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ST LUKES HOSPITAL OF DULUTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKES HOSPITAL OF DULUTH (EIN 41-0714079)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349300746
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T08:39:16-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410714079EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL OF DULUTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone2182495555Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1
CityDULUTHCity
StateMNState
ZIP Code55805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN BENJAMINName
TitleCHIEF FINANCIAL OFFICERTitle
Phone2182495555Phone
Date Signed2012-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN STRANGENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1
CityDULUTHCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts332671175GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SLHDULUTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1881YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees2607TotalNbrEmployees
Total Nbr Volunteers340TotalNbrVolunteers
Total Gross UBI6758855TotalGrossUBI
Net Unrelated Business Txbl Income-1429996NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year515372ContributionsGrantsPriorYear
Contributions Grants Current Year691492ContributionsGrantsCurrentYear
Program Service Revenue Prior Year313827445ProgramServiceRevenuePriorYear
Program Service Revenue CY324371421ProgramServiceRevenueCY
Investment Income Prior Year1991534InvestmentIncomePriorYear
Investment Income Current Year2402110InvestmentIncomeCurrentYear
Other Revenue Prior Year1165708OtherRevenuePriorYear
Other Revenue Current Year2085015OtherRevenueCurrentYear
Total Revenue Prior Year317500059TotalRevenuePriorYear
Total Revenue Current Year329550038TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9564247GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY237395GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year188065195SalariesEtcPriorYear
Salaries Etc Current Year199162993SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year115967026OtherExpensePriorYear
Other Expenses Current Year129559403OtherExpensesCurrentYear
Total Expenses Prior Year313596468TotalExpensesPriorYear
Total Expenses Current Year328959791TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3903591RevenuesLessExpensesPriorYear
Revenues Less Expenses CY590247RevenuesLessExpensesCY
Total Assets BOY144997293TotalAssetsBOY
Total Assets EOY157002357TotalAssetsEOY
Total Liabilities BOY116888629TotalLiabilitiesBOY
Total Liabilities EOY149991647TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28108664NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7010710NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PATIENT ABOVE ALL ELSE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense277858219Expense
Grants237395Grants
Revenue324371421Revenue
DescriptionORGANIZATIONAL 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 17-COUNTY 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 2010, ST. LUKE'S DONATED MORE THAN 800 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. ALSO, 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. ALSO, ST. LUKE'S PROVIDES MEDICAL TRANSPORT SERVICES AT LESS THAN COST TO OUR PATIENTS IN THE REGION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionORGANIZATIONAL 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 2011, THERE WERE 11,424 ADMISSIONS, 48,833 PATIENT DAYS, 442,373 CLINIC VISITS, 157,420 OUTPATIENT REGISTRATIONS AND 63,471 EMERGENCY/URGENT CARE VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionORGANIZTIONAL DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS:A. ALL PATIENTS RECEIVE SERVICES AT ST. LUKE'S REGARDLESS OF ABILITY TO PAY. IN ADDITION, ST. LUKE'S MENTAL HEALTH SERVICES MAINTAIN A PHARMACEUTICAL SAMPLE PROGRAM FOR ITS CLIENTS. THESE MEDICATIONS ARE PROVIDED THROUGH PHARMACEUTICAL COMPANIES AND MANAGED THROUGH THE OUTPATIENT MENTAL HEALTH DEPARTMENT.THE HEALTH AND SAFETY OF OUR COMMUNITY WERE ADDRESSED THROUGH HEALTH SCREENINGS AT NO CHARGE FOR BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL AND BONE DENSITY AT COMMUNITY HEALTH FAIRS. MONTHLY CHILD CARE SEAT SAFETY CLINICS WERE HELD IN CONJUNCTION WITH THE DULUTH FIRE DEPARTMENT, AND TRAUMAROO, A BIKE AND PLAYGROUND SAFETY PROGRAM FOR CHILDREN IN KINDERGARTEN THROUGH 2ND GRADE WAS OFFERED TO LOCAL SCHOOLS AT NO CHARGE.WE PARTICIPATE IN OUR COMMUNITY'S DISASTER DRILLS HELD TWICE A YEAR AND WE WORK WITH OTHER HOSPITALS IN THE REGION TO PLAN IN THE EVENT OF A BIOTERRORISM ATTACK OR OTHER MAJOR CALAMITY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionTHE FINANCIAL INFORMATION IN THIS REPORT WAS PREPARED FOLLOWING GUIDELINES SUGGESTED BY MINNESOTA HOSPITAL ASSOCIATION AND OTHER NATIONALLY RECOGNIZED HEALTHCARE ASSOCIATIONS. THESE GUIDELINES RECOMMEND THE FOLLOWING INCLUDING MEDICARE SHORTFALL:REPORT CHARITY CARE AT COST, NOT CHARGES. DOES NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND PROMPT PAY DISCOUNTS AS CHARITY CARE EXPENSES. REPORTS THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYORS, AND OTHER EXTERNAL SOURCES.FOR FISCAL YEAR ENDED: DECEMBER 31, 2011PATIENT ASSISTANCE - AT COST $ 2,742,825 GOVERNMENT SPONSORED HEALTH CARE - NET EXPENSE 38,300,126COMMUNITY HEALTH IMPROVEMENT SERVICES 712,743SUBSIDIZED HEALTH SERVICES 4,317,123HEALTH PROFESSIONS EDUCATION 5,808,618MNCARE TAX, MEDICAID SURCHARGE & OTHER TAXES 5,558,941FINANCIAL AND IN-KIND CONTRIBUTIONS 438,221COMMUNITY-BUILDING ACTIVITIES 323,390 TOTAL QUANTIFIABLE COMMUNITY BENEFIT $58,201,717Description
FieldValueIRS element (for citing)
Total Program Service Expense277858219TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109687NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2607NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN BENJAMINBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2182495475TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1
CityDULUTHCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN STRANGE
