SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
ST LUKE'S HOSPITAL OF DULUTH
 
Employer identification number

41-0714079
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    2,101,014   2,101,014 0.410 %
b Medicaid (from Worksheet 3, column a) . . . . .     57,875,085 45,643,194 12,231,891 2.370 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     59,976,099 45,643,194 14,332,905 2.780 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .     8,094,788   8,094,788 1.570 %
g Subsidized health services (from Worksheet 6) . . . .     38,024,747 31,797,440 6,227,307 1.210 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     490,334   490,334 0.100 %
j Total. Other Benefits . .     46,609,869 31,797,440 14,812,429 2.880 %
k Total. Add lines 7d and 7j .     106,585,968 77,440,634 29,145,334 5.660 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     7,654   7,654 0 %
3 Community support     32,340   32,340 0.010 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building     1,850   1,850 0 %
7 Community health improvement advocacy     30,109   30,109 0.010 %
8 Workforce development     6,955   6,955 0 %
9 Other            
10 Total     78,908   78,908 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
10,453,292
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
204,907,952
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
257,779,758
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-52,871,806
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 PAVILION SURGERY CENTER
  		OUTPATIENT AMBULATORY SURGERY 50.000 % 0 % 50.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST LUKES HOSPITAL
915 EAST FIRST STREET
DULUTH,MN55805
WWW.SLHDULUTH.COM
365862 		X X   X   X X      
Schedule H (Form 990) 2019
Page 4
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST LUKE'S HOSPITAL OF DULUTH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Page 5
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST LUKE'S HOSPITAL OF DULUTH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE LINE 16J
b
SEE LINE 16J
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Page 6
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
ST LUKE'S HOSPITAL OF DULUTH
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Page 7
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST LUKE'S HOSPITAL OF DULUTH
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Page 8
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ST LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATION AND PARTNERSHIP BETWEEN ESSENTIA HEALTH-DULUTH, ESSENTIA HEALTH-ST. MARY'S MEDICAL CENTER, ST. LUKE'S HOSPITAL, LAKE VIEW MEMORIAL HOSPITAL, LAKE SUPERIOR COMMUNITY HEALTH CENTER AND ST. LOUIS COUNTY PUBLIC HEALTH. ASSESSMENT PARTNERS ALSO INCLUDED STAKEHOLDERS FROM COMMUNITY ORGANIZATIONS WORKING TO IMPROVE HEALTH OUTCOMES AND REDUCE INEQUITIES INCLUDING: GENERATIONS HEALTHCARE INITIATIVES, ZEITGEIST CENTER FOR ARTS AND COMMUNITY, HEALTHY NORTHLAND, MINNESOTA DEPARTMENT OF HEALTH, VOICES FOR RACIAL JUSTICE, DULUTH PUBLIC SCHOOLS, CHURCHES UNITED IN MINISTRY, COMMUNITY ACTION DULUTH, ARROWHEAD PARISH NURSE ASSOCIATION, AMERICAN LUNG ASSOCIATION, FAIR FOOD ACCESS, FUSE DULUTH, DULUTH NEWS TRIBUNE, INN ON LAKE SUPERIOR, WESTERN LAKE SUPERIOR SANITARY DISTRICT, KRAUS-ANDERSON, DF DESIGN, WOODLAND HILLS, PAVSA (PROGRAM TO AID VICTIMS OF SEXUAL VIOLENCE), CAIR, ALL NATIONS INDIGENOUS CENTER, LIFE HOUSE, AICHO (AMERICAN INDIAN COMMUNITY HOUSING ORGANIZATION), DULUTH LISC, MAURICES, NATIONAL BANK OF COMMERCE, GREATER DOWNTOWN COUNCIL, LAKE SUPERIOR COMMUNITY HEALTH CENTER, MYERS-WILKINS COMMUNITY SCHOOL, PEACE CHURCH, ST. SCHOLASTICA, WOMEN OF ELCA, INSTITIUTE FOR A SUSTAINABLE FUTURE, PROTECT MINNESOTA, CROSS CULTURAL ALLIANCE OF DULUTH, HEALTH & WELLNESS TABLE, PS RUDIE CLINIC. THESE PARTNERS ASSISTED IN DEVELOPING THE COMMUNITY-CENTERED PROCESS, FOCUS GROUPS AND COMMUNITY DIALOGUES AS WELL AS PRIORITIZING COMMUNITY NEEDS.COMMUNITY INPUT WAS GATHERED THROUGH A SERIES OF FOCUS GROUPS AND COMMUNITY MEETINGS THAT TOOK PLACE BETWEEN JULY 2018 AND MAY 2019. THIS INPUT INCLUDED INDIVIDUALS REPRESENTING PERSONS WITH EXPERTISE IN PUBLIC HEALTH; LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS; AND POPULATIONS WITH CHRONIC DISEASE NEEDS FROM THE COMMUNITY SERVED BY THE HOSPITAL.
