ST LUKES FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES FOUNDATION (EIN 41-1448118)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201203189349301110
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T08:37:18-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411448118 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STLU | NameControl |
| Phone | 2182492420 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 EAST FIRST STREET NO 102 | AddressLine1 |
| City | DULUTH | City |
| State | MN | State |
| ZIP Code | 55805 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN BENJAMIN | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 2182495555 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN STRANGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 EAST 1ST ST | AddressLine1 |
| City | DULUTH | City |
| State | MN | State |
| ZIP Code | 55805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3484729 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.SLHDULUTH.COM/FOUNDATION | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | ST. LUKE'S FOUNDATION PROVIDES FINANCIAL SUPPORT TO ST. LUKE'S AND THE REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 54 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 712023 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 848146 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 187669 | InvestmentIncomePriorYear |
| Investment Income Current Year | 358945 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 149087 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2009 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1048779 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1209100 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 604680 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 557016 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 281227 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 273639 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 100399 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 104880 | OtherExpensePriorYear |
| Other Expenses Current Year | 119709 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 990787 | TotalExpensesPriorYear |
| Total Expenses Current Year | 950364 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 57992 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 258736 | RevenuesLessExpensesCY |
| Total Assets BOY | 7431551 | TotalAssetsBOY |
| Total Assets EOY | 6972991 | TotalAssetsEOY |
| Total Liabilities BOY | 310855 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 172679 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7120696 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6800312 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 681190 | Expense |
| Grants | 557016 | Grants |
| Revenue | 0 | Revenue |
| Description | 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 2011, ST. LUKE'S FOUNDATION PROVIDED $557,016 IN GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS. | Description |
| Total Program Service Expense | 681190 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S ACCOUNTING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2182495475 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 EAST FIRST STREET | AddressLine1 |
| City | DULUTH | City |
| State | MN | State |
| ZIP Code | 55805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DR PAUL SANFORD | ||||||
| BD MEMBER/PAST CHAIR | 1.00 | X | X | 0 | 242736 | 28503 |
| TOM CONRAD | ||||||
| BD MEMBER/CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| KIM KEUNING | ||||||
| BD MEMBER/SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| HELENA JACKSON | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DR TED HARWOOD | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CAROLINE BYE | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MELINDA MACHONES | ||||||
| BD MEMBER/TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| BARB PAYETTE | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT ULLAND | ||||||
| BD MEMBER/FORMER | 1.00 | X | 0 | 0 | 0 | |
| JACK SEILER | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CECILE SWENSON | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ED HALL | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| HELGA WALLNER | ||||||
| BD MEMBER/VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| JON WELLES | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT ZALLAR | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LINDA KRUG | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BRIAN RYKS | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SCOTT LYONS | ||||||
| BD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CATHERINE CARTER HUBER | ||||||
| EXECUTIVE DIRECTOR/COO | 38.00 | X | 131182 | 0 | 58806 | |
| JOHN STRANGE | ||||||
| CHIEF EXECUTIVE OFFICER | 2.00 | X | 0 | 802545 | 140923 | |
| JAMES WUELLNER | ||||||
| CHIEF FINANCIAL OFFICER | 2.00 | X | 0 | 315369 | 82655 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 131182 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1360650 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 310887 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 183109 | FundraisingEvents |
| Related Organizations | 21104 | RelatedOrganizations |
| All Other Contributions | 643933 | AllOtherContributions |
| Noncash Contributions | 106312 | NoncashContributions |