PRESIDENT/CEO36.00XX8025450140923
DALE MOE
BOARD CHAIR1.00XX000
MARK EMMEL
VICE CHAIR1.00XX000
SUSAN GOLTZ MD
SECRETARY1.00XX000
BRIAN RYKS
TREASURER1.00XX000
MELINDA MACHONES
PAST CHAIR1.00XX000
GAIL BALDWIN MD
BD MEMBER1.00X000
LISA BODINE
BD MEMBER1.00X000
RAY CHRISTENSEN MD
BD MEMBER1.00X000
MARLENE DAVID
BD MEMBER1.00X000
JESSE FRYE
BD MEMBER1.00X000
DAVE MCMILLAN
BD MEMBER1.00X000
KATHLEEN NELSON EDD
BD MEMBER1.00X000
DEL PREVOST
BD MEMBER1.00X000
KRISTI STOKES
BD MEMBER1.00X000
PAUL SANFORD MD
CHIEF OF STAFF40.00X242736028503
JAMES WUELLNER
VP FINANCE/CFO36.00X315369082655
JOHN YOON MD
PHYSICIAN40.001392149027487X
JOHN WATKINS MD
PHYSICIAN40.00829373022366X
MARSHALL WATSON JR MD
PHYSICIAN40.00821176022994X
DAVID FOGARTY MD
PHYSICIAN40.0080029009692X
MARY BOYLAN MD
PHYSICIAN40.00799508028939X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6003146TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation363559TotalOtherCompensation
Number Individuals GT100 K274NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STONEARCH CREATIVE
710 S 2ND STREETMINNEAPOLISMN55401MARKETING SERVICES1728022
DONALD HOLM CONSTRUCTION
3211 W 3RD STREETDULUTHMN55086CONSTRUCTION SERVICES1363682
MAYO COLLABORATIVE SERVICES
PO BOX 4100ROCHESTERMN55903LABORATORY SERVICES1070804
ECLINICAL WORKS LLC
110 TURNPIKE RD STE 308ESTBOROUGHMA01581IT SERVICES1054886
MEMORIAL BLOOD CENTER
737 PELHAM BLVDST PAULMN55144LABORATORY SERVICES900709
FieldValueIRS element (for citing)
Number Of Contractors GT100 K44NumberOfContractorsGT100K
Related Organizations433870RelatedOrganizations
Government Grants139136GovernmentGrants
All Other Contributions118486AllOtherContributions
Total Contributions691492TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MEDICAL SERVICES621990246447036246447036
PHARMACY44611077650526714352496215277
CREDENTIALING541900119337119337
TRANSCRIPTION5419006140042045$19,355
GUEST CARE72100039108$39,108

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column54014TotalRevenueColumn
Unrelated Business Revenue52411UnrelatedBusinessRevenue
Exclusion$1,603ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue324371421TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2460908TotalRevenueColumn
Exclusion$2,460,908ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1384427Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1362216Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22211Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22211TotalRevenueColumn
Exclusion$22,211ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1532672Securities
Other16294Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1589696Securities
Other18068Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-57024Securities
Other-1774Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-58798TotalRevenueColumn
Exclusion-$58,798ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory161198GrossSalesOfInventory
Cost Of Goods Sold151157CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column10041TotalRevenueColumn
Exclusion$10,041ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
MEALS/VENDING INCOME9000991319410$1,319,410
PARKING LOT INCOME900099403568$403,568
ANSWERING SERVICES561000228626228626

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column101159TotalRevenueColumn
Unrelated Business Revenue101159UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue2052763TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column329550038TotalRevenueColumn
Related Or Exempt Function Income317882285RelatedOrExemptFunctionIncome
Unrelated Business Revenue6758855UnrelatedBusinessRevenue
Exclusion$4,217,406ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total237395Total
Program Services237395ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1341491Total
Management And General1341491ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total155332415Total
Program Services137967764ProgramServices
Management And General17364651ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8050669Total
Program Services7089734ProgramServices
Management And General960935ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total24902744Total
Program Services21930330ProgramServices
Management And General2972414ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9535674Total
Program Services8076602ProgramServices
Management And General1459072ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total25500Total
Program Services25500ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total788881Total
Management And General788881ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total140049Total
Management And General140049ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total20227Total
Program Services20227ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total77757Total
Management And General77757ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12837287Total
Program Services4405477ProgramServices
Management And General8431810ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total478492Total
Program Services478492ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8765764Total
Program Services4313755ProgramServices
Management And General4452009ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2336851Total
Program Services1932057ProgramServices
Management And General404794ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total15005084Total
Program Services10466600ProgramServices
Management And General4538484ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1453887Total
Program Services1243654ProgramServices
Management And General210233ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3758458Total
Program Services3637235ProgramServices
Management And General121223ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7941862Total
Program Services5785392ProgramServices
Management And General2156470ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1911815Total
Program Services1911815ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES3192723531927235
DRUGS2198480421984804
CHARITY CARE74613227461322
BAD DEBT EXPENSE662116724096244211543