ST LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BYESSENTIA HEALTH-DULUTH, 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: ST. LUKE'S COLLABORATED WITH GENERATIONS HEALTH CARE INITIATIVES, ST. LOUIS COUNTY PUBLIC HEALTH, AND ZEITGEIST CENTER FOR ARTS AND COMMUNITY IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
ST LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 7D: BRIDGING HEALTH DULUTH PUBLIC PRESENTATION "SHAPING A HEALTHIER COMMUNITY" OF WHICH ST LUKE'S WAS A CO-SPONSOR AND CO-ORGANIZER. THE 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN WAS SHARED AND SOUGHT COMMUNITY INVOLVEMENT IN WORK AROUND THREE PRIORITY AREAS: YOUTH SUBSTANCE USE, MENTAL HEALTH, AND FOOD INSECURITY. THE EVENT INCLUDED OPPORTUNITIES FOR ATTENDEES TO CONNECT WITH COMMUNITY PROFESSIONALS, EXPLORE THE ASSESSMENT RESULTS AND ACTION PLAN, LEARN ABOUT BRIDGING HEALTH DULUTH'S WORK, DISCUSS COMMUNITY EFFORTS TO ADDRESS HEALTH DISPARITIES, AND FIND OUT HOW TO GET INVOLVED. THE FREE COMMUNITY LUNCH AND PRESENTATION WAS WIDELY COVERED BY LOCAL PRESS.
ST LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 11: EVERY THREE YEARS, BRIDGING HEALTH DULUTH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TOSYSTEMATICALLY IDENTIFY, ANALYZE AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE MISSION OF BRIDGING HEALTHDULUTH IS TO SUPPORT A HEALTHIER COMMUNITY FOR ALL. BRIDGING HEATH DULUTH SEEKS OUT AND BRINGS TOGETHERINDIVIDUALS AND ORGANIZATIONS WHO ARE INTERESTED IN POSITIVELY IMPACTING THE PRIORITY AREAS IDENTIFIED INTHE CHNA. WE BELIEVE THROUGH COLLABORATION AND COMPLEMENTARY INITIATIVES, WE WILL HAVE THE GREATESTPOSITIVE IMPACT ON THE HEALTH OF DULUTHIANS. THE IMPLEMENTATION PLANNING PROCESS WAS ALSO CONDUCTED INCOLLABORATION WITH MANY PARTNERS INCLUDING ORGANIZATIONS OR INDIVIDUALS THAT REPRESENT BOARD INTERESTS INTHE COMMUNITY, INCLUDING THOSE MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND POPULATIONS THATARE AT HIGHER RISK FOR ILL HEALTH.ONCE PRIORITY HEALTH NEEDS WERE IDENTIFIED, BRIDGING HEALTH DULUTH DESIGNED AN IMPLEMENTATION STRATEGYTO ADDRESS THE NEEDS WITH INTERNAL STAKEHOLDERS AND COMMUNITY PARTNERS. THE PLAN IS DESIGNED TOLEVERAGE EXISTING COMMUNITY STRENGTHS AND RESOURCES AVAILABLE TO IMPROVE HEALTH FOR DULUTHIANS.FROM JULY 2018 TO MAY 2019, BRIDGING HEALTH DULUTH ANALYZED DATA, CONVENED COMMUNITY PARTNERS,SOUGHT INPUT FROM COMMUNITY MEMBERS, AND LED A PROCESS TO IDENTIFY THE FOLLOWING PRIORITY AREAS FOR THE2020 2022 COMMUNITY HEALTH NEEDS