ESSENTIA HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ESSENTIA HEALTH FOUNDATION (EIN 27-1984704)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-04-30
IRS object ID
201821209349301752
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-04-30T15:22:41-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271984704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Essentia Health FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlESSEBusinessNameControlTxt
Phone2187868966PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 E 2nd StAddressLine1Txt
CityDuluthCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames GarveyPersonNm
Person TitleInterim Executive DirectorPersonTitleTxt
Phone2187868966PhoneNum
Signature2018-04-30SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.70.11.254IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-04-30IPDt
IP Tm15:22:38IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id3F84BBAD590131ED98FD04F355634223604A4ACAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEREK GROVESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 E 2nd StAddressLine1Txt
CityDuluthCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,172,702GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.essentiahealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionWe are called to make a healthy difference in people's lives.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers372TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,385,418PYContributionsGrantsAmt
CY Contributions Grants$2,663,131CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$485,547PYInvestmentIncomeAmt
CY Investment Income$1,093,708CYInvestmentIncomeAmt
PY Other Revenue-$79,341PYOtherRevenueAmt
CY Other Revenue-$102,132CYOtherRevenueAmt
PY Total Revenue$3,820,530PYTotalRevenueAmt
CY Total Revenue$3,654,707CYTotalRevenueAmt
PY Grants And Similar Paid$3,309,239PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,668,115CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,065,864PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$633,476CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$74,614PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$363,056CYTotalFundraisingExpenseAmt
PY Other Expenses$610,685PYOtherExpensesAmt
CY Other Expenses$469,726CYOtherExpensesAmt
PY Total Expenses$5,060,402PYTotalExpensesAmt
CY Total Expenses$3,771,317CYTotalExpensesAmt
PY Revenues Less Expenses-$1,239,872PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$116,610CYRevenuesLessExpensesAmt
Total Assets BOY$26,883,119TotalAssetsBOYAmt
Total Assets EOY$29,365,379TotalAssetsEOYAmt
Total Liabilities BOY$929,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,813,731TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,953,519NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,551,648NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWe are called to make a healthy difference in people's lives.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,704,709ExpenseAmt
Grant$2,668,115GrantAmt
DescEssentia Health Foundation is organized and shall be operated exclusively for charitable, educational, scientific, and religious purposes exclusively for the benefit of, to perform the functions of, or to carry out the purposes of certain Essentia Health Supported Organizations, and of the tax-exempt entities identified as supported organizations in their respective articles of incorporation.Essentia Health Foundation facilitates charitable fundraising for and on behalf of certain Essentia Health Supported Organizations. Fundraising is conducted by direct mail, special events, grants from foundations and donations from individuals. Companies, foundations, individuals, physicians and staff participate by giving to the foundation. Donations are given for a wide range of charitable needs of each of the supported organizations including patient care initiatives, capital improvements, equipment and supplies, community education and outreach, research, and employee assistance.In total, $1.9 million was given to the Foundation in 2017 by 7,297 donors, most of whom reside in communities served by Essentia Health. The Foundation's local advisory boards distributed $2.7 million to its supported organizations and community programs which improve community health. The organizations Essentia Health Foundation supports provide health care services to the general public as part of Essentia Health.Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho. Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 15,000 employees, including more than 1,900 physicians and advanced practitioners, who serve its patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of quality, hospitality, respect, justice, stewardship and teamwork. The organization delivers on its promise to be "Here With You" in 15 hospitals, 75 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services, and one research institute. Essentia Health provides services predominantly in rural communities and is committed to eliminating geographic barriers to care. Many of Essentia Health's hospitals and clinics are located in communities that are federally recognized as being medically underserved. Essentia Health is accredited as an Accountable Care Organization by the National Committee for Quality Assurance. The legal entities comprising Essentia Health file separate Form 990's.Essentia Health's hospitals have a total of 1,194 licensed beds which provided over 189,000 hospital patient days and over 661,000 outpatient visits during the fiscal year ended June 30, 2017. The clinics had over 1.6 million encounters during the same time period.During the fiscal year ended June 30, 2017, Essentia Health provided total community benefits of over $137 million which included costs of providing charity care, costs in excess of Medicaid payments, Medicaid surcharge, MinnesotaCare tax, community services, health profession education, research, and cash and in-kind contributions.Desc
Total Program Service Expenses$2,704,709TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JULIE THEDENSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2187868966PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 E 2nd StAddressLine1Txt
CityDuluthCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Cyndi Anderson
Board Chair1.003.00Yes (X)Yes (X)$0$800$0
Richard Brown
Board Vice Chair1.000.00Yes (X)Yes (X)$0$0$0
Robert Bennett
Board Director1.000.00Yes (X)$0$0$0
Robert Erickson MD
Board Director1.0039.00Yes (X)$0$465,170$55,065
Val Knudsen
Board Director1.000.00Yes (X)$0$0$0
Craig Nathan
Board Director1.000.00Yes (X)$0$0$0
Jim Rehder
Board Director1.000.00Yes (X)$0$0$0
Mike Seyfer
Board Director1.000.00Yes (X)$0$0$0
Jim Sinclair
Board Director1.000.00Yes (X)$0$0$0
Faye Witt
Board Director1.000.00Yes (X)$0$72,479$0
James Garvey
Interim Executive Director1.0059.00Yes (X)$0$484,954$84,800
Susan Omdalen