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6022961Total
Program Services4553205ProgramServices
Management And General1469756ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total328959791Total
Program Services277858219ProgramServices
Management And General51101572ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12186113BOY
EOY11693617EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39341753BOY
EOY45260432EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5149584BOY
EOY5380796EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1143385BOY
EOY1517518EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis149571142LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec99789440LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY44825670BOY
EOY49781702EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9380018BOY
EOY9112526EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20697406BOY
EOY21814593EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1933219BOY
EOY1775579EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10340145BOY
EOY10665594EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY144997293BOY
EOY157002357EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29814264BOY
EOY43253811EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY48073092BOY
EOY47843362EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39001273BOY
EOY58894474EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY116888629BOY
EOY149991647EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28108664BOY
EOY7010710EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28108664BOY
EOY7010710EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY144997293BOY
EOY157002357EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses590247ReconcilationRevenueExpenses
Reconcilation Other Changes-21688201ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$20,227OtherActivitiesAmount
Total Lobbying Expenditures IIB20227TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4218799OtherCostOrOtherBasis
Book Value4218799BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65351851OtherCostOrOtherBasis
Depreciation46092194Depreciation
Book Value19259657BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1340090OtherCostOrOtherBasis
Depreciation1084041Depreciation
Book Value256049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis74549253OtherCostOrOtherBasis
Depreciation52613205Depreciation
Book Value21936048BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4111149OtherCostOrOtherBasis
Book Value4111149BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings49781702TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionSHORT TERM INVESTMENTSDescription
Book Value21814593BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities21814593TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COMPENSATION6202164
PREPAID BOND EXPENSE1340280
CASH SURRENDER LIFE INSURANCE1112490
INVESTMENT IN SURGERY CENTER555991
INVESTMENT IN IMAGING CENTER536592
OTHER ASSETS754237
DUE FROM RELATED PARTY163840
FieldValueIRS element (for citing)
Total Book Value Other Assets10665594TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
EMPLOYEE BENEFIT OBLIGATIONS$56,984,804
OTHER LIABILITIES$1,741,539
DUE TO RELATED PARTY$168,131
FieldValueIRS element (for citing)
Total Of Amounts58894474TotalOfAmounts
Total Revenue329550038TotalRevenue
Total Expenses328959791TotalExpenses
Excess Or Deficit For Year590247ExcessOrDeficitForYear
Net Unrealized GL On Investments199531NetUnrealizedGLOnInvestments
Other-$21,887,732OtherAmount
Total Adjustments-21688201TotalAdjustments
Excess Or Deficit Per FS-21097954ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt322448895TotRevenueEtcAuditedFinclStmt
Other Revenues-7461322OtherRevenues
Revenue Not Rptd F990-7461322RevenueNotRptdF990
Revenue Subtotal329910217RevenueSubtotal
Other Revenues Not Included-360179OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-360179RevenueNotRptdOnFinStmt
Total Revenue Per Form990329550038TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt323011842TotExpensesEtcAuditedFinclStmt
Other Expenses Included1513373OtherExpensesIncluded
Expenses Not Rptd F9901513373ExpensesNotRptdF990
Expenses Subtotal321498469ExpensesSubtotal
Other Expenses Not Included7461322OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7461322ExpensesNotRptdOnFinStmt
Total Expenses Per Form990328959791TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. THE SYSTEM'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL TAX AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN MINIMUM PENSION LIABILITY -21,992,666. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 114,934. CONTRIBUTION TO SLH VOLUNTEER SERVICE GUILD -10,000. TOTAL TO SCHEDULE D, PART XI, LINE 8: -21,887,732.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHARITY CARE -7,461,322.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 1,153,194. RENTAL EXPENSES -1,362,216. GIFT SHOP EXPENSES -151,157.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 1,362,216. GIFT SHOP EXPENSES 151,157.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CHARITY CARE 7,461,322.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served4534PersonsServed
Total Community Benefit Expense2742825TotalCommunityBenefitExpense
Net Community Benefit Expense2742825NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense42665888TotalCommunityBenefitExpense
Direct Offsetting Revenue28702134DirectOffsettingRevenue
Net Community Benefit Expense13963754NetCommunityBenefitExpense
Percent Of Total Expense0.04330PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served4534PersonsServed
Total Community Benefit Expense45408713TotalCommunityBenefitExpense
Direct Offsetting Revenue28702134DirectOffsettingRevenue
Net Community Benefit Expense16706579NetCommunityBenefitExpense
Percent Of Total Expense0.05180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served8807PersonsServed
Total Community Benefit Expense712473TotalCommunityBenefitExpense
Net Community Benefit Expense712473NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1324PersonsServed
