2014-11-05T10:25:42-06:00 2013-12-31 990 2013-01-01 411448118 ST LUKE'S FOUNDATION STLU 2182492420 1000 EAST FIRST STREET NO 102 DULUTH MN 55805 ERIC LOHN CHIEF FINANCIAL OFFICER 2182495555 2014-11-05 2013 2015-11-30 17:44:51Z JOHN STRANGE 915 EAST 1ST ST DULUTH MN 55805 2239043 0 X HTTP://WWW.SLHDULUTH.COM/FOUNDATION X 1982 MN ST. LUKE'S FOUNDATION PROVIDES FINANCIAL SUPPORT TO ST. LUKE'S AND THE REGION. 16 14 0 26 0 0 846499 790672 0 0 229621 392623 94600 145462 1170720 1328757 713833 728338 0 0 257343 260452 0 0 88543 99709 85486 1070885 1074276 99835 254481 7966267 9285495 318241 468076 7648026 8817419 ST. LUKE'S FOUNDATION PROVIDES FINANCIAL SUPPORT TO ST. LUKE'S AND THE REGION IT SERVES TO ADVANCE PATIENT CARE, HEALTH EDUCATION, AND CLINICAL RESEARCH. 0 0 860729 728338 0 TO MAKE GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS TO PURCHASE MEDICAL EQUIPMENT & SUPPLIES AND TO PROVIDE HEALTHY LIFESTYLE EDUCATION TO BOTH PUBLIC & HOSPITAL EMPLOYEES. DURING FISCAL YEAR 2013, ST. LUKE'S FOUNDATION PROVIDED $728,338 IN GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS. 860729 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X ST LUKE'S ACCOUNTING 2182495475 915 EAST FIRST STREET DULUTH MN 55805 KIM KEUNING CHAIR/VICE CHAIR (THRU 6/2013) 1.00 X X 0 0 0 DR TED HARWOOD VICE CHAIR/(SECRETARY THRU 6/2013) 1.00 X X 0 0 0 LINDA KRUG SECRETARY 1.00 X X 0 0 0 HELGA WALLNER CHAIR (THRU 6/2013) 1.00 X X 0 0 0 TOM CONRAD PAST CHAIR (THRU 6/2013) 1.00 X X 0 0 0 JOHN CLOUTIER BOARD MEMBER 1.00 X 0 0 0 DR SUSAN GOLTZ BOARD MEMBER 1.00 39.00 X 0 329213 29097 EDWIN HALL BOARD MEMBER 1.00 1.00 X 0 0 0 HELENA JACKSON BOARD MEMBER 1.00 X 0 0 0 LIZETTE LAWIEN BOARD MEMBER 1.00 X 0 0 0 SCOTT LYONS BOARD MEMBER 1.00 X 0 0 0 DEL PREVOST BOARD MEMBER 1.00 X 0 0 0 DR PAUL SANFORD BOARD MEMBER 1.00 39.00 X 0 227601 30752 JACK SEILER BOARD MEMBER 1.00 X 0 0 0 JC WELLES BOARD MEMBER 1.00 X 0 0 0 ROBERT ZALLAR BOARD MEMBER 1.00 X 0 0 0 CAROLINE BYE BOARD MEMBER (THRU 6/2013) 1.00 X 0 0 0 BARB PAYETTE BOARD MEMBER (THRU 6/2013) 1.00 X 0 0 0 JOHN STRANGE CHIEF EXECUTIVE OFFICER 2.00 38.00 X 0 607585 150766 ERIC LOHN CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 144020 42315 SUSAN BENJAMIN CHIEF FINANCIAL OFFICER (THRU 1/2013) 2.00 38.00 X 0 137879 4183 CATHERINE CARTER HUBER EXECUTIVE DIRECTOR/COO 38.00 2.00 X 145445 0 28538 145445 1446298 285651 1 0 1 0 0 108528 682144 134883 790672 202131 202131 927499 737007 190492 190492 190492 318741 108528 173279 145462 145462 1328757 0 0 538085 728338 728338 173984 86992 34797 52195 64888 32445 12977 19466 21580 10790 4316 6474 8300 8300 19480 19480 238 238 10525 1052 7368 2105 7750 7750 21900 21900 1199 874 225 100 3859 3859 DONOR RECOGNITION 7509 7509 MEMBERSHIP DUES 4032 4032 BAD DEBT 694 694 1074276 860729 125004 88543 96975 285639 115411 99334 17656 11489 5378 2473 7554189 8827180 176658 59380 7966267 9285495 12491 21593 2204 37731 303546 408752 318241 468076 X 2658582 3287644 4532301 5072632 457143 457143 7648026 8817419 7966267 9285495 254481 914912 0 X 0 1 X 1 0 X X X 0 0 0 ST LUKE'S HOSPITAL 410714079 3 1 1 1 636057 1 636057 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1955443 262838 18524 2199757 1801754 204123 50434 1955443 1853611 20000 -48215 23642 1801754 1665918 2000 198928 13235 1853611 1360173 18033 289712 2000 1665918 0.00000 0.21000 0.79000 0 0 0 AMOUNTS DUE TO RELATED PARTY 408752 408752 X 1502036 173279 173279 