Director of Development60.000.00$115,566$0$23,396Yes (X)
Steve Yorde
Former Executive Director0.000.00$122,178$0$14,901Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$237,744TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,023,403TotReportableCompRltdOrgAmt
Total Other Compensation$178,162TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$56,520FundraisingAmt
Related Organizations$938,663RelatedOrganizationsAmt
All Other Contributions$1,667,948AllOtherContributionsAmt
Noncash Contributions$170,368NoncashContributionsAmt
Total Contributions$2,663,131TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$538,345TotalRevenueColumnAmt
Exclusion$538,345ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,784,765SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,229,402SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$555,363SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$555,363TotalRevenueColumnAmt
Exclusion$555,363ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$171,535FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$56,520ContriRptFundraisingEventAmt
Fundraising Direct Expenses$269,351FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$97,816TotalRevenueColumnAmt
Exclusion-$97,816ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$14,926GamingGrossIncomeAmt
Gaming Direct Expenses$19,242GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,316TotalRevenueColumnAmt
Exclusion-$4,316ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,654,707TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$991,576ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,240,746TotalAmt
Program Services$2,240,746ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$427,369TotalAmt
Program Services$427,369ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$517,867TotalAmt
Management And General$287,746ManagementAndGeneralAmt
Fundraising$230,121FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,703TotalAmt
Management And General$8,069ManagementAndGeneralAmt
Fundraising$5,634FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$64,509TotalAmt
Management And General$32,704ManagementAndGeneralAmt
Fundraising$31,805FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,397TotalAmt
Management And General$20,838ManagementAndGeneralAmt
Fundraising$16,559FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$752TotalAmt
Management And General$752ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$140,263TotalAmt
Management And General$140,263ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$147,750TotalAmt
Management And General$121,960ManagementAndGeneralAmt
Fundraising$25,790FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,244TotalAmt
Management And General$10,537ManagementAndGeneralAmt
Fundraising$11,707FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,346TotalAmt
Management And General$32,754ManagementAndGeneralAmt
Fundraising$20,592FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,763TotalAmt
Management And General$2,192ManagementAndGeneralAmt
Fundraising$1,571FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,856TotalAmt
Management And General$12,071ManagementAndGeneralAmt
Fundraising$1,785FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,234TotalAmt
Management And General$16,468ManagementAndGeneralAmt
Fundraising$15,766FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,922TotalAmt
Management And General$5,922ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Charitable Gift Annuity$36,594$36,594
Dues$7,856$7,856
Misc$4,264$2,538$1,726
Publications & Subscrip$714$714

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$168TotalAmt
Management And General$168ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,771,317TotalAmt
Program Services$2,704,709ProgramServicesAmt
Management And General$703,552ManagementAndGeneralAmt
Fundraising$363,056FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$700,341BOYAmt
EOY$459,639EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,828,525BOYAmt
EOY$2,183,890EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,303,082BOYAmt
EOY$1,033,960EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,406BOYAmt
EOY$3,813EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,598LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,702LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,818BOYAmt
EOY$41,896EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$238,732BOYAmt
EOY$277,355EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$22,700,748BOYAmt
EOY$25,305,651EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,467BOYAmt
EOY$59,175EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,883,119BOYAmt
EOY$29,365,379EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$178,461BOYAmt
EOY$157,575EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$45,441BOYAmt
EOY$39,195EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$705,698BOYAmt
EOY$1,616,961EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$929,600BOYAmt
EOY$1,813,731EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,352,157BOYAmt
EOY$17,029,610EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,241,079BOYAmt
EOY$9,079,916EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,360,283BOYAmt
EOY$1,442,122EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,953,519BOYAmt
EOY$27,551,648EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,883,119BOYAmt
EOY$29,365,379EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$116,610ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,722,404NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$29,556PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$21,891OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,680,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,374,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,606,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,302,877CurrentTaxYearMinus1YearAmt
Current Tax Year$2,643,491CurrentTaxYearAmt
Total$20,607,821TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,680,671CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,374,027CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,606,755CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,302,877CurrentTaxYearMinus1YearAmt
Current Tax Year$2,643,491CurrentTaxYearAmt
Total$20,607,821TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$6,278,617SubstantialContributorsTotAmt
Public Support Total170$14,329,204PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362,832CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$423,110CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$469,137CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$419,341CurrentTaxYearMinus1YearAmt
Current Tax Year$538,345CurrentTaxYearAmt
Total$2,212,765TotalAmt
FieldValueIRS element (for citing)
Total Support$22,820,586TotalSupportAmt
Public Support CY1700.62790PublicSupportCY170Pct
Public Support PY1700.61410PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,601,362BeginningYearBalanceAmt
Contributions$1,688,872ContributionsAmt
Investment Earnings Or Losses-$149,890InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,539,028GrantsOrScholarshipsAmt
Other Expenditures$79,273OtherExpendituresAmt
End Year Balance$10,522,043EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,015,293BeginningYearBalanceAmt
Contributions$2,315,209ContributionsAmt
Investment Earnings Or Losses-$11,496InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,384,201GrantsOrScholarshipsAmt
Other Expenditures$1,333,443OtherExpendituresAmt
End Year Balance$10,601,362EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,854,601BeginningYearBalanceAmt
Contributions$2,610,802ContributionsAmt
Investment Earnings Or Losses$10,806InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,018,530GrantsOrScholarshipsAmt
Other Expenditures$442,386OtherExpendituresAmt
End Year Balance$11,015,293EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,528,186BeginningYearBalanceAmt
Contributions$2,290,207ContributionsAmt
Investment Earnings Or Losses$78,244InvestmentEarningsOrLossesAmt
Grants Or Scholarships$936,157GrantsOrScholarshipsAmt
Other Expenditures$3,105,879OtherExpendituresAmt
End Year Balance$9,854,601EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,548,869BeginningYearBalanceAmt
Contributions$2,031,772ContributionsAmt
Investment Earnings Or Losses$18,319InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,338,589GrantsOrScholarshipsAmt
Other Expenditures$4,642,185OtherExpendituresAmt
End Year Balance$11,528,186EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.13710PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.86290TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,598OtherCostOrOtherBasisAmt
Depreciation$57,702DepreciationAmt
Book Value$41,896BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,896TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPooled investment fundDesc
Book Value$25,305,651BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$25,305,651TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Payables to related tax-exempt organizations$1,370,793
Discounted Charitable Gift Annuity Contracts$246,168
FieldValueIRS element (for citing)
Total Liability$1,616,961TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationUSES OF ORGANIZATION'S ENDOWMENT FUNDS: Essentia Health Foundation's endowment funds are established by donor designated contributions and spent in accordance to donor wishes. These funds are used to further the mission of Essentia Health by supporting Essentia Health entities, patients, and communities Essentia Health serves.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Dinner/AuctionEvent1Nm
Gross Receipts Event1$50,265GrossReceiptsEvent1Amt
Charitable Contri Event1$8,940CharitableContriEvent1Amt
Gross Revenue Event1$41,325GrossRevenueEvent1Amt
Non Cash Prizes Event1$43,760NonCashPrizesEvent1Amt
Food And Beverage Event1$14,463FoodAndBeverageEvent1Amt
Entertainment Event1$2,625EntertainmentEvent1Amt
Other Direct Expenses Event1$22,563OtherDirectExpensesEvent1Amt
Event2Golf EventEvent2Nm
Gross Receipts Event2$40,500GrossReceiptsEvent2Amt
Charitable Contri Event2$15,480CharitableContriEvent2Amt
Gross Revenue Event2$25,020GrossRevenueEvent2Amt
Cash Prizes Event2$400CashPrizesEvent2Amt
Non Cash Prizes Event2$3,416NonCashPrizesEvent2Amt
Food And Beverage Event2$5,786FoodAndBeverageEvent2Amt
Entertainment Event2$12,420EntertainmentEvent2Amt
Other Direct Expenses Event2$8,183OtherDirectExpensesEvent2Amt
Other Events Total8OtherEventsTotalCnt
Gross Receipts Other Events$129,552GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$30,070CharitableContriOtherEventsAmt
Gross Revenue Other Events$99,482GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$93,045NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$2,778RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$34,848FoodAndBeverageOtherEventsAmt
Entertainment Other Events$3,530EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$13,825OthDirectExpnssOtherEventsAmt
Gross Receipts Total$220,317GrossReceiptsTotalAmt
Charitable Contributions Tot$54,490CharitableContributionsTotAmt
Gross Revenue Total Events$165,827GrossRevenueTotalEventsAmt
Cash Prizes Total Events$400CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$140,221NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$2,778RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$55,097FoodAndBeverageTotalEventsAmt
Entertainment Total Events$18,575EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$44,571OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$261,642DirectExpenseSummaryEventsAmt
Net Income Summary-$95,815NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Essentia Health
502 E 2nd StDuluthMN55805200360007501(c)(3)$34,771Program Support
Essentia Institute of Rural Health
502 E 2nd StDuluthMN55805271291124501(c)(3)$271,672Program Support
SMDC Medical Center
502 E 2nd StDuluthMN55805411878730501(c)(3)$242,076Program Support
St Mary's Medical Center
407 E 3rd StDuluthMN55805410695604501(c)(3)$235,192Program Support
The Duluth Clinic Ltd
400 E 3rd StDuluthMN55805410883623501(c)(3)$42,384Program Support
St Mary's Hospital of Superior
3500 Tower AveSuperiorWI54880411811073501(c)(3)$9,711Program Support
Northern Pines Medical Center
5211 Hwy 110AuroraMN55705410841441501(c)(3)$8,072Program Support
Innovis Health LLC
3000 32nd Ave SFargoND58103261175213501(c)(3)$60,373Program Support
Bridges Medical Center
201 9th St WAdaMN56510200479568501(c)(3)$10,155Program Support
Graceville Health Center
115 W 2nd StGracevilleMN56240410726173501(c)(3)$7,568Program Support
St Mary's Regional Health Center
1027 Washington AveDetroit LakesMN56501411620386501(c)(3)$286,302Program Support
St Mary's EMS
1027 Washington AveDetroit LakesMN56501411805811501(c)(3)$6,934Program Support
St Joseph's Medical Center
523 N 3rd StBrainerdMN56401410695602501(c)(3)$919,345Program Support
ADA SCHOLARSHIP FOUNDATION INC
702 1st Ave EAdaMN56510411566681501(c)(3)$16,139Program Support
CITY OF PINE RIVER
PO Box 87Pine RiverMN56474416005459City of Pine River$6,140Program Support
ST FRANCIS CATHOLIC CHURCH
411 N 10th StBrainerdMN56401410705849501(c)(3)$6,800Program Support
CROSSLAKE EVANGELICAL FREE CHURCH
37218 County Road 66CrosslakeMN56442411485702501(c)(3)$10,000Program Support
MOUNTED EAGLES INC
6504 59th Ave SWMotleyMN56466411685725501(c)(3)$10,000Program Support
HORIZON HEALTH INC
26814 143rd StPierzMN56364411699160501(c)(3)$6,000Program Support
TRUE NORTH MINSTRIES INC
27049 Shelstad LnMerrifieldMN56465200405938501(C)(3)$5,582Program Support
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Assist Essentia Health Patients & Community306$117,512
Assist Essentia Health Patients & Community18554$176,126FMVVarious items (Medical Supplies, Gas Gift Cards, Clothing, Groceries, etc.)