Total Community Benefit Expense5808618TotalCommunityBenefitExpense
Net Community Benefit Expense5808618NetCommunityBenefitExpense
Percent Of Total Expense0.01800PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served48153PersonsServed
Total Community Benefit Expense4317123TotalCommunityBenefitExpense
Net Community Benefit Expense4317123NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served80PersonsServed
Total Community Benefit Expense438221TotalCommunityBenefitExpense
Net Community Benefit Expense438221NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served58364PersonsServed
Total Community Benefit Expense11276435TotalCommunityBenefitExpense
Net Community Benefit Expense11276435NetCommunityBenefitExpense
Percent Of Total Expense0.03500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served62898PersonsServed
Total Community Benefit Expense56685148TotalCommunityBenefitExpense
Direct Offsetting Revenue28702134DirectOffsettingRevenue
Net Community Benefit Expense27983014NetCommunityBenefitExpense
Percent Of Total Expense0.08680PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense222959TotalCommunityBuildingExpense
Net Community Building Expense222959NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Persons Served435PersonsServed
Total Community Building Expense1162TotalCommunityBuildingExpense
Net Community Building Expense1162NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served53PersonsServed
Total Community Building Expense26856TotalCommunityBuildingExpense
Net Community Building Expense26856NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served198PersonsServed
Total Community Building Expense72413TotalCommunityBuildingExpense
Net Community Building Expense72413NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served686PersonsServed
Total Community Building Expense323390TotalCommunityBuildingExpense
Net Community Building Expense323390NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$6,621,167BadDebtExpenseAmount
Amount Attributable To2743599AmountAttributableTo
Amount Reimbursed By Medicare112781269AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare143669797CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-30888528MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 CENTER FOR DIAGNOSTIC IMAGING
DIAGNOSTIC IMAGING0.210000.000000.21000
2 PAVILION SURGERY CENTER
OUTPATIENT AMBULATORY SURGERY0.500000.050000.45000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKES HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1915 EAST FIRST STREETAddressLine1
CityDULUTHCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST LUKE'S HOSPITAL OF DULUTHBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent300.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities37NumberOfOtherFacilities

Other Facilities OtherFacilities (37 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ST LUKE'S INTERNAL MEDICINE ASSOCIATES
1001 E SUPERIOR STDULUTHMN55802OUTPATIENT MEDICAL
ST LUKE'S RADIATION ONCOLOGY ASSOCIATES
1001 E SUPERIOR STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S CARDIOLOGY ASSOCIATES
1001 E SUPERIOR STDULUTHMN55802OUTPATIENT MEDICAL
MARINER MEDICAL CLINIC
109 N 28TH ST ESUPERIORWI54880OUTPATIENT MEDICAL
ST LUKE'S PAVILION SURGICAL ASSOCIATES
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL & AMBULATORY SURGERY
CHEQUAMEGON CLINIC
415 ELLINS AVEASHLANDWI54806OUTPATIENT MEDICAL
ST LUKE'S CARDIOTHORACIC SURGICAL ASSOC
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
PS RUDIE MEDICAL CLINIC
26 EAST SUPERIOR STREETDULUTHMN55802OUTPATIENT MEDICAL
HIBBING FAMILY MEDICAL CENTER
1120 E 34TH STHIBBINGMN55746OUTPATIENT MEDICAL
ST LUKE'S GASTROENTEROLOGY ASSOCIATES
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S MENTAL HEALTH
220 N 6TH AVE EDULUTHMN55802OUTPATIENT MEDICAL
DULUTH INTERNAL MEDICINE ASSOCIATES
220 MEDICAL ARTS BLDGDULUTHMN55802OUTPATIENT MEDICAL
MOUNT ROYAL MEDICAL CLINIC
1400 WOODLAND AVEDULUTHMN55803OUTPATIENT MEDICAL
MARINER CLINIC URGENT CARE
109 N 28TH ST ESUPERIORWI54880OUTPATIENT MEDICAL
ST LUKE'S PULMONARY MEDICINE ASSOCIATES
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S RHEUMOTOLOGY ASSOCIATES
1000 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S UROLOGY ASSOCIATES
1001 E SUPERIOR STDULUTHMN55802OUTPATIENT MEDICAL
ST LUKE'S NEUROSURGERY ASSOCIATES
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S ORTHOPAEDIC & SPORTS MEDICINE
1000 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
DENFELD MEDICAL CLINIC
4702 GRAND AVEDULUTHMN55807OUTPATIENT MEDICAL & OCCUPATIONAL THERAPY
MARINER OUTPATIENT SURGERY CENTER
109 N 28TH ST ESUPERIORWI54880OUTPATIENT MEDICAL & AMBULATORY SURGERY
ST LUKE'S DERMATOLOGY ASSOC
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S HOME CARE
220 N 6TH AVE EDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S PEDIATRIC ASSOCIATES
1000 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
LAURENTIAN MEDICAL CLINIC
8373 UNITY DRIVEMT IRONMN55768OUTPATIENT MEDICAL & PHYSICAL THERAPY
MILLER CREEK MEDICAL CLINIC
4884 MILLER TRUNK HWYHERMANTOWNMN55811OUTPATIENT MEDICAL & PHYSICAL THERAPY
ST LUKE'S PHYSICAL MEDICINE & REHAB ASS
1011 E 1ST STDULUTHMN55805PHYSICAL THERAPY
ST LUKE'S PLASTIC SURGERY ASSOCIATES
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
BAY AREA MEDICAL CLINIC
50 OUTER DRIVESILVER BAYMN55614OUTPATIENT MEDICAL & PHYSICAL THERAPY
ST LUKE'S ENDOCRINOLOGY ASSOCIATES
1011 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S ALLERGY & IMMUNOLOGY ASSOCIAT
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIA
1001 E SUPERIOR STDULUTHMN55805OUTPATIENT MEDICAL
ST LUKE'S OCCUPATIONAL HEALTH
4702 GRAND AVEDULUTHMN55807OCCUPATIONAL HEALTH
ST LUKE'S INFECTIOUS DISEASE ASSOCIATES
1001 E SUPERIOR STDULUTHMN55802OUTPATIENT MEDICAL
ST LUKE'S SURGICAL ASSOCIATES
920 E 1ST STDULUTHMN55805OUTPATIENT MEDICAL
Q-CARE EXPRESS CLINIC
619 W CENTRAL ENTRANCEDULUTHMN55811OUTPATIENT MEDICAL
LESTER RIVER MEDICAL CLINIC
6351 E SUPERIOR STDULUTHMN55804OUTPATIENT MEDICAL

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: ST. LUKE'S USED COST-TO-CHARGE RATIOS DERIVED FROM THE MOST RECENT COMPLETED MEDICARE COST REPORT.