ASSESSMENT:1. MENTAL HEALTH2. YOUTH SUBSTANCE USE3. FOOD INSECURITYBRIDGING HEALTH DULUTH SUPPORTS A HEALTHIER COMMUNITY FOR ALL. TO FULFILL THAT MISSION, WE SEEKOPPORTUNITIES TO BOTH ENHANCE THE CARE WE PROVIDE AND IMPROVE THE HEALTH OF OUR COMMUNITIES. INCONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, BRIDGING HEALTH DULUTH HAS COLLABORATED WITHCOMMUNITY PARTNERS TO EMBRACE THESE GUIDING PRINCIPLES:COLLABORATE TOWARDS SOLUTIONS WITH MULTIPLE STAKEHOLDERS (E.G. SCHOOLS, WORKSITES, MEDICALCENTERS, PUBLIC HEALTH) TO IMPROVE COMMUNITY HEALTH. BUILD TRUST THROUGH COLLABORATION WITH COMMUNITY MEMBERS EXPERIENCING HEALTH DISPARITIES. PRIORITIZE SUSTAINABLE EVIDENCE-BASED EFFORTS AROUND THE GREATEST COMMUNITY GOOD. CREATE CLEAR, SPECIFIC, REALISTIC, AND ACTION-ORIENTED GOALS TO IMPROVE PRIORITY HEALTH INDICATORSTHE GOALS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO:1. ASSESS THE HEALTH NEEDS, DISPARITIES, ASSETS AND FORCES OF CHANGE IN DULUTH2. PRIORITIZE HEALTH NEEDS BASED ON COMMUNITY INPUT AND FEEDBACK3. DESIGN AN IMPLEMENTATION STRATEGY TO REFLECT THE OPTIMAL USAGE OF RESOURCES IN OUR COMMUNITY4. ENGAGE OUR COMMUNITY PARTNERS AND STAKEHOLDERS IN ALL ASPECTS OF THE COMMUNITY HEALTH NEEDSASSESSMENT PROCESS, INCLUDING DATA COLLECTION, DATA ANALYSIS, ISSUE PRIORITIZATION, IMPLEMENTATIONPLAN CREATION, AND MONITORING OF RESULTS.2019 ACTIVITIES INCLUDE: ST LUKE'S STAFF WERE INVOLVED IN THE BRIDGING HEALTH DULUTH STEERING COMMITTEE AND PARTICIPATED IN DEVELOPING THE INFRASTRUCTURE FOR ACTION TEAMS. ST LUKE'S STAFF ASSISTED WITH DATA DEVELOPMENT AND ANALYSIS IN DEVELOPING THE CHNA. ASSISTANCE WITH PLANNING, CO-HOSTING AND ADVERTISING THE SHAPING A HEALTHIER COMMUNITY SESSION. OFFERED "TRAIN THE TRAINER" PROGRAM FOR SBIRT INTERVENTION, AN EVIDENCE-BASED TOOL FOR CLINICIANS TO REDUCE SUBSTANCE ABUSE AND RISKY BEHAVIORS. BEGAN IMPLEMENTING THE MN HOSPITAL ASSOCIATION'S NEONATAL ABSTINENCE SYNDROME ROADMAP, TO DEVELOP A SAFE MOM AND BABY PROGRAM FOR THOSE WITH SUBSTANCE ABUSE.SIGNIFICANT NEEDS NOT ADDRESSED IN THE CHNA: OTHER ISSUES IDENTIFIED THROUGH THE PROCESS BUT NOT INCLUDEDAMONG THE TOP THREE PRIORITIES INCLUDED DISABILITY, MATERNAL HEALTH, ACCESS TO HEALTHCARE, HEART CONDITIONS,DIABETES, AND CANCER. THESE NEEDS WILL BE ADDRESSED IN PART THROUGH THE SELECTED PRIORITIES AS THEY AREINTERRELATED. ADDITIONALLY, BRIDGING HEALTH DULUTH WILL CONTINUE TO FOCUS EFFORTS ON THE HIGHEST NEEDS ANDCOLLABORATE WITH LOCAL PARTNERS TO ADDRESS OTHER ISSUES NOT INCLUDED IN THE TOP THREE PRIORITIES.