Grief Support Group583$8,654FMVBereavement Roses
Assist Essentia Health Employees in Financial Need127$93,743
Scholarships18$24,962
Ostomy Supplies to Patients in Need24$2,937FMVOstomy Supplies
Reach Out & Read, Books for Patients650$3,435FMVBooks

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationPROCEDURE FOR MONITORING THE USE OF GRANTS: ESSENTIA HEALTH FOUNDATION'S MANAGEMENT REVIEWS THE GRANT ACTIVITY BY REVIEWING AND DOCUMENTING EACH EXPENDITURE REQUEST AND APPROVING THE EXPENSE. ALL DISBURSEMENTS ARE MADE IN ACCORDANCE WITH FUND DESIGNATION AND PURPOSE. GRANTS ARE MADE TO GOVERNMENT & NOT-FOR-PROFIT INSTITUTIONS OR ORGANIZATIONS, PRIMARILY TO MEMBERS OF THE ESSENTIA HEALTH SYSTEM AND AFFILIATED ORGANIZATIONS. DISBURSEMENTS MUST BE CONSISTENT WITH THE MISSION STATEMENT AND PURPOSE OF THE ESSENTIA HEALTH FOUNDATION AS STATED IN ITS ORGANIZATIONAL DOCUMENTS. GRANT PROPOSALS ARE REVIEWED AT VARIOUS ASSOCIATED FOUNDATION COMMITTEES PRIOR TO DISBURSEMENT AND IN ACCORDANCE WITH THE FUND DISBURSEMENT PROCESS. GRANTS AND OTHER ASSISTANCE TO INDIVIDUALS IS USED TO ASSIST ESSENTIA HEALTH PATIENTS AND COMMUNITY MEMBERS IN FINANCIAL NEED; TO ASSIST WITH COMMUNITY BASED PROGRAMS TO INCLUDE SUPPLIES, PREVENTION, AWARENESS, SUPPORT GROUPS OR EDUCATIONAL ACTIVITIES; OR TO PROVIDE SCHOLARSHIPS FOR THOSE IN THE MEDICAL FIELD. GRANT MONITORING OF SUCH ACTIVITIES ARE IN ACCORDANCE WITH PROCEDURES DEFINED ABOVE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Erickson MD
Board Director$0$462,685$0$0$0$2,485$0$21,200$0$33,865$0$520,235$0$0
James Garvey
Interim Executive Director$0$406,093$0$72,887$0$5,974$0$68,091$0$16,709$0$569,754$0$0
Steve Yorde
Former Executive Director$68,284$0$0$0$53,894$0$8,641$0$6,260$0$137,079$0$5,735$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3ESTABLISHING CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH ESSENTIA HEALTH FOUNDATION'S INTERIM EXECUTIVE DIRECTOR'S COMPENSATION: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Part I, Line 4bSupplemental nonqualified retirement plan: Essentia Health's nonqualified retirement plan is offered to designated Essentia Health executives. There is a minimum four year vesting date, or vesting is automatic upon reaching retirement age, death, disability or involuntary termination without cause. Benefits are subject to income taxes upon vesting and payable from Essentia Health's general assets. Reported as Other Reportable Compensation in Schedule J, Part II, Column B (iii), the following individuals listed in Form 990, Part VII, Section A, Line 1a received payment of the vested benefit from the supplemental nonqualified retirement plan during the year: Steve Yorde $5,813 Reported as Retirement and Other Deferred Compensation in Schedule J, Part II, Column C, Essentia Health made contributions, subject to the vesting terms, during the year into the supplemental nonqualified retirement plan on behalf of the following individuals listed in Form 990, Part VII, Section A, Line 1a: James Garvey $46,891
Part I, Line 8Initial contract exception: Essentia Health Foundation's Director of Development, Susan Omdalen, received compensation during the year under an initial employment agreement subject to the initial contract exception. Through an authorized body of the organization, this compensation arrangement was reviewed and approved by independent persons using comparability data and the basis for determination was documented.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution22ContributionCnt
Noncash Contributions Rpt F990$6,421NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$76NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$85,077NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$810NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution113ContributionCnt
Noncash Contributions Rpt F990$15,121NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt

Scientific Specimens ScientificSpecimensGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution13ContributionCnt
Noncash Contributions Rpt F990$2,105NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAUCTION ITEMSDesc
Contribution172ContributionCnt
Noncash Contributions Rpt F990$60,758NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or SellingMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationESSENTIA HEALTH FOUNDATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART I, COLUMN (D): METHOD: ESSENTIA HEALTH FOUNDATION USED THE COST OR SELLING PRICE OF DONATED PROPERTY TO DETERMINE AMOUNT REPORTED ON FORM 990, PART VIII, LINE 1G.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1A1099 Reporting: CERTAIN VENDOR PAYMENTS AND FORM 1099'S WERE PROCESSED THROUGH ESSENTIA HEALTH ON BEHALF OF CERTAIN LEGAL ENTITIES COMPRISING ESSENTIA HEALTH.
Form 990, Part VI, Section A, line 4Significant Changes to Governing Documents: During the fiscal year ended June 30, 2017, the Bylaws of Essentia Health Foundation were amended to remove from Essentia Health's reserved powers the authority to approve the addition of new services and service locations.
Form 990, Part VI, Section A, line 6MEMBERS OF ORGANIZATION: ESSENTIA HEALTH IS THE SOLE MEMBER OF ESSENTIA HEALTH FOUNDATION AND MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY AS DESCRIBED IN SCHEDULE O, PART VI, LINE 7A. ESSENTIA HEALTH ALSO HAS RESERVED POWERS WITH RESPECT TO ESSENTIA HEALTH FOUNDATION AS DESCRIBED IN SCHEDULE O, PART VI, LINE 7B.
Form 990, Part VI, Section A, line 7aMEMBER WITH RIGHT TO ELECT GOVERNING BODY: ESSENTIA HEALTH APPOINTS AND REMOVES ESSENTIA HEALTH FOUNDATION'S GOVERNING BODY.
Form 990, Part VI, Section A, line 7bMEMBERS WITH RIGHT TO APPROVE GOVERNING BODY DECISION: ESSENTIA HEALTH FOUNDATION IS A SUBSIDIARY OF ESSENTIA HEALTH, WHOSE BOARD OF DIRECTORS HAS RESERVED POWERS WITH RESPECT TO THIS CORPORATION AND ITS SUBSIDIARIES, AND ALL OF THE OTHER DIRECT AND INDIRECT SUBSIDIARIES OF ESSENTIA HEALTH (COLLECTIVELY, THE "SYSTEM"). ESSENTIA HEALTH'S RESERVED POWERS ARE AS FOLLOWS: STRATEGIC AND BUSINESS PLANS. AUTHORITY TO CREATE, AND TO APPROVE, THE SYSTEM'S STRATEGIC AND BUSINESS PLANS. MISSION. AUTHORITY TO CREATE, AND TO APPROVE, THE MISSION, PURPOSE AND VISION STATEMENTS FOR ALL ENTITIES IN THE SYSTEM BY THE AFFIRMATIVE VOTE OF AT LEAST 67% OF THE ESSENTIA HEALTH BOARD OF DIRECTORS. DEBT. APPROVAL OF THE INCURRENCE OF DEBT BY, AND THE CREATION OF ALL MORTGAGES, LIENS, SECURITY INTERESTS, OR OTHER ENCUMBRANCES ON THE ASSETS OF, ALL ENTITIES IN THE SYSTEM IN EXCESS OF THE SINGLE OR ANNUAL AGGREGATE DOLLAR LIMITS PRESCRIBED IN WRITING BY THE ESSENTIA HEALTH BOARD OF DIRECTORS, AND THE AUTHORITY TO CAUSE ALL ENTITIES IN THE SYSTEM TO PARTICIPATE IN SYSTEM BORROWING. GOVERNING INSTRUMENTS. AUTHORITY TO CAUSE, AND TO APPROVE, AMENDMENTS OF THE ARTICLES OF INCORPORATION AND BYLAWS AND/OR CERTIFICATES OF FORMATION AND OPERATING AGREEMENTS OF ALL ENTITIES IN THE SYSTEM. MERGERS AND ACQUISITIONS. AUTHORITY TO CAUSE, AND TO APPROVE, ALL MERGERS, CONSOLIDATIONS, AND DISSOLUTIONS OF ALL ENTITIES IN THE SYSTEM. AFFILIATIONS AND JOINT VENTURES. AUTHORITY TO CAUSE, AND TO APPROVE, ALL AFFILIATIONS, JOINT VENTURES AND OTHER ALLIANCES WITH THIRD PARTIES OF ALL ENTITIES IN THE SYSTEM. TRANSFER OF ASSETS WITHIN THE SYSTEM. AUTHORITY TO TRANSFER ASSETS, INCLUDING CASH, BETWEEN AND AMONG ENTITIES WITHIN THE SYSTEM; PROVIDED, HOWEVER, THAT ESSENTIA HEALTH SHALL NOT HAVE AUTHORITY TO REQUIRE ANY ENTITY IN THE SYSTEM TO TRANSFER ASSETS (A) THAT WOULD CAUSE SUCH ENTITY TO BE IN DEFAULT OF ITS COVENANTS OR OBLIGATIONS UNDER ANY BOND OR OTHER FINANCING DOCUMENTS; (B) FROM THE CATHOLIC ENTITIES TO THE SECULAR ENTITIES OR FROM THE SECULAR ENTITIES TO THE CATHOLIC ENTITIES IN A MANNER OR TO AN EXTENT THAT WOULD CAUSE THE CATHOLIC ENTITIES TO BE IN VIOLATION OF THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES (ERDS) IN THE JUDGMENT OF THE LOCAL ORDINARY; OR (C) SUCH THAT MONEY GENERATED BY SERVICES AT SECULAR FACILITIES WITHIN THE SYSTEM BY PROCEDURES THAT ARE CONTRARY TO THE ERDS WOULD BE USED AT THE CATHOLIC ENTITIES OR MONEY GENERATED BY CATHOLIC ENTITIES WOULD BE USED IN THE PROVIDING OF SERVICES CONTRARY TO THE ERDS AT SECULAR FACILITIES WITHIN THE SYSTEM. TRANSFER OF ASSETS OUTSIDE THE SYSTEM. AUTHORITY TO CAUSE, AND TO APPROVE, THE SALE, LEASE OR OTHER TRANSFER OF ASSETS OF ALL ENTITIES IN THE SYSTEM TO PARTIES OUTSIDE OF THE SYSTEM WHEN THE ASSET'S VALUE EXCEEDS THE SINGLE OR ANNUAL AGGREGATE DOLLAR LIMITS PRESCRIBED IN WRITING BY THE ESSENTIA HEALTH BOARD OF DIRECTORS. SERVICES. AUTHORITY TO CAUSE, AND TO APPROVE, THE DISCONTINUANCE OF SERVICES AND SERVICE LOCATIONS WITHIN ALL ENTITIES IN THE SYSTEM. BUDGETS. APPROVAL OF CAPITAL AND OPERATING BUDGETS OF ALL ENTITIES IN THE SYSTEM. PROFESSIONAL SERVICES. SELECTION OF THE GENERAL LEGAL COUNSEL AND EXTERNAL AUDITORS OF ALL ENTITIES IN THE SYSTEM. ACQUISITIONS. AUTHORITY TO CAUSE, AND TO APPROVE, ALL ACQUISITIONS BY AND FORMATIONS OF ENTITIES IN THE SYSTEM. MARKETING. AUTHORITY TO IMPLEMENT SYSTEM-WIDE MARKETING AND PROMOTIONAL ACTIVITIES. COMPLIANCE PLANS. AUTHORITY TO CREATE, AND TO APPROVE, CORPORATE COMPLIANCE, SAFETY AND RISK MANAGEMENT PLANS FOR ENTITIES WITHIN THE SYSTEM. QUALITY PLAN. AUTHORITY TO CREATE, AND TO APPROVE, THE SYSTEM'S QUALITY PLAN. NON-BUDGETED PURCHASES. APPROVAL OF NON-BUDGETED CAPITAL PURCHASES AND LEASES IN EXCESS OF THE SINGLE OR ANNUAL AGGREGATE DOLLAR LIMITS PRESCRIBED IN WRITING BY ESSENTIA HEALTH FOR ENTITIES WITHIN THE SYSTEM. HUMAN RESOURCES. AUTHORITY TO CREATE HUMAN RESOURCE POLICIES AND PROCEDURES WITHIN THE SYSTEM. RESERVED POWERS. AUTHORITY TO CREATE ADDITIONAL ESSENTIA HEALTH RESERVED POWERS BY THE AFFIRMATIVE VOTE OF AT LEAST 80% OF THE ESSENTIA HEALTH BOARD OF DIRECTORS (EXCLUDING THE ESSENTIA HEALTH CEO); PROVIDED, HOWEVER, THAT ANY ADDITIONAL ESSENTIA HEALTH RESERVED POWERS SHALL NOT CONTRAVENE OR HINDER THE RESERVED POWERS OF BENEDICTINE SISTERS BENEVOLENT ASSOCIATION.
Form 990, Part VI, Section A, line 8bCOMMITTEES: THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11bFORM 990 REVIEW PROCESS: THE 2016 FORM 990, INCLUDING ALL SCHEDULES, WAS REVIEWED BY ESSENTIA HEALTH FOUNDATION'S MANAGEMENT AND GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH CURRENT DIRECTOR OF THE GOVERNING BODY RECEIVED A FINAL COPY OF THE 2016 FORM 990. ESSENTIA HEALTH FOUNDATION'S FINANCE DIRECTOR LED THE REVIEW OF THE FORM AND SCHEDULES AND ANY QUESTIONS WERE DISCUSSED.
Form 990, Part VI, Section B, line 12cMonitoring and enforcing Conflict of Interest policy: Essentia Health's comprehensive conflict of interest program prevents, detects and resolves actual conflicts of interests or the actual or potential appearance of such. Fiduciaries, defined as an Essentia Health board member/trustee, officer, board committee member, senior management employee, or any others considered to be in a position of influence, are covered under Essentia Health's conflict of interest program. Upon initial appointment, each fiduciary must complete an initial conflict of interest statement and disclosure questionnaire. At the conclusion of each calendar year, each fiduciary must complete an annual conflict of interest statement and disclosure questionnaire. As needed, a fiduciary will update his/her most recently completed questionnaire each time the fiduciary becomes aware of a financial interest, a potential conflict, or change to any information that the fiduciary previously reported. Essentia Health's Chief Compliance Officer will collect the questionnaires and evaluate the disclosures. If a fiduciary has a potential conflict of interest, the Chief Compliance Officer or designee may request additional information from the fiduciary, the management team, and others. During the evaluation process, the Chief Compliance Officer may also consult with Essentia Health's Board and Audit Committee Chairs, senior management, legal department, or appropriate representatives from Essentia Health. The Chief Compliance Officer reports to the Essentia Health Audit Committee and the Essentia Health Board of Directors any actual or potential conflicts of interest disclosed by the fiduciary, along with recommended actions. The Essentia Health Board of Directors (or designee) will then determine whether to approve the situation or to implement special controls to manage the potential conflict of interest. The Chief Compliance Officer will then officially notify the fiduciary in writing of the board's decision. The decision of whether or not the disclosure constitutes a conflict will be at the Essentia Health Board of Director's (or designee) sole discretion, and its concern must be the welfare of Essentia Health and its affiliate(s) and the advancement of its purposes. When the Essentia Health Board of Directors (or designee) considers a Fiduciary's disclosure as a Conflict of Interest, special controls will be identified to manage, eliminate or reduce the likelihood and/or appearance of a conflict arising. Controls may include, but are not limited to: A. If the conflict involves an on-going matter or relationship, the Fiduciary must not participate in Board, Board committee or management discussions related to the conflict and must recuse themselves and if appropriate, withdraw, from any Board meeting or portion thereof where the matter is being discussed and during the vote on the potential Conflict of Interest. The Fiduciary may answer questions at the Board's or the Board Committee's request. B. If the conflict involves a specific transaction or decision, the Fiduciary will fully disclose their interest and all related material facts. The Board or committee of the Board will determine whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia Health or its affiliate(s). If the Board determines a conflict does not exist, the Fiduciary may proceed with the transaction; however, he or she will not be eligible to vote on related issues should they arise. If the Board determines a conflict does exist, the Fiduciary will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.
