2025-05-15T12:23:32-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 410714079 ST LUKE'S HOSPITAL OF DULUTH STLU 2182495555 915 EAST FIRST STREET DULUTH MN 55805 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 2182495555 2025-05-12 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-05-07 2024 2025-03-06 01:10:19Z ASPIRUS ST LUKE'S HOSPITAL JERRY M YANG 915 EAST FIRST STREET DULUTH MN 55805 272080626 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 0 74 936797 35896 1746672 643573 542081059 266569175 10538103 954654 2385316 2222635 556751150 270390037 563441 231475 0 0 315523670 163413609 0 0 0 253850453 133776750 569937564 297421834 -13186414 -27031797 493989659 536071505 362804041 335212178 131185618 200859327 X THE PATIENT ABOVE ALL ELSE. 0 0 247276552 231475 265625101 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. 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 2024, ST. LUKE'S DONATED MORE THAN 34,500 HOURS TO ENRICH THE HEALTHCARE OF THE COMMUNITY, INCLUDING SERVING ON BOARDS OF THE MINNESOTA HOMECARE ASSOCIATION, UNITED WAY, AND OTHER NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY. 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 2024, THERE WERE 5,385 ADMISSIONS, 27,957 PATIENT DAYS, 14,246 EMERGENCY/URGENT CARE VISITS, 110,059 OUTPATIENT REGISTRATIONS AND 333,930 CLINIC VISITS. 0 0 0 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), AND 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. 247276552 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 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X JERRY M YANG 2182495555 520 NORTH 32ND AVENUE WAUSAU WI 54401 X SIDNEY SCZYGELSKI BOARD MEMBER/SVP FINANCE/CFO 1.00 50.00 X X 0 0 0 YVONNE PRETTNER SOLON BOARD CHAIR 1.00 X X 0 0 0 RENE SETTERGREN BOARD VICE CHAIR 1.00 X X 0 0 0 KEVIN BEARDSLEY BOARD TREASURER 1.00 1.00 X X 0 0 0 AIMEE VANSTRAATEN MD BOARD SECRETARY/PHYSICIAN 40.00 X X 0 0 0 ANDREA BENSON MD BOARD MEMBER/CHIEF OF STAFF 40.00 X 0 0 0 MITCHELL CARDWELL DO BOARD MEMBER/PHYSICIAN 1.00 40.00 X 0 0 0 PATRICK HEFFERNAN BOARD MEMBER (THRU JUNE 2024) 1.00 X 0 0 0 HELENA JACKSON BOARD MEMBER 1.00 X 0 0 0 PAKOU LY BOARD MEMBER (THRU JUNE 2024) 1.00 1.00 X 0 0 0 SCOTT LYONS BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES MATHESON BOARD MEMBER/SVP-CHIEF STRAT. OFF. 1.00 40.00 X 0 0 0 BRIAN MURPHY BOARD MEMBER 1.00 X 0 0 0 RICK REVOIR BOARD MEMBER (THRU JUNE 2024) 1.00 X 0 0 0 ANNA SACKETTE-URNESS BOARD MEMBER 1.00 X 0 0 0 JACK SEILER BOARD MEMBER 1.00 X 0 0 0 KIERA WILSON BOARD MEMBER 1.00 1.00 X 0 0 0 MATTHEW HEYWOOD PRESIDENT & CEO ASPIRUS 2.00 50.00 X 0 0 0 JEFFREY JONES SVP-CFO (THRU 04/23) 2.00 50.00 X 0 0 0 JERRY M YANG SVP - CHIEF FINANCIAL OFFICER 2.00 50.00 X 0 0 0 ERIC LOHN CO-PRESIDENT/CEO & CFO 35.00 5.00 X 0 0 0 NICHOLAS VAN DEELEN MD CO-PRESIDENT/CEO & CMO 35.00 5.00 X 0 0 0 0 0 0 487842 155731 643573 PATIENT SERVICE REVENUE 621110 182799830 182799830 PHARMACY REVENUE 456110 83691279 82795574 895705 CREDENTIALING SERVICE REVENUE 621110 48369 41092 7277 BIOMEDICAL SERVICE REVENUE 621110 29697 29697 266569175 2372066 2372066 186796 241783 -54987 -54987 -54987 1414713 2699 -1414713 -2699 -1417412 -1417412 59060 31394 27666 27666 MEALS/VENDING INCOME 722514 650591 650591 PARKING LOT REVENUE 812930 266973 266973 1332392 1332392 2249956 270390037 265625101 936797 3184566 231475 231475 673616 673616 132332957 116155487 16177470 5430148 4734390 695758 15089053 13155856 1933197 9887835 7757208 2130627 398659 398659 63361 63361 39573 39573 84044 84044 28523929 14076900 14447029 400222 400222 2207580 548307 1659273 4026930 3191770 835160 13259327 10723967 2535360 17518 17518 799498 715633 83865 2459287 389537 2069750 7875805 4897764 2978041 1194141 1194141 MEDICAL SUPPLIES 30710253 30710253 DRUG SUPPLIES 24875557 24875557 BAD DEBT 4185980 4185980 MN CARE TAX 2291071 2291071 10364015 6349900 4014115 297421834 247276552 50145282 0 3356088 9460054 0 343638 110944572 86619140 13967329 12793418 4035740 6463913 502889330 248646137 163260801 254243193 51169777 43772866 58427489 30135120 17099516 17595249 2827768 4000000 68900579 70644914 493989659 536071505 75896528 58799622 0 1219159 182019306 180294466 20307132 0 144950 0 84436125 94898931 362804041 335212178 X 131185618 200859327 131185618 200859327 493989659 536071505 X -27031797 -28895 96734401 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 39573 39573 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. 16987004 16987004 233454492 92534876 140919616 192120276 153968801 38151475 60327558 2142460 58185098 254243193 INVESTMENTS HELD IN TRUST 30135120 C 30135120 CASH SURRENDER VALUE OF LIFE INSURANCE 13441 DEFERRED COMPENSATION 31623894 RIGHT OF USE ASSETS - OPERATING LEASES 34327702 OTHER ASSETS 4679877 70644914 MINIMUM PENSION LIABILITY 9923728 DEFERRED COMPENSATION 30499718 DUE TO RELATED PARTIES 2872097 RIGHT OF USE LIABILITES - OPERATING LEASES 36682290 ASSET RETIREMENT OBLIGATION 2038913 CAPITAL LEASES 12654502 MALPRACTICE LIABILITY RESERVE 225000 OTHER LIABLITIES 2683 94898931 X PART X, LINE 2: ASPIRUS HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND CONCLUDED THAT NO MATERIAL LIABILITIES EXIST FOR UNCERTAIN TAX POSITIONS AT JUNE 30, 2024. 1 1 X 1 X 1 X 1 1 0 1 1 1394927 1394927 0.00480 27228810 23012793 4216017 0.01440 28623737 23012793 5610944 0.01920 3458649 3458649 0.01180 23096281 16326186 6770095 0.02310 235102 235102 0.00080 26790032 16326186 10463846 0.03570 55413769 39338979 16074790 0.05490 8552 8552 0.00000 900 900 0.00000 12433 12433 0.00000 70693 70693 0.00020 92578 92578 0.00020 1 3967980 0 101764374 129217651 -27453277 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 PART V, LINE 7D X SEE PART V, LINE 7D X X 1 22 1 SEE PART V, LINE 7D 0 1 X 100.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE X WWW.ASPIRUS.ORG/FINANCIAL-ASSISTANCE 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. 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, ESSENTIA HEALTH-ST. MARY'S MEDICAL CENTER, AND ASPIRUS ST. LUKE'S HOSPITAL. 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:- DULUTH BRANCH NAACP- ESSENTIA HEALTH- GENERATIONS HEALTH CARE INITIATIVES- HEALTH EQUITY NORTHLAND- LAKE SUPERIOR COMMUNITY HEALTH CENTER- NATIONAL RURAL HEALTH RESOURCE CENTER- ST. LOUIS COUNTY PUBLIC HEALTH- ASPIRUS ST. LUKE'S HOSPITAL- WILDERNESS HEALTH- ZEITGEIST CENTER FOR ARTS & COMMUNITY ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 7D: THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE IN PAPER FORM FOR PUBLIC INSPECTION WITHOUT CHARGE AND ARE ADDITIONALLY AVAILABLE ONLINE AT:-HTTPS://WWW.SLHDULUTH.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/-HTTPS://BRIDGINGHEALTHDULUTH.ORG/WP-CONTENT/UPLOADS/2022/06/DULUTH-CHNA-2023.PDF-HTTPS://WWW.ESSENTIAHEALTH.ORG/-/MEDIA/PROJECT/ESSENTIA/ESSENTIA/PAGES/DOCUMENTS/CHNA/IMPLEMENTATION-PLAN-2023-2025.PDF?REV=16A68257BBB2454AB23BAAC65B61AD8F&HASH=A7A75BC0352D1EC4B965C1D63587D838 ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BY ESSENTIA HEALTH-DULUTH, ESSENTIA HEALTH- ST. MARY'S MEDICAL CENTER, ASPIRUS ST. LUKE'S HOSPITAL, ST. LOUIS COUNTY PUBLIC HEALTH, LAKE SUPERIOR COMMUNITY HEALTH CENTER, GENERATIONS HEALTH CARE INITIATIVES, AND THE ZEITGEIST CENTER FOR ARTS AND COMMUNITY. THIS COLLABORATION IS KNOWN AS BRIDGING HEALTH DULUTH. BRIDGING HEALTH DULUTH SEEKS OUT AND BRINGS TOGETHER INDIVIDUALS AND ORGANIZATIONS WHO ARE INTERESTED IN POSITIVELY IMPACTING THE HEALTH OF THE COMMUNITY. THE STEERING COMMITTEE ORGANIZATIONS HAVE ALIGNED THEIR RESOURCES, SKILLS, EXPERTISE AND INTERESTS TO COLLABORATE TOWARDS A HEALTHIER DULUTH. EVERY THREE YEARS, BRIDGING HEALTH DULUTH CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO SYSTEMATICALLY IDENTIFY, ANALYZE AND PRIORITIZE COMMUNITY HEALTH NEEDS. 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. ONCE THE PRIORITY HEALTH NEEDS ARE IDENTIFIED, BRIDGING HEALTH DULUTH WORKS WITH PARTNERS TO DESIGN AN IMPLEMENTATION PLAN TO LEVERAGE EXISTING COMMUNITY STRENGTHS AND RESOURCES TO IMPROVE COMMUNITY HEALTH. ALL THREE HOSPITALS ALSO PARTNERED WITH GENERATIONS HEALTH CARE INITIATIVES AND MANY OTHER STAKEHOLDERS ACROSS NORTHEAST MINNESOTA AND NORTHWEST WISCONSIN TO CONDUCT THE BRIDGE TO HEALTH SURVEY IN 2020, WHICH PROVIDES LOCAL AND REGIONAL DATA THAT WAS USED IN THIS ASSESSMENT. FROM DECEMBER 2021 TO APRIL 2022 BRIDGING HEALTH DULUTH ANALYZED DATA, CONVENED COMMUNITY PARTNERS, SOUGHT INPUT FROM COMMUNITY MEMBERS. AFTER REVIEWING COMMUNITY INPUT DATA AND SECONDARY DATA, CHNA ACTION TEAM MEMBERS DEVELOPED THE FOLLOWING CRITERIA TO PRIORITIZE KEY HEALTH NEEDS: - CLEAR: DOES IT MAKE SENSE? IS THE STRATEGY WE'RE DEVELOPING SPECIFIC ENOUGH? FEASIBLE: CAN WE DO SOMETHING ABOUT IT WITH AVAILABLE TIME AND RESOURCES? IMPACT: WILL IT AFFECT THOSE WITH THE HIGHEST DISPARITIES? WILL IT MOVE THE NEEDLE? - VALUE: DOES THE COMMUNITY FIND IT IMPORTANT? THE BRIDGING HEALTH DULUTH STEERING COMMITTEE APPROVED THE FINAL PRIORITIES IN DECEMBER 2021 WITH HOSPITAL BOARD APPROVAL AND ADOPTION IN 2022 FOR THE 2023-2025 IMPLEMENTATION PLAN. PRIORITIES ARE AS FOLLOWS: 1. MENTAL AND SOCIAL WELLBEING 2. FOOD SECURITY 3. SUBSTANCE USE 4. HOUSINGCOMMUNITY MEMBERS WHO COMPLETED THE SURVEY WERE ASKED TO SHARE PERSONAL EXPERIENCES REGARDING THE PRIORITY AREAS IF COMFORTABLE. ONE-HUNDRED-TWENTY-EIGHT COMMUNITY MEMBERS SHARED THEIR ANECDOTAL FEEDBACK, INCLUDING HOW TO ADDRESS THE IDENTIFIED PRIORITY AREAS AND IDENTIFYING COMMUNITY RESOURCES THAT ARE AVAILABLE. ADDITIONAL COMMUNITY MEMBERS WERE INVITED TO PARTICIPATE IN THE COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS.NEEDS NOT ADDRESSED IN THE CHNA: MANY COMMUNITY RESIDENTS AND STAKEHOLDERS IDENTIFIED ECONOMIC OPPORTUNITY, CHRONIC CONDITIONS AND HEALTHCARE ACCESS AS IMPORTANT HEALTH ISSUES. AFTER THOROUGH AND THOUGHTFUL DISCUSSION, IT WAS NOTED ALL ISSUES REVIEWED ARE INTERTWINED AND WILL IN SOME WAY BE IMPACTED BY THE WORK THAT WE DO IN THE OTHER FOUR APPROVED PRIORITY AREAS. GIVEN LIMITED RESOURCES, IT IS NOT POSSIBLE TO ADDRESS EVERY NEED IN THE COMMUNITY. ECONOMIC OPPORTUNITY, CHRONIC CONDITIONS AND HEALTHCARE ACCESS ARE ALL BEING ADDRESS THROUGH COMMUNITY INITIATIVES OUTSIDE OF BRIDGING HEALTH DULUTH. BRIDGING HEALTH DULUTH WORKED WITH SEVERAL STAKEHOLDERS AND COMMUNITY PARTNERS IN THE DULUTH AREA TO DESIGN STRATEGIES THAT ADDRESS THREE OF THE PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE STRATEGIES OUTLINE ACTIONS THAT WILL BE TAKEN TO RESPOND TO THE IDENTIFIED NEEDS. TO BEST MEET THE NEEDS OF OUR COMMUNITY, BRIDGING HEALTH DULUTH DECIDED THAT CREATING A JOINT IMPLEMENTATION PLAN WILL BEST SUPPORT A COHESIVE, COLLECTIVE IMPACT MODEL WITH SHARED DATA, BEST PRACTICE SHARING, AND THE OPPORTUNITY TO AVOID DUPLICATION OF EFFORTS WHILE FILLING GAPS.A THREE-YEAR PLAN TO ADDRESS FOOD SECURITY, MENTAL AND SOCIAL WELLBEING, AND SUBSTANCE USE IN THE COMMUNITY AND WILL BE REVIEWED ANNUALLY WITH PROGRESS SHARED WITH HOSPITAL LEADERSHIP AND THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. ADDITIONALLY, BRIDGING HEALTH DULUTH WILL CONTINUE HOSTING AN ANNUAL COMMUNITY EVENT TO ENSURE TRANSPARENCY AND ACCOUNTABILITY AROUND ADDRESSING COMMUNITY HEALTH NEEDS. DURING THE FISCAL YEARS 2023-2025 CHNA IMPLEMENTATION CYCLE, SOME ACTIVITIES WILL BE LED BY THE INDIVIDUAL ORGANIZATIONS, WHILE OTHERS WILL BE COORDINATED ACROSS BRIDGING HEALTH DULUTH.DESIRED RESULTS AND DATA INDICATORS THE RESULTS AND INDICATORS LISTED BELOW ARE A RESPONSE TO COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THEY OUTLINE THE DESIRED RESULTS OF COMMUNITY ACTION AND DATA POINTS TO HELP INDICATE PROGRESS. BRIDGING HEALTH DULUTH USES RESULTS-BASED ACCOUNTABILITY TO FRAME AND IMPLEMENT THIS PLAN. - RESULT: A COMMUNITY WHERE EVERYONE HAS ACCESS TO SUBSTANCE USE RECOVERY, HEALTH, AND WELLBEING - INDICATOR: EMERGENCY ROOM VISITS FROM NONFATAL OVERDOSE AMONG ST. LOUIS COUNTY RESIDENTS (SOURCE: MN HOSPITAL DISCHARGE DATA) - RESULT: A COMMUNITY WHERE EVERYONE CAN ACHIEVE A STATE OF WELLBEING IN WHICH THEY KNOW THEIR OWN ABILITIES, CAN COPE WITH NORMAL STRESS, CAN WORK EFFECTIVELY, AND ARE ABLE TO CONTRIBUTE TO THEIR COMMUNITY. - INDICATOR: ADULTS REPORTING 14 OR MORE POOR MENTAL HEALTH DAYS IN THE LAST 30 DAYS (SOURCE: BRIDGE TO HEALTH SURVEY) - RESULT: A COMMUNITY WHERE EVERYONE HAS ACCESS TO ENOUGH AFFORDABLE, NUTRITIOUS, CULTURALLY APPROPRIATE FOOD. - INDICATOR: ADULTS WITH FOOD ACCESS BARRIERS (SOURCE: BRIDGE TO HEALTH SURVEY)THE BRIDGING HEALTH DULUTH PUBLIC PRESENTATION "CONVERSATIONS FOR A HEALTHIER COMMUNITY" OF WHICH ASPIRUS ST. LUKE'S WAS A CO-SPONSOR AND CO-ORGANIZER WAS HELD IN OCTOBER 2023. THE ANNUAL EVENT FOCUSED ON COMMUNITY DIALOGUE WITH PANELISTS WHOSE WORK FOCUSES AROUND THE FOUR PRIORITY AREAS IDENTIFIED IN THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING MENTAL AND SOCIAL WELLBEING, FOOD SECURITY, HOUSING, AND SUBSTANCE USE. THE EVENT INCLUDED OPPORTUNITIES FOR ATTENDEES TO CONNECT WITH COMMUNITY PROFESSIONALS, EXPLORE ASSESSMENT RESULTS AND ACTION PLANS, 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.IN FY2024, JANUARY 1, 2024-JUNE 30, 2024: ASPIRUS ST. LUKE'S TOOK THE FOLLOWING STEPS TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS: GLOBAL ACTIONS: - TWO MEMBERS OF ASPIRUS ST. LUKE'S WERE PART OF BRIDGING HEALTH DULUTH UNTIL MAY 2024, WHEN THEIR MEMBERSHIP WAS DISCONTINUED TO ALLOW THE GROUP TO FOCUS ON EFFICIENCIES RELATED TO THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WORK FOR THE UPCOMING FY2026-2028 YEARS. THE CO-CHAIR OF ASPIRUS ST. LUKE'S CONTRIBUTED 15 HOURS TOWARD MEETING PREPARATIONS AND ACTION ITEMS FROM THE STEERING COMMITTEE. - ASPIRUS ST. LUKE'S REDIRECTED ITS ANNUAL MEMBERSHIP BRIDGING HEALTH DULUTH DUES OF $1,750 TO SUPPORT THE BRIDGE TO HEALTH SURVEY FOR FY2024. THIS SURVEY EVALUATES KEY HEALTH INDICATORS FOR ADULTS IN THE NORTHEASTERN MINNESOTA AND NORTHWESTERN WISCONSIN REGION, WHERE THE PRIMARY POPULATION OF ASPIRUS ST. LUKE'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EFFORTS ARE LOCATED. THE FUNDS WILL BE USED FOR THE UPCOMING SURVEY PERIOD. - ASPIRUS ST. LUKE'S HOSPITAL IMPLEMENTED A SOCIAL DRIVERS OF HEALTH (SDOH) SCREENING PROGRAM IN OCTOBER 2023 TO BETTER UNDERSTAND AND ADDRESS THE FACTORS IMPACTING PATIENTS' LIVES. EDUCATION WAS PROVIDED TO INPATIENT NURSING AND CASE MANAGEMENT STAFF ON THE IMPORTANCE OF SDOH, HOW THEY AFFECT PATIENTS, AND THE PROCESS FOR SCREENING AND REFERRALS. THE SCREENING TOOL COVERS AREAS SUCH AS DOMESTIC VIOLENCE, ABUSE, NEGLECT, HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION ACCESS, AND FINANCIAL INSECURITY, INCLUDING UTILITY SUPPORT. IF ANY ISSUE IS FLAGGED, A CASE MANAGEMENT CONSULT IS INITIATED FOR INTERVENTION. THE SCREENING RESULTS FOR THE FIRST TWO QUARTERS OF 2024 WERE AS FOLLOWS: Q1 (CY2024): 72.43% OF PATIENTS WERE SCREENED, WITH 8.3% SHOWING POSITIVE RESULTS: - INTERPERSONAL SAFETY: 0.22% - TRANSPORTATION NEEDS: 5.22% - FOOD INSECURITY: 3.53% - HOUSING INSTABILITY: 1.76% - UTILITY DIFFICULTIES: 2.94% Q2 (CY2024): 74.22% OF PATIENT WERE SCREENED WITH 6.32% SHOWING POSITIVE RESULTS: - INTERPERSONAL SAFETY: 0.13% - TRANSPORTATION NEEDS: 4.06% - FOOD INSECURITY: 2.86% - HOUSING INSTABILITY: 1.8% - UTILITY DIFFICULTIES: 3.59%SEE PART PART V, FACILITY INFORMATION, PAGE 8 FOR A CONTINUED DESCRIPTION. ST. LUKE'S HOSPITAL OF DULUTH PART V, SECTION B, LINE 13B: THIRD PARTY SEGMENTATION AND PROPENSITY TO PAY. 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: WWW.SLHDULUTH.COM/PATIENTS-VISITORS/FINANCIAL-SERVICES/ASPIRUS-ST-LUKES-FINANCIAL-ASSISTANCE-PROGRAM/. PART V, LINE 11 (CONTINUED): - TRANSPORTATION ACCESS REMAINS A SIGNIFICANT BARRIER TO HEALTH ACCESS WITHIN THE COMMUNITIES SERVED BY ASPIRUS ST. LUKE'S HOSPITAL. WITH ONGOING INTERVENTIONS, SDOH SCREENING SAW A REDUCTION IN TRANSPORTATION NEED FROM 5.22% TO 4.06% FROM CY2024 Q1 TO Q2 RESPECTIVELY. DURING THESE TWO QUARTERS, ASPIRUS FUNDED UNCOMPENSATED TRANSPORTATION AS FOLLOWS: - TAXI CAB VOUCHERS: $1,305.50 - NON-EMERGENT MEDICAL TRANSPORT: $51,850.15 - SECURE TRANSPORTATION: $55,414.00THESE TRANSPORTATION SERVICES WERE PRIMARILY PROVIDED TO MEDICAID RECIPIENTS SECONDARY TO THE LACK OF AVAILABLE MEDICAID COVERED TRANSPORTATION SERVICES NECESSARY FOR COMMUNITY MEMBERS TO ACCESS APPROPRIATE MEDICAL CARE. - THE DIRECTOR OF CASE MANAGEMENT CONTINUES TO WORK WITH THE REGIONAL RURAL TRANSPORTATION COALITION, HAVING DEVELOPED THE HEALTHCARE SUB-COMMITTEE IN LATE 2023, TO FOCUS ON CLOSING THE GAP IN NON-EMERGENT MEDICAL TRANSPORTATION IN THE REGION. THE ONGOING COLLABORATIVE WORK WITH ASPIRUS ST. LUKE'S, ESSENTIA HEALTH, MINNESOTA DEPARTMENT OF TRANSPORTATION (MNDOT), DEPARTMENT OF HEALTH AND HUMAN SERVICES AT THE STATE AND COUNTY LEVEL, AND THE TRANSPORTATION COALITION HAS LED TO DATA DISSEMINATION OUTLINING THE ORGANIZATIONAL SPEND TO DRIVE OBJECTIVE DATA TO THE MNDOT STRATEGIC PLANNER TO PURSUE LEGISLATIVE CHANGE FOR NEMT COVERAGE IN THE STATE OF MINNESOTA, WITH THE GOAL OF INCREASING ASSESS TO NEMT FOR THOSE FACING FINANCIAL INSECURITY. THE DIRECTOR OF CASE MANAGEMENT HAS SPENT 20 HOURS OF TIME FROM JANUARY 1, 2024-JUNE 30, 2024 FOCUSING ON TRANSPORTATION WORK, INCLUDING PREPARATIONS FOR MEETINGS WITH STATE REPRESENTATIVES. - THE EXECUTIVE TEAM FOR ASPIRUS ST. LUKE'S ATTENDED ST. LOUIS COUNTY DAYS AT THE MINNESOTA STATE CAPITOL IN FY2024 ADVOCATING FOR BILLS HF0435 NEMT RATE INCREASE WITH COMPANION BILL SF316 AND HF1706 SECURE TRANSPORT RATE INCREASE WITH COMPANION SF1826 TO ADVOCATE FOR INCREASED RATE PAYMENTS FOR THESE TRANSPORTATION SERVICES TO ALLOW A SHIFT BACK INTO TRANSPORTATION COMPANIES CONTRACTING WITH MEDICAID VERSUS OPERATING ONLY AS A PRIVATE PAY ORGANIZATIONS. THIS SHIFT WOULD ALLOW FOR A FURTHER REDUCTION IN THE SDOH SPECIFICALLY RELATED TO MEDICAID TRANSPORTATION SERVICES.MENTAL AND SOCIAL WELLBEING: - THE DIRECTOR OF CASE MANAGEMENT SPENT SIX HOURS IN FY2024 PARTICIPATING IN FACILITATED FOCUS GROUPS WITH COMMUNITY ENTITIES INCLUDING HOSPITALS, EMERGENCY MEDICAL SERVICES, LAW ENFORCEMENT, CORRECTIONS, CRISIS RESPONSE TEAM, ST. LOUIS COUNTY WORKERS MENTAL HEALTH WORKERS, AND LEADERSHIP TO REVIEW GAPS IN THE CONTINUUM OF CARE VIA THE ST. LOUIS COUNTY BEHAVIORAL STRATEGIC PLANNING FOCUS GROUP. THE AIM OF THE WORK WAS TO IDENTIFY GAPS, ESTABLISH JOINT UNDERSTANDING OF OUR INFRASTRUCTURE AND INSPIRE FUTURE STRATEGY WORK TO IMPACT THE BEHAVIORAL HEALTH SERVICES WITHIN THE COMMUNITY. - ASPIRUS ST. LUKE'S FACILITATES SEVERAL FREE SUPPORT GROUPS THAT HELP IN PROMOTING MENTAL HEALTH: - THE DIRECTOR OF CHAPLAINCY PROVIDES BEREAVEMENT SUPPORT TO INDIVIDUALS WHO HAVE EXPERIENCE THE DEATH OF A LOVED ONE. THIS GRIEF SUPPORT GROUP IS HELD THE FIRST TUESDAY OF EVERY MONTH FROM 2-3 PM AND THE THIRD THURSDAY OF THE MONTH FROM 6:30-7:30 PM FREE OF CHARGE. THE GROUP WELCOMES ALL MEMBERS OF THE COMMUNITY. - PATIENTS EXPERIENCING PERINATAL LOSS ARE PROVIDED WITH THE MENDING HEARTS CURRICULUM THAT WAS PURCHASED THROUGH THE ST. LUKE'S FOUNDATION. THE CURRICULUM CONSISTS OF HANDOUTS, WITH ASPIRUS ST. LUKE'S SPENDING 1-2 HOURS PER MONTH PREPARING FOR THESE GROUPS AND 1 HOUR MONTHLY FACILITATING THE GROUP. THERE ARE AN AVERAGE OF 3-10 PARTICIPANTS EACH MONTH WHO ARE PROVIDED WITH THE CURRICULUM. THIS PROGRAM IS AVAILABLE TO COMMUNITY MEMBERS WHO ALSO HAVE RECEIVED CARE OUTSIDE OF ASPIRUS ST. LUKE'S AND IS FREE OF CHARGE. FIVE MATERNAL CHILD HEALTH NURSES ROTATE CO-FACILITATING WITH ASPIRUS ST. LUKE'S COMPENSATING THEIR TIME IN CONJUNCTION WITH PARTICIPATION FROM COMMUNITY PARTNERS THREESIXTY THERAPY AND DULUTH PERINATAL. - THE ONCOLOGY CLINIC SOCIAL WORKERS SUPPORT TWO FREE SUPPORT GROUPS INCLUDING: THE GENERAL CANCER SUPPORT GROUP: WITH ASPIRUS ST. LUKE'S COMPENSATED TIME, THE SOCIAL WORKER FACILITATES A 90-MINUTE CANCER SUPPORT GROUP ON THE FIRST TUESDAY OF EVERY MONTH SERVING 8-12 PATIENTS PER MONTH WITH SOCIAL AND COPING SUPPORT FOR THEIR OWN OR THEIR LOVED ONE'S CANCER DIAGNOSIS. THIS SUPPORT GROUP IS AVAILABLE FREE OF CHARGE TO COMMUNITY MEMBERS. FREE SNACKS AND REFRESHMENTS ARE PROVIDED BY ASPIRUS ST. LUKE'S HOSPITAL. - THE BREAST CANCER SUPPORT GROUP: WITH ASPIRUS ST. LUKE'S COMPENSATED TIME, THE SOCIAL WORKER FACILITATES A 90-MINUTE BREAST CANCER SUPPORT GROUP ON THE FIRST MONDAY OF EVERY MONTH. THIS SUPPORT GROUP IS OFFERED FREE OF CHARGE TO PATIENTS AND THEIR LOVED ONES EXPERIENCING BREAST CANCER IS OPEN TO THE PUBLIC AND PROVIDES COPING AND SOCIAL SUPPORT. FREE SNACKS AND REFRESHMENTS ARE PROVIDED BY ASPIRUS ST. LUKE'S HOSPITAL. - ON NOVEMBER 2022, ASPIRUS ST. LUKE'S TOOK OVER THE CONTRACT FOR JAIL MEDICAL SERVICES AT ST. LOUIS COUNTY JAIL AND THE NORTH EAST REGIONAL CORRECTIONAL CENTER. ONE OF THE LARGEST INITIATIVES, TO NOT ONLY PROVIDER 24/7 ON-SITE MEDICAL SERVICES, BUT TO PROVIDE 40 HOURS OF MENTAL HEALTH SERVICES PER WEEK ON SITE. IN FY2024, ASPIRUS ST. LUKE'S HOSPITAL SUPPORTED THE COMMUNITY MEMBERS INCARCERATED AT THE JAIL WITH ONE FULL TIME AND ONE PART TIME MENTAL HEALTH PROFESSIONAL TO PROMOTE MENTAL HEALTH STABILITY AND TRANSITION PLANNING BACK INTO THE COMMUNITY. THIS PARTNERSHIP HAS ALLOWED FOR PATIENTS WHO PREVIOUSLY WOULD ACUTELY PSYCHIATRICALLY DECOMPENSATE TO RECEIVE ONGOING CARE IN THE JAIL, MAINTAINING EMOTIONAL AND MENTAL STABILITY, AND ALLOWING FOR COURT ORDERED JARVIS MEDICATIONS TO BE ADMINISTERED AT ASPIRUS ST. LUKE'S HOSPITAL EMERGENCY DEPARTMENT UNDER JARVIS ORDER PRIOR TO DECOMPENSATION. THIS PARTNERSHIP HAS REDUCED PREVENTABLE HOSPITAL ADMISSIONS FOR PSYCHIATRIC ILLNESS. - IDENTIFYING THE ONGOING GAPS IN ACCESS TO MENTAL HEALTH SERVICES, ASPIRUS ST. LUKE'S HAS CONTINUED TO GROW ITS MENTAL HEALTH SERVICES AVAILABLE TO THE COMMUNITY. IT IS CURRENTLY STAFFED WITH EIGHT ADULT THERAPISTS, TWO CHILD THERAPISTS, FOUR ADULT PSYCHOLOGISTS, ONE CHILD PSYCHOLOGIST, ONE CHILD PSYCHIATRICS, THREE ADULT PSYCHIATRISTS AND TWO ADULT PSYCHIATRIC CERTIFIED NURSE PRACTITIONERS. - THE DEVELOPMENT OF THIS PROGRAMMING HAS INCLUDED THE EXPANSION OF THE TRANSCRANIAL MAGNETIC STIMULATION SERVICE FOR THOSE WHO EXPERIENCE REFRACTORY MAJOR DEPRESSIVE DISORDER, OBSESSIVE-COMPULSIVE DISORDER, IN ADDITION TO OTHER DIAGNOSES WHEN STANDARD TREATMENTS HAVE NOT WORKED. - THE BEHAVIORAL HEALTH CLINIC HAS PARTICIPATED IN COMMUNITY DIVERSITY EQUITY AND INCLUSION EVENTS INCLUDING TRANS JOY FEST AND DULUTH/SUPERIOR PRIDE, IN ADDITION TO PRESENTING TO LOCAL COLLEGE STUDENTS ON DEI. - THE PSYCHIATRIC TEAM AT ASPIRUS ST. LUKE'S HAS SPENT CONSIDERABLE TIME AND INVESTMENT IN DEVELOPING AN ESKETAMINE PROGRAM SET TO ROLL OUT IN FY2025 TO PROVIDE FURTHER DEPRESSION TREATMENT OPTIONS IN THE COMMUNITY. - IN FY2024, THE ASPIRUS ST. LUKE'S PEDIATRIC CLINIC COORDINATED A BACKPACK AND SCHOOL SUPPLY DRIVE FOR THE PRE-START-OF-SCHOOL UNITY IN THE COMMUNITY EVENT SUPPORTING ISD 709 SCHOOLS FALLING INTO THE SCOPE OF THE CHNA POPULATION. ALTHOUGH THE EVENT DID NOT OCCUR UNTIL THE START OF FY2025 IN AUGUST 2024, IN PREPARATION FOR THE EVENT, FIVE STAFF MEMBERS PARTICIPATED FOR A TOTAL OF TEN HOURS TO ASSIST IN COLLECTING DONATIONS FROM ASPIRUS ST. LUKE'S EMPLOYEES TO BE DONATED AT THE UNITY IN THE COMMUNITY EVENT IN FY2025. - IN THE INTEREST OF SUPPORTING PATIENTS SERVED AT ASPIRUS ST. LUKE'S HOSPITAL WHO MAY NOT HAVE ADEQUATE CLOTHING DUE TO LIMITED FINANCIAL MEANS AND IMPACTED BY SOCIAL DRIVERS OF HEALTH, THE HOSPITAL SUPPORTED CLOTHING DISTRIBUTION FOR PATIENTS FREE OF CHARGE THAT WERE FUNDED IN PRIOR FISCAL YEARS. THE ASPIRUS ST. LUKE'S SECURITY DEPARTMENT, HOUSES AND MANAGES THE SUPPLY OF CLOTHING AND SHOES, AND ASSISTS ACUTE NURSING SERVICES AND CASE MANAGEMENT IN THE DISTRIBUTION TO PATIENTS IN NEED, FREE OF CHARGE. - ASPIRUS ST. LUKE'S ONCOLOGIC STAFF SCREEN PATIENTS UTILIZING A DISTRESS THERMOMETER AND SCREENING TOOL FOR MEASUREMENT OF PATIENT DISTRESS. BASED ON THESE SCREENINGS, RESOURCES ARE PROVIDED THROUGH GRANT FUNDED OPPORTUNITIES FOR GAS CARDS, LOCAL HOTEL LODGING SUPPORT, GROCERY GIFT CARS, CHEMOTHERAPY SUPPLY BAGS AND ENSURE NUTRITIONAL SUPPLEMENTS FOR PATIENTS THAT ARE FACING DISPARITIES IN MAINTAINING WELL-BEING AND ACCESSING CARE. - ASPIRUS ST. LUKE'S ONCOLOGIC STAFF MAINTAIN A WIG ROOM, INCLUDING A SUPPLY OF HATS AND SCARVES. THE ONCOLOGY CLINIC SOCIAL WORKER ASSISTS STAFF WHO ARE IN NEED WITH FINDING AN APPROPRIATE FIT TO IMPROVE THE PATIENT'S OVERALL WELLBEING AND COPING WITH THEIR DIAGNOSIS. APPROXIMATELY FIVE WIGS ARE PROVIDED PER WEEK WITH STAFF COMPENSATED FOR THEIR TIME IN ASSISTING PATIENTS. PART V, LINE 11 (CONTINUED): - THE ASPIRUS ST. LUKE'S REJUVENATION CLINIC AESTHETICIAN SUPPORTS THE BRAVE FACES PROGRAM. THE SKIN CARE SUPPLIES ARE FOUNDATION GRANT SUPPORTED, BUT THE CLASS TIME IS SUPPORTED THROUGH COMPENSATED WAGES. THIS CLASS PROVIDED FOUR CLASSES IN FY2024 ON A REFERRAL PROCESS VIA THE ONCOLOGY CLINIC SOCIAL WORKER, TO ASSIST PATIENTS UNDERGOING ONCOLOGY TREATMENT ON APPROPRIATE SKIN CARE.- ASPIRUS ST. LUKE'S STAFF MAINTAIN A RESOURCE LIST OF BOTH LOCAL CRISIS RESOURCES, INCLUDING THE NATIONAL 988 NUMBER, IN ADDITION TO RESOURCES FOR MENTAL HEALTH TREATMENT THAT ARE REVIEWED AND UPDATED ANNUALLY AND DISSEMINATED TO PATIENTS.- ON JUNE 11, 2024, ASPIRUS ST. LUKE'S HOSTED A FREE COMMUNITY EVENT COVERING THE TOPIC OF ROLE OF GENETICS IN CANCER DEVELOPMENT AND TREATMENT WITH CONTENT SPECIALISTS FROM ASPIRUS ST. LUKE'S INCLUDING AN ONCOLOGIST, A PHARMACIST, AND GENETIC COUNSELOR. THIS EVENT, WHILE SERVING LIGHT REFRESHMENTS AIDED IN COMMUNITY ENGAGEMENT IN UNDERSTANDING THE IMPACT OF GENETICS IN CANCER TREATMENT.- ASPIRUS ST. LUKE'S HOSPITAL PROVIDED FUNDING TO THE FOLLOWING ORGANIZATIONS TO AID IN ADDRESSING MENTAL AND SOCIAL WELL-BEING: - NORTHERN EXPRESSIONS ARTS COLLECTIVE PROGRAMMING, YMCA KIDS CLUB AND EVENTS, CHESTER BOWL IMPROVEMENT PROJECT, MOVIES IN THE PARK AND SIDEWALK DAYS THROUGH THE GREATER DOWNTOWN COUNCIL, YOUNG ATHLETES FOUNDATION, ZEITGEIST'S HEALTHY HILLSIDE INITIATIVE, FIRST WITNESS, SANE/PAVSA, ALZHEIMER'S WALK, RHUBARB FESTIVAL AND THE JUNETEENTH EVENT.- THE ASPIRUS ST. LUKE'S HOSPITAL EMERGENCY DEPARTMENT SOCIAL WORKER PARTICIPATES MONTHLY IN THE COMMUNITY INTERVENTION GROUP EQUATING TO 6 HOURS IN FY2024 IN COMMITTEE WITH AN ADDITIONAL 12 HOURS IN FY2024 UPDATING MEDICAL RECORDS WITH APPROPRIATE RELEASE OF INFORMATION DOCUMENTS AND SPECIAL INDICATORS. THE CIG WORK FOCUSES ON PROVIDING SOCIAL STRUCTURE AND SUPPORTS FOR PATIENTS WHO EXPERIENCE HIGH LAW ENFORCEMENT, CORRECTIONS, HOMELESSNESS, AND HOSPITAL RECIDIVISM TO REDUCE RISK, IMPROVE PATIENT OUTCOMES, AND DECREASE CRIMINALIZATION OF HOMELESSNESS, MENTAL HEALTH AND SUBSTANCE USE DISORDER.- THE ASPIRUS ST. LUKE'S CLINIC-SUPERIOR MAINTAINED A SUPPLY CLOSET IN FY2024, SERVING APPROXIMATELY 10 PATIENTS WITH PERSONAL HYGIENE ITEMS. THERE IS A LAMINATED MESSAGE WITHIN THE CLINIC WAITING ROOM NOTIFYING PATIENTS OF THE RESOURCE. IF SOMEONE NEEDS SUPPLIES, THEY ARE ASSISTED TO THE SUPPLY ROOM AND PROVIDED A DISCRETE BAG FOR SUPPLIES. THE CLINIC STAFF COORDINATE DONATIONS WITH LOCAL AGENCIES TO SUPPLY THE CLOSET.- THE EXECUTIVE TEAM FOR ASPIRUS ST. LUKE'S ATTENDED ST. LOUIS COUNTY DAYS AT THE MINNESOTA STATE CAPITOL IN FY2024 ADVOCATING FOR LEGISLATIVE CHANGE SURROUNDING THE PROPOSAL UNDER 256B.0911 LONG-TERM CARE CONSULTATION SERVICES SUBD. 20 MNCHOICES (A) AN ASSESSMENT THAT IS COMPLETED AS PART OF AN ELIGIBILITY DETERMINATION FOR MULTIPLE PROGRAMS FOR THE ALTERNATIVE CARE, ELDERLY WAIVER, DEVELOPMENTAL DISABILITIES, COMMUNITY ACCESS FOR DISABILITY INCLUSION, COMMUNITY ALTERNATIVE CARE, AND BRAIN INJURY WAIVER PROGRAMS UNDER CHAPTER 256S AND SECTIONS 256B.0913, 256B.092, AND 256B.49 IS VALID TO ESTABLISH SERVICE ELIGIBILITY FOR NO MORE THAN 60 CALENDAR DAYS AFTER THE DATE OF THE ASSESSMENT. IT WAS ADVOCATED FOR CHANGING THIS TO 365 DAYS IN ORDER TO BETTER FACILITATE AND GRANT ACCESS TO APPROPRIATE SERVICES, PLACEMENT, AND TRANSPORTATION FOR COMMUNITY MEMBERS IN NEED OF SERVICES.- THE DIRECTOR OF CASE MANAGEMENT CONTINUED TO PARTICIPATE IN THE CLARITY PROJECT IN FY2024, WHICH LED TO THE SUCCESSFUL OPENING OF THE URGENT CARE BEHAVIORAL HEALTH FACILITY, CREATING GREATER ACCESS TO MENTAL HEALTH SERVICES, HOUSING OF THE CRISIS RESPONSE TEAM, DENTAL SERVICES, AND SUBSTANCE ABUSE SUPPORT SERVICES. APPROXIMATELY SIX HOURS WAS SPENT WORKING WITH THE GROUP DURING THE FINALIZATION PHASE OF THIS PROJECT.FOOD SECURITY:- ASPIRUS ST. LUKE'S SUPPORTS THE LOCAL COMMUNITY BY PROVIDING FOOD TO THE LOCAL SECOND HARVEST NORTHLAND FOODBANK THROUGHOUT THE YEAR FROM THE BLUE WAVES CAF, THE CAFETERIA AT ASPIRUS ST. LUKE'S HOSPITAL. IN FY2024, ASPIRUS ST. LUKE'S PROVIDED 100 POUNDS OF FOOD EQUATING TO 80 MEALS TO BE PROVIDED TO THE LOCAL COMMUNITY. - ASPIRUS ST. LUKE'S CONTINUES TO BUILD A COMMUNITY APPROACH TO SCREENING FOR FOOD INSECURITY AND CONNECTING PEOPLE FACING FOOD INSECURITY WITH RESOURCES, INCLUDING GROWING UTILIZATION AND EFFECTIVENESS OF WWW.WEARERESOURCEFUL.COM IN THE ACUTE AND AMBULATORY SETTING WITH FOOD ACCESS SCREENING IN THE ACUTE CARE HOSPITAL, ONCOLOGY AND MATERNAL CHILD HEALTH CLINICS.- ASPIRUS ST. LUKE'S PEDIATRIC CLINIC SCREENS PATIENTS FOR SDOH DURING PATIENT VISITS TO IDENTIFY NEEDS, OFFER SERVICES, SUPPORTS AND RESOURCES TO ADDRESS THESE AREAS TO INCREASE PATIENT INDEPENDENCE AND FUNCTIONING AND TO REDUCE OVERALL RISKS FOR FAMILY UNITS. STAFF SPENT APPROXIMATELY FIVE HOURS IN FY2024 SHOPPING FOR ITEMS AND APPROXIMATELY SIX HOURS ORGANIZING AND MAINTAINING THE CLOSET. IN FY 2024, FOUR FAMILIES HAVE BEEN HELPED WITH 69 ITEMS FROM THE CLOSET.- IN MARCH 2024 A CARE CLOSET WAS DEVELOPED AT ASPIRUS ST. LUKE'S DULUTH OBSTETRICS AND GYNECOLOGY CLINIC. FROM MARCH 2024 TO THE END OF FY2024, 58 PATIENTS UTILIZED THE CARE CLOSET. CARE CLOSET ACCESS IS PROVIDED BY A POSITIVE SCREEN ON A PATIENT'S SOCIAL DRIVERS OF HEALTH SCREENING FORM. - THE ONCOLOGY CLINIC PROVIDES GRANT FUNDED GROCERY CARDS, IN ADDITION TO ENSURE FOR PATIENTS EXPERIENCING FOOD INSECURITY AND OR RISK FOR MALNUTRITION DURING ACTIVE CANCER TREATMENT.SUBSTANCE USE:- TWO ASPIRUS ST. LUKE'S STAFF MEMBERS ARE PARTICIPATING WITH WILDERNESS HEALTH IN COLLABORATION WITH OTHER COMMUNITY PARTNERS WITH A GOAL OF MEASURING, ASSESSING, AND REDUCING BY 20%, THE NEGATIVE OUTCOMES OF POST-PARTUM FAMILIES WITH SUBSTANCE USE DISORDER BY PROMOTING HARM REDUCTION AND EDUCATION AROUND SUBSTANCE USE DISORDER ISSUES TO STAFF AND AFFECTED COMMUNITIES IN NORTHEAST MINNESOTA BY JUNE 2028. IN FY 2024, FOUR HOURS WERE SPENT BY ASL STAFF PARTICIPATING IN THE BRAINSTORMING AND INITIAL GRANT WRITING PROCESS, IN WHICH A $435,595 GRANT WAS RECEIVED THROUGH WILDERNESS HEALTH FROM THE MINNESOTA DEPARTMENT OF HEALTH FOR THE "ENHANCING OUTCOMES FOR PREGNANT/POSTPARTUM FAMILIES IMPACTED BY SUD'S EOPI-SUD GRANT. AN ADDITIONAL TWO HOURS WERE SPENT BY ONE OF THE STAFF MEMBERS AT THE KICKOFF MEETING FOR THIS WORK GROUP. - ONGOING ACUTE CARE COORDINATION SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) TRAIN THE TRAINER AND INTERVENTION FOR ACUTELY HOSPITALIZED TRAUMA PATIENTS WHO FLAG POSITIVE FOR SUBSTANCE USE AND OR ALCOHOL USE ON INITIAL SCREENING. THE GOAL IS TO PROVIDE RISK REDUCTION FOR THOSE WHO ARE AT RISK FOR POOR HEALTH OUTCOMES RELATED TO THEIR SUBSTANCE USE, AND OR ENGAGE THE PATIENT IN REFERRAL TO TREATMENT FOR THOSE WHO HAVE A HIGH PROBABILITY OF A SUBSTANCE USE DISORDER AND OR ALCOHOL USE DISORDER. - ASPIRUS ST. LUKE'S STAFF MAINTAIN A RESOURCE LIST OF SUBSTANCE USE TREATMENT RESOURCES THAT ARE REVIEWED AND UPDATED ANNUALLY FOR PATIENT DISSEMINATION.- AN ASPIRUS ST. LUKE'S STAFF MEMBER WAS THE LEAD OF AN ACTION TEAM THAT FACILITATED PROGRAMMING FOR SUBSTANCE USE RECOVERY IN FY2024 PRIOR TO DISBANDING FROM THE BRIDGING HEALTH DULUTH INITIATIVE.- IN FY2024, APPROXIMATELY 60 NARCAN KITS WERE PROVIDED FREE OF CHARGE FROM THE ASPIRUS ST. LUKE'S EMERGENCY DEPARTMENT TO PATIENTS WHO WERE EXPERIENCING RISK FROM SUBSTANCE USE, OR PATIENTS WHO KNEW SOMEONE WHO WAS AT RISK FROM SUBSTANCE USE. THE CLINICAL STAFF IN THE EMERGENCY DEPARTMENT IDENTIFY THE NEED AND THE TREATING PHYSICIAN ORDERS THE KIT FOR ANYONE WHO MAY NEED IT TO REDUCE THE RISK OF OVERDOSE, POOR OUTCOMES, UP TO AND INCLUDING DEATH.- ON NOVEMBER 2022, ASPIRUS ST. LUKE'S TOOK OVER THE CONTRACT FOR JAIL MEDICAL SERVICES AT ST. LOUIS COUNTY JAIL AND THE NORTH EAST REGIONAL CORRECTIONAL CENTER. IN FY2024, ASPIRUS ST. LUKE'S HOSPITAL SUPPORTED THE COMMUNITY MEMBERS INCARCERATED AT ST. LOUIS COUNTY JAIL WITH MEDICATION ASSISTED TREATMENT WITH SUBOXONE, A SHORT ACTING COMBINATION OF BUPRENORPHINE AND NALOXONE USED TO TREAT OPIOID USE DISORDER, TO DECREASE THE RISK OF WITHDRAWAL AS WELL AS OVERDOSE. IT WAS IDENTIFIED THAT WITH TRANSITIONS OUT OF THE JAIL, BARRIERS WITH PRIOR AUTHORIZATION, AND FOLLOW UP, THAT A MOVE TO PROVIDING SUBLOCADE, A 30 DAY LONG-ACTING FORM OF BUPRENORPHINE USED TO TREAT MODERATE TO SEVERE OPIOID USE DISORDER, WOULD BE BENEFICIAL. TREATMENT PLANNING FOR THIS PROGRAMMATIC DEVELOPMENT BEGAN IN 2023 TO REDUCE THE RISK FOR OVERDOSE AND DEATH AS INMATES TRANSITION OUT OF THE JAIL AND INTO THE COMMUNITY MOVING INTO COMPLETION IN CY2024. PART V, LINE 11 (CONTINUED): - THE DIRECTOR OF CASE MANAGEMENT CONTINUED TO PARTICIPATE IN THE CLARITY PROJECT IN FY2024, WHICH LED TO THE SUCCESSFUL OPENING OF THE URGENT CARE BEHAVIORAL HEALTH FACILITY. APPROXIMATELY SIX HOURS WAS SPENT WORKING WITH THE GROUP DURING THE FINALIZATION PHASE OF THIS PROJECT. ALTHOUGH THE FACILITY IS FOCUSED PRIMARILY ON CRISIS RESPONSE AND BEHAVIORAL HEALTH SERVICES, THEY ALSO PROVIDE DIRECT ACCESS TO DETOX SERVICES, COMPREHENSIVE ASSESSMENTS TO ACCESS TREATMENT SERVICES FOR SUBSTANCE USE DISORDERS AS WELL AS MEDICATION ASSISTED THERAPY (MAT) FOR SUBSTANCE USE DISORDER. HOUSING:A NOTE ON HOUSING: BRIDGING HEALTH DULUTH RECOGNIZED THAT STABLE HOUSING IS FOUNDATIONAL TO THE HEALTH AND WELL-BEING OF THE ENTIRE COMMUNITY. HOUSING STABILITY IS IMPACTED BY MANY FACTORS, INCLUDING INCOME, STRUCTURAL RACISM, INCARCERATION, PUBLIC POLICY, AND PARTICULARLY MENTAL HEALTH AND SUBSTANCE USE DISORDERS. HOUSING IS A HAVEN FOR CHILDREN TO GROW AND LEARN, PEOPLE TO RECOVER FROM ILLNESS, REST, AND SAFETY, AND IS A PLACE TO BELONG. HOUSING IS A BASIC HUMAN DIGNITY, REQUIRED TO SUPPORT OPTIMAL HEALTH AND WELL-BEING. BRIDGING HEALTH DULUTH HAS IDENTIFIED A LACK OF AFFORDABLE HOUSING AND HOUSING STABILITY IN DULUTH AS PRIMARY THREATS TO HEALTH AND HEALTH EQUITY AND IS COMMITTED TO ENGAGING WITH HOUSING STAKEHOLDERS IN DULUTH TO PROMOTE HOUSING STABILITY. BRIDGING HEALTH DULUTH DID NOT DEVELOP ITS OWN IMPLEMENTATION PLAN TO ADDRESS HOUSING, BUT THE STEERING COMMITTEE ORGANIZATIONS WILL CONTINUE TO PARTICIPATE IN, COLLABORATE WITH, AND SUPPORT STRATEGIES LED BY THE MANY COMMITTED PARTNERS AND COLLABORATIVES ALREADY WORKING ON THIS ISSUE IN DULUTH.- ASPIRUS ST. LUKE'S DONATED $1,000 TO THE CHUM RHUBARB FESTIVAL IN FY2024 THAT TOOK PLACE ON JUNE 29TH, 2024. THE FESTIVAL IS A COMMUNITY-DRIVEN EVENT, AND ALL PROCEEDS FROM THE FESTIVAL SUPPORT CHUM'S WORK TO HELP THOSE IN NEED IN DULUTH WHO ARE HOMELESS AND OR FACING POVERTY.- ADDITIONALLY, THE EMPLOYEE CONNECTIONS COMMITTEE, AS A SUBCOMMITTEE OF THE EMPLOYEE ADVISORY COMMITTEE FACILITATED A DONATION DRIVE THAT COMPLETED IN EARLY FY2024. AN ESTIMATED 53 HOURS OF TIME WAS SPENT BY STAFF WORKING ON THIS PROJECT TO COLLECT, ITEMIZE, AND COORDINATE DELIVERIES OF DONATIONS TO CHUM. THE DRIVE FACILITATED THE DONATION OF 19 BOXES OF HYGIENE PRODUCTS, SEVEN BOXES OF HOUSEHOLD ITEMS, THREE BOXES OF WOMEN'S PERSONAL HYGIENE PRODUCTS, ONE BOX OF HAND WARMERS, TEN BOXES OF BABY ITEMS, ONE BOX OF BLANKETS, AND 18 BOXES OF CLOTHING. IN TOTAL, ON JANUARY 12, 2024, THE ORGANIZATION DONATED 59 BOXES OF NEEDED ITEMS TO HELP THE HOMELESS IN THE COMMUNITY.- THE CORE ASPIRUS ST. LUKE'S EMERGENCY DEPARTMENT SOCIAL WORKER PARTICIPATES IN A MONTHLY MEETING TO FACILITATE COMMUNITY SUPPORTS WITH THE HEALTH AND HOMELESSNESS COMMITTEE. THIS EQUATES TO SIX HOURS OF PARTICIPATION IN FY2024 IN THIS COMMITTEE, WHICH FOCUSES ON THE SUPPORT OF THE MEDICAL RESPITE HOUSE, NAMED BOB TAVANI HOUSE. THIS HOME, PROVIDES TRANSITIONAL SUPPORT TO PATIENTS WHO ARE EXPERIENCING MEDICAL FRAGILITY FOLLOWING ACUTE HOSPITALIZATION WHO WOULD BE AT GREATEST RISK FOR DECOMPENSATION SHOULD THEY RETURN TO A HOMELESS SHELTER. THE HOSPITAL CASE MANAGEMENT TEAM WORKS CLOSELY WITH THIS GROUP TO IDENTIFY HIGH RISK PATIENTS APPROPRIATE FOR UTILIZATION OF THESE FREE SERVICES.- ASPIRUS ST. LUKE'S CONTINUES TO SUPPORT HOUSING FOR THOSE WHO ARE EXPERIENCING LONG TERM HOMELESSNESS AND ARE OF ADVANCED AGE. ASPIRUS ST. LUKE'S OWNS AND MAINTAINS THE PROPERTY, THE ST. FRANCIS APARTMENTS IN COLLABORATION WITH CHUM WHO PROVIDES SERVICES TO THE TENANTS. THE PROGRAM PROVIDES 32 UNITS TO PEOPLE EXPERIENCING CHRONIC HOMELESSNESS WHO QUALIFY FOR THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT'S PROJECT-BASED PERMANENT SUPPORTIVE HOUSING SUBSIDY VOUCHER. THE REMAINING 11 UNITS ARE OFFERED TO THOSE EXPERIENCING LONG-TERM HOMELESSNESS WHO QUALIFY FOR HOUSING WITH SUPPORT SUBSIDIES AS PER ST. LOUIS COUNTY. 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 ENDOCRINOLOGY ASSOCIATES 1011 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 6 - ST LUKE'S RHEUMATOLOGY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 7 - ST LUKE'S ONCOLOGY & HEMATOLOGY ASSOCIATE 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 8 - ST LUKE'S RADIATION ONCOLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 9 - ST LUKE'S DERMATOLOGY ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 10 - PS RUDIE MEDICAL CLINIC 26 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 11 - ST LUKE'S CARDIOTHORACIC SURGERY ASSOCIAT 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 12 - ST LUKE'S GASTROENTEROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 13 - ST LUKE'S INFECTIOUS DISEASE ASSOCIATES 915 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 14 - ST LUKE'S INTERNAL MEDICINE ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 15 - ST LUKE'S ORTHOPEDICS & SPORTS MEDICINE 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 16 - ST LUKE'S SURGICAL ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 17 - ST LUKE'S MENTAL HEALTH 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 18 - ST LUKE'S PULMONARY MEDICINE ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 19 - ST LUKE'S UROLOGY ASSOCIATES 1001 E SUPERIOR STREET DULUTH MN 55805 OUTPATIENT MEDICAL 20 - ST LUKE'S PEDIATRIC ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 21 - LESTER RIVER MEDICAL CLINIC 6351 E SUPERIOR STREET DULUTH MN 55804 OUTPATIENT MEDICAL 22 - MARINER MEDICAL CLINIC 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL 23 - ST LUKE'S OUTPATIENT SURGERY CENTER 109 N 28TH STREET E SUPERIOR WI 54880 OUTPATIENT MEDICAL & AMBULATORY SURGERY 24 - ST LUKE'S HOME CARE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 25 - ST LUKE'S OBSTETRICS AND GYNECOLOGY 1001 E SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 26 - ST LUKE'S HOSPICE 220 N 6TH AVE E DULUTH MN 55805 OUTPATIENT MEDICAL 27 - ST LUKE'S NEUROLOGY ASSOCIATES 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 28 - MILLER CREEK MEDICAL CLINIC URGENT CARE 4190 LOBERG AVE HERMANTOWN MN 55811 OUTPATIENT MEDICAL 29 - ST LUKE'S INTERVENTIONAL PAIN MANAGEMENT 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 30 - ST LUKE'S RAYUS RADIOLOGY 910 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 31 - MOUNT ROYAL MEDICAL CLINIC 1400 WOODLAND AVE DULUTH MN 55803 OUTPATIENT MEDICAL 32 - ST LUKE'S ENT ASSOCIATES 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 33 - ST LUKE'S NEPHROLOGY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 34 - ST LUKE'S VASCULAR SURGERY ASSOCIATES 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 35 - ST LUKE'S ADVANCED WOUND CARE & HYPERBARI 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 36 - SURGICAL & PROCEDURAL CARE 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL & AMBULATORY SURGERY 37 - ST LUKE'S PAVILION SURGERY CENTER 920 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 38 - ST LUKE'S EYE CARE - MEDICAL ARTS BUILDIN 324 W SUPERIOR STREET DULUTH MN 55802 OUTPATIENT MEDICAL 39 - ST LUKE'S CLINIC DIAGNOSTICS 1012 E 2ND STREET DULUTH MN 55805 OUTPATIENT MEDICAL 40 - ST LUKE'S VASCULAR ULTRASOUND 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 41 - MOOSE LAKE IMAGING 4791 COUNTY ROAD 10 SUITE 101 MOOSE LAKE MN 55767 OUTPATIENT MEDICAL 42 - ST LUKE'S ICU INTENSIVISTS 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL 43 - ST LUKE'S GENETIC COUNSELING 1000 E 1ST STREET DULUTH MN 55805 OUTPATIENT MEDICAL PART I, LINE 3C: A FINANCIAL ASSISTANCE DETERMINATION WILL BE MADE AS SOON AS POSSIBLE AFTER A COMPLETE "COMMON FINANCIAL CARE APPLICATION FORM" HAS BEEN SUBMITTED. THE APPLICATION WILL BE UTILIZED TO EVALUATE A PATIENT'S FINANCIAL RESOURCES AND OBLIGATIONS AND REQUIRES THAT THE PATIENT PROVIDE COPIES OF DOCUMENTS SUPPORTING THE FOLLOWING INFORMATION: EARNED INCOME INCLUDING MONTHLY GROSS WAGES, SALARY, AND SELF-EMPLOYMENT INCOME; UNEARNED INCOME INCLUDING DIVIDENDS, INTEREST AND INCOME FROM ANY OTHER SOURCE SUCH AS UNEMPLOYMENT OR WORKERS COMPENSATION; NUMBER OF DEPENDENTS IN THE HOUSEHOLD; INFORMATION TO DETERMINE THE PATIENT'S FINANCIAL STATUS, INCLUDING ASSETS AND LIABILITIES.A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE VALUE OF THEIR INCOME AND ASSETS COMPUTED ON THE "INCOME/ASSET VALUE CALCULATION WORKSHEET" AS COMPARED TO A MULTIPLE OF THE CURRENT "FEDERAL POVERTY GUIDELINE". THE ASSISTANCE PROGRAM QUALIFICATIONS ARE BASED ON A SLIDING SCALE: A 100% DISCOUNT IF HOUSEHOLD INCOME IS LESS THAN 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), A 90% DISCOUNT IF HOUSEHOLD INCOME IS BETWEEN 101% AND 150% OF FPG, A 75% DISCOUNT IF HOUSEHOLD INCOME IS BETWEEN 151% AND 200% OF FPG, A GREATER OF AMOUNTS GENERALLY BILLED OR 50%DISCOUNT IF HOUSEHOLD INCOME IS BETWEEN 201% AND 300% OF FPG. THE VALUE OF ASSETS IS AT OR BELOW $25,000 FOR A SINGLE PERSON AND $50,000 FOR A HOUSEHOLD OF TWO OR MORE. PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990, SCHEDULE H IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR FORM 990. PART I, LINE 7G: ST. LUKE'S INCLUDED SUBSIDIZED HEALTH SERVICES FROM MENTAL HEALTH SERVICES, WOMEN AND CHILDREN SERVICES, AND HOMECARE/HOSPICE SERVICES. THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,185,980. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24E, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN IS $4,185,980. 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: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES. THE COSTING METHODOLOGY USED WAS THE PATIENT CARE COST TO CHARGE RATIO WHICH WAS DERIVED FROM THE CALCULATION ON IRS WORKSHEET 2. PART III, LINE 3: THE ORGANIZATION HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLES ARE WRITTEN OFF AFTER ALL COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH ASPIRUS' POLICIES.BAD DEBT POLICY AND PROCEDURE:POLICY: I. ASPIRUS' FINANCIAL POLICY REQUIRES SETTLEMENT OF A PATIENT SELF-PAY BILL OR ACCOUNT WILL BE REFERRED FOR OUTSIDE COLLECTION. II. FAILURE TO MEET THESE REQUIREMENTS IN ASPIRUS POLICY WILL RESULT IN THE ACCOUNT BEING CONSIDERED FOR BAD DEBT ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE ACCOUNT WILL BE REMOVED FROM ACCOUNTS RECEIVABLE AND TURNED OVER TO AN OUTSIDE AGENCY OR LAW FIRM FOR COLLECTION. PRIOR TO THIS HAPPENING, THE FOLLOWING CRITERIA MUST BE MET: A. PATIENT FINANCIAL SERVICES STAFF WILL MAKE REASONABLE COLLECTION EFFORTS BY WAY OF: 1. MONTHLY STATEMENTS 2. COLLECTION LETTERS INCLUDING PLAIN LANGUAGE SUMMARY (PLS) 3. COLLECTION PHONE CALLS 4. VERIFICATION THAT CHARITY CARE WAS OFFERED WITHIN THE PAST 12-MONTHS AS RECORDED IN THE ELECTRONIC HEALTH RECORD (EMR) WITH STAFF HAVING THE DISCRETION TO OFFER AGAIN WITHIN THE 12-MONTHS. III. ALL COLLECTION ACTIVITY AND PATIENT CONTACTS WILL BE DOCUMENTED ON THE INDIVIDUAL ACCOUNTS. IV. ALL COLLECTION ACCOUNTS ARE TO BE TREATED THE SAME REGARDLESS OF PAYOR TYPE: SELF-PAY, GENERAL INSURANCE, MEDICARE, OR MEDICAL ASSISTANCE. V. PATIENT FINANCIAL SERVICES STAFF WILL USE SOUND BUSINESS JUDGMENT WHEN WORKING WITH THE ACCOUNT. AT THE DISCRETION OF THE FINANCIAL COUNSELOR, CREDIT REPORTS WILL BE REQUESTED FROM THE CREDIT BUREAU AND PROPERTY VERIFICATION OBTAINED THROUGH THE COUNTY TREASURER'S OFFICE. PROCEDURE: VI. THE FINAL STEP IS TO SUBMIT THE ACCOUNT TO A COLLECTION AGENCY OR LAW FIRM. EACH ACCOUNT IS REVIEWED TO DETERMINE IF THE ACCOUNT HAS MET THE BAD DEBT CRITERIA. ONCE IT HAS BEEN DETERMINED THAT ALL REQUIREMENTS HAVE BEEN MET, THE ACCOUNT IS TRANSFERRED FROM ACCOUNTS RECEIVABLE TO BAD DEBT BY THE FINANCIAL COUNSELOR. SPECIFIC PROCEDURES PERTAINING TO THE DETAILED PROCEDURAL STEPS FOR TRANSFERRING TO THE AGENCY CAN BE FOUND IN THE INTERNAL POLICY. A. ADDITIONAL INFORMATION REGARDING MEDICARE BAD DEBTS: 1. THE DEBT MUST BE RELATED TO COVERED SERVICES AND DERIVED FROM DEDUCTIBLE AND COINSURANCE AMOUNTS. 2. THE HOSPITAL MUST PROVIDE REASONABLE COLLECTION EFFORTS. 3. THE DEBT IS NOT COLLECTABLE (AT LEAST 120 DAYS OUTSTANDING FROM THE DATE OF THE LAST PATIENT PAYMENT.) 4. SOUND BUSINESS JUDGMENT ESTABLISHES THAT THERE WAS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. B. BAD DEBT RECOVERIES 1. PAYMENTS ON MONTHLY REMITTANCE ADVICES FROM OUTSIDE COLLECTION AGENCIES WILL BE POSTED TO EACH INDIVIDUAL ACCOUNT. 2. PAYMENTS MADE DIRECTLY TO ASPIRUS BUT INTENDED FOR COLLECTION ACCOUNTS WILL BE POSTED TO THE APPROPRIATE ACCOUNT AND REPORTED DAILY/WEEKLY TO COLLECTION AGENCIES FOR RECONCILIATION OF THEIR RECORDS. 3. INVOICES FOR COMMISSIONS DUE TO COLLECTION AGENCIES WILL BE PROCESSED MONTHLY. INVOICE AND REMITTANCE ADVICE WILL BE REVIEWED BY THE FINANCIAL COUNSELOR TEAM LEAD AND APPROVED BY THE MANAGER/DIRECTOR, THEN SUBMITTED TO FISCAL SERVICES FOR CHECK PROCESSING AND PAYMENT TO AGENCIES FOR COMMISSIONS DUE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES, AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON FEE SCHEDULES AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND THEREFORE THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED JUNE 30, 2024 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUES (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CMS. PART III, LINE 9B: PATIENT FINANCIAL SERVICES (PFS) PROACTIVELY IDENTIFIES UNINSURED PATIENTS AND UNDER-INSURED PATIENTS AND SCREENS THEM FOR FINANCIAL ASSISTANCE AND COUNSELING WITHOUT REGARD TO RACE, ETHNICITY, GENDER, RELIGION, OR NATIONAL ORIGIN. THESE SERVICES ARE PROVIDED AT NO CHARGE. PFS COUNSELORS WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO HELP THEM UNDERSTAND THE SYSTEM'S FINANCIAL ASSISTANCE/DISCOUNTING POLICIES AND HOW THEY CAN QUALIFY FOR ASSISTANCE AND/OR DISCOUNTS INCLUDING A REFERRAL TO PUBLIC AND PRIVATE PROGRAMS TO DETERMINE ELIGIBILITY. 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 AND CLINICS OFFER A COMPREHENSIVE CONTINUUM OF CARE THAT INCLUDES MEDICAL, SURGICAL, DIAGNOSTIC, THERAPEUTIC, URGENT CARE AND REHAB SERVICES. MORE THAN 2,500 HEALTHCARE PROFESSIONALS MAKE UP ST. LUKE'S STAFF, INCLUDING A MEDICAL STAFF OF 1,000+, WITH 350+ PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ST. LUKE'S 13 PRIMARY CARECLINICS ARE LOCATED IN DULUTH AND ACROSS MINNESOTA IN HIBBING, MOUNTAIN IRON, AND HERMANTOWN, MN; AS WELL AS IN ASHLAND AND SUPERIOR, WI. AN ADDITIONAL 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 6: ASPIRUS HEALTH IS A NONPROFIT, COMMUNITY-DIRECTED HEALTH SYSTEM BASED IN WAUSAU, WISCONSIN, SERVING NORTHEASTERN MINNESOTA, NORTHERN AND CENTRAL WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. THE HEALTH SYSTEM OPERATES 18 HOSPITALS AND 130 OUTPATIENT LOCATIONS WITH NEARLY 14,000 TEAM MEMBERS, INCLUDING 1,300 EMPLOYED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. ASPIRUS SERVES COMMUNITIES THROUGH HOME HEALTH AND HOSPICE CARE, PHARMACIES, CRITICAL CARE AND AIR-MEDICAL TRANSPORT, MEDICAL GOODS, AND ADULT LIVING AND CARE FACILITIES. THE COMBINED EFFORTS PROVIDE RURAL COMMUNITIES WITH THE ACCESS TO CARE THAT THEY MAY NOT OTHERWISE BE ABLE TO HAVE. FOR MORE INFORMATION, VISIT ASPIRUS.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT 32 E 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501(C)(3) 80000 0 SANE ADULT/ADOLESCENT PROGRAM DULUTH FOOTBALL CLUB 5219 KINGSTON ST DULUTH MN 55804 470358877 N/A 30000 0 SPONSORSHIP HERMANTOWN AREA FUTBOL CLUB 23 W CENTRAL ENTRANCE SUITE 318 DULUTH MN 55811 411517567 501(C)(3) 25000 0 SPONSORSHIP DULUTH HUSKIES BASEBALL CLUB PO BOX 16231 DULUTH MN 55815 442353480 N/A 25000 0 SPONSORSHIP DULUTH AREA FAMILY YMCA 302 W 1ST STREET DULUTH MN 55802 410693931 501(C)(3) 20000 0 KIDS CLUB AND VARIOUS EVENTS AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 0 SPONSORSHIP 4 2 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. A DULUTH ECONOMIC DEVELOPMENT AUTHORITY 416005105 2018-12-31 39500000 FUND OPERATING SYSTEM UPGRADE 0 0 0 B DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CJN3 2021-09-09 14236667 REFINANCE SERIES 2003 AND 2012 BONDS 0 0 0 C DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CKL5 2022-05-12 79996284 PHASE II BUILDING EXPANSION AND HOSPITAL REMODEL 0 0 1 D DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CKF8 2022-03-17 58093185 REFINANCE SERIES 2012 BONDS 0 1 0 A 3588202 39500000 39245626 2018 0 0 0 1 B 14236667 284028 13952639 2021 1 1 1 1 C 79996284 40035838 8982158 851750 10457384 548092 2022 0 0 1 1 D 3110000 58093185 6986379 665800 354101 2022 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 0 B 1 C 1 D 1 BRIAN CAPPS SPOUSE OF BOARD MEMBER 88287 EMPLOYEE COMPENSATION 0 CASSANDRA BEARDSLEY SPOUSE OF BOARD MEMBER 95948 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 ST. LUKE'S HOSPITAL OF DULUTH 41-0714079 PUBLICATIONS AND OTHER COMMUNICATIONS DESCRIBING THE HOSPITAL'S SERVICES, PROGRAMS, AND NEEDS. FORM 990, PART VI, SECTION A, LINE 4 AS OF MARCH 1, 2024 THE PARENT ORGANIZATION OF ST. LUKE'S HOSPITAL OF DULUTH IS NOW ASPIRUS, INC. FORM 990, PART VI, SECTION A, LINE 6 PRIOR TO ASPIRUS, INC. BECOMING THE SOLE CORPORATE MEMBER ON MARCH 1, 2024: 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. ON MARCH 1, 2024, THE PARENT ORGANIZATION, ASPIRUS, INC. BECAME THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THERE SHALL BE A MINIMUM OF TEN VOTING DIRECTORS ALLOCATED AS FOLLOWS. THERE SHALL BE TWO CLASSES OF VOTING DIRECTORS: THE COMMUNITY CLASS AND THE MEMBER CLASS. NO LESS THAN EIGHT INDEPENDENT COMMUNITY CLASS DIRECTORS AND TWO MEMBER CLASS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B PRIOR TO ASPIRUS, INC. BECOMING THE SOLE CORPORATE MEMBER ON MARCH 1, 2024: 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 SECTARIAN 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 ST. LUKE'S HOSPITAL OF DULUTH 41-0714079 HOSPITAL OPERATIONS. THE FOREGOING ACTIONS SHALL BE APPROVED AND ADOPTED ONLY AFTER AUTHORIZATION BY THE BOARD OF DIRECTORS AND APPROVAL BY THE MEMBERS. SUBSEQUENT TO ASPIRUS, INC. BECOMING THE SOLE CORPORATE MEMBER AFTER MARCH 1, 2024: THE FOLLOWING ACTIONS MUST BE APPROVED BY THE SOLE MEMBER OF THE ORGANIZATION, ASPIRUS, INC.: 1) CHANGE OR AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; 2) CHANGE THE MISSION, PURPOSE, OR SCOPE OF THE CORPORATION; 3) RATIFICATION OR REMOVAL OF DIRECTORS OR OFFICERS; 4) CHANGE THE FORMULA OR METHODOLOGY FOR DETERMINING PHYSICIAN COMPENSATION; 5) APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS, STRATEGIC AND LONG-RANGE PLANS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING DEPARTMENT ACCUMULATES ALL 990 INFORMATION, INCLUDING THE UBI CALCULATIONS. THESE DOCUMENTS ARE REVIEWED BY THE CFO. THE 990 IS REVIEWED BY OTHER SENIOR MANAGEMENT PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH DIRECTOR'S DESK OR OTHER MEANS OF ELECTRONIC RETRIEVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN ANNUAL CONFLICT OF INTEREST STATEMENTS AND ALL MANAGERS ARE REQUIRED TO SIGN BIANNUAL CONFLICT OF INTEREST STATEMENTS. THE ORGANIZATION'S CEO AND BOARD CHAIR REVIEW THE STATEMENTS AND HIGHLIGHT POTENTIAL CONFLICTS. THE BOARD DETERMINES ON A CASE BY CASE BASIS ANY ACTIONS REQUIRED. INDIVIDUALS ARE NOT PERMITTED TO VOTE ON ANY TRANSACTION WHERE A CONFLICT HAS BEEN DETERMINED TO EXIST. ALL CONFLICTS AND PROCEEDINGS ARE NOTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 FOR THE PURPOSES OF DETERMINING COMPENSATION, ASPIRUS ST. LUKE'S HOSPITAL RELIED ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, NOR ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS 12,001,055. OTHER CHANGES IN NET ASSETS 123,364,946. CHANGE IN MINIMUM PENSION LIABILITY -38,631,600. FORM 990, CHANGE IN ACCOUNTING PERIOD: THE FILING ORGANIZATION PREVIOUSLY FILED FOR THE CALENDAR YEAR ENDING 12/31. AFTER BEING ACQUIRED BY ASPIRUS, INC., ITS NEW PARENT ORGANIZATION, THE FILING ORGANIZATION HAS CHANGED ITS YEAR END TO 06/30. THE CURRENT FORM 990 IS FOR THE 6-MONTH PERIOD FROM 01/01/2024 - 06/30/2024. GOING FORWARD, THE ORGANIZATION WILL FILE FOR THE YEAR FROM 07/01 - 06/30. FORM 990, PART XII, LINE 2: THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT FOR THE FULL CALENDAR YEAR 2023. THEY WERE ACUIRED MARCH 1 OF 2024 AND INCLUDED IN THE CONSOLIDATED AUDIT OF THEIR PARENT FOR FISCAL YEAR 07/01/2023-06/30/2024. TECHNICALLY THE ACTIVITY FROM JANUARY AND FEBRUARY WERE NOT INCLUDED IN THE 06/30/2024 AUDITED FINANCIAL STATEMENTS, HOWEVER PROCEDURES WERE PERFORMED TO ACCOUNT FOR THOSE TWO MONTHS. THE ORGANIZATION IS FILING THE FORM 990 FOR THE SHORT YEAR FROM 01/01/2024-06/30/2024. FORM 990, PART XII, LINE 2C: THE FILING ORGANIZATION RELIED ON THEIR NEW PARENT ORGANIZATION, ASPIRUS INC., IN THE SELECTION OF THE INDEPENDENT AUDITORS. THEY WERE INCLUDED IN THE CONSOLIDATED AUDIT OF ASPIRUS, INC. 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