| Total Contributions | 848146 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 174188 | TotalRevenueColumn |
| Exclusion | $174,188 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2301271 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2116514 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 184757 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 184757 | TotalRevenueColumn |
| Exclusion | $184,757 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 161124 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 183109 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 159115 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2009 | TotalRevenueColumn |
| Exclusion | $2,009 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1209100 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $360,954 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 557016 | Total |
| Program Services | 557016 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154502 | Total |
| Program Services | 77251 | ProgramServices |
| Management And General | 30900 | ManagementAndGeneral |
| Fundraising | 46351 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104371 | Total |
| Program Services | 15656 | ProgramServices |
| Management And General | 57404 | ManagementAndGeneral |
| Fundraising | 31311 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14766 | Total |
| Program Services | 5299 | ProgramServices |
| Management And General | 5037 | ManagementAndGeneral |
| Fundraising | 4430 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6904 | Total |
| Management And General | 6904 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28351 | Total |
| Management And General | 28351 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10400 | Total |
| Program Services | 10400 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12677 | Total |
| Program Services | 1054 | ProgramServices |
| Management And General | 7860 | ManagementAndGeneral |
| Fundraising | 3763 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1445 | Total |
| Management And General | 1445 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21104 | Total |
| Management And General | 21104 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2795 | Total |
| Program Services | 912 | ProgramServices |
| Management And General | 1023 | ManagementAndGeneral |
| Fundraising | 860 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4406 | Total |
| Management And General | 4406 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| BAD DEBT | 20659 | 13602 | 7057 | |
| DONOR RECOGNITION | 6627 | 6627 | ||
| MEMBERSHIP DUES | 4341 | 4341 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 950364 | Total |
| Program Services | 681190 | ProgramServices |
| Management And General | 168775 | ManagementAndGeneral |
| Fundraising | 100399 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105896 | BOY |
| EOY | 112089 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107500 | BOY |
| EOY | 68045 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20977 | BOY |
| EOY | 14956 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1445 | BOY |
| EOY | 5395 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7000024 | BOY |
| EOY | 6582513 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 195709 | BOY |
| EOY | 189993 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7431551 | BOY |
| EOY | 6972991 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1078 | BOY |
| EOY | 3216 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9119 | BOY |
| EOY | 4597 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300658 | BOY |
| EOY | 164866 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 310855 | BOY |
| EOY | 172679 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2675551 | BOY |
| EOY | 2273286 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4008002 | BOY |
| EOY | 4069883 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 437143 | BOY |
| EOY | 457143 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7120696 | BOY |
| EOY | 6800312 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7431551 | BOY |
| EOY | 6972991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 258736 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -579120 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410714079 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $433,870 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 433870 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4478921 | BeginningOfYearBalance |
| Contributions | 615600 | Contributions |
| Investment Earnings Or Losses | -120221 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 447275 | GrantsOrScholarships |
| End Of Year Balance | 4527025 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4002997 | BeginningOfYearBalance |
| Contributions | 402675 | Contributions |
| Investment Earnings Or Losses | 481630 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 408380 | GrantsOrScholarships |
| End Of Year Balance | 4478921 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3255138 | BeginningOfYearBalance |
| Contributions | 371299 | Contributions |
| Investment Earnings Or Losses | 717855 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 341295 | GrantsOrScholarships |
| End Of Year Balance | 4002997 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4358502 | BeginningOfYearBalance |