Form 990, Part VI, Section B, line 15aPROCESS FOR DETERMINING COMPENSATION: The independent Executive Compensation Committee of Essentia Health's board of directors is authorized to fulfill the board's responsibilities regarding executive compensation consistent with Essentia's mission, values and tax-exempt status, and the Executive Compensation Committee's Charter. The Executive Compensation Committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing and modifying, as appropriate, reasonable compensation and benefits for designated Essentia executives who are officers or key employees of Essentia or any of its affiliates which may be paid by related organizations. The Executive Compensation Committee engages qualified independent compensation advisors to provide objective and impartial comparative data and to express opinions on total compensation reasonableness. The Executive Compensation Committee may request its independent advisors to: monitor comparability data and marketplace trends; make appropriate recommendations regarding salary ranges; and periodically review the market competitiveness of Essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the Executive Compensation Committee will obtain and rely upon appropriate data as to comparability of the proposed compensation or adjustments. The Executive Compensation Committee will adequately document the basis for its determination concurrently with making those determinations. The Executive Compensation Committee minutes will include: the terms of the approved compensation and the date approved; the Executive Compensation Committee members present during the review, discussion and approval of the proposed compensation and those who voted on the proposed compensation; identification of the comparability data obtained and relied upon by the Executive Compensation Committee and how the data was obtained; any actions by a member of the Executive Compensation Committee having a conflict of interest; and documentation of the basis for the determination. The year this process was last undertaken for Essentia Health Foundation's Interim Executive Director was 2017.
Form 990, Part VI, Section C, line 19Availability of governing documents, conflict of interest policy, & financial statements to the public: Governing documents, conflict of interest policy, and financial statements are made available to the public upon request for the same period of disclosure as set forth in section 6104(d).
Form 990, Part XI, line 9:Adjustment for Change in Value of Charitable Gift Annuity 41,531. Uncollectible Pledges -19,640.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Brainerd Lakes Integrated Health System
2024 S 6th StBrainerdMN56401371532145Supporting orgMN501(c)(3)Line 12b, IIEssentia HealthYes (1)
Brainerd Medical Center Inc
2024 S 6th StBrainerdMN56401371532148ClinicMN501(c)(3)Line 3Brainerd Lakes Integrated Health SystemYes (1)
Bridges Medical Center
201 9th St WAdaMN56510200479568Hospital/ClinicMN501(c)(3)Line 3Innovis Health LLCYes (1)
Clearwater Valley Hospital and Clinics Inc
301 CedarOrofinoID83544820497771Hospital/ClinicID501(c)(3)Line 3Critical Access GroupYes (1)
Critical Access Group
503 E 3rd St Ste 400DuluthMN55805261219624Supporting orgMN501(c)(3)Line 12b, IIEssentia HealthYes (1)
Deer River Healthcare Center Inc
115 10th Ave NEDeer RiverMN56636410844574Hospital/Clinic/Skilled Nursing FacilityMN501(c)(3)Line 3St Mary's Duluth Clinic Health SystemYes (1)
Essentia Health
502 E 2nd StDuluthMN55805200360007Supporting orgMN501(c)(3)Line 12c, III-FI0N/A
Essentia Institute of Rural Health
502 E 2nd StDuluthMN55805271291124ResearchMN501(c)(3)Line 4The Duluth Clinic LtdYes (1)
First Care Medical Services
900 Hilligoss Blvd SEFosstonMN56542410706143Hospital/Clinic/Skilled Nursing FacilityMN501(c)(3)Line 3Innovis Health LLCYes (1)
Graceville Health Center
115 W 2nd StGracevilleMN56240410726173Hospital/Clinic/Skilled Nursing FacilityMN501(c)(3)Line 3Innovis Health LLCYes (1)
Innovis Health LLC
3000 32nd Ave SFargoND58103261175213Hospital/ClinicDE501(c)(3)Line 3Essentia HealthYes (1)
Midwest Medical Equipment and Supplies Inc
4418 Haines RdDuluthMN55811411674021Medical EquipmentMN501(c)(3)Line 10St Mary's Medical CenterYes (1)
Northern Pines Medical Center
5211 Hwy 110AuroraMN55705410841441Hospital/Clinic/Skilled Nursing FacilityMN501(c)(3)Line 3St Mary's Duluth Clinic Health SystemYes (1)
Pine Medical Center
705 Lundorff Dr SSandstoneMN55072411884597hospitalMN501(c)(3)Line 3St Mary's Duluth Clinic Health SystemYes (1)
Polinsky Medical Rehabilitation Center
530 E 2nd StDuluthMN55805410691275Rehabilitation servicesMN501(c)(3)Line 3St Mary's Medical CenterYes (1)
SMDC Medical Center
502 E 2nd StDuluthMN55805411878730Hospital/ClinicMN501(c)(3)Line 3St Mary's Duluth Clinic Health SystemYes (1)
St Joseph's Medical Center
523 N 3rd StBrainerdMN56401410695602Hospital/ClinicMN501(c)(3)Line 3Brainerd Lakes Integrated Health SystemYes (1)
St Mary's Duluth Clinic Health System
407 E 3rd StDuluthMN55805411836633Supporting orgMN501(c)(3)Line 12b, IIEssentia HealthYes (1)
St Mary's EMS
1027 Washington AveDetroit LakesMN56501411805811Emergency servicesMN501(c)(3)Line 10St Mary's Regional Health CenterYes (1)
St Mary's Hospital of Superior
3500 Tower AveSuperiorWI54880411811073Hospital/ClinicMN501(c)(3)Line 3St Mary's Medical CenterYes (1)
St Mary's Hospital Inc
PO Box 137CottonwoodID83522820226453Hospital/ClinicID501(c)(3)Line 3Critical Access GroupYes (1)
St Mary's Innovis Health
1027 Washington AveDetroit LakesMN56501262861321PharmacyMN501(c)(3)Line 3Innovis Health LLCYes (1)
St Mary's Medical Center
407 E 3rd StDuluthMN55805410695604HospitalMN501(c)(3)Line 3St Mary's Duluth Clinic Health SystemYes (1)
St Mary's Regional Health Center
1027 Washington AveDetroit LakesMN56501411620386Hospital/Clinic/Skilled Nursing FacilityMN501(c)(3)Line 3Innovis Health LLCYes (1)
The Duluth Clinic Ltd
400 E 3rd StDuluthMN55805410883623ClinicMN501(c)(3)Line 3St Mary's Duluth Clinic Health SystemYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PMC-Gateway Imaging LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 Lundorff Dr SAddressLine1Txt
CitySandstoneCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55072ZIPCd
FieldValueIRS element (for citing)
EIN261634764EIN
Primary ActivitiesImaging ServicesPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income Typen/APredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Essentia Health Insurance Services SPC LtdBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1159AddressLine1Txt
CityGrand CaymanCityNm
CountryCJCountryCd
FieldValueIRS element (for citing)
EIN000000000EIN
Primary ActivitiesSelf IndemnityPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ESSENTIA HEALTH
Q$86,993Actual Costs
ESSENTIA INSTITUTE OF RURAL HEALTH
P$268,103Actual Costs
ESSENTIA INSTITUTE OF RURAL HEALTH
B$271,672Actual Costs
INNOVIS HEALTH LLC
B$60,373Actual Costs
INNOVIS HEALTH LLC
C$279,724Actual Costs
SMDC MEDICAL CENTER
Q$108,021Actual Costs
SMDC MEDICAL CENTER
B$242,076Actual Costs
ST JOSEPH'S MEDICAL CENTER
C$130,340Actual Costs
ST JOSEPH'S MEDICAL CENTER
B$919,345Actual Costs
ST MARY'S MEDICAL CENTER
Q$53,406Actual Costs
ST MARY'S MEDICAL CENTER
P$55,352Actual Costs
ST MARY'S MEDICAL CENTER
B$235,192Actual Costs
ST MARY'S MEDICAL CENTER
C$304,715Actual Costs
ST MARY'S REGIONAL HEALTH CENTER
C$181,032Actual Costs
ST MARY'S REGIONAL HEALTH CENTER
B$286,302Actual Costs

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part II, Column (a)FormAndLineReferenceDesc
ExplanationThe following Essentia Health entities have a doing business as name: Legal Name; Doing Business As Name Brainerd Lakes Integrated Health System; Essentia Health Central Brainerd Medical Center, Inc.; Essentia Health Brainerd Specialty Clinic Bridges Medical Center; Essentia Health Ada Deer River Healthcare Center, Inc.; Essentia Health Deer River First Care Medical Services; Essentia Health Fosston Graceville Health Center; Essentia Health Holy Trinity Hospital Innovis Health, LLC; Essentia Health West Midwest Medical Equipment and Supplies, Inc.; Essentia Health Medical Equipment & Supplies Northern Pines Medical Center; Essentia Health Northern Pines Pine Medical Center; Essentia Health Sandstone Polinsky Medical Rehabilitation Center; Essentia Health Polinsky Medical Rehabilitation Center SMDC Medical Center; Essentia Health Duluth St. Joseph's Medical Center; Essentia Health St. Joseph's Medical Center St. Mary's Duluth Clinic Health System; Essentia Health East St. Mary's EMS; Essentia Health St. Mary's Emergency Medical Services-Detroit Lakes St. Mary's Hospital of Superior; Essentia Health St. Mary's Hospital-Superior St. Mary's Medical Center; Essentia Health St. Mary's Medical Center St. Mary's Regional Health Center; Essentia Health St. Mary's-Detroit LakesExplanationTxt

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