B67DAB1626BBF5AB9DF094D21C8810BC8 2017 2018-06-14 16:35:46Z JOHN STRANGE 915 EAST FIRST STREET DULUTH MN 55805 478163419 0 X WWW.SLHDULUTH.COM X 1881 MN TO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION. 16 10 3222 302 5417412 -3362123 1286782 1479961 425342028 463046795 2566981 3566617 2742529 2712605 431938320 470805978 613590 672546 0 0 252593305 265482738 0 0 0 171581409 185822085 424788304 451977369 7150016 18828609 238825446 267512352 198367590 209685113 40457856 57827239 X THE PATIENT ABOVE ALL ELSE. 0 0 395475642 672546 463046795 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 2017, 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 2017, THERE WERE 12,522 ADMISSIONS, 60,444 PATIENT DAYS, 660,835 CLINIC VISITS, 157,862 OUTPATIENT REGISTRATIONS AND 76,264 EMERGENCY/URGENT CARE VISITS. 395475642 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 73 0 3222 1 1 1 0 0 0 0 0 0 0 0 0 X 16 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 BRIAN MURPHY BOARD CHAIR 1.00 0.00 X X 0 0 0 JESSE FRYE VICE CHAIR 1.00 1.00 X X 0 0 0 KEVIN BEARDSLEY TREASURER 1.00 1.00 X X 0 0 0 LISA BODINE HARALA SECRETARY (THROUGH 5/2017) 1.00 0.00 X X 0 0 0 JAKE POWELL MD SECRETARY 40.00 0.00 X X 305821 0 27679 JEFF BORLING BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN CLOUTIER BOARD MEMBER 1.00 1.00 X 0 0 0 MARLENE DAVID BOARD MEMBER (THROUGH 5/2017) 1.00 0.00 X 0 0 0 EDWIN KING HALL BOARD MEMBER 1.00 1.00 X 0 0 0 BARBARA HAYDEN HAUGEN BOARD MEMBER 1.00 0.00 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 BRYCE NIXON BOARD MEMBER 1.00 0.00 X 0 0 0 YVONNE PRETTNER SOLON BOARD MEMBER 1.00 0.00 X 0 0 0 AIMEE VANSTRAATEN MD BOARD MEMBER/PHYSICIAN 40.00 0.00 X 349978 0 27676 RUTH WESTRA DO BOARD MEMBER 1.00 0.00 X 0 0 0 MARY BOYLAN MD BOARD MEMBER/CHIEF OF STAFF 40.00 0.00 X 946512 0 30767 JOHN STRANGE PRESIDENT/CEO 35.00 5.00 X X 710090 0 164880 ERIC LOHN VICE PRESIDENT/CFO 35.00 5.00 X 419590 0 96994 JOHN YOON MD PHYSICIAN 40.00 0.00 X 1419272 0 27714 JOHN WATKINS MD PHYSICIAN 40.00 0.00 X 877668 0 27714 JAMES MACNUTT DO PHYSICIAN 40.00 0.00 X 900116 0 13254 JOHN STYLIARAS MD PHYSICIAN 40.00 0.00 X 900065 0 8230 PORUR SOMASUNDARAM MD PHYSICIAN 40.00 0.00 X 841470 0 26214 7670582 0 451122 409 0 1 0 MAYO COLLABORATIVE SERVICES PO BOX 9416 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2831906 DONALD HOLM CONSTRUCTION 3211 W 3RD STREET DULUTH MN 55806 CONSTRUCTION SERVICES 1800000 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 02284 IT SERVICES 1578774 EVOLVING SOLUTIONS 3989 COUNTY ROAD 116 HAMEL MN 55340 IT SERVICES 1569676 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 1265931 76 577060 653763 249138 1479961 MEDICAL SERVICES 621990 320377213 320377213 PHARMACY 446110 142431407 137325697 5065673 40037 CREDENTIALING 541900 110556 110556 GUEST CARE 541900 50266 50266 TRANSCRIPTION 541900 49597 13979 35618 27756 11406 16350 463046795 2925026 2925026 1054396 846948 207448 207448 207448 7038517 6400176 -3250 638341 3250 641591 641591 114173 113567 606 606 MEALS/VENDING INCOME 900099 1488087 1488087 PARKING LOT INCOME 900099 726796 726796 LAUNDRY SERVICES 812300 182269 108399 73870 107399 107399 2504551 470805978 457702910 5417412 6205695 447842 447842 224704 224704 3079984 3079984 211882260 191552831 20329429 8632033 7692004 940029 29178495 26000954 3177541 12709966 11062228 1647738 573914 573914 92973 92973 30239 30239 119005 119005 21984390 11507091 