| Contributions | 399718 | Contributions |
| Investment Earnings Or Losses | -1112537 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 390546 | GrantsOrScholarships |
| End Of Year Balance | 3255137 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.10000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.90000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | AMOUNTS DUE TO RELATED PARTY | Description |
| Amount | $164,866 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 164866 | TotalOfAmounts |
| Total Revenue | 1209100 | TotalRevenue |
| Total Expenses | 950364 | TotalExpenses |
| Excess Or Deficit For Year | 258736 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -579120 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -579120 | TotalAdjustments |
| Excess Or Deficit Per FS | -320384 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1368215 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1368215 | RevenueSubtotal |
| Other Revenues Not Included | -159115 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -159115 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1209100 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1109479 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1109479 | ExpensesSubtotal |
| Other Expenses Not Included | -159115 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -159115 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 950364 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES <159,115> | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES <159115> |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CIRCLE OF LIGHT | NameOfEvent1 |
| Gross Receipts Event1 | 176649 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 87607 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 89042 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 79365 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 12838 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 5791 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF BENEFIT | NameOfEvent2 |
| Gross Receipts Event2 | 89398 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 17316 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 72082 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 15355 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 26418 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 2583 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 6 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 78186 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 78186 | CharitableContribOtherEvents |
| Rent Facility Costs Other Events | 2719 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 14046 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 344233 | GrossReceiptsTotal |
| Charitable Contributions Total | 183109 | CharitableContributionsTotal |
| Gross Revenue Total Events | 161124 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 94720 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 41975 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 22420 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 159115 | DirectExpenseSummaryEvents |
| Net Income Summary | 2009 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| ST LUKE'S HOSPITAL OF DULUTH | ||||||||
| 915 EAST FIRST STREET | DULUTH | MN | 55805 | 410714079 | 501(C)(3) | 433870 | ADVANCE PATIENT CARE, HEALTH EDUCATION, AND CLINICAL RESEARCH. | |
| MN MEDICAL FOUNDATION | ||||||||
| MCNAMARA ALUMNI CENTER 200 OAK | MINNEAPOLIS | MN | 55455 | 416027707 | 501(C)(3) | 7500 | SUPPORT FOR THE UNIVERSITY OF MINNESOTA DULUTH MEDICAL SCHOOL | STREET SE SUITE 300 |
| COLLEGE OF ST SCHOLASITCA | ||||||||
| 1200 KENWOOD AVENUE | DULUTH | MN | 55811 | 410698301 | 501(C)(3) | 7500 | SUPPORT FOR MEDICAL SCHOLARSHIP FUND | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, 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 INDENDED PURPOSE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR PAUL SANFORD | |||||||||||||
| 0 | 207805 | 0 | 34241 | 0 | 690 | 0 | 5101 | 0 | 23402 | 0 | 271239 | 0 | 0 |
| CATHERINE CARTER HUBER | |||||||||||||
| 131182 | 0 | 0 | 0 | 0 | 0 | 23320 | 4184 | 0 | 31302 | 154502 | 35486 | 0 | 0 |
| JOHN STRANGE | |||||||||||||
| 0 | 798688 | 0 | 0 | 0 | 3857 | 0 | 9308 | 0 | 131615 | 0 | 943468 | 0 | 0 |
| JAMES WUELLNER | |||||||||||||
| 0 | 313235 | 0 | 0 | 0 | 2134 | 0 | 4544 | 0 | 78111 | 0 | 398024 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | THE PRESIDENT/CEO AND CHIEF FINANCIAL OFFICER OF ST.LUKE'S FOUNDATION, ARE EMPLOYEES OF ST. LUKE'S HOSPITAL OF DULUTH, INC., A 501(C)(3) RELATED ORGANIZATION. THE FOLLOWING METHODS ARE USED BY ST. LUKE'S WHEN DETERMING THEIR COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | Explanation |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 9480 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 3862 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1100 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | MEDICAL EQUIPMENT | 4 | 24222 | FAIR MARKET VALUE |
| X | WIGS | 1 | 9200 | FAIR MARKET VALUE |
| X | TICKETS | 1 | 12000 | FAIR MARKET VALUE |
| X | AUCTION GIFTS | 201 | 46448 | FAIR MARKET VALUE |
| X | BENEFIT DOOR PRIZES | 36 | 6749 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | THIRD PARTY USE: | Identifier |
| Return Reference | PART I, LINE 32B: | ReturnReference |