1328757 0 1328757 1247555 173279 173279 1074276 0 1074276 PART V, LINE 4: THE PRIMARY PURPOSE OF THE ST. LUKE'S FOUNDATION ENDOWMENT FUNDS IS TO MAKE GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS TO PURCHASE MEDICAL EQUIPMENT AND SUPPLIES AND TO PROVIDE HEALTHY LIFESTYLE EDUCATION TO BOTH PUBLIC AND HOSPITAL EMPLOYEES. PART X, LINE 2: A NOTIFICATION LETTER HAS BEEN RECEIVED FROM THE INTERNAL REVENUE SERVICE STATING THAT THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE FOUNDATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAD NO EFFECT ON THE FINANCIAL STATEMENTS. THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 173,279. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 173,279. CIRCLE OF LIGHT 247813 106817 140996 96467 17788 6029 GOLF BENEFIT 85116 19821 65295 12061 21670 8409 4 89490 89490 240 525 10077 422419 126638 295781 108768 39983 24515 173266 122515 1 ST LUKE'S HOSPITAL OF DULUTH 915 EAST FIRST STREET DULUTH MN 55805 410714079 501(C)(3) 628630 ADVANCE PATIENT CARE, HEALTH EDUCATION, AND CLINICAL RESEARCH. COLLEGE OF ST SCHOLASITCA 1200 KENWOOD AVENUE DULUTH MN 55811 410698301 501(C)(3) 9500 SUPPORT FOR MEDICAL SCHOLARSHIP FUND CY WAKEMAN INC 25019 CAPITOL CIRCLE WATERLOO NE 68069 270030103 14472 LEADERSHIP EDUCATION WORKSHOP/SEMINAR 2 1 PART I, LINE 2: THE FOUNDATION REQUESTS THAT GRANTEES PROVIDE AN UPDATE ON THE IMPACT OF THE GRANT SIX MONTHS AFTER THE GRANT HAS BEEN MADE. IN ADDITION, THE FOUNDATION REVIEWS INVOICES SUPPORTING THE FUNDS USED FROM THE GRANT. THE AFOREMENTIONED PROCESS HELPS ENSURE THE GRANT WAS USED FOR THE INTENDED PURPOSE. X X 0 0 0 0 0 0 0 0 0 DR SUSAN GOLTZ BOARD MEMBER 0 328536 0 0 0 677 0 3813 0 25284 0 358310 0 0 DR PAUL SANFORD BOARD MEMBER 0 226774 0 0 0 827 0 5468 0 25284 0 258353 0 0 JOHN STRANGE CHIEF EXECUTIVE OFFICER 0 605643 0 0 0 1942 0 11671 0 139095 0 758351 0 0 ERIC LOHN CHIEF FINANCIAL OFFICER 0 143882 0 0 0 138 0 0 0 42315 0 186335 0 0 CATHERINE CARTER HUBER EXECUTIVE DIRECTOR/COO 144969 0 0 0 476 0 3859 0 24679 0 173983 0 0 0 X 3 18000 FAIR MARKET VALUE X 9480 FAIR MARKET VALUE X AUCTION GIFTS 241 97603 FAIR MARKET VALUE X TICKETS 1 9800 FAIR MARKET VALUE 0 1 0 PART I, LINE 32B: FOUNDATION MANAGEMENT REVIEWS EVERY NON-STANDARD CONTRIBUTION TO DETERMINE WHETHER IT IS APPROPRIATE FOR THE FOUNDATION TO ACCEPT IT. IF THE ANSWER IS NOT CLEAR, THE MATTER IS REVIEWED WITH THE EXECUTIVE COMMITTEE AND THE FULL BOARD IF NECESSARY. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS OF THIS CORPORATION IN TRANSACTING THE REGULAR BUSINESS OF THE CORPORATION, INCLUDING DIRECTING THE MANAGEMENT OF THE PROPERTY, AFFAIRS AND BUSINESS OF THIS CORPORATION, DURING THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT AT ALL TIMES TO THE DIRECTION AND CONTROL OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO AMEND THE ARTICLES OF INCORPORATION OR THESE BYLAWS, THE POWER TO REMOVE A DIRECTOR OR OFFICER, OR THE POWER TO FILL A VACANT BOARD SEAT OR OFFICER POSITION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL BE ST. LUKE'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS SHALL BE ELECTED TO THE BOARD OF THE CORPORATION BY THE BOARD OF DIRECTORS OF THE HOSPITAL, OR BY AN OFFICER OF THE HOSPITAL DESIGNATED BY THE BOARD OF DIRECTORS OF THE HOSPITAL. UPON OR IN ANTICIPATION OF THE EXPIRATION OF THE TERM OF ANY DIRECTOR OF THIS CORPORATION, THE BOARD OF DIRECTORS OF THIS CORPORATION, OR A COMMITTEE APPOINTED THEREBY FOR SUCH PURPOSE, SHALL NOMINATE, BY A VOTE OF THE MAJORITY OF THE DIRECTORS WHOSE TERM SHALL NOT HAVE EXPIRED, SUCH NUMBER OF INDIVIDUALS TO SERVE AS DIRECTORS OF THIS CORPORATION AS NECESSARY TO FILL THE EXPIRED OR EXPIRING TERMS. THE BOARD OF DIRECTORS SHALL PRESENT THE NAME OF EACH INDIVIDUAL NOMINATED TO BE A DIRECTOR OF THIS CORPORATION TO THE HOSPITAL FOR CONSIDERATION. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS SHALL BECOME EFFECTIVE UPON THE APPROVAL OF THE BOARD OF DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REFERENCED MULTIPLE SOURCES OF INFORMATION IN ORDER TO ACCURATELY PREPARE THE 2013 FORM 990. THESE SOURCES INCLUDE THE INTERNAL REVENUE SERVICE WEBSITE, HEALTHCARE TRADE ASSOCIATIONS AND OTHER VARIOUS PUBLICATIONS. ONCE THE FORM 990 WAS PREPARED, IT WAS REVIEWED BY THE FOLLOWING GROUPS: 1. OFFICERS AND SENIOR MANAGEMENT (OCT 2014) 2. BOARD OF DIRECTORS (OCT 2014) THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE 2013 FORM 990 IN ADVANCE. THE FORM 990 REVIEW WAS LISTED AS AN AGENDA ITEM ON THE BOARD OF DIRECTORS AGENDA. THE CHIEF FINANCIAL OFFICER PROVIDED AN OVERVIEW OF THE RETURN AND ANSWERED ANY QUESTIONS OR CONCERNS FROM THE BOARD. THE RETURN WAS THEN FILED ON OR BEFORE NOVEMBER 15, 2014. 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 15A THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF ST. LUKE'S, A 501(C)(3) RELATED ORGANIZATION. THE COMPENSATION REVIEW PROCESS DESCRIBED BELOW PERTAINS TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR IS THE TOP MANAGEMENT OFFICIAL. THERE ARE NO EMPLOYEES WHO QUALIFY AS KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION REVIEW PROCESS OCCURS DURING AN ANNUAL REVIEW PERFORMED BY THE ST. LUKE'S HUMAN RESOURCES DEPARTMENT AND LAST OCCURRED IN 2013. TOTAL COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS ITEMIZED INCLUDING BASE SALARY, HEALTH INSURANCE, DENTAL INSURANCE, LIFE INSURANCE, DISABILITY, VACATION, AND HOLIDAY PAY. ALL AMOUNTS WERE COMBINED TO DETERMINE THE TOTAL COMPENSATION FOR THIS POSITION. THE TOTAL COMPENSATION AMOUNT OF EACH POSITION WAS THEN MEASURED AGAINST THE 2008 - 2009 WATSON WYATT DATA FOR HOSPITAL SYSTEMS IN THE NORTH CENTRAL U.S. REGIONS WITH $150 - $450 MILLION IN NET OPERATING REVENUE. THE TOTAL COMPENSATION WAS ALSO MEASURED AGAINST THE MINNESOTA HOSPITAL ASSOCIATION DATA FOR HOSPITALS WITH $200 MILLION OR MORE IN TOTAL EXPENSE BUDGET. CONTEMPORANEOUS DOCUMENTS AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS ARE MAINTAINED BY THE ST. LUKE'S HUMAN RESOURCES DEPARTMENT. THE FOUNDATION BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ST. LUKE'S FOUNDATION'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 FOUNDATION ANNUAL REPORT (PUBLISHED EVERY YEAR AND AVAILABLE ON ST. LUKE'S WEBSITE AT WWW.SLHDULUTH.COM) AND THE FORM 990 IS MADE AVAILABLE TO THE PUBLIC IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE GUIDANCE. ST LUKE'S HOSPITAL OF DULUTH 915 EAST 1ST STREET DULUTH MN 55805 410714079 HEALTH CARE/HOSPITAL MN 501(C)(3) 3 N/A 0 LAKE VIEW MEMORIAL HOSPITAL INC 325 11TH AVENUE TWO HARBORS MN 55616 410786046 HEALTH CARE/HOSPITAL MN 501(C)(3) 3 ST LUKES HOSPITAL 0 LAKE VIEW MEMORIAL HOSPITAL FOUNDATION 325 11TH AVENUE TWO HARBORS MN 55616 411700972 PROVIDE SUPPORT TO LAKEVIEW MEMORIAL HOSPITAL MN 501(C)(3) 7 ST LUKES HOSPITAL LAKE VIEW MEMORIAL HOSPITAL 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0