10477299 751302 751302 6132591 3386122 2746469 5062243 4166617 895626 23394793 16769896 6624897 1639519 1420064 219455 5105467 5179146 -73679 10802392 7108597 3693795 1022402 1022402 MEDICAL SUPPLIES 42303734 42303734 DRUGS 35128524 35128524 BAD DEBT EXPENSE 8003866 8003866 CHARITY CARE 5253016 5253016 18421715 16464463 1957252 451977369 395475642 56501727 0 23738781 32919817 49943327 57095263 8100789 8800931 3373873 3929759 237928371 155162410 77163120 82765961 12060441 12544303 38583025 41286528 6368012 7174488 2258903 1754807 17235175 19240495 238825446 267512352 40562423 48364711 76670362 72799965 14167535 16890773 144950 144950 66822320 71484714 198367590 209685113 X 40457856 57827239 40457856 57827239 238825446 267512352 X 18828609 1617376 -3076602 X 0 1 X 1 0 X 0 0 0 0 0 0 1 19216 0 1 11023 30239 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 A LAW FIRM TO LOBBY ON BEHALF OF THE HOSPITAL. 8513712 8513712 103303809 61531484 41772325 5317988 1781329 3536659 114498291 91849597 22648694 6294571 6294571 82765961 SHORT TERM INVESTMENTS 41286528 F 41286528 DEFERRED COMPENSATION 17559492 CASH SURRENDER LIFE INSURANCE 440197 OTHER ASSETS 8617 DUE FROM RELATED PARTY 1232189 19240495 EMPLOYEE BENEFIT OBLIGATIONS 67481171 SECURITY DEPOSITS 8617 DEFERRED RENT LIABILITY 2393118 ASSET RETIREMENT OBLIGATION 1476808 MALPRACTIVE LIABILITY RESERVE 125000 71484714 X 456527240 -13256882 -13256882 469784122 1021855 1021855 470805977 439681003 960515 960515 438720488 13256881 13256881 451977369 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: CHARITY CARE -5,253,016. PROVISION FOR BAD DEBT -8,003,866. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 1,982,370. RENTAL EXPENSES -846,948. GIFT SHOP EXPENSES -113,567. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 846,948. GIFT SHOP EXPENSES 113,567. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE 5,253,016. PROVISION FOR BAD DEBT 8,003,866. ROUNDING -1. 1 1 X 1 X 1 X 1 1 0 1 1 2048311 2048311 0.00450 56889516 45480331 11409185 0.02520 58937827 45480331 13457496 0.02970 7314357 7314357 0.01620 21183043 18589499 2593544 0.00570 521790 521790 0.00120 29019190 18589499 10429691 0.02310 87957017 64069830 23887187 0.05280 36756 36756 0.00010 62286 62286 0.00010 3102 3102 0.00000 104062 104062 0.00020 260717 260717 0.00060 48523 48523 0.00010 515446 515446 0.00110 1 8003866 0 174436228 224214293 -49778065 X 1 1 1 DULUTH IMAGING LLC DIAGNOSTIC IMAGING 0.49000 0.00000 0.00000 2 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 16 1 1 0 1 X HTTP://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX X 1 16 1 HTTP://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX 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 IN COLLABORATION AND PARTNERSHIP WITH ESSENTIA HEALTH-DULUTH, ESSENTIA HEALTH-ST. MARY'S MEDICAL CENTER, ST. LUKE'S HOSPITAL, THE CARLTON-COOK-LAKE-ST. LOUIS COUNTIES COMMUNITY HEALTH BOARD 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 APRIL 2015 AND MAY 2016. THIS INPUT INCLUDED INDIVIDUALS REPRESENTING PERSONS WITH EXPERTISE IN PUBLIC HEALTH; LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINOIRITY 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: ST. LUKE'S WORKED WITH LAKE VIEW MEMORIAL HOSPITAL, A RELATED ENTITY, WHEN COMPLETING THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. ST LUKE'S HOSPITAL OF DULUTH PART 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 2017 ST. LUKE'S: SUPPORTED THE LAUNCH OF BRIDGING HEALTH, A WEB-BASED SOURCE OF POPULATION DATA AND COMMUNITY HEALTH INFORMATION, AVAILABLE TO EVERYONE; ESTABLISHED FORMALIZED REFERRAL SYSTEMS BETWEEN OB/GYN PROVIDERS AT ST. LUKE'S AND ESSENTIA WITH ST. LOUIS CO PUBLIC'S HOME VISITING PROGRAM FOR NEW MOTHERS; PARTICIPATED IN THE CITY-WIDE "MAKE-IT-OKAY" CAMPAIGN WITH OTHER MAJOR EMPLOYERS. FOCUS ON AWARENESS OF RESOURCES AND INVOLVEMENT OF BRIDGING HEALTH DULUTH ORGANIZATIONS; WORKED WITH NORTHLAND HEALTHY MINDS GROUP TO BRING MENTAL HEALTH COMMUNITY EVENTS TO THE TWIN PORTS AREA; EXPANDED THE JOYRIDE SOBER DRIVER PROGRAM; SUPPORTED THE TRAINING OF 24 NEW TOBACCO TREATMENT SPECIALISTS IN THE REGION; SUPPORTED DEEP WINTER GREENHOUSE; BEGAN ADVOCACY SUPPORT OF RESTRICTING SALE OF MENTHOL AND OTHER FLAVORED TOBACCO PRODUCTS.THE NEEDS THAT THE HOSPITAL WILL NOT ADDRESS INCLUDE: ACCESS TO DENTAL CARE, BASED ON RESOURCE AVAILABILITY. 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: HTTP://WWW.SLHDULUTH.COM/RESOURCES/PATIENT-SERVICES /ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM.ASPX 52 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 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 A MENTAL HEALTH CLINIC ($1,080,167), A PEDIATRICS CLINIC ($1,420,918), AND HOMECARE/HOSPICE SERVICES ($92,459). PART I, LN 7 COL(F): BAD DEBT EXPENSE FOR 2017 IS $8,003,866 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 HTTP://WWW.SLHDULUTH.COM/RESOURCES/PATIENT-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM.ASPX 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 (86,110); SUPERIOR, WI (26,579)MEDIAN HOUSEHOLD INCOME: DULUTH, MN ($43,518); SUPERIOR, WI ($39,503)% OF FAMILIES BELOW FPG: DULUTH, MN (8.6%); SUPERIOR, WI (9.6%)% OF INDIVIDUALS BELOW FPG: DULUTH, MN (15.5%); SUPERIOR, WI (13.4%)% OF HOSPITAL MEDICAID PAYOR MIX: INPATIENT (12%), OUTPATIENT (13%)% OF HOSPITAL SELF PAY PAYOR MIX: INPATIENT (4%), OUTPATIENT (3%)HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET):ST. LUKE'S HOSPITALLAKE 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 365 PHYSICIANS AND OTHER MEDICAL PROVIDERS, 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 14 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 23 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 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) 17000 SPONSOR FOR VARIOUS COMMUNITY EVENTS HIBBING COLLEGE FOUNDATION 1515 E 25TH ST HIBBING MN 55746 416046970 501(C)(3) 12500 HIBBING COMMUNITY COLLEGE SCHOLARSHIP BREATH OF HOPE LUNG FOUNDATION PO BOX 387 WAYZATA MN 55391 300475578 501(C)(3) 10000 SPONSOR BREATH OF HOPE LUNG RUN WALK KRAUS ANDERSON COMMUNITY FOUNDATION 3716 ONEOTA ST DULUTH MN 55807 473012976 501(C)(3) 8500 SPONSOR DULUTH BIKE FESTIVAL HERMANTOWN AREA FUTBOL CLUB 4860 MAPLE GROVE RD HERMANTOWN MN 55811 812900230 7500 SPONSOR HERMANTOWN AREA FUTBOL CLUB DULUTH FOOTBALL CLUB 5219 KINGSTON STREET DULUTH MN 55804 470358877 6500 SPONSOR DULUTH FOOTBALL CLUB GREATER DOWNTOWN COUNCIL 5 WEST FIRST STREET 101 DULUTH MN 55802 411467228 501(C)(6) 5900 PARTNER SPONSOR ARROWHEAD EMS ASSOCIATION INC 4219 ENTERPRISE CIRCLE DULUTH MN 55811 411522627 501(C)(3) 5120 AEMS CONFERENCE SPONSOR 6 5 TUITION ASSISTANCE 109 224704 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 JAKE POWELL MD SECRETARY 302521 0 0 0 3300 0 5065 0 22614 0 333500 0 0 0 AIMEE VANSTRAATEN MD BOARD MEMBER/PHYSICIAN 349678 0 0 0 300 0 5062 0 22614 0 377654 0 0 0 MARY BOYLAN MD BOARD MEMBER/CHIEF OF STAFF 944532 0 0 0 1980 0 8153 0 22614 0 977279 0 0 0 JOHN STRANGE PRESIDENT/CEO 706280 0 0 0 3810 0 11260 0 153620 0 874970 0 0 0 ERIC LOHN VICE PRESIDENT/CFO 419140 0 0 0 450 0 5100 0 91894 0 516584 0 0 0 JOHN YOON MD PHYSICIAN 1415582 0 0 0 3690 0 5100 0 22614 0 1446986 0 0 0 JOHN WATKINS MD PHYSICIAN 877218 0 0 0 450 0 5100 0 22614 0 905382 0 0 0 JAMES MACNUTT DO PHYSICIAN 899816 0 0 0 300 0 5024 0 8230 0 913370 0 0 0 JOHN STYLIARAS MD PHYSICIAN 896795 0 0 0 3270 0 0 0 8230 0 908295 0 0 0 PORUR SOMASUNDARAM MD PHYSICIAN 837780 0 0 0 3690 0 5100 0 21114 0 867684 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 MEMBERS IN THE 457F PLAN ARE JOHN STRANGE: 2017 CONTRIBUTION $0, VESTING DATE N/A, 2017 DISTRIBUTION $102,256; AND ERIC LOHN: 2017 CONTRIBUTION $63,045, VESTING DATE 1/1/2020, 2017 DISTRIBUTION $76,626. A DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 26444CGT3 2012-10-10 83148022 REFINANCE SERIES 2002 BONDS: PURCHASE EQUIPMENT; FUND HOSPITAL ADDITION 0 0 0 A 2980000 83148022 7331741 2176485 1625011 33335773 48537410 2015 1 0 0 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 CASSANDRA BEARDSLEY FAMILY MEMBER OF BOARD MEMBER 150524 EMPLOYEE COMPENSATION 0 ERIN METZGER FAMILY MEMBER OF BOARD MEMBER 118925 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 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 THE ST. LUKE'S HOSPITAL OF DULUTH - ANY INDIVIDUAL OR ORGANIZATION THAT, SUBSEQUENT TO MAY 20, 2004, CONTRIBUTES $100 OR MORE TO THE HOSPITAL SHALL, UPON REQUEST FROM SUCH INDIVIDUAL OR ORGANIZATION AND APPROVAL BY THE BOARD OF DIRECTORS, BE A MEMBER OF THE ORGANIZATION WITH ONE VOTE. C) EX OFFICIO MEMBERS - EACH DIRECTOR AND THE PRESIDENT/CEO OF THE HOSPITAL SHALL BE A VOTING MEMBER OF THE HOSPITAL DURING HIS OR HER TERM IN SUCH OFFICE AND SHALL HAVE ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE VOTING RIGHTS OF THE MEMBERS OF THE CORPORATION SHALL BE LIMITED TO THE FOLLOWING MATTERS: A) APPROVAL OF ANY TRANSACTION THAT WOULD CULMINATE IN THE TRANSFER OF CONTROL OF HOSPITAL OPERATIONS TO A SECRETARIAN OR RELIGIOUS ORGANIZATION. B) APPROVAL OF ANY TRANSACTIONS WHICH WOULD CULMINATE IN THE TRANSFER OF CONTROL OF THE HOSPITAL'S OPERATIONS TO A FOR-PROFIT ENTITY. C) APPROVAL OF THE DISSOLUTION OF THE HOSPITAL OR THE CESSATION OF THE HOSPITAL OPERATIONS. THE FOREGOING ACTIONS SHALL BE APPROVED AND ADOPTED ONLY AFTER AUTHORIZATION BY THE BOARD OF DIRECTORS AND APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REFERENCED MULTIPLE SOURCES OF INFORMATION IN ORDER TO ACCURATELY PREPARE THE 2017 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 2018) 2. ST. LUKE'S FINANCE COMMITTEE (OCTOBER 2018) 3. ST. LUKE'S BOARD OF DIRECTORS (OCTOBER 2018) ALL OF THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE FORM 990. IN OCTOBER 2018, 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, 2018. 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 2017. 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 -3,324,306. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 247,704. 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 577060 FAIR MARKET VALUE ST LUKE'S FOUNDATION L 356714 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC L 1679000 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC D 3400345 FAIR MARKET VALUE LAKE VIEW MEMORIAL HOSPITAL INC K 68344 FAIR MARKET VALUE