| Explanation | SCHEDULE M, LINE 32B: DOUNDATION 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 THE HOSPITAL. THE HOSPITAL SHALL HAVE NO VOTING RIGHTS, EXCEPT AS OTHERWISE PROVIDED HEREIN AND IN THE CORPORATION'S ARTICLES OF INCORPORATION. | |
| 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 | AN AMENDMENT 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 2011 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 2012) 2. BOARD OF DIRECTORS (OCT 2012) THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE 2011 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, 2012. | |
| FORM 990, PART VI, SECTION B, LINE 12C | 1. ALL EMPLOYEES AND BOARD MEMBERS OF THE ORGANIZATION MUST DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THEIR SUPERVISOR(S), AND REFRAIN FROM MAKING DECISIONS BASED ON OUTSIDE INTERESTS. 2. AT LEAST ANNUALLY, AFFECTED INDIVIDUALS MUST REVIEW THIS POLICY AND COMPLETE THE CONFLICT OF INTEREST STATEMENT. A. THE ST. LUKE'S COMPLIANCE OFFICE MAINTAINS A LIST OF AFFECTED INDIVIDUALS. B. THE ST. LUKE'S COMPLIANCE OFFICE REQUESTS THAT AFFECTED INDIVIDUALS REVIEW THIS POLICY, COMPLETES AND RETURNS THE CONFLICT OF INTEREST STATEMENT. C. THE ST. LUKE'S COMPLIANCE OFFICE REVIEWS THE STATEMENTS OF EMPLOYEES AND DIRECTORS AND NOTIFES THE APPROPRIATE EXECUTIVE OF ANY POTENTIAL CONFLICT OR DUALITY OF INTEREST. D. THE CEO REVIEWS THE STATEMENTS OF THE EXECUTIVE DIRECTOR FOR POTENTIAL CONFLICT OR DUALITY OF INTEREST. E. THE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS THE STATEMENTS OF THE CEO AND BOARD MEMBERS. F. EMPLOYEE STATEMENTS ARE FILED IN HUMAN RESOURCES; BOARD OF DIRECTOR STATEMENTS ARE FILED IN THE ADMINISTRATION OFFICE. 3. THE STATEMENT MUST BE COMPLETED UPON APPOINTMENT / HIRING TO ANY POSITION WITHIN THE ORGANIZATION. A. ST. LUKE'S HUMAN RESOURCES INCLUDES THE CONFLICT OF INTEREST POLICY AND STATEMENT IN THE NEW HIRE PACKET AND FORWARDS THE COMPLETED STATEMENT TO COMPLIANCE OFFICE FOR REVIEW. B. ST. LUKE'S HUMAN RESOURCES NOTIFIES COMPLIANCE OFFICE OF INTERNAL TRANSFERS TO ADMINISTRATIVE, DIRECTOR AND MANAGEMENT POSITIONS. COMPLIANCE OFFICE REQUESTS COMPLETION OF THE CONFLICT OF INTEREST STATEMENT. C. IF AN EMPLOYEE'S DUTIES CHANGE DURING THE YEAR, RESULTING IN A POTENTIAL CONFLICT OF INTEREST, THE EXECUTIVE DIRECTOR NOTIFIES THE ST. LUKE'S COMPLIANCE OFFICE TO OBTAIN A CONFLICT OF INTEREST STATEMENT. 4. AT ANY TIME DURING THE YEAR, WHEN AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST ARISES, THE AFFECTED INDIVIDUAL IS OBLIGATED TO CONTACT HIS OR HER SUPERVISOR OR THE COMPLIANCE OFFICE AND COMPLETE THE CONFLICT OF INTEREST STATEMENT. 5. AFFECTED INDIVIDUALS ARE REQUIRED TO SUBMIT IN WRITING A LIST OF ALL BUSINESSES OR OTHER ORGANIZATIONS IF THEY OR MEMBERS OF THEIR FAMILY ARE AN OFFICER, MEMBER, OWNER, OR EMPLOYEE AND THE ORGANIZATION HAS OR MIGHT REASONABLY BE EXPECTED TO ENTER INTO A RELATIONSHIP OR A TRANSACTION WITH THE BUSINESS OR ORGANIZATION IN THE FUTURE. 6. IF RESOLUTION OF POTENTIAL CONFLICTS OF INTEREST IS NEEDED, IT IS HANDLED THROUGH THE CHAIN OF COMMAND OR AT THE BOARD OF DIRECTOR LEVEL. 7. EMPLOYEES ACCEPT NO PERSONAL GIFTS, FAVORS, OR COMPENSATION FROM PATIENTS, VENDORS, OR OTHER INDIVIDUALS OR ORGANIZATIONS SEEKING A BUSINESS RELATIONSHIP WITH ST. LUKE'S FOUNDATION. A. BUSINESS TRAVEL PAID IN PART OR COMPLETELY BY AN OUTSIDE INDIVIDUAL, AGENCY, CORPORATION OR ORGANIZATION REQUIRES PRIOR APPROVAL BY THE CEO. B. PERISHABLE OR CONSUMABLE GIFTS (CANDY, DONUTS, FLOWERS, ETC.) GIVEN TO THE ORGANIZATION ARE ALLOWED. C. CASH GIFTS ARE PROHIBITED. D. IF AN EMPLOYEE IS GIVEN A GIFT THAT CANNOT BE RETURNED, THE EMPLOYEE CONSULTS WITH THE EXECUTIVE DIRECTOR AND/OR HUMAN RESOURCES TO DETERMINE AN ACCEPTABLE COURSE OF ACTION. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF ST. LUKE'S, A 501(C)(3) RELATED ORGANIZATION. THE CEO'S COMPENSATION IS REVIEWED AND ESTABLISHED BY ST. LUKE'S. NO PORTION OF THE CEO'S COMPENSATION WAS CHARGED TO THE ORGANIZATION AS AN EXPENSE DURING 2011. THE CHIEF FINANCIAL OFFICER IS AN EMPLOYEE OF ST. LUKE'S, A 501(C)(3) RELATED ORGANIZATION. THE CFO'S COMPENSATION IS REVIEWED AND ESTABLISHED BY ST. LUKE'S. NO PORTION OF THE CFO'S COMPENSATION WAS CHARGED TO THE ORGANIZATION AS AN EXPENSE DURING 2011. 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 2011. 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. | |
| FORM 990, PART VII, SECTION A, LINE 1 | JOHN STRANGE, CEO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS BETWEEN THE REPORTING ORGANIZATION AND ITS RELATED AFFILIATES: ST. LUKE'S HOSPITAL OF DULUTH: 36 HOURS LAKE VIEW MEMORIAL HOSPITAL, INC.: 2 HOURS ST. LUKE'S FOUNDATION: 2 HOURS JAMES WUELLNER, CEO, DEVOTED APPROXIMATELY 40 HOURS PER WEEK AS FOLLOWS BETWEEN THE REPORTING ORGANIZATION AND ITS RELATED AFFILIATES: ST. LUKE'S HOSPITAL OF DULUTH: 36 HOURS LAKE VIEW MEMORIAL HOSPITAL, INC.: 2 HOURS ST. LUKE'S FOUNDATION: 2 HOURS IN ADDITION TO BEING A BOARD MEMBER OF ST. LUKE'S FOUNDATION, THE FOLLOWING BOARD MEMBERS, MELINDA MACHONES, PAUL SANFORD, AND BRIAN RYKS, ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZTION ST. LUKE'S HOSPITAL OF DULUTH. | ALLOCATION OF HOURS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | ST LUKES HOSPITAL | |
| LAKE VIEW MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 325 11TH AVENUE | TWO HARBORS | MN | 55616 | 411700972 | PROVIDE SUPPORT TO LAKEVIEW MEMORIAL HOSPITAL | MN | 501(C)(3) | 7 | 0 | ST LUKES HOSPITAL LAKE VIEW MEMORIAL HOSPITAL | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |