2023-11-03T17:01:09-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-01-01 410714079 ST LUKE'S HOSPITAL OF DULUTH STLU 2182495555 915 EAST FIRST STREET DULUTH MN 55805 ERIC LOHN CO-PRESIDENT/CEO & CFO 2182495555 2023-11-02 1 ERIC LOHN 999009999 0 KURT BENNION CPA P01469618 6123764500 2023-11-02 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ERIC LOHN 915 EAST FIRST STREET DULUTH MN 55805 567257761 0 X WWW.SLHDULUTH.COM X 1881 MN TO SERVE AS A LEADING HEALTHCARE PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR SURROUNDING REGION. 17 12 3414 151 1632966 0 11200073 10525758 517131873 530799914 7073856 6104553 2358996 1331130 537764798 548761355 459501 616482 0 0 300232024 300835925 0 0 0 222455045 241470009 523146570 542922416 14618228 5838939 424508169 506268982 286494053 362216996 138014116 144051986 X THE PATIENT ABOVE ALL ELSE. 0 0 480224435 616482 522910948 ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT: A. OUR MISSION IS TO SERVE AS A LEADING PROVIDER OF QUALITY HEALTHCARE SERVICES IN OUR LOCAL COMMUNITY AND THE SURROUNDING REGION OF NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN. AS THE FEDERALLY DESIGNATED REGIONAL TRAUMA CENTER FOR THIS REGION, ST. LUKE'S PROVIDES CRITICAL ACCESS TO HIGH QUALITY ACUTE HEALTHCARE SERVICES.B. ST. LUKE'S RECOGNIZES ITS RESPONSIBILITY TO THE COMMUNITY BY PROVIDING FINANCIAL SUPPORT TO COMMUNITY ORGANIZATIONS; OFFERING EDUCATIONAL 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 2022, ST. LUKE'S DONATED MORE THAN 7,000 HOURS TO ENRICH THE HEALTHCARE OF THE COMMUNITY, INCLUDING SERVING ON BOARDS OF THE MN HOMECARE ASSOCIATION, UNITED WAY, AND OTHER NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY.C. ST. LUKE'S SERVES A DISPROPORTIONATE SHARE OF MEDICARE AND MEDICAID PATIENTS. THROUGH OUR PATIENT ASSISTANCE PROGRAM, WE PROVIDE FULL OR PARTIALLY SUBSIDIZED SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE UNABLE TO PAY. AT ADMISSION AND THROUGH PATIENT HANDBOOKS, PATIENTS ARE GIVEN INFORMATION TO CONTACT ST. LUKE'S FINANCIAL COUNSELORS FOR INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAMS. INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. ALSO, ST. LUKE'S PROVIDES MEDICAL TRANSPORT SERVICES AT LESS THAN COST TO OUR PATIENTS IN THE REGION. DURING 2022, THERE WERE 10,290 ADMISSIONS, 58,062 PATIENT DAYS, 53,236 EMERGENCY/URGENT CARE VISITS, 166,887 OUTPATIENT REGISTRATIONS AND 679,809 CLINIC VISITS. 0 0 0 ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION:ST. LUKE'S IS A NOT-FOR-PROFIT, COMMUNITY-BASED, NON-DENOMINATIONAL HOSPITAL, GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. OUR MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. ST. LUKE'S EMERGENCY DEPARTMENT SERVES PATIENTS REGARDLESS OF ABILITY TO PAY. ST. LUKE'S RESEARCH DEPARTMENT, THE WHITESIDE INSTITUTE FOR CLINICAL RESEARCH, PARTICIPATES IN INVESTIGATIONAL DRUG PROTOCOLS THAT ARE NON-FUNDED OR UNDER-FUNDED.ST. LUKE'S IS A CLINICAL TRAINING SITE FOR MANY HEALTHCARE STUDENTS. IN ADDITION TO MEDICAL STUDENTS AND RESIDENTS, WE PROVIDE CLINICAL TRAINING FOR STUDENTS IN NURSING, PHYSICAL MEDICINE, RADIOLOGY, RESPIRATORY, LAB, MEDICAL ASSISTANT, OCCUPATIONAL THERAPY, PHYSICIAN ASSISTANT, DIETETICS, SOCIAL WORK, MEDICAL RECORD CODING, PARAMEDIC, HEALTH UNIT COORDINATOR, SURGICAL TECHNOLOGY, ANESTHESIA, AND PHARMACY. WE CONTRIBUTED TO SCHOLARSHIP FUNDS FOR MEDICAL STUDENTS AT THE UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE AND NURSING STUDENTS AT THE COLLEGE OF ST. SCHOLASTICA AND LAKE SUPERIOR COLLEGE.OTHER EDUCATION ACTIVITIES REACH TENS OF THOUSANDS OF PEOPLE THROUGH COMMUNITY EDUCATION AND OUTREACH, HEALTH SCREENINGS, SUPPORT GROUPS, AND OTHER COMMUNITY SERVICES. OUR SPEAKERS BUREAU OFFERED PROGRAMS AT NO CHARGE TO THOUSANDS MORE. TOPICS PRESENTED INCLUDED MEN'S HEALTH, WOMEN AND BREAST CANCER, CHILDREN'S NUTRITION, MENTAL HEALTH ISSUES, CARDIAC ISSUES, FALL PREVENTION, FIRST AID, DIABETES, EYE AND LUNG ISSUES, AND INFECTION CONTROL. WE ALSO OFFERED TOURS TO DOZENS OF COMMUNITY AND SCHOOL GROUPS, MADE MEDICAL SUPPLIES/EQUIPMENT DONATIONS TO COMMUNITY AND MEDICAL RELIEF ORGANIZATIONS, DONATED NEWSPAPER ADVERTISING SPACE FOR THE JUNIOR LEAGUE OF DULUTH, PARTICIPATED IN THE COMMUNITY COALITION FOR FALL PREVENTION AND OFFERED BROCHURE PRINTING SERVICES TO A LOCAL MEDICAL PROFESSIONAL GROUP. ANNUALLY, WE PROVIDE RENT-FREE, HUNDREDS OF HOURS OF FREE MEETING SPACE FOR COMMUNITY GROUPS, SUCH AS LYME DISEASE SUPPORT GROUP, MOTHERS OF MULTIPLES AND THE OSTOMY CLUB, AND ORGANIZATIONS SUCH AS THE MINNESOTA HOMECARE ASSOCIATION, THE BOY SCOUTS, AND THE COLLEGE OF ST. SCHOLASTICA.WE OFFER SUPPORT GROUPS TO THE COMMUNITY, INCLUDING:- HEART-TO-HEART SUPPORT GROUP- PARKINSON'S DISEASE- LOOK GOOD, FEEL GOOD GROUP (THROUGH THE AMERICAN CANCER SOCIETY)- CANCER INFORMATION AND SUPPORT GROUP- OSTOMY CLUB- BREAST CANCER SUPPORT GROUP- DIABETES SUPPORT GROUP (SPONSORED BY ST. LUKE'S, DULUTH DIABETES CENTER, AND THE DULUTH FAMILY PRACTICE CENTER)- INSULIN PUMP SUPPORT GROUP (SPONSORED BY ST. LUKE'S DULUTH DIABETES CENTER, AND THE DULUTH FAMILY PRACTICE CENTER)- CELIAC SUPPORT GROUP (SPONSORED BY ST. LUKE'S AND ST. MARY'S/DULUTH CLINIC)WE PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. 