PART I, LINE 7G: ST. LUKE'S INCLUDED SUBSIDIZED HEALTH SERVICES FROM A MENTAL HEALTH CLINIC ($1,862,825), A PEDIATRICS CLINIC ($1,862,825), AND HOMECARE/HOSPICE SERVICES ($717,928).
PART I, L7 COL(F): BAD DEBT EXPENSE FOR 2011 IS $6,621,167 AS REPORTED IN PART III SECTION A, LINE 2. THIS AMOUNT HAS BEEN ELIMINATED WHEN CALCULATING THE COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE. BAD DEBT ACCOUNTS WILL MEET ALL OF THE FOLLOWING CRITERIA:I. PATIENT OR GUARANTOR HAS RECEIVED AT LEAST 3 STATEMENTS.II. AT LEAST THREE TELEPHONE CONTACTS HAVE BEEN MADE OR ATTEMPTED.III. PATIENT OR GUARANTOR HAS NOT RESPONDED DURING THE COLLECTION CYCLE IN A TIMELY AND RESPONSIBLE MANNER OR HAS DEFAULTED ON A PAYMENT ARRANGEMENT.IV. THERE ARE NO KNOWN CIRCUMSTANCES WHICH WOULD JUSTIFY RECONSIDERATION FOR CHARITY 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 II: ST. LUKE'S COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS, AND OTHER EXPENDITURES FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS.
PART III, LINE 4: ST. LUKE'S DOES NOT INCLUDE A FOOTNOTE IN IT'S AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT.ST. LUKE'S ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS THROUGH A RECORD KEEPING SYSTEM IN THE BUSINESS SERVICES DEPARTMENT. PAYMENT FOR SERVICES IS REQUIRED UPON RECEIPT OF A BILL OR STATEMENT. ALL SELF PAY ACCOUNTS ARE ANALYZED FOR COLLECTABILITY BASED ON THE MONTHS PAST DUE AND PAYMENT HISTORY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CALCULATED BY APPLYING HISTORICAL EXPERIENCE TO AN AGING OF THESE ACCOUNTS. ACCOUNTS THAT ARE DETERMINED TO BE UNCOLLECTIBLE ARE SENT TO A COLLECTION AGENCY AND WRITTEN OFF AT THAT TIME.THE COST OF BAD DEBT WAS REPORTED IN PART III, LINE 2. THIS AMOUNT IS CALCULATED USING THE MEDICARE COST REPORT RATIO FOR THE HOSPITAL AND CLINIC, MULTIPLIED BY ST. LUKE'S BAD DEBT EXPENSE FOR FY ENDING 12/31/11. THE COST OF CHARITY CARE WAS REPORTED IN PART III, LINE 3. THIS AMOUNT IS CALCULATED USING THE MEDICARE COST REPORT RATIO FOR THE HOSPITAL, MULTIPLIED BY ST. LUKE'S CHARITY CARE EXPENSE FOR FY ENDING 12/31/11.
PART III, LINE 8: THE COST-TO-CHARGE RATIO WAS THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED ON THE MEDICARE COST REPORT. THE ENTIRE SHORTFALL ($30,888,528) IS INCLUDED IN THE TOTAL VALUE OF COMMUNITY CONTRIBUTIONS LISTED UNDER "OTHER COMMUNITY CONTRIBUTIONS" (PER VHA GUIDELINES THE SHORTFALL CANNOT BE INCLUDED IN THE TOTAL COST OF COMMUNITY BENEFITS).
