2016-10-26T14:50:35-05:00 2015-12-31 990 2015-01-01 411448118 ST LUKE'S FOUNDATION STLU 2182492420 1000 EAST FIRST STREET NO 102 DULUTH MN 55805 ERIC LOHN CHIEF FINANCIAL OFFICER 2182495555 2016-10-26 2015 2017-02-10 21:41:12Z JOHN STRANGE 915 EAST 1ST ST DULUTH MN 55805 3218003 0 X HTTP://WWW.SLHDULUTH.COM/FOUNDATION X 1982 MN ST. LUKE'S FOUNDATION PROVIDES FINANCIAL SUPPORT TO ST. LUKE'S AND THE REGION. 17 15 0 50 0 0 862300 960629 0 0 404498 252882 199433 162458 1466231 1375969 620629 803404 0 0 265430 273077 0 0 103078 106133 124252 992192 1200733 474039 175236 9600669 8919764 433535 177345 9167134 8742419 ST. LUKE'S FOUNDATION PROVIDES FINANCIAL SUPPORT TO ST. LUKE'S AND THE REGION IT SERVES TO ADVANCE PATIENT CARE, HEALTH EDUCATION, AND CLINICAL RESEARCH. 0 0 942437 803404 0 TO MAKE GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS TO PURCHASE MEDICAL EQUIPMENT & SUPPLIES AND TO PROVIDE HEALTHY LIFESTYLE EDUCATION TO BOTH PUBLIC & HOSPITAL EMPLOYEES. DURING FISCAL YEAR 2015, ST. LUKE'S FOUNDATION PROVIDED $803,404 IN GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS. 942437 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 4 0 0 0 0 0 0 0 1 1 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X ST LUKE'S ACCOUNTING 2182495475 915 EAST FIRST STREET DULUTH MN 55805 DR TED HARWOOD CHAIR 1.00 X X 0 0 0 LINDA KRUG VICE CHAIR 1.00 X X 0 0 0 ROBERT ZALLAR SECRETARY 1.00 X X 0 0 0 KIM KEUNING PAST CHAIR 1.00 X X 0 0 0 HELENA JACKSON TREASURER 1.00 X X 0 0 0 JOHN CLOUTIER BOARD MEMBER 1.00 1.00 X 0 0 0 DR SUSAN GOLTZ BOARD MEMBER 1.00 39.00 X 0 320738 24250 PEGGY HANSON BOARD MEMBER 1.00 X 0 0 0 EDWIN HALL BOARD MEMBER 1.00 1.00 X 0 0 0 LIZETTE LAWIEN BOARD MEMBER 1.00 X 0 0 0 SCOTT LYONS BOARD MEMBER 1.00 X 0 0 0 DEL PREVOST BOARD MEMBER 1.00 X 0 0 0 DR PAUL SANFORD BOARD MEMBER 1.00 39.00 X 0 302414 26339 JACK SEILER BOARD MEMBER 1.00 X 0 0 0 JC WELLES BOARD MEMBER 1.00 X 0 0 0 CARMEN WENDLAND BOARD MEMBER 1.00 X 0 0 0 STEVEN DASTOOR BOARD MEMBER (AS OF 6/2015) 1.00 X 0 0 0 HELGA WALLNER BOARD MEMBER (THRU 6/2015) 1.00 X 0 0 0 JOHN STRANGE CHIEF EXECUTIVE OFFICER 2.00 38.00 X 0 652610 150237 ERIC LOHN CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 322765 92083 CATHERINE CARTER HUBER EXECUTIVE DIRECTOR/COO 38.00 2.00 X 151992 0 22810 151992 1598527 315719 1 0 1 0 0 119781 840848 128291 960629 169371 169371 1774781 1691270 83511 83511 83511 313222 119781 150764 162458 162458 1375969 0 0 415340 803404 803404 174802 87401 34960 52441 81463 40732 16293 24438 16812 8406 3362 5044 7974 7974 44594 44594 848 848 12082 1209 8457 2416 4906 4906 22740 22740 481 437 44 8237 8237 BAD DEBT 13280 13280 DONOR RECOGNITION 5459 5459 MEMBERSHIP DUES 3651 3651 1200733 942437 155218 103078 123664 150172 174766 282989 7860 5269 5931 3557 9279352 8477777 9096 0 9600669 8919764 11480 9079 30198 6936 391857 161330 433535 177345 X 3331805 4825505 5378186 3459771 457143 457143 9167134 8742419 9600669 8919764 175236 -599951 0 X 0 1 X 1 0 X X 1 ST LUKE'S HOSPITAL 410714079 3 1 695373 0 1 695373 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2 ST. LUKE'S HOSPITAL FOUNDATION COMPLETED THE PUBLIC SUPPORT CALCULATION IN FORM 990, SCHEDULE A, PART III FOR ST. LUKE'S HOSPITAL. THAT CALCULATION SHOWED THAT ST. LUKE'S HOSPITAL WOULD QUALIFY AS A PUBLIC CHARITY UNDER 509(A)(2). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2225045 -62849 38445 2123751 2199757 48626 23338 2225045 1955443 262838 18524 2199757 1801754 204123 50434 1955443 1853611 20000 -48215 23642 1801754 0.05950 0.21530 0.72520 0 0 0 AMOUNTS DUE TO RELATED PARTY 161330 161330 X 1526733 0 1526733 -150764 -150764 1375969 1351497 150764 150764 1200733 0 1200733 PART V, LINE 4: THE PRIMARY PURPOSE OF THE ST. LUKE'S FOUNDATION ENDOWMENT FUNDS IS TO MAKE GRANTS TO ST. LUKE'S HOSPITAL AND OTHER ORGANIZATIONS TO PURCHASE MEDICAL EQUIPMENT AND SUPPLIES AND TO PROVIDE HEALTHY LIFESTYLE EDUCATION TO BOTH PUBLIC AND HOSPITAL EMPLOYEES. PART X, LINE 2: A NOTIFICATION LETTER HAS BEEN RECEIVED FROM THE INTERNAL REVENUE SERVICE STATING THAT THE FOUNDATION IS A TAX-EXEMPT ORGANIZATION UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE FOUNDATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAD NO EFFECT ON THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -150,764. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 150,764. CIRCLE OF LIGHT 241909 101449 140460 85279 15655 8663 GOLF BENEFIT 89706 18332 71374 7596 21780 7390 5 101389 101389 2264 2137 433004 119781 313223 92875 39699 18190 150764 162459 0 ST LUKE'S HOSPITAL OF DULUTH 915 EAST FIRST STREET DULUTH MN 55805 410714079 501(C)(3) 695373 PURCHASED PROPERTY, HEALTH EDUCATION AND HOSPICE. UNIVERSITY OF MINNESOTA 1300 S 2ND STREET SUITE 545 MINNEAPOLIS MN 55454 416007513 STATE OF MINNESOTA 14454 UMD WHITESIDE RESEARCH GRANT MESABI RANGE COLLEGE FOUNDATION 1001 CHESTNUT STREET W VIRGINIA MN 55792 363297854 501(C)(3) 6250 SIMLAB EQUIPMENT GRANT UW SUPERIOR FOUNDATION 1605 CATLIN AVE SUPERIOR WI 54880 396088707 501(C)(3) 6250 MEDICAL SCHOLARSHIP GRANT DULUTH POLICE DEPARTMENT 2014 W SUPERIOR ST DULUTH MN 55805 416005105 501(C)(3) 6000 CRISIS INTERVENTION TRAINING GRANT 5 0 PART I, LINE 2: THE FOUNDATION REQUESTS THAT GRANTEES PROVIDE AN UPDATE ON THE IMPACT OF THE GRANT SIX MONTHS AFTER THE GRANT HAS BEEN MADE. IN ADDITION, THE FOUNDATION REVIEWS INVOICES SUPPORTING THE FUNDS USED FROM THE GRANT. THE AFOREMENTIONED PROCESS HELPS ENSURE THE GRANT WAS USED FOR THE INTENDED PURPOSE. X X 0 0 0 0 0 0 0 0 0 DR SUSAN GOLTZ BOARD MEMBER 0 319421 0 0 0 1317 0 5000 0 19250 0 344988 0 0 DR PAUL SANFORD BOARD MEMBER 0 301074 0 0 0 1340 0 6683 0 19656 0 328753 0 0 JOHN STRANGE CHIEF EXECUTIVE