480224435 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 26 0 3414 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X ERIC LOHN 2182495475 915 EAST FIRST STREET DULUTH MN 55805 ERIC LOHN CO-PRESIDENT/CEO & CFO 35.00 5.00 X 1010981 0 196303 JOHN YOON MD PHYSICIAN 40.00 0.00 X 1150140 0 25712 MARY BOYLAN MD PHYSICIAN 40.00 0.00 X 1083339 0 41327 NICHOLAS VAN DEELEN MD CO-PRESIDENT/CEO & CMO 35.00 5.00 X 867010 0 199228 JOHN STYLIARAS MD PHYSICIAN 40.00 0.00 X 895000 0 32448 ROBERT DAHLIN MD PHYSICIAN 40.00 0.00 X 897772 0 27873 JARROD BURESH MD PHYSICIAN 40.00 0.00 X 800128 0 32597 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 40.00 0.00 X 592668 0 35709 KEVIN NOKELS FORMER PRESIDENT/CEO 40.00 0.00 X 469200 0 0 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 40.00 0.00 X 358844 0 35289 AIMEE VANSTRAATEN MD BOARD SECRETARY/PHYSICIAN 40.00 0.00 X X 349843 0 32597 NYASHA SPEARS MD BOARD MEMBER/PHYSICIAN 40.00 0.00 X 157730 0 6449 HERBERT MINKE BOARD CHAIR 1.00 0.00 X X 0 0 0 YVONNE SOLON BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 KEVIN BEARDSLEY BOARD TREASURER 1.00 1.00 X X 0 0 0 PATRICK HEFFERNAN BOARD MEMBER 1.00 1.00 X 0 0 0 RICK HOGENSON BOARD MEMBER 1.00 0.00 X 0 0 0 AMANDA IMES BOARD MEMBER 1.00 0.00 X 0 0 0 EDWIN KING HALL BOARD MEMBER (THROUGH MAY 2022) 1.00 1.00 X 0 0 0 MAYPAKOU LY BOARD MEMBER 1.00 1.00 X 0 0 0 BRIAN MURPHY BOARD MEMBER 1.00 0.00 X 0 0 0 RICK REVOIR BOARD MEMBER (AS OF JUNE 2022) 1.00 0.00 X 0 0 0 ANNA SACKETTE-URNESS BOARD MEMBER (AS OF JUNE 2022) 1.00 0.00 X 0 0 0 JACK SEILER BOARD MEMBER (AS OF OCTOBER 2022) 1.00 0.00 X 0 0 0 RENE SETTERGREN BOARD MEMBER 1.00 0.00 X 0 0 0 PHIL STROM BOARD MEMBER (AS OF OCTOBER 2022) 1.00 0.00 X 0 0 0 RUTH WESTRA DO BOARD MEMBER (THROUGH MAY 2022) 1.00 0.00 X 0 0 0 8632655 0 665532 557 1 1 0 DONALD HOLM CONSTRUCTION 3211 W 3RD STREET DULUTH MN 55806 CONSTRUCTION SERVICES 5226093 CDW GOVERNMENT INC 75 REMITTANCE DRIVE SUITE 1515 CHICAGO IL 60675 CONSTRUCTION SERVICES 2584582 MAYO COLLABORATIVE SERVICES PO BOX 9416 MINNEAPOLIS MN 55480 LABORATORY SERVICES 2560143 SYNERGY SURGICALISTS LLC 1 RECOVERY ROAD WAREHAM MA 02571 STAFFING SERVICES 2014018 ERDMAN COMPANY 1 ERDMAN PLACE MADISON WI 53717 ARCHITECTURAL SERVICES 1946520 59 1181437 127176 9217145 10525758 MEDICAL SERVICES 621500 369933250 369933250 PHARMACY 621500 160683258 152977698 1559566 6145994 CREDENTIALING SERVICES 621500 109764 73400 36364 TRANSCRIPTION SERVICES 621500 26733 26733 BIOMEDICAL SERVICES 621500 26375 26375 20534 20534 530799914 4681605 4681605 1184503 1184503 539143 585097 -45954 -45954 -45954 18118928 17880483 238445 238445 238445 95229 30826 64403 64403 MEALS/VENDING INCOME 812300 1543536 1543536 PARKING LOT SERVICES 561000 578976 578976 ALL OTHER REVENUE 812300 527582 527582 -1337413 -1337413 1312681 548761355 522910948 1632966 13691683 505250 505250 111232 111232 11025945 11025945 237609153 218592514 19016639 10653829 9362358 1291471 26558207 23366910 3191297 14988791 12926756 2062035 828469 828469 122478 122478 75054 75054 237016 237016 37801726 22439947 15361779 617283 617283 7627914 4159649 3468265 7070248 5830751 1239497 29611806 22317460 7294346 1721786 1550766 171020 4881460 5222802 -341342 17031583 11981663 5049920 1429464 1429464 MEDICAL SUPPLIES 55283435 55283435 DRUG SUPPLIES 47938178 47938178 MISCELLANEOUS EXPENSE 14833777 11128686 3705091 BAD DEBT EXPENSE 6922726 6922726 7435606 7435606 542922416 480224435 62697981 0 59853652 18730763 57324327 90371046 13941664 12801405 4931266 5431789 369474022 226435357 139739039 143038665 14675301 73659964 82462356 73051474 13467497 16095083 1580547 1959352 36532520 71129441 424508169 506268982 53976646 71783374 112690630 185536091 25265899 63542537 144950 144950 94415928 41210044 286494053 362216996 X 138014116 144051986 138014116 144051986 424508169 506268982 X 5838939 -12228113 12427044 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 15054 0 1 60000 75054 0 PART II-B, LINE 1: A PORTION OF THE DUES THAT ST. LUKE'S HOSPITAL PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION WERE USED TO ADVOCATE ON BEHALF OF THE HOSPITAL AND ISSUES RELATING TO HEALTHCARE. ST. LUKE'S HOSPITAL ALSO PAID LAW FIRMS TO LOBBY ON BEHALF OF THE HOSPITAL. 8572352 8572352 163001101 85228514 77772587 6618309 2831012 3787297 176982927 138375831 38607096 14299333 14299333 143038665 SHORT-TERM INVESTMENTS 73051474 F 73051474 DEFERRED COMPENSATION 25959752 CASH SURRENDER VALUE OF LIFE INSURANCE POLICIES 21181 DUE FROM RELATED ORGANIZATIONS 2448024 RIGHT-OF-USE OPERATING LEASES 42700484 71129441 EMPLOYEE BENEFIT OBLIGATIONS 38890332 ASSET RETIREMENT OBLIGATION 1889245 MALPRACTICE LIABILITY RESERVE 425000 DUE TO RELATED ORGANIZATIONS 5467 41210044 X 526699148 -12228113 138601 -12089512 538788660 9972695 9972695 548761355 533241208 138601 138601 533102607 9819809 9819809 542922416 PART X, LINE 2: ST. LUKE'S IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) THAT IS EXEMPT FROM FEDERAL INCOME TAXES ON UNRELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. PAVILION AND ST. FRANCIS APARTMENTS ARE DISREGARDED ENTITIES OF ST. LUKE'S. 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 AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 30,826. RENTAL EXPENSES 107,775. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 6,857,183. SINGLE-MEMBER LLC REVENUES 3,115,512. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 107,775. GIFT SHOP EXPENSES 30,826. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 6,857,183. SINGLE-MEMBER LLC EXPENSES 2,962,626. 1 1 X 1 X 1 X 1 1 0 1 1 2106308 2106308 0.00390 60314760 47926798 12387962 0.02310 62421068 47926798 14494270 0.02700 6257839 6257839 0.01170 41266556 33668040 7598516 0.01420 565746 565746 0.00110 48090141 33668040 14422101 0.02700 110511209 81594838 28916371 0.05400 1585 1585 0.00000 7870 7870 0.00000 4075 4075 0.00000 118886 118886 0.00020 2637 2637 0.00000 135053 135053 0.00020 1 6857183 0 198107866 248948876 -50841010 X 1 1 1 1 ST LUKE'S HOSPITAL 915 EAST FIRST STREET DULUTH MN 55805 WWW.SLHDULUTH.COM 365862 X X X X X ST LUKE'S HOSPITAL OF DULUTH 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X SEE LINE 16J X SEE LINE 16J X SEE LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 5: DURING THE FALL OF 2021, THE CHNA ACTION TEAM CONDUCTED A COMMUNITY INPUT SURVEY TO GATHER FEEDBACK ON THE MOST IMPORTANT HEALTH ISSUES IN THE COMMUNITY. THE PROCESS WAS CHOSEN AS AN ALTERNATIVE TO FORMAL IN-PERSON FOCUS GROUPS DUE TO THE ONGOING COVID-19 PANDEMIC. INCREASING THE DIVERSE DEMOGRAPHIC MAKEUP OF THE SURVEY RESPONDENTS WAS A KEY PRIORITY FOR THIS CHNA PROCESS. 340 COMMUNITY MEMBERS COMPLETED THE SURVEY. 128 COMMUNITY MEMBERS SHARED PERSONAL EXPERIENCES AND STORIES RELATED TO HEALTH NEEDS. ADDITIONALLY, A VIRTUAL MEETING WAS HELD TO REVIEW THE HEALTH DATA AND INVITE PEOPLE TO PROVIDE FEEDBACK ON THE PRIORITIES. NINETY-TWO INDIVIDUALS ATTENDED THE VIRTUAL MEETING, REPRESENTING HEALTHCARE, SCHOOL DISTRICTS, CITY AND COUNTY GOVERNMENTS, NON-PROFIT ORGANIZATIONS, POLICY MAKERS, AND OTHER COMMUNITY STAKEHOLDERS. THE PROCESS IS CONDUCTED IN COLLABORATION WITH MANY COMMUNITY PARTNERS, INCLUDING OTHER HEALTHCARE SYSTEMS, LOCAL PUBLIC HEALTH DEPARTMENTS, AND ORGANIZATIONS AND INDIVIDUALS THAT REPRESENT THE BROAD INTERESTS IN THE COMMUNITY. THIS INCLUDES MEMBERS OF MEDICALLY UNDERSERVED COMMUNITIES, LOW-INCOME INDIVIDUALS AND POPULATIONS WITH HIGHER HEALTH RISKS. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BY ESSENTIA HEALTH - DULUTH (MILLER DWAN BUILDING), ESSENTIA HEALTH - ST. MARY'S MEDICAL CENTER, AND ST. LUKE'S HOSPITAL OF DULUTH. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH A COLLABORATIVE PROCESS WITH LEADERSHIP FROM THE FOLLOWING BRIDGING HEALTH DULUTH STEERING COMMITTEE MEMBER ORGANIZATIONS, IN ADDITION TO THE HOSPITALS AND HEALTH SYSTEMS REPORTED IN LINE 6A:- NAACP DULUTH, MN BRANCH- WILDERNESS HEALTH- LAKE SUPERIOR COMMUNITY HEALTH CENTER- ZEITGEIST- HEALTH EQUITY NORTHLAND- NATIONAL RURAL HEALTH RESOURCE CENTER- ST. LOUIS COUNTY- GENERATIONS HEALTH CARE INITIATIVES ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 7D: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 11: IN 2022 ST. LUKE'S SERVED ON THE STEERING COMMITTEE FOR BRIDGING HEALTH DULUTH (BHD). 2022 MEMBERS OF BRIDGING HEALTH DULUTH WERE:- NAACP DULUTH, MN BRANCH- WILDERNESS HEALTH- LAKE SUPERIOR COMMUNITY HEALTH CENTER- ZEITGEIST - HEALTH EQUITY NORTHLAND- NATIONAL RURAL HEALTH RESOURCE CENTER- ST. LUKE'S- ST. LOUIS COUNTY- ESSENTIA HEALTH- GENERATIONS HEALTH CARE INITIATIVESAS A COLLECTIVE, BRIDGING HEALTH DULUTH WORKED TO ADDRESS THE THREE HEALTH PRIORITIES FROM THE 2020 2022 CHNA, INCLUDING FOOD ACCESS, MENTAL HEALTH AND SUBSTANCE USE. THIS WORK INCLUDED SUPPORTING THE DEVELOPMENT AND PROMOTION OF WEARERESOURCEFUL.ORG, A PLATFORM TO CONNECT DULUTHIANS TO FREE AND REDUCED COST COMMUNITY SERVICES, INCLUDING FOOD ACCESS, MENTAL HEALTH SUPPORT AND SUBSTANCE USE COUNSELING. IN ADDITION, WE PREPARED THE 2023 - 2025 CHNA.WE HAD 340 SURVEY RESPONDENTS FROM 41 DIFFERENT ORGANIZATIONS (92 INDIVIDUALS), AND 128 PEOPLE SHARED THEIR PERSONAL EXPERIENCES. FOUR NEW PRIORITY AREAS WERE IDENTIFIED: MENTAL AND SOCIAL WELLBEING, FOOD SECURITY, SUBSTANCE USE AND HOUSING. BHD THEN BUILT STRATEGIES TO START TO ADDRESS THESE PRIORITY AREAS. BHD ALSO PLANNED ITS ANNUAL EVENT, PROVIDING AN OPPORTUNITY FOR NETWORKING AND CONNECTION AMONGST ORGANIZATIONS THAT ARE MAKING AN IMPACT ON THE HEALTH OF OUR COMMUNITY. WE ALSO PRESENTED AN UPDATE ON THE 2020-2022 CHNA, AS WELL AS OUR 2023-2025 CHNA. WE ASKED FOR COMMUNITY INPUT ON THE FOUR NEW PRIORITY AREAS. A RECAP OF THE WORK DONE FOR EACH PRIORITY AREA FROM THE 2020 2022 CHNA, AS WELL WORK FOR THE 2023 2025 CHNA, INCLUDING DATA COLLECTION AND ANALYSIS, KEY FINDINGS FOR EACH PRIORITIZATION AREA AND THE 2023-2025 IMPLEMENTATION PLAN CAN BE FOUND HERE: HTTPS://BRIDGINGHEALTHDULUTH.ORG/WP-CONTENT/UPLOADS/2022/06/DULUTH-CHNA-2023.PDFST. LUKE'S ALSO CONTRIBUTED A STEERING COMMITTEE MEMBER WHO TOOK THE LEAD FOR THE ORGANIZATION ON COMMUNICATIONS TO THE BHD EMAIL LIST ABOUT UPCOMING COMMUNITY EVENTS AND PROMOTING THE ANNUAL EVENT.MORE ABOUT BHD CAN BE FOUND AT HTTPS://BRIDGINGHEALTHDULUTH.ORG/.IN ADDITION, ST. LUKE'S DIRECTLY SUPPORTED THE COMMUNITY IN THE CHNA'S THREE PRIORITY AREAS:FOOD ACCESS: SPONSORED THE CHUM RHUBARB FESTIVAL.MENTAL HEALTH: PROVIDED YOUTH ACTIVITIES AT COMMUNITY ACTION DULUTH'S FARMERS MARKET IN LINCOLN PARK TO HELP ATTRACT FAMILIES AND BUILD A SENSE OF COMMUNITY, SPONSORED THE ALZHEIMER'S ASSOCIATION WALK, SUPPORTED YOUTH SPORTS TEAMS AND THEATER ACTIVITIES, AND PROVIDED FINANCIAL SUPPORT TO THE FIRST WITNESS, NORTHERN EXPRESSIONS ART COLLABORATIVE, PAVSA, SAFE HAVEN, AND THE ST. LOUIS CO. HEALTH & HUMAN SERVICES CONFERENCE.SUBSTANCE USE: SPONSORED THE MINNESOTA ADULT/TEEN CHALLENGE EVENT. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 13B: PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE VALUE OF THEIR INCOME AND ASSETS COMPUTED ON THE "ST. LUKE'S FINANCIAL ASSISTANCE ELIGIBILITY WORKSHEET". ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 16J: A "PATIENT NOTICE OF FINANCIAL ASSISTANCE" WILL BE POSTED IN PUBLIC AREAS ACCESSIBLE TO PATIENTS. IN ADDITION, THE NOTICE IS AVAILABLE TO PATIENTS IN PRINTED FORM, INCLUDING A NOTICE OF FINANCIAL ASSISTANCE AVAILABILITY PRINTED ON A PATIENT'S BILL. THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ONLINE AT:HTTPS://WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/. 43 1 - DENFELD MEDICAL CLINIC 4702 GRAND AVE DULUTH MN 55807 OUTPATIENT MEDICAL 2 - ST LUKE'S CARDIOLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 3 - ST LUKE'S PHYSICAL MEDICINE & REHAB 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 4 - ST LUKE'S NEUROSURGERY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 5 - ST LUKE'S ALLERGY & IMMUNOLOGY ASSOCIAT 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 6 - ST LUKE'S ENDOCRINOLOGY ASSOCIATES 1011 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 7 - ST LUKE'S RHEUMATOLOGY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 8 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIA 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 9 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 10 - ST LUKE'S DERMATOLOGY ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 11 - PS RUDIE MEDICAL CLINIC 26 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 12 - ST LUKE'S PLASTIC SURGERY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 13 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOCI 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 14 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 15 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES 915 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 16 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 17 - ST LUKE'S ORTHOPEDICS & SPORTS MEDIC 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 18 - ST LUKE'S SURGICAL ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 19 - ST LUKE'S MENTAL HEALTH 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 20 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 21 - ST LUKE'S UROLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55805 OUTPATIENT MEDICAL 22 - ST LUKE'S PEDIATRIC ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 23 - LESTER RIVER MEDICAL CLINIC 6351 E SUPERIOR STREET DULUTH MN 55804 OUTPATIENT MEDICAL 24 - MARINER MEDICAL CLINIC 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL 25 - ST LUKE'S OUTPATIENT SURGERY CENTER 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL & AMBULATORY SURGERY 26 - ST LUKE'S HOME CARE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 27 - ST LUKE'S OBSTETRICS AND GYNECOLOGY ASS 1000 E 1ST STREET SUITE LL DULUTH MN 55805 OUTPATIENT MEDICAL 28 - ST LUKE'S HOSPICE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 29 - ST LUKE'S NEUROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 30 - MILLER CREEK MEDICAL CLINIC URGENT CARE 4190 LOBERG AVE HERMANTOWN MN 55811 OUTPATIENT MEDICAL 31 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMEN 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 32 - ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING 930 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 33 - MOUNT ROYAL MEDICAL CLINIC & QCARE 1400 WOODLAND AVE DULUTH MN 55803 OUTPATIENT MEDICAL 34 - ST LUKE'S ENT ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 35 - ST LUKE'S NEPHROLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 36 - ST LUKE'S VASCULAR SURGERY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 37 - ST LUKE'S ADVANCED WOUND CARE & HYPE 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 38 - SURGICAL & PROCEDURAL CARE 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 39 - ST LUKE'S COMMUNITY CARE TEAM 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 40 - ST LUKE'S PROCTOR FITNESS CENTER 131 9TH AVENUE PROCTOR MN 55810 OUTPATIENT MEDICAL 41 - ST LUKE'S PAVILION SURGERY CENTER 920 E 1ST STREET DULUTH MN 55805 AMBULATORY SURGERY 42 - ST LUKE'S EYE CARE - MEDICAL ARTS BUILD 324 W SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 43 - ST LUKE'S CLINIC DIAGNOSTICS 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL PART I, LINE 3C: TO QUALIFY FOR FINANCIAL ASSISTANCE, (A) HOUSEHOLD INCOME MUST BE LESS THAN 300% OF FEDERAL POVERTY GUIDELINES, (B) THE VALUE OF ASSETS HELD MUST BE LESS THAN $25,000 FOR AN INDIVIDUAL OR $50,000 FOR A FAMILY, (C) THE INDIVIDUAL MUST RECEIVE MEDICALLY NECESSARY CARE, (D) LIVE IN ST. LUKE'S PRIMARY OR SECONDARY SERVICE AREA (UNLESS THEY PRESENT WITH AN URGENT, EMERGENT, OR LIFE-THREATENING MEDICAL CONDITION), AND (E) COMPLETE A FINANCIAL ASSISTANCE APPLICATION, INCLUDING REQUIRED SUPPORTING DOCUMENTS. PART I, LINE 7: ST. LUKE'S USED COST-TO-CHARGE RATIOS DERIVED FROM THE MOST RECENT COMPLETED MEDICARE COST REPORT FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAM; AND ACTUAL COSTS FOR OTHER COMMUNITY BENEFITS. PART I, LINE 7G: ST. LUKE'S INCLUDED SUBSIDIZED HEALTH SERVICES FROM MENTAL HEALTH SERVICES, WOMEN AND CHILDREN SERVICES, AND HOMECARE/HOSPICE SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,922,726. PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS, AND OTHER EXPENDITURES FOR THE DEVELOPMENT OF THE COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS SUCH AS: ECONOMIC DEVELOPMENT EVENTS, MEETINGS, AND MEMBERSHIP WITH AREA CHAMBERS OF COMMERCE, CITY COUNSEL, AND ST. LOUIS COUNTY; COMMUNITY SUPPORT OF LOCAL FUNDRAISERS, ORGANIZATIONS AND EVENTS; LEADERSHIP DEVELOPMENT, TRAINING, AND EDUCATION; COALITION BUILDING WITH AREA ASSOCIATIONS TO PROMOTE COLLABORATION ON WELLNESS INITIATIVES; COMMUNITY HEALTH IMPROVEMENT ADVOCACY IN PARTNERSHIP WITH LOCAL ORGANIZATIONS, EVENTS, AND SERVICES; AND WORKFORCE DEVELOPMENT VIA EDUCATION, MENTORSHIP, PANEL PRESENTATIONS, AND OTHER STUDENT PROGRAMS. PART III, LINE 2: BAD DEBT ACCOUNTS WILL MEET AT ALL OF THE FOLLOWING CRITERIA:I. ATTEMPTS HAVE BEEN MADE TO CONTACT THE PATIENT OR GUARANTOR BY MAIL AND TELEPHONE.II. PATIENT OR GUARANTOR HAS NOT RESPONDED DURING THE COLLECTION CYCLE IN A TIMELY AND RESPONSIBLE MANNER OR HAS DEFAULTED ON A PAYMENT ASSESSMENT.III. THERE ARE NO KNOWN CIRCUMSTANCES WHICH WOULD JUSTIFY RECONSIDERATION FOR FINANCIAL ASSISTANCE.APPROVAL FOR BAD DEBT WRITE-OFFS ARE AS FOLLOWS:$0 TO $2,499 - PATIENT ACCOUNTS MANAGER OR CBO MANAGER$2,500 TO $9,999 - BUSINESS SERVICES DIRECTOR OR CBO MANAGER$10,000 AND OVER - CHIEF FINANCIAL OFFICER PART III, LINE 3: ST. LUKE'S HOSPITAL OF DULUTH CANNOT REASONABLY ESTIMATE THE PORTION OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT COMPLETE AN APPLICATION. PART III, LINE 4: SEE THE "PATIENT RECEIVABLES NOTE ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THE INDIVIDUALS WHO PARTICIPATE IN THE MEDICARE PROGRAM ARE FREQUENTLY UNABLE TO AFFORD MEDICAL CARE WITHOUT THIS PROGRAM AND ST. LUKE'S HOSPITAL PARTICIPATES IN THE MEDICARE PROGRAM TO ASSIST THESE INDIVIDUALS DESPITE THE SIGNIFICANT FINANCIAL COST/LOSS TO THE HOSPITAL. THE COST-TO-CHARGE RATIO WAS THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED ON SCHEDULE H, PART III, LINE 6. PART III, LINE 9B: ST. LUKE'S HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AND THE PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH THEIR PAYMENT AGREEMENTS.IN THE EVENT THAT A PATIENT FAILS OR REFUSES TO FULFILL THEIR FINANCIAL OBLIGATION, ST. LUKE'S MAY ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS, INCLUDING:A. REFERRAL OF UNPAID BALANCES TO EXTERNAL COLLECTION AGENCIES;B. ACTIONS THAT REQUIRE A LEGAL OR JUDICIAL PROCESS SUCH AS A LIEN ON PROPERTY OR GARNISHMENT OF WAGES.PRIOR TO INITIATING ECA'S, ST. LUKE'S WILL FOLLOW ALL APPLICABLE REGULATIONS AND MAKE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL WHO HAS AN UNPAID ACCOUNT IS ELIGIBLE FOR FAP. ST. LUKE'S WILL REFRAIN FROM ANY ECA'S FOR AT LEAST 120 DAYS AFTER SENDING THE FIRST POST-DISCHARGE BILLING STATEMENT AND ALLOWING AT LEAST 240 DAYS TO APPLY FOR FINANCIAL ASSISTANCE.THE BILLING AND COLLECTIONS POLICY IS AVAILABLE TO THE PUBLIC ONLINE AT HTTPS://WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/ AND PAPER COPIES OF THE POLICY ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE BY MAIL, IN THE EMERGENCY ROOM, AND IN ALL ADMISSIONS AREAS. PART VI, LINE 2: ST. LUKE'S HAS A LONG HISTORY OF PARTICIPATING IN SUCCESSFUL, SUSTAINABLE COLLABORATIVE INITIATIVES ON LOCAL, REGIONAL, AND NATIONAL LEVELS. 1) ST. LUKE'S RESEARCH DEPARTMENT, THE WHITESIDE INSTITUTE FOR CLINICAL RESEARCH, WAS FORMED IN 1996 AS THE RESULT OF A PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, DULUTH (UMMSD), AND CONTINUES TO PROVIDE SERVICES TO ST. LUKE'S PATIENTS IN ACCESS TO LOCAL, NATIONAL, AND MULTI-NATIONAL CLINICAL STUDIES AS WELL AS TO ST. LUKE'S STAFF IN DEVELOPMENT OF RESEARCH STUDIES, REFERRAL TO UM COLLABORATORS, AND GRANT WRITING RESOURCES. 2) ST. LUKE'S HAS COLLABORATED WITH THE MULTI-STATE CONSORTIUM OF ABOUT 64 SUPPORTING ORGANIZATIONS INCLUDING COUNTY PUBLIC HEALTH DEPARTMENTS, HOSPITALS, AND CLINICS TO FUND THE BRIDGE TO HEALTH SURVEY. THIS PROJECT COLLECTED POPULATION-BASED, HEALTH STATUS DATA ON ADULTS (AGED 18+) IN THE REGION USING A SURVEY FORMAT AND WAS CONDUCTED IN 1995, 2000, 2005, 2010, 2015 AND 2020. TO ADDRESS A NEED THAT BECAME APPARENT AS A RESULT OF THE BRIDGE TO HEALTH SURVEY, ST. LUKE'S JOINED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO DEVELOP TWO PROGRAMS: SHARECARE, WHICH ESTABLISHED SLIDING FEE SCALES FOR CLINIC AND OUTPATIENT SERVICES TO DIMINISH THE FINANCIAL BARRIER TO PREVENTIVE, MENTAL HEALTH, AND PRIMARY CARE SERVICES; AND HEALTHSHARE, WHICH IS A COVERAGE MODEL FOR SMALL BUSINESSES FUNDED COLLABORATIVELY BY THE EMPLOYERS, EMPLOYEES, AND THE COMMUNITY. THIS COVERAGE MODEL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES FOR EMPLOYEES WITHIN A DEFINED NETWORK OF COMMUNITY PROVIDERS. 3) ST. LUKE'S WAS A LEAD PARTICIPANT IN THE WILDERNESS COALITION PHARMACY SERVICES PROJECT FUNDED BY THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY. THIS 3-YEAR PROJECT SUCCESSFULLY IMPLEMENTED 24/7 PROFESSIONAL PHARMACY SERVICES FOR 10 RURAL HOSPITALS IN NORTHEASTERN MINNESOTA USING ST. LUKE'S 24-HOUR PHARMACY, AN ITV-BASED SYSTEM OF CONTINUING EDUCATION FOR SITES, PHARMACY POLICIES AND PROCEDURES ADAPTABLE FOR INDIVIDUAL SITES, AS WELL AS BEDSIDE VERIFICATION OF MEDICATION ADMINISTRATION AND MEDICATION BAR CODING AT SOME LOCATIONS. THOUGH PROJECT FUNDING HAS ENDED, THE SERVICES REMAIN AND THE PROGRAM IS NOW SELF-SUSTAINING. PART VI, LINE 3: ST. LUKE'S INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR ASSISTANCE THE FOLLOWING WAYS:- INFORMATION IS INCLUDED ON THE ST. LUKE'S WEBSITE (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: ST. LUKE'S SERVICE AREA CONSISTS OF A 17-COUNTY REGION OF NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE WESTERN UPPER PENINSULA OF MICHIGAN WITH A POPULATION OF APPROXIMATELY 500,000. THE PRIMARY MARKET CONSISTS OF DULUTH, CLOQUET, AND TWO HARBORS, MINNESOTA, AND SUPERIOR, WISCONSIN. THIS PRIMARY MARKET SERVES URBAN AND SUBURBAN AREAS WITH A POPULATION OF APPROXIMATELY 166,000.DEMOGRAPHICS OF THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET) PER MOST RECENT CENSUS:POPULATIONS - DULUTH, MN (86,697); SUPERIOR, WI (26,751)MEDIAN HOUSEHOLD INCOME - DULUTH, MN ($54,084); SUPERIOR, WI ($48,830)% OF INDIVIDUALS BELOW FPG - DULUTH, MN (17.7%); SUPERIOR, WI (14.0%)HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET):ST. LUKE'S HOSPITAL OF DULUTHLAKE VIEW MEMORIAL HOSPITALCLOQUET COMMUNITY MEMORIAL HOSPITALESSENTIA HEALTH SMDC MEDICAL CENTER (FORMERLY MILLER DAWN)ESSENTIA HEALTH ST. MARY'S HOSPITAL OF SUPERIORESSENTIA HEALTH ST. MARY'S MEDICAL CENTERFEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY:MUA/P - DULUTH, MN (11); SUPERIOR, WI (7) PART VI, LINE 5: ST. LUKE'S HAS BUILT A REPUTATION OF PROVIDING QUALITY CARE AND PUTTING THE PATIENT FIRST. SINCE OPENING IN 1881, ST. LUKE'S HAS GROWN INTO A NATIONALLY RECOGNIZED HEALTH CARE SYSTEM SERVING 17 COUNTIES THROUGHOUT NORTHEASTERN MINNESOTA, NORTHWESTERN WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN. ST. LUKE'S HOSPITAL, ALONG WITH ITS PRIMARY AND SPECIALTY CARE CLINICS, OFFERS A COMPREHENSIVE CONTINUUM OF CARE THAT INCLUDES TRAUMA, MEDICAL, SURGICAL, DIAGNOSTIC, THERAPEUTIC, AND REHAB SERVICES. MORE THAN 2,000 HEALTHCARE PROFESSIONALS MAKE UP ST. LUKE'S STAFF, INCLUDING A MEDICAL STAFF OF 959, WITH 463 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ST. LUKE'S 13 PRIMARY CARE CLINICS ARE LOCATED IN DULUTH AND ACROSS MINNESOTA IN SILVER BAY, HIBBING, MOUNTAIN IRON, AND HERMANTOWN, MN; AS WELL AS IN ASHLAND AND SUPERIOR, WI. AN ADDITIONAL 7 URGENT CARE CLINICS, 2 PHARMACIES, 3 REGIONAL CENTERS IN TRAUMA, HEART & VASCULAR AND CANCER; AND 30 SPECIALTY CLINICS LOCATED PRIMARILY ON THE ST. LUKE'S CAMPUS PROVIDE EXPERTISE IN MANY AREAS OF HEALTH CARE INCLUDING: CANCER CARE, CARDIAC CARE, HOME CARE AND HOSPICE, ADULT PSYCHIATRY, PLASTIC SURGERY, ALLERGY, ENDOCRINOLOGY, DERMATOLOGY, GASTROENTEROLOGY, INFECTIOUS DISEASE, PHYSICAL MEDICINE AND REHAB, UROLOGY, RHEUMATOLOGY, NEUROSURGERY, AND PULMONARY MEDICINE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 PROGRAM FOR AID TO VICITIMS OF SEXUAL ASSAULT 32 E 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501(C)(3) 65000 0 SANE ADULT/ADOLESCENT PROGRAM PROCTOR SCHOOL DISTRICT 131 NINTH AVENUE PROCTOR MN 55810 416003748 STATE OF MINNESOTA 60000 0 SPONSOR SPORTS CENTER DULUTH AREA FAMILY YMCA 302 W 1ST STREET DULUTH MN 55802 410693931 501(C)(3) 32500 0 KIDS CLUB AND VARIOUS EVENTS DULUTH HUSKIES BASEBALL CLUB PO BOX 16231 DULUTH MN 55815 442353480 25000 0 SPONSORSHIP DULUTH AREA CHAMBER OF COMMERCE 5 W 1ST STREET 101 DULUTH MN 55802 410225910 501(C)(6) 13700 0 SPONSORSHIP AND VARIOUS EVENTS WILDERNESS HOCKEY 1111 CLOQUET AVENUE STE 1 CLOQUET MN 55720 460623467 10000 0 SPONSORSHIP DULUTH FOOTBALL CLUB 5219 KINGSTON STREET DULUTH MN 55804 470358877 30000 0 SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 27500 0 SPONSORSHIP GREATER DOWNTOWN COUNCIL 5 W 1ST STREET 101 DULUTH MN 55802 411467228 501(C)(6) 6400 0 SPONSORSHIP MOOSE LAKE WILLOW RIVER REBELS TAKEDOWN CLUB 4646 SPLIT ROCK ROAD STURGEON LAKE MN 55783 464328358 501(C)(3) 50000 0 SPONSORSHIP NORTH SHORE INLINE MARATHON 525 S LAKE AVENUE DULUTH MN 55801 411871361 501(C)(3) 10000 0 SPONSORSHIP LAKE SUPERIOR COMMUNITY HEALTH CENTER 4325 GRAND AVENUE DULUTH MN 55807 237167576 501(C)(3) 25000 0 SPONSORSHIP 7 5 TUITION ASSISTANCE 44 111232 PART I, LINE 2: THE HOSPITAL REQUESTS THAT GRANTEES PROVIDE AN UPDATE ON THE IMPACT OF THE GRANT SIX MONTHS AFTER THE GRANT HAS BEEN MADE. IN ADDITION, THE ACCOUNTING DEPARTMENT REVIEWS INVOICES SUPPORTING THE FUNDS USED FROM THE GRANT. THE AFOREMENTIONED PROCESS HELPS ENSURE THE GRANT WAS USED FOR THE INTENDED PURPOSE. PART III: HR POLICY E-5: NON-CONTRACT EMPLOYEES WITH AN FTE OF 0.6 OR ABOVE ARE ELIGIBLE FOR REIMBURSEMENT FOR COURSES ONE (1) CALENDAR YEAR AFTER THEIR DATE OF HIRE. COURSES MUST BE TAKEN AT AN ACCREDITED INSTITUTION (COLLEGES, UNIVERSITIES, VOCATIONAL SCHOOLS, CORRESPONDENCE SCHOOLS). COMPLETION OF THE COURSE WITH AT LEAST A "C" GRADE OR EQUIVALENT IS REQUIRED. VERIFICATION OF SATISFACTORY COURSE COMPLETION MUST BE FURNISHED TO THE DEPARTMENT OF HUMAN RESOURCES FOR ALL COURSES TAKEN. THE EMPLOYEE MUST CONTINUE TO WORK AT ST. LUKE'S FOR AT LEAST ONE (1) CALENDAR YEAR AFTER COMPLETION OF THE COURSE. ST. LUKE'S REIMBURSES A PERCENTAGE OF THE TOTAL COST UP TO $3,000 PER CALENDAR YEAR, INCLUDING TUITION, REQUIRED BOOKS, AND REQUIRED COURSE FEES FOR COURSES COMPLETED DURING THE CALENDAR YEAR, FOR EMPLOYEES MEETING THE ABOVE ELIGIBILITY CRITERIA AND PROVIDING RECEIPTS FOR TUITION OR COURSE FEES. X X X X X 0 1 0 0 0 0 0 0 0 ERIC LOHN CO-PRESIDENT/CEO & CFO 819897 0 189842 0 1242 0 6975 0 189328 0 1207284 0 0 0 JOHN YOON MD PHYSICIAN 1145850 0 0 0 4290 0 6975 0 18737 0 1175852 0 0 0 MARY BOYLAN MD PHYSICIAN 1079529 0 0 0 3810 0 12593 0 28734 0 1124666 0 0 0 NICHOLAS VAN DEELEN MD CO-PRESIDENT/CEO & CMO 785026 0 77982 0 4002 0 9900 0 189328 0 1066238 0 0 0 JOHN STYLIARAS MD PHYSICIAN 865169 0 26381 0 3450 0 6975 0 25473 0 927448 0 0 0 ROBERT DAHLIN MD PHYSICIAN 897502 0 0 0 270 0 2400 0 25473 0 925645 0 0 0 JARROD BURESH MD PHYSICIAN 796678 0 0 0 3450 0 6975 0 25622 0 832725 0 0 0 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 589218 0 0 0 3450 0 6975 0 28734 0 628377 0 0 0 KEVIN NOKELS FORMER PRESIDENT/CEO 469200 0 0 0 0 0 0 0 0 0 469200 0 0 0 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 357554 0 0 0 1290 0 6555 0 28734 0 394133 0 0 0 AIMEE VANSTRAATEN MD BOARD SECRETARY/PHYSICIAN 346393 0 0 0 3450 0 6975 0 25622 0 382440 0 0 0 NYASHA SPEARS MD BOARD MEMBER/PHYSICIAN 154040 0 0 0 3690 0 4764 0 1685 0 164179 0 0 0 PART I, LINE 4B ST. LUKE'S MAINTAINS 457(F) NONQUALIFIED DEFERRED COMPENSATION PLANS FOR ELIGIBLE EMPLOYEES. IN 2022, CONTRIBUTIONS TO THE 457(F) PLANS WERE: ERIC LOHN - $163,015 NICHOLAS VAN DEELEN, MD - $163,015 IN 2022, DISTRIBUTIONS FROM THE 457(F) PLAN WERE: ERIC LOHN - $189,842 JOHN STYLIARAS, MD - $26,381 NICHOLAS VAN DEELEN, MD - $77,982 A DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 26444CGT3 2012-10-10 83148022 REFINANCE SERIES 2002 BONDS; PURCHASE EQUIPMENT; FUND HOSPITAL ADDITION 0 0 0 B DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 2018-12-31 39500000 FUND OPERATING SYSTEM UPGRADE 0 0 0 C DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CJN3 2021-09-09 14236667 REFINANCE SERIES 2003 AND 2012 BONDS 0 0 0 D DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CKL5 2022-05-12 79996284 PHASE II BUILDING A EXPANSION & HOSPITAL REMODEL 0 0 1 A 64059663 83148022 1625011 33335773 48537410 2015 1 0 0 1 B 2351578 39500000 254374 39245626 2018 0 0 0 1 C 14236667 284028 13952639 2021 1 1 1 1 D 79996284 69614284 8982158 851750 548092 2022 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 0 B 0 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/18/2022 A DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CKF8 2022-03-17 58093185 REFINANCE SERIES 2012 BONDS 0 0 0 A 58093185 57077034 1016150 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 BRIAN CAPPS FAMILY MEMBER OF BOARD MEMBER 183158 EMPLOYEE COMPENSATION 0 CASSANDRA BEARDSLEY FAMILY MEMBER OF BOARD MEMBER 179389 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD AS THE PRESIDING OFFICER, ALL OTHER OFFICERS OF THE HOSPITAL WHO ARE DIRECTORS, AND SUCH ADDITIONAL DIRECTORS AS THE CHAIRPERSON MAY APPOINT. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL. INCLUDING THE AUTHORITY TO REVIEW THE COMPENSATION PAID TO THE HOSPITAL'S EMPLOYED PHYSICIANS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE, AND SHALL MEET AS NECESSARY. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL OVERSEE THE HOSPITAL'S PUBLIC RELATIONS ACTIVITIES AND KEEP THE CORPORATION'S HEALTH CARE EFFORTS CONTINUALLY BEFORE THE COMMUNITIES SERVED THROUGH THE USE OF PUBLICATIONS AND OTHER COMMUNICATIONS DESCRIBING THE HOSPITAL'S SERVICES, PROGRAMS, AND NEEDS. FORM 990, PART VI, SECTION A, LINE 6 ST. LUKE'S HOSPITAL SHALL HAVE THREE CLASSES OF MEMBERSHIPS: A) TENURED MEMBERS OF ST. LUKE'S HOSPITAL OF DULUTH - THE INDIVIDUALS AND ORGANIZATIONS LISTED ON THE HOSPITAL'S OFFICIAL ROSTER OF MEMBERS AS OF MAY 20, 2004 SHALL BE MEMBERS AND HAVE THE NUMBER OF VOTES AS IDENTIFIED ON THAT LIST. B) NON-TENURED MEMBERS OF ST. LUKE'S HOSPITAL OF DULUTH - ANY INDIVIDUAL OR ORGANIZATION THAT, SUBSEQUENT TO MAY 20, 2004, CONTRIBUTES $100 OR MORE TO THE HOSPITAL SHALL, UPON REQUEST FROM SUCH INDIVIDUAL OR ORGANIZATION AND APPROVAL BY THE BOARD OF DIRECTORS, BE A MEMBER OF THE ORGANIZATION WITH ONE VOTE. C) EX OFFICIO MEMBERS - EACH DIRECTOR AND THE PRESIDENT/CEO OF THE HOSPITAL SHALL BE A VOTING MEMBER OF THE HOSPITAL DURING HIS OR HER TERM IN SUCH OFFICE AND SHALL HAVE ONE VOTE. FORM 990, PART VI, SECTION A, LINE 7B THE VOTING RIGHTS OF THE MEMBERS OF THE CORPORATION SHALL BE LIMITED TO THE FOLLOWING MATTERS: A) APPROVAL OF ANY TRANSACTION THAT WOULD CULMINATE IN THE TRANSFER OF CONTROL OF HOSPITAL OPERATIONS TO A SECRETARIAN OR RELIGIOUS ORGANIZATION. B) APPROVAL OF ANY TRANSACTIONS WHICH WOULD CULMINATE IN THE TRANSFER OF CONTROL OF THE HOSPITAL'S OPERATIONS TO A FOR-PROFIT ENTITY. C) APPROVAL OF THE DISSOLUTION OF THE HOSPITAL OR THE CESSATION OF THE HOSPITAL OPERATIONS. THE FOREGOING ACTIONS SHALL BE APPROVED AND ADOPTED ONLY AFTER AUTHORIZATION BY THE BOARD OF DIRECTORS AND APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH THE HELP OF MANAGEMENT IN ORDER TO ACCURATELY PREPARE THE 2022 FORM 990. ONCE THE FORM 990 WAS PREPARED, IT WAS REVIEWED BY THE FOLLOWING GROUPS: 1. ST. LUKE'S SENIOR MANAGEMENT 2. ST. LUKE'S FINANCE COMMITTEE 3. ST. LUKE'S BOARD OF DIRECTORS ALL OF THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE FORM 990. 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 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 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, AND COMMITTEE MEMBER SHALL SIGN, AS A CONDITION SERVING THE CORPORATION IN HIS/HER RESPECTIVE ROLE AND ANNUALLY THEREAFTER, A STATEMENT AGREEING TO BE BOUND BY THE TERMS OF THE POLICY. PURSUANT TO THE POLICY, ANY DIRECTOR, OFFICER, OR COMMITTEE MEMBER HAVING A FINANCIAL INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF SUCH PERSON'S INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. THE BOARD OR COMMITTEE TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, OR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION TO OR RESPOND TO QUESTIONS) IN THE DISCUSSIONS AND DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTIONS. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION AT ST. LUKE'S HOSPITAL IS GOVERNED AND CONTROLLED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, ACCORDING TO THE POLICIES SET BY THE BOARD AS A WHOLE. THE COMMITTEE IS MADE UP ENTIRELY OF COMMUNITY LEADERS, NONE OF WHOM ARE EMPLOYED BY ST. LUKE'S HOSPITAL. THE COMPENSATION COMMITTEE REVIEWS ARE APPROVES THE COMPENSATION PROGRAM FOR THE CEO, CFO, AND OTHER EXECUTIVES AND PRESENTS THE SUMMARY OF ITS ANALYSIS TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. CONTEMPORANEOUS DOCUMENTS AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS ARE MAINTAINED BY THE CEO AND HUMAN RESOURCES DEPARTMENT. THE COMMITTEE, WITH THE AID OF AN INDEPENDENT CONSULTANT, HAS ESTABLISHED A COMPENSATION PHILOSOPHY FOR THE ORGANIZATION. THIS PHILOSOPHY DEFINES A PEER GROUP OF ORGANIZATIONS ACROSS THE COUNTRY AND INCLUDES ORGANIZATIONS OF SIMILAR SIZE, SCOPE, AND MANAGEMENT CHALLENGE. IT ALSO ESTABLISHES THE COMPETITIVE LEVEL AT WHICH THE COMMITTEE WANTS TO COMPENSATE ST. LUKE'S HOSPITAL EXECUTIVES COMPARED TO THE PEER GROUP ORGANIZATIONS. THE COMMITTEE REVIEWS COMPARABILITY DATA ON SALARY LEVELS, INCENTIVE PAY, AND BENEFIT COSTS. ASSESSING EACH ELEMENT OF COMPENSATION INDEPENDENTLY AND TOTAL COMPENSATION IN AGGREGATE. THE COMMITTEE RETAINS INDEPENDENT CONSULTANTS TO GATHER COMPARABILITY DATA ON EXECUTIVE COMPENSATION IN SLH'S PEER GROUP. THESE CONSULTANTS ASSIST THE COMMITTEE IN MAKING ITS DETERMINATION THAT EXECUTIVE COMPENSATION AT SLH REMAINS REASONABLE AND CONSISTENT WITH SLH'S BOARD-APPROVED EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE REVIEWS THE COMPENSATION PROGRAM FOR THE CEO, CFO, AND OTHER EXECUTIVES OF THE ORGANIZATION IN DEPTH EVERY FEW YEARS AND THE LAST FULL REVIEW OCCURRED IN 2022. IN THE YEARS BETWEEN COMPREHENSIVE REVIEWS, THE COMMITTEE RELIES ON UPDATES TO THE PEER GROUP DATA BASED ON THE YEAR-TO-YEAR MARKET MOVEMENT IN THE INDUSTRY, AS PROVIDED BY THE INDEPENDENT CONSULTANT. THE COMMITTEE DILIGENTLY FOLLOWS BEST PRACTICES IN GOVERNING EXECUTIVE COMPENSATION, INCLUDING THE PROCESS PRESCRIBED BY THE IRS FOR GOVERNING EXECUTIVE COMPENSATION IN THE TAX-EXEMPT SECTOR. IT IS COMMITTED TO ACCURATELY DISCLOSING EXECUTIVE COMPENSATION ON FORM 990. FORM 990, PART VI, SECTION C, LINE 19 ST. LUKE'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED ANNUALLY BY THE BOARD OF DIRECTORS. THEY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. FINANCIAL INFORMATION IS MADE AVAILABLE THROUGH ST. LUKE'S ANNUAL REPORT (PUBLISHED EVERY YEAR AND AVAILABLE ON ST. LUKE'S WEBSITE AT WWW.SLHDULUTH.COM). FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY 12,161,167. CAPITAL REIMBURSEMENT FROM ST. LUKE'S FOUNDATION 265,015. ROUNDING IN FINANCIAL STATEMENTS 862. 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