PART III, LINE 9B: THE GENERAL DEBT COLLECTION PROCESS BEGINS EITHER AT THE TIME OF BILLING, OR AFTER ALL IDENTIFIED INSURANCE PAYMENTS HAVE BEEN RECEIVED AND POSTED. ANY REMAINING PATIENT LIABILITY WILL BE TRANSFERRED TO THE PATIENT RESPONSIBILITY CATEGORY. ANY MONTHLY PAYMENT LESS THAN $50 A MONTH MUST BE APPROVED BY THE BUSINESS SERVICES DIRECTOR OR THE CENTRAL BILLING OFFICE (CBO) MANAGER. UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS LESS THAN $125,000 MAY APPLY FOR A SELF PAY UNINSURED PATIENT DISCOUNT BY SUBMITTING COPIES OF THE PREVIOUS YEAR'S INCOME TAX FORM, COPIES OF THEIR PAST 3 PAY STUBS, AND A COMPLETED APPLICATION. IF THAT DOCUMENTATION SHOWS A QUALIFYING ANNUAL INCOME, THE PATIENT WILL RECEIVE A DISCOUNT ON THEIR OUTSTANDING HOSPITAL BALANCE EQUAL TO THE RATE GIVEN TO ST. LUKE'S LARGEST CONTRACTED NON-GOVERNMENTAL PAYER. THIS DISCOUNT DOES NOT APPLY TO ELECTIVE PROCEDURES OR PHYSICIAN CLINIC BALANCES. THE DISCOUNT RATE WILL BE EVALUATED ON EACH JULY 1ST BASED ON THE PAYER DISCOUNT RATES FOR THE PREVIOUS CALENDAR YEAR'S ACTIVITY. COLLECTION, LITIGATION AND OR GARNISHMENT ACTIVITIES WILL NOT BE INITIATED UNTIL THE BUSINESS SERVICES DIRECTOR, PATIENT ACCOUNTING MANAGER AND/OR CBO MANAGER VERIFIES THAT:I. THE PATIENT OR GUARANTOR OWES THE DEBTII. ALL THIRD PARTY PAYERS HAVE BEEN BILLEDIII. WHEN APPLICABLE, THE PATIENT/GUARANTOR HAS BEEN OFFERED A REASONABLE PAYMENT PLANIV. THE PATIENT/GUARANTOR HAS BEEN MADE AWARE OF THE UNINSURED PATIENT DISCOUNT OR FINANCIAL ASSISTANCE PROGRAM, HAS BEEN OFFERED AN APPLICATION AND THE OFFER OF ASSISTANCE TO COMPLETE THE APPLICATION.PATIENTS WHO DESIRE ELECTIVE INPATIENT OR OUTPATIENT SERVICES AND ARE UNINSURED OR HAVE LARGE INSURANCE DEDUCTIBLES FIRST MEET WITH A FINANCIAL COUNSELOR TO DISCUSS FINANCIAL ARRANGEMENTS PRIOR TO SERVICES BEING RENDERED. ST. LUKE'S COLLECTION CYCLE WILL INCLUDE A MINIMUM OF 4 STATEMENTS (1 SUMMARY BILL AND 3 DUNNING STATEMENTS) AND A MINIMUM OF 3 TELEPHONE CONTACTS. A 100% DEPOSIT IS EXPECTED FOR THE EXPECTED PATIENT LIABILITY IN ADVANCE OF SERVICES BEING RENDERED. IF THE 100% DEPOSIT CANNOT BE MET, THEN A MINIMUM DEPOSIT OF 50% OF THE EXPECTED PATIENT LIABILITY WILL BE REQUIRED AND THE PATIENT MUST SIGN A PROMISSORY NOTE FOR THE REMAINING BALANCE TO BE PAID WITHIN 30 DAYS OF SERVICES. IF NEITHER OF THESE CONDITIONS CAN BE MET, AN ELECTIVE PROCEDURE MAY BE CANCELLED UNTIL SUCH TIME AS THESE FINANCIAL CONDITIONS CAN BE MET.
PART V, SECTION B, LINE 19D: ST. LUKE'S HOSPITAL USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.ST LUKE'S HOSPITAL OF DULUTH
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 PROJECT. THIS PROJECT COLLECTED POPULATION-BASED, HEALTH STATUS DATA ON ADULTS (AGED 18+) IN THE REGION USING A 70 QUESTION TELEPHONE SURVEY FORMAT AND WAS CONDUCTED IN 1995, 2000, 2005 AND 2010. 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. 4) ST. LUKE'S IS AN ACTIVE PARTICIPANT IN THE COMMUNITY HEALTH INFORMATION COLLABORATIVE (CHIC) WHICH RECENTLY LAUNCHED "HIE-BRIDGE", A SECURE "HEALTH INFORMATION EXCHANGE" WHICH ALLOWS HEALTH CARE PROVIDERS TO QUICKLY DETERMINE THE LOCATION OF PATIENT MEDICAL RECORDS IN THE REGION AND COMMUNICATE WITH PATIENT'S HOME FACILITY IN ORDER TO PROVIDE PROMPT QUALITY CARE. ST. LUKE'S ASSISTED CHIC IN THE TEST PHASE OF THIS PROJECT FUNDED BY THE NATIONAL LIBRARY OF MEDICINE.
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):POPULATIONS: DULUTH, MN (86,265); SUPERIOR, WI (27,244)MEDIAN HOUSEHOLD INCOME: DULUTH, MN ($33,766); SUPERIOR, WI ($31,921)MEDIAN FAMILY INCOME: DULUTH, MN ($46,394); SUPERIOR, WI ($41,093)% 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%)NUMBER OF HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET):ST. LUKE'S HOSPITALLAKE VIEW 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 CENTERNUMBER OF FEDERALLY-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 13 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 DULUTH INTERNAL MEDICINE ASSOCIATES (DIMA) 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LAKE SUPERIOR COMMUNITY HEALTH CENTER
4325 GRAND AVENUEDULUTHMN55807237167576501(C)(3)82500TO SERVE LOW INCOME, UNINSURED CLIENTS.
UNITED WAY
424 WEST SUPERIOR STREETDULUTHMN55802410857077501(C)(3)5500TO SUPPORT THE WORK OF THE UNITED WAY.
PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT
32 EAST 1ST STREET SUITE 200DULUTHMN55802411350021501(C)(3)41600TRAINING AND SUPPORT FOR SEXUAL ASSAULT NURSE EXAMINER PROGRAM.
AMERICAN HEART ASSOCIATION
130 W SUPERIOR ST STE700DULUTHMN55802135613797501(C)(3)7000SUPPORT THE HEART WALK AND GO RED FOR WOMEN CAMPAIGNS
AMERICAN CANCER SOCIETY
130 WEST SUPERIOR STREETDULUTHMN55802410724036501(C)(3)9500TO SUPPORT THE RELAY FOR LIFE, DAFFODIL DAYS, AND THE LIZ PREBICH GOLF CLASSIC.
MN MEDICAL FOUNDATION
PO BOX 86MINNEAPOLISMN55486416027707501(C)(3)7500SUPPORT FOR THE UNIVERSITY OF MINNESOTA DULUTH MEDICAL SCHOOL.
AREA PARTNERSHIP FOR ECONOMIC DEVELOPMENT
306 W SUPERIOR ST STE902DULUTHMN55802320079166501(C)(6)15000SUPPORT FOR GOOGLE TWIN PORTS EXPANSION PROJECT
GRANDMA'S MARATHON-DULUTH INC
PO BOX 16234DULUTHMN55816411573627501(C)(3)4500SPONSOR MINNESOTA MILE WALK FOR BREAST CANCER AND YOUNG ATHLETES FOUNDATION
DULUTH AREA CHAMBER OF COMMERCE
5 WEST FIRST STREET 101DULUTHMN55802410225910501(C)(6)10950SPONSOR FOR 2010 DULUTH DAYS AT THE CAPITAL
ARROWHEAD EMS ASSOCIATION INC
4219 ENTERPRISE CIRCLEDULUTHMN55811411522627501(C)(3)5000SPONSOR FOR THE ARROWHEAD EMS ANNUAL CONFERENCE
COLLEGE OF ST SCHOLASTICA
1200 KENWOOD AVEDULUTHMN55811410598301501(C)(3)7500SUPPORT FOR THE ST. SCHOLASTICA HEALTH SCIENCE SCHOLARSHIP PROGRAM
ST LUKE'S FOUNDATION
1000 EAST FIRST STREET SUITE 102DULUTHMN55805411448118501(C)(3)21104SUPPORT GENERAL OPERATIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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 INDENDED PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN STRANGE
79868800038570930801316150943468000
PAUL SANFORD MD
2078050342410690051010234020271239000
JAMES WUELLNER
3132350002134045440781110398024000
JOHN YOON MD
13915230006260454402294301419636000
JOHN WATKINS MD
829073000300045440178220851739000
MARSHALL WATSON JR MD
820876000300045440184500844170000
DAVID FOGARTY MD
79984000045000096920809982000
MARY BOYLAN MD
7982180001290058780230610828447000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonGAIL BALDWINNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBERRelationship
Amount Of Transaction103620AmountOfTransaction
Description Of TransactionFAMILY EMPLOYMENT RELATIONSHIPHUSBAND IS EMPLOYED AS A PHARMACIST BY ST LUKE'S HOSPITAL AND WAS PAID WAGES DURING FY 2011.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD AS THE PRESIDING OFFICER, ALL OTHER OFFICERS OF THE HOSPITAL WHO ARE DIRECTORS, AND SUCH ADDITIONAL DIRECTORS AS THE CHAIRPERSON MAY APPOINT. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHAL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL, INCLUDEING THE AUTHORITY TO REVIEW THE COMPENSATION PAID TO THE HOSPITAL'S EMPLOYED PHYSICIANS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE, AND SHALL MEET AS NECESSARY. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL OVERSEE THE HOSPITAL'S PUBLIC RELATIONS ACTIVITIES AND KEEP THE CORPORATION'S HEALTH CARE EFFORTS CONTINUALLY BEFORE THE COMMUNITIES SERVED THROUGH THE USE OF PUBLICATIONS AND OTHER COMMUNICATIONS DESCRIBING THE HOSPITAL'S SERVICES, PROGRAMS, AND NEEDS.
FORM 990, PART VI, SECTION A, LINE 6ST. LUKE'S HOSPITAL SHALL HAVE THREE CLASSES OF MEMBERSHIPS: A) PAST 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) 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 7BTHE FOLLOWING 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 CONTORL 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 11MANAGEMENT REFERENCED MULTIPLE SOURCES OF INFORMATION IN ORDER TO ACCURATELY PREPARE THE 2011 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 2012) 2. ST. LUKE'S BOARD OF DIRECTORS (OCTOBER 2012) 3. ST. LUKE'S FINANCE COMMITTEE (OCTOBER 2012) ALL OF THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE 2011 FORM 990. IN OCTOBER 2012, 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, 2012.
FORM 990, PART VI, SECTION B, LINE 12C1. ALL EMPLOYEES AND BOARD MEMBERS OF ST. LUKE'S 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 COMPLIANCE OFFICE MAINTAINS A LIST OF AFFECTED INDIVIDUALS. DEPARTMENT DIRECTORS IDENTIFY ADDITIONAL EMPLOYEES WITH SIGNIFICANT PURCHASING AND DECISION-MAKING RESPONSIBILITY FOR THE COMPLIANCE OFFICE. B. THE COMPLIANCE OFFICE REQUESTS THAT AFFECTED INDIVIDUALS REVIEW THIS POLICY, COMPLETE AND RETURN THE CONFLICT OF INTEREST STATEMENT. C. THE COMPLIANCE OFFICE REVIEWS THE STATEMENTS OF EMPLOYEES, DIRECTORS AND PHYSICIANS, AND NOTIFIES THE APPROPRIATE EXECUTIVE OF ANY POTENTIAL CONFLICT OR DUALITY OF INTEREST. D. THE PRESIDENT REVIEWS THE STATEMENTS OF EXECUTIVES FOR POTENTIAL CONFLICT OR DUALITY OF INTEREST. E. THE CHAIRMAN OF THE BOARD OF DIRECTORS REVIEWS THE STATEMENTS OF THE PRESIDENT/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 AN ADMINISTRATIVE, DIRECTOR OR MANAGEMENT POSITION. A. 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. 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 DEPARTMENT DIRECTOR NOTIFES THE 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, AN AFFECTED INDIVIDUAL MUST 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 ST. LUKE'S 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 WILL BE HANDLED THROUGH THE CHAIN OF COMMAND OR AT THE BOARD OF DIRECTORS 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. A. BUSINESS TRAVEL PAID IN PART OR COMPLETELY BY AN OUTSIDE INDIVIDUAL, AGENCY, CORPORATION OR ORGANIZATION REQUIRES PRIOR APPROVAL BY MANAGEMENT. B. PERISHABLE OR CONSUMABLE GIFTS (CANDY, DONUTS, FLOWERS, ETC.) GIVEN TO A DEPARTMENT OR GROUP OF EMPLOYEES ALLOWED. C. CASH GIFTS ARE PROHIBITED. D. IF AN EMPLOYEE IS GIVEN A GIFT THAT CANNOT BE RETURNED, THE EMPLOYEE WILL CONSULT HIS OR HER SUPERVISOR AND/OR HUMAN RESOURCES TO DETERMINE AN ACCEPTABLE COURSE OF ACTION SUCH AS DONATION OF THE GIFT TO ST. LUKE'S FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION REVIEW PROCESS DESCRIBED BELOW PERTAINS TO THE CHIEF EXECUTIVE OFFICE (CEO) AND THE CHIEF FINANCIAL OFFICER (CFO) POSITIONS. THE CEO IS THE TOP MANAGEMENT OFFICIAL. THE CFO IS AN OFFICER OF THE CORPORATION. THERE ARE NO EMPLOYEES WHO QUALIFY AS KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION REVIEW PROCESS OCCURS DURING AN ANNUAL REVIEW OF THE COMPENSATION FOR BOTH POSITIONS AND LAST OCCURRED IN 2011. TOTAL COMPENSATION FOR THE CEO WAS ITEMIZED INCLUDING BASE SALARY, HEALTH INSURANCE, DENTAL INSURANCE, LIFE INSURANCE, DISABILITY, VACATION AND HOLIDAY PAY AND EXECUTIVE COMPENSATION. 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. THE COMPENSATION REVIEW FOR THE CFO FOLLOWS THE SAME PROCESS. THE AFOREMENTIONED DATA FOR BOTH THE CEO AND CFO WAS THEN REVIEWED WITH AND APPROVED BY THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS. CONTEMPORANEOUS DOCUMENTS AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS ARE MAINTAINED BY THE CEO AND HUMAN RESOURCES DEPARTMENT.
FORM 990, PART VI, SECTION C, LINE 19ST. LUKE'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED ANNUALLY BY THE BOARD OF DIRECTORS. THEY ARE NOT 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) 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 1JOHN 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 HOSPITAL OF DULUTH, THE FOLLOWING BOARD MEMBERS, DALE MOE AND MARLENE DAVID, ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZTION LAKE VIEW MEMORIAL HOSPITAL. IN ADDITION TO BEING A BOARD MEMBER OF ST. LUKE'S HOSPITAL OF DULUTH, THE FOLLOWING BOARD MEMBERS, MELINDA MACHONES, PAUL SANFORD, AND BRIAN RYKS, ALSO SERVE AS BOARD MEMBERS OF THE RELATED ORGANIZTION ST. LUKE'S FOUNDATION.ALLOCATION OF HOURS
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 199,531. CHANGE IN MINIMUM PENSION LIABILITY -21,992,666. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 114,934. CONTRIBUTION TO SLH VOLUNTEER SERVICE GUILD -10,000. TOTAL TO FORM 990, PART XI, LINE 5: -21,688,201.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ST LUKE'S FOUNDATION
1000 EAST FIRST STREET NO 102DULUTHMN55805411448118FUNDRAISING SUPPORT FOR HEALTH CARE/HOSPITALMN501(C)(3)LINE 11A, IST LUKE'S HOSPITAL OF DULUTH1
LAKE VIEW MEMORIAL HOSPITAL INC
325 11TH AVENUETWO HARBORSMN55616410786046HEALTH CARE/HOSPITALMN501(C)(3)LINE 3ST LUKE'S HOSPITAL OF DULUTH1
LAKE VIEW MEMORIAL HOSPITAL FOUNDATION OF NORTHEAST MINNESOTA
325 11TH AVENUETWO HARBORSMN55616411700972FUNDRAISING SUPPORT FOR LAKE VIEW MEMORIAL HOSPITALMN501(C)(3)LINE 7ST LUKE'S HOSPITAL OF DULUTH & LAKE VIEW MEMORIAL HOSPITAL0
CRITICAL CARE SERVICES INC DBA LIFELINK III
3010 BROADWAY STREET NEMINNEAPOLISMN554131768411518013HEALTH CARE EMERGENCY TRANSPORTATIONMN501(C)(3)LINE 11C, III-FI0N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST LUKE'S FOUNDATION
C433870FAIR MARKET VALUE
ST LUKE'S FOUNDATION
P273639FAIR MARKET VALUE
LAKE VIEW MEMORIAL HOSPITAL INC
P931162FAIR MARKET VALUE
LAKE VIEW MEMORIAL HOSPITAL INC
D4705675FAIR MARKET VALUE