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 ELIGIBILTY 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. WEBSITE AVAILABILTY AT: HTTPS://WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Page 9
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?57
Name and address Type of Facility (describe)
1 1 - MOUNT ROYAL MEDICAL CLINIC
1400 WOODLAND AVE
DULUTH,MN55803 		OUTPATIENT MEDICAL
2 2 - DENFELD MEDICAL CLINIC
4702 GRAND AVE
DULUTH,MN55807 		OUTPATIENT MEDICAL
3 3 - ST LUKE'S CARDIOLOGY ASSOCIATES
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
4 4 - ST LUKE'S OCCUPATIONAL HEALTH CLINIC
4702 GRAND AVE
DULUTH,MN55807 		OUTPATIENT MEDICAL
5 5 - ST LUKE'S PHYSICAL MEDICINE & REHAB ASS
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
6 6 - ST LUKE'S NEUROSURGERY ASSOCIATES
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
7 7 - ST LUKE'S ALLERGY & IMMUNOLOGY ASSOCIAT
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
8 8 - PAVILION OUTPATIENT SURGERY CENTER
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL & AMBULATORY SURGERY
9 9 - ST LUKE'S ENDOCRINOLOGY ASSOCIATES
1011 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
10 10 - ST LUKE'S RHEUMATOLOGY ASSOCIATES
1000 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
11 11 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIA
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
12 12 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES
1001 E SUPERIOR ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
13 13 - ST LUKE'S DERMATOLOGY ASSOC
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
14 14 - LAURENTIAN MEDICAL CLINIC
8373 UNITY DRIVE
MOUNTAIN IRON,MN55768 		OUTPATIENT MEDICAL
15 15 - BAY AREA MEDICAL CLINIC
50 OUTER DRIVE
SILVER BAY,MN55614 		OUTPATIENT MEDICAL
16 16 - HIBBING FAMILY MEDICAL CLINIC
1120 E 34TH ST
HIBBING,MN55746 		OUTPATIENT MEDICAL
17 17 - MILLER CREEK MEDICAL CLINIC
4190 LOBERG AVENUE
HERMANTOWN,MN55811 		OUTPATIENT MEDICAL
18 18 - PS RUDIE MEDICAL CLINIC
26 EAST SUPERIOR STREET
DULUTH,MN55802 		OUTPATIENT MEDICAL
19 19 - Q-CARE EXPRESS CLINIC - CUB
619 W CENTRAL ENTRANCE
DULUTH,MN55811 		OUTPATIENT MEDICAL
20 20 - ST LUKE'S PLASTIC SURGERY ASSOCIATES
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
21 21 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOC
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
22 22 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
23 23 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES
920 E 1ST ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
24 24 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
25 25 - ST LUKE'S ORTHOPEDICS & SPORTS MEDICINE
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
26 26 - ST LUKE'S SURGICAL ASSOCIATES
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL & AMBULATORY SURGERY
27 27 - ST LUKE'S MENTAL HEALTH
220 N 6TH AVE E
DULUTH,MN55805 		OUTPATIENT MEDICAL
28 28 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
29 29 - ST LUKE'S UROLOGY ASSOCIATES
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
30 30 - ST LUKE'S MEDICAL ARTS CLINIC
324 W SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
31 31 - ST LUKE'S PEDIATRIC ASSOCIATES
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
32 32 - LESTER RIVER MEDICAL CLINIC
6351 E SUPERIOR ST
DULUTH,MN55804 		OUTPATIENT MEDICAL
33 33 - CHEQUAMEGON CLINIC
415 ELLIS AVE
ASHLAND,WI54806 		OUTPATIENT MEDICAL
34 34 - MARINER MEDICAL CLINIC
109 N 28TH ST E
SUPERIOR,WI54880 		OUTPATIENT MEDICAL
35 35 - MARINER CLINIC URGENT CARE
109 N 28TH ST E
SUPERIOR,WI54880 		OUTPATIENT MEDICAL
36 36 - MARINER OUTPATIENT SURGERY CENTER
109 N 28TH ST E
SUPERIOR,WI54880 		OUTPATIENT MEDICAL & AMBULATORY SURGERY
37 37 - ST LUKE'S HOME CARE
220 N 6TH AVE E
DULUTH,MN55805 		OUTPATIENT MEDICAL
38 38 - ST LUKE'S OBSTETRICS AND GYNECOLOGY ASSO
1000 E 1ST ST SUITE LL
DULUTH,MN55805 		OUTPATIENT MEDICAL
39 39 - ST LUKE'S HOSPICE
220 N 6TH AVE E
DULUTH,MN55805 		OUTPATIENT MEDICAL
40 40 - OUTPATIENT THERAPY LAKEVIEW BUILDING
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