OFFICER 0 648724 0 0 0 3886 0 11323 0 138914 0 802847 0 0 ERIC LOHN CHIEF FINANCIAL OFFICER 0 322453 0 0 0 312 0 3850 0 88233 0 414848 0 0 CATHERINE CARTER HUBER EXECUTIVE DIRECTOR/COO 151277 0 0 0 715 0 3154 0 19656 0 174802 0 0 0 X AUCTION GIFTS 204 75976 FAIR MARKET VALUE X TICKETS 1 24975 FAIR MARKET VALUE X MEDICAL EQUIPMENT 1 15000 FAIR MARKET VALUE X WIGS 2 12340 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS OF THIS CORPORATION IN TRANSACTING THE REGULAR BUSINESS OF THE CORPORATION, INCLUDING DIRECTING THE MANAGEMENT OF THE PROPERTY, AFFAIRS AND BUSINESS OF THIS CORPORATION, DURING THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT AT ALL TIMES TO THE DIRECTION AND CONTROL OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO AMEND THE ARTICLES OF INCORPORATION OR THESE BYLAWS, THE POWER TO REMOVE A DIRECTOR OR OFFICER, OR THE POWER TO FILL A VACANT BOARD SEAT OR OFFICER POSITION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL BE ST. LUKE'S HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS SHALL BE ELECTED TO THE BOARD OF THE CORPORATION BY THE BOARD OF DIRECTORS OF THE HOSPITAL, OR BY AN OFFICER OF THE HOSPITAL DESIGNATED BY THE BOARD OF DIRECTORS OF THE HOSPITAL. UPON OR IN ANTICIPATION OF THE EXPIRATION OF THE TERM OF ANY DIRECTOR OF THIS CORPORATION, THE BOARD OF DIRECTORS OF THIS CORPORATION, OR A COMMITTEE APPOINTED THEREBY FOR SUCH PURPOSE, SHALL NOMINATE, BY A VOTE OF THE MAJORITY OF THE DIRECTORS WHOSE TERM SHALL NOT HAVE EXPIRED, SUCH NUMBER OF INDIVIDUALS TO SERVE AS DIRECTORS OF THIS CORPORATION AS NECESSARY TO FILL THE EXPIRED OR EXPIRING TERMS. THE BOARD OF DIRECTORS SHALL PRESENT THE NAME OF EACH INDIVIDUAL NOMINATED TO BE A DIRECTOR OF THIS CORPORATION TO THE HOSPITAL FOR CONSIDERATION. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS SHALL BECOME EFFECTIVE UPON THE APPROVAL OF THE BOARD OF DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REFERENCED MULTIPLE SOURCES OF INFORMATION IN ORDER TO ACCURATELY PREPARE THE 2015 FORM 990. THESE SOURCES INCLUDE THE INTERNAL REVENUE SERVICE WEBSITE, HEALTHCARE TRADE ASSOCIATIONS AND OTHER VARIOUS PUBLICATIONS. ONCE THE FORM 990 WAS PREPARED, IT WAS REVIEWED BY THE FOLLOWING GROUPS: 1. OFFICERS AND SENIOR MANAGEMENT (OCT 2016) 2. BOARD OF DIRECTORS (OCT 2016) THE ABOVE GROUPS WERE PROVIDED WITH A COMPLETE COPY OF THE 2015 FORM 990 IN ADVANCE. THE FORM 990 REVIEW WAS LISTED AS AN AGENDA ITEM ON THE BOARD OF DIRECTORS AGENDA. THE CHIEF FINANCIAL OFFICER PROVIDED AN OVERVIEW OF THE RETURN AND ANSWERED ANY QUESTIONS OR CONCERNS FROM THE BOARD. THE RETURN WAS THEN FILED ON OR BEFORE NOVEMBER 15, 2016. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER SHALL SIGN, AS A CONDITION TO SERVING THE CORPORATION IN HIS/HER RESPECTIVE ROLE AND ANNUALLY THEREAFTER, A STATEMENT AGREEING TO BE BOUND BY THE TERMS OF THE POLICY. PURSUANT TO THE POLICY, ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER HAVING A FINANCIAL INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF SUCH PERSON'S INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. THE BOARD OR COMMITTEE TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, OR PARTICIPATE (OTHER THAN TO PERSENT FACTUAL INFORMATION TO OR RESPOND TO QUESTIONS) IN THE DISCUSSIONS AND DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTIONS. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSION OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF ST. LUKE'S, A 501(C)(3) RELATED ORGANIZATION. THE COMPENSATION REVIEW PROCESS DESCRIBED BELOW PERTAINS TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR IS THE TOP MANAGEMENT OFFICIAL. THERE ARE NO EMPLOYEES WHO QUALIFY AS KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION REVIEW PROCESS OCCURS DURING AN ANNUAL REVIEW PERFORMED BY THE ST. LUKE'S HUMAN RESOURCES DEPARTMENT AND LAST OCCURRED IN 2015. TOTAL COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS ITEMIZED INCLUDING BASE SALARY, HEALTH INSURANCE, DENTAL INSURANCE, LIFE INSURANCE, DISABILITY, VACATION, AND HOLIDAY PAY. ALL AMOUNTS WERE COMBINED TO DETERMINE THE TOTAL COMPENSATION FOR THIS POSITION. THE TOTAL COMPENSATION AMOUNT OF EACH POSITION WAS THEN MEASURED AGAINST THE 2008 - 2009 WATSON WYATT DATA FOR HOSPITAL SYSTEMS IN THE NORTH CENTRAL U.S. REGIONS WITH $150 - $450 MILLION IN NET OPERATING REVENUE. THE TOTAL COMPENSATION WAS ALSO MEASURED AGAINST THE MINNESOTA HOSPITAL ASSOCIATION DATA FOR HOSPITALS WITH $200 MILLION OR MORE IN TOTAL EXPENSE BUDGET. CONTEMPORANEOUS DOCUMENTS AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS ARE MAINTAINED BY THE ST. LUKE'S HUMAN RESOURCES DEPARTMENT. THE FOUNDATION BOARD OF DIRECTORS APPROVES THE ANNUAL COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ST. LUKE'S FOUNDATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED ANNUALLY BY THE BOARD OF DIRECTORS. THEY ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FINANCIAL INFORMATION IS MADE AVAILABLE THROUGH ST. LUKE'S FOUNDATION ANNUAL REPORT (PUBLISHED EVERY YEAR AND AVAILABLE ON ST. LUKE'S WEBSITE AT WWW.SLHDULUTH.COM) AND THE FORM 990 IS MADE AVAILABLE TO THE PUBLIC IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE GUIDANCE. ST LUKE'S HOSPITAL OF DULUTH 915 EAST 1ST STREET DULUTH MN 55805 410714079 HEALTH CARE/HOSPITAL MN 501(C)(3) LINE 3 N/A 0 LAKE VIEW MEMORIAL HOSPITAL INC 325 11TH AVENUE TWO HARBORS MN 55616 410786046 HEALTH CARE/HOSPITAL MN 501(C)(3) LINE 3 ST LUKES HOSPITAL 0 LAKE VIEW MEMORIAL HOSPITAL FOUNDATION 325 11TH AVENUE TWO HARBORS MN 55616 411700972 PROVIDE SUPPORT TO LAKEVIEW MEMORIAL HOSPITAL MN 501(C)(3) LINE 11A, I LAKE VIEW MEMORIAL HOSPITAL 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0