41 41 - ST LUKE'S OPHTHALMOLOGY ASSOC
324 W SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
42 42 - ST LUKE'S URGENT CARE
915 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
43 43 - ST LUKE'S NEUROLOGY ASSOCIATES
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
44 44 - DENFELD MEDICAL CLINIC URGENT CARE
4702 GRAND AVE
DULUTH,MN55807 		OUTPATIENT MEDICAL
45 45 - LAURENTIAN MEDICAL CLINIC URGENT CARE
8373 UNITY DRIVE
MOUNTAIN IRON,MN55768 		OUTPATIENT MEDICAL
46 46 - MILLER CREEK MEDICAL CLINIC URGENT CARE
4190 LOBERG AVENUE
HERMANTOWN,MN55811 		OUTPATIENT MEDICAL
47 47 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMEN
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
48 48 - ST LUKE'S CENTER FOR DIAGNOSTIC IMAGING
930 E 2ND STREET
DULUTH,MN55805 		OUTPATIENT MEDICAL
49 49 - Q-CARE EXPRESS CLINIC - MT ROYAL
1400 WOODLAND AVE
DULUTH,MN55803 		OUTPATIENT MEDICAL
50 50 - ST LUKE'S ENT ASSOCIATES
920 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
51 51 - ST LUKE'S NEPHROLOGY ASSOCIATES
925 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
52 52 - ST LUKE'S VASCULAR SURGERY ASSOCIATES
1000 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
53 53 - ST LUKE'S ADVANCED WOUND CARE & HYPERBA
1000 E 1ST ST
DULUTH,MN55805 		OUTPATIENT MEDICAL
54 54 - SURGICAL & PROCEDURAL CARE
1012 E 2ND ST
DULUTH,MN55805 		OUTPATIENT MEDICAL & AMBULATORY SURGERY
55 55 - ST LUKE'S GENETIC COUNSELING CLINIC
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
56 56 - ST LUKE'S COMMUNITY CARE TEAM
1001 E SUPERIOR ST
DULUTH,MN55802 		OUTPATIENT MEDICAL
57 57 - ST LUKE'S PROCTOR FITNESS CENTER
131 9TH AVENUE
PROCTOR,MN55810 		OUTPATIENT MEDICAL
Schedule H (Form 990) 2019
Page 10
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE VALUE OF THEIR INCOME AND ASSETS COMPUTED ON THE "ST. LUKE'S FINANCIAL ASSISTANCE ELIGIBILTY WORKSHEET." PATIENT HAS TO RECEIVE MEDICALLY NECESSARY CARE, LIVE IN ST. LUKE'S PRIMARY OR SECONDARY MARKET SERVICE AREA (UNLESS THEY PRESENT WITH AN URGENT, EMERGENT OR LIFE-THREATENING MEDICAL CONDITION), AND COMPLETE A FINANCIAL ASSISTANCE APPLICATION WITHIN THE REQUIRED TIME LIMIT.
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 ($3,055,477), WOMEN AND CHILDREN SERVICES ($2,836,625), AND HOMECARE/HOSPICE SERVICES ($335,206).
PART I, LN 7 COL(F): BAD DEBT EXPENSE FOR 2019 IS $10,453,292 AS REPORTED IN PART III, LINE 2. THIS AMOUNT HAS BEEN ELIMINATED WHEN CALCULATING THE COMMUNITY BENEFIT AS A PERCENT OF TOTAL EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES: ST. LUKE'S COMMUNITY-BUILDING ACTIVITIES INCLUDE CASH, IN-KIND DONATIONS, AND OTHER EXPENDITURES FOR THE DEVELOPMENT OF 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 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 ARRANGEMENT.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 9 OF THE ATTACHED AUDITED FINANCIAL STATMENTS.
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 HIS OR HER 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 56 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 AND 2015. 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.
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) PER MOST RECENT CENSUS:POPULATIONS: DULUTH, MN (86,265); SUPERIOR, WI (27,244)MEDIAN HOUSEHOLD INCOME: DULUTH, MN ($47,227); SUPERIOR, WI ($43,836)% OF INDIVIDUALS BELOW FPG: DULUTH, MN (20.3%); SUPERIOR, WI (18.0%)HOSPITALS SERVING THE COMMUNITY OR COMMUNITIES (PRIMARY MARKET):ST. LUKE'S HOSPITAL OF DULUTHLAKE VIEW MEMORIAL 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 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 HEALTH CARE PROFESSIONALS, INCLUDING A MEDICAL STAFF OF 449 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS, 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 12 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 MEDICAL ARTS CLINIC 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 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.
Schedule H (Form 990) 2019
Additional Data


Software ID:  
Software Version: