ESSENTIA HEALTH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ESSENTIA HEALTH FOUNDATION (EIN 27-1984704)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-29
IRS object ID
201411199349301066
Schema version
2012v2.3
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)
Timestamp2014-04-29T15:31:56-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line141 S HIGH ST 1100 HUNTINGTON CTRAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN271984704EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Essentia Health FoundationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JULIE THEDENSInCareOfName
Name ControlESSENameControl
Phone2187861619Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 EAST 2ND STREETAddressLine1
Address Line2SuiteAddressLine2
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve YordeName
TitleCDOTitle
Date Signed2014-04-24DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142327414Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVE YORDENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 EAST 3RD STREETAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5986482GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.essentiahealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionWe are called to make a healthy difference in people's lives.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers211TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5474063ContributionsGrantsPriorYear
Contributions Grants Current Year4680671ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year414701InvestmentIncomePriorYear
Investment Income Current Year1225015InvestmentIncomeCurrentYear
Other Revenue Prior Year-60741OtherRevenuePriorYear
Other Revenue Current Year-119288OtherRevenueCurrentYear
Total Revenue Prior Year5828023TotalRevenuePriorYear
Total Revenue Current Year5786398TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1715505GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1292314GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1277519SalariesEtcPriorYear
Salaries Etc Current Year1225653SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year626661TotalFundrsngExpCurrentYear
Other Expense Prior Year821533OtherExpensePriorYear
Other Expenses Current Year898821OtherExpensesCurrentYear
Total Expenses Prior Year3814557TotalExpensesPriorYear
Total Expenses Current Year3416788TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2013466RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2369610RevenuesLessExpensesCY
Total Assets BOY22589801TotalAssetsBOY
Total Assets EOY26058300TotalAssetsEOY
Total Liabilities BOY259878TotalLiabilitiesBOY
Total Liabilities EOY1104757TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22329923NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24953543NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1578282Expense
Grants1292314Grants
Revenue0Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense1578282TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledUTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJULIE THEDENSNamePerson
Telephone Number2187863494TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1502 EAST 2ND STREETAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
Richard Blair
Board DIRECTOR1.06.0X0400000
John Hyduke
Board CHAIR1.00.0X000X
Peter Person MD
Board Director1.059.0X01200462790450
RICHARD BROWN
BOARD DIRECTOR1.00.0X000
MICHAEL VAN SCOY MD
BOARD DIRECTOR1.059.0X034374051932
Steve Yorde
Chief Development Officer60.00.0193953049663X
JON BENSON
VP REGIONAL FOUNDATION59.01.0132986023414X
Gregory Glasner MD
President0.060.0051544691087X
Kyle Dorow
Chief Financial Offier0.060.0023528041834X
FieldValueIRS element (for citing)
Total Reportable Comp From Org326939TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2334928TotalReportableCompFrmRltdOrgs
Total Other Compensation1048380TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events22007FundraisingEvents
Related Organizations1887379RelatedOrganizations
All Other Contributions2771285AllOtherContributions
Noncash Contributions76909NoncashContributions
Total Contributions4680671TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column362832TotalRevenueColumn
Exclusion$362,832ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities862183Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities862183Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column862183TotalRevenueColumn
Exclusion$862,183ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events75211GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events22007CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses194204FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-118993TotalRevenueColumn
Exclusion-$118,993ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming5585GrossIncomeGaming
Gaming Direct Expenses5880GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-295TotalRevenueColumn
Exclusion-$295ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5786398TotalRevenueColumn
Exclusion$1,105,727ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total785800Total
Program Services785800ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total506514Total
Program Services506514ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total378049Total
Management And General200374ManagementAndGeneral
Fundraising177675Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total648670Total
Management And General418300ManagementAndGeneral
Fundraising230370Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total26637Total
Management And General23247ManagementAndGeneral
Fundraising3390Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total105494Total
Management And General74263ManagementAndGeneral
Fundraising31231Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total66803Total
Management And General42970ManagementAndGeneral
Fundraising23833Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total65Total
Management And General65ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1800Total
Management And General1800ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total126154Total
Management And General126154ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total230253Total
Management And General148844ManagementAndGeneral
Fundraising81409Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total61940Total
Program Services2375ProgramServices
Management And General8699ManagementAndGeneral
Fundraising50866Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total181952Total
Program Services116281ProgramServices
Management And General46877ManagementAndGeneral
Fundraising18794Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2188Total
Management And General2188ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total69246Total
Program Services32977ProgramServices
Management And General27176ManagementAndGeneral
Fundraising9093Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total70685Total
Program Services14785ProgramServices
Management And General55900ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4490Total
Management And General4490ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total100Total
Management And General100ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL EQUIP AND SUPPLIES119550119550
SALES TAX1335913359
RECRUITMENT1166711667
DUES53725372

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3416788Total
Program Services1578282ProgramServices
Management And General1211845ManagementAndGeneral
Fundraising626661Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1163578BOY
EOY1657331EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1006901BOY
EOY2189939EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1514442BOY
EOY1826298EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56494LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27768LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY28726EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY498925BOY
EOY207611EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY18354547BOY
EOY20095606EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY51408BOY
EOY52789EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22589801BOY
EOY26058300EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY74068BOY
EOY228209EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY185810BOY
EOY876548EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY259878BOY
EOY1104757EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6871054BOY
EOY13425358EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15234715BOY
EOY10737236EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY224154BOY
EOY790949EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22329923BOY
EOY24953543EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22589801BOY
EOY26058300EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2369610ReconcilationRevenueExpenses
Reconciliation Unrealized Invest686771ReconciliationUnrealizedInvest
Reconcilation Donated Services3706ReconcilationDonatedServices
Reconcilation Other Changes-436467ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years302386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5474063CurrentTaxYearMinus1Year
Current Tax Year4680671CurrentTaxYear
Total10457120Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years302386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5474063CurrentTaxYearMinus1Year
Current Tax Year4680671CurrentTaxYear
Total10457120Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total3109022AmountsSubstContributorsTotal
Public Support Total1707348098PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year414701CurrentTaxYearMinus1Year
Current Tax Year1225015CurrentTaxYear
Total1639716Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support12096836TotalSupport
First5 Years170XFirst5Years170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15458869BeginningOfYearBalance
Contributions2031772Contributions
Investment Earnings Or Losses18319InvestmentEarningsOrLosses
Grants Or Scholarships1338589GrantsOrScholarships
Other Expenditures4642185OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance11528186EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions17276950Contributions
Investment Earnings Or Losses-381InvestmentEarningsOrLosses
Grants Or Scholarships1403069GrantsOrScholarships
Other Expenditures414631OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance15458869EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus2 YearsCurrentYearMinus2Years
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.06860PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.93140TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis56494OtherCostOrOtherBasis
Depreciation27768Depreciation
Book Value28726BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings28726TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
POOLED INVESTMENT FUND19653823F
ALTERNATIVE INVESTMENTS441783F
FieldValueIRS element (for citing)
Total Of Book Value Securities20095606TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYABLES TO RELATED TAX-EXEMPT ORGS$505,593
DISCOUNTED CHARITABLE GIFT ANNUITY CONTRACTS$370,955
FieldValueIRS element (for citing)
Total Of Amounts876548TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D, Part V, Line 4Identifier
ExplanationUses of Organization's Endowment Funds: Essentia Health Foundation's intended uses of its endowment funds are to further the mission of Essentia Health and to support: Pilot studies from which the collected data may be used to pursue larger grants, program development start-up funds, and specialized healthcare need for activities that have primary impact in areas serviced by Essentia Health Hospitals and clinics.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures450250TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent450250SubtotalAmountSpent
Total Amount Spent450250TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER/AUCTIONNameOfEvent1
Gross Receipts Event121785GrossReceiptsEvent1
Charitable Contributions Event15967CharitableContributionsEvent1
Gross Revenue Event115818GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event114466NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event17128FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event1262OtherDirectExpensesEvent1
Name Of Event2DINNER/AUCTIONNameOfEvent2
Gross Receipts Event216740GrossReceiptsEvent2
Charitable Contributions Event21573CharitableContributionsEvent2
Gross Revenue Event215167GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event25595NonCashPrizesEvent2
Rent Facility Costs Event21037RentFacilityCostsEvent2
Food And Beverage Event25235FoodAndBeverageEvent2
Entertainment Event22000EntertainmentEvent2
Other Direct Expenses Event22601OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events40653GrossReceiptsOtherEvents
Charitable Contrib Other Events8839CharitableContribOtherEvents
Gross Revenue Other Events31814GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events45336NonCashPrizesOtherEvents
Rent Facility Costs Other Events100RentFacilityCostsOtherEvents
Food And Beverage Other Events6269FoodAndBeverageOtherEvents
Entertainment Other Events673EntertainmentOtherEvents
Other Direct Expenses Other Events7832OtherDirectExpensesOtherEvents
Gross Receipts Total79178GrossReceiptsTotal
Charitable Contributions Total16379CharitableContributionsTotal
Gross Revenue Total Events62799GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events65397NonCashPrizesTotalEvents
Rent Facility Costs Total Events1137RentFacilityCostsTotalEvents
Food And Beverage Total Events18632FoodAndBeverageTotalEvents
Entertainment Total Events2673EntertainmentTotalEvents
Other Direct Expenses Total Events10695OtherDirectExpensesTotalEvents
Direct Expense Summary Events98534DirectExpenseSummaryEvents
Net Income Summary-35735NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
St Mary's Medical Center
407 E 3rd StreetDuluthMN55805410695604501(c)361307Program Support
The Duluth Clinic LTD
400 E 3rd StreetDuluthMN55805410883623501(c)332416Program Support
Essentia Institute of Rural Health
502 E 2nd StreetDuluthMN55805271291124501(c)3163520Program Support
St Joseph's Medical Center
523 N 3rd StBrainerdMN56401410695602501(c)3129597Program Support
Innovis Health LLC
3000 32nd AveFargoND58103261175213501(c)385455Program Support
St Mary's Regional Health Center
1027 Washington AveDetroit LakesMN56501411620386501(c)374016Program Support
BRIDGES OF HOPE
PO BOX 742BRAINERDMN56401721538846501(c)36000PROGRAM SUPPORT
BRIDGES CARE COMMUNITY
201 9TH STREET WADAMN56510411513014501(c)39839PROGRAM SUPPORT
BRIDGES MEDICAL CENTER
503 E 3RD STREET SUITE 400DULUTHMN55805200479568501(c)38576PROGRAM SUPPORT
Deer River Area Health Care Foundation
115 10th Ave NEDeer RiverMN56636411770765501(c)3100000Program Support
SMDC Medical Center
502 E 2nd StreetDuluthMN55805411878730501(c)387899Program Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants11TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (10 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Assist Essentia Health Patients & COMMUNITY50397897
Assist Essentia Health Employees in Financial Need210301147
Water Safety Supplies to Community Children150062376
Programs to prevent childhood obesity3002203
Ostomy supplies to patients in need123768FMVOstomy supplies
Scholarships54500
RESIDENTS HOLIDAY GIFTS35178
BREAST CANCER AWARENESS, EDUCATION, & TREATMENT285233293
Focus Program, books for patients50528
Grief Support Group36624

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I, Line 2Identifier
ExplanationEssentia Health Foundation's management reviews the grant activity by reviewing and documenting each expenditure request and approving the expense. SCHEDULE I, PART III, LINE 1 ASSIST ESSENTIA HEALTH PATIENTS & COMMUNITY MEMBERS IN FINANCIAL NEEDExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gregory Glasner MD
President044812506520502116062680028407060653300
Kyle Dorow
Chief Financial Offier01962090157500233210244810173530277114022682
Peter Person MD
Board Director0935299014332501218380759825030625019909120109663
Steve Yorde
Chief Development Officer175451014529039730218490278140243616000
MICHAEL VAN SCOY MD
BOARD DIRECTOR0343185000555025000026932039567200
JON BENSON
VP REGIONAL FOUNDATION122657010238091057600176540156400000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Part I, Line 3Establishing CDO's compensation: Essentia Health Foundation relied on Essentia Health's, related organization of Essentia Health Foundation, methods for establishing Essentia Health Foundation's Chief Development Officer's compensation: a compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee.
Schedule J, Part I, Line 4aSeverance Payment: All individuals listed as former in Form 990, Part VII, Section A, Line 1a remain employed within Essentia Health and its subsidiaries and are not receiving a termination payment.
Schedule J, Part I, Line 4bSupplemental nonqualified retirement plan: Essentia Health's nonqualified retirement plan is offered to designated Essentia Health executives. There is a minimum two year vesting date or automatically 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: KYLE DOROW $22,682 PETER PERSON, MD $109,663 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: GREGORY GLASNER, MD $41,560 KYLE DOROW $4,982 PETER PERSON, MD $152,338 STEVE YORDE $2,237

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F990625NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9906428NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F9905545NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990180NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAuction itemsDescription
Number Of Contributions284NumberOfContributions
Noncash Contribs Rptd F99064131NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierForm 990, SCHEDULE M, PART I, Column BIdentifier
ExplanationNumber of contributions: Essentia Health Foundation is reporting the number of contributions. Form 990, 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. FORM 990, SCHEDULE M, PART I, LINE 31 GIFT ACCEPTANCE POLICY: ESSENTIA HEALTH FOUNDATION IS DEVELOPING A GIFT ACCEPTANCE POLICY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part I, Line 5Individuals employed in calendar year 2012: During the fiscal year ended June 30, 2013, employee costs were transferred to Essentia Health Foundation from related organizations to better reflect Foundation roles. Salary expense reported on Part I, Line 15 reflects 13 full time equivalents. No individuals were reported on Part I, Line 5 as these employees' Form W-2's were reported by related organizations under Essentia Health's common pay agent.
Form 990, Part III, Line 4Program service accomplishments: Essentia 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 for a wide range of charitable needs of each supported organization including patient care initiatives, capital improvements, equipment and supplies, community education and outreach, research, and employee assistance. The organizations Essentia Health Foundation supports provide health care services to the general public as part of Essentia Health system. Essentia Health is an integrated health system which supports regional leaders in the development and advancement of business, clinical and financial models for the delivery of high-quality and cost-effective health care. The regional leaders provide integrated health care delivery through their physician group practices, ambulatory and outpatient centers, acute care hospitals and community, rural and critical access hospitals. Essentia Health system includes 16 hospitals, 65 clinics, 8 long-term care facilities, two assisted living facilities, four independent living facilities in Minnesota, Wisconsin, North Dakota, and Idaho with several located in rural areas that have limited access to other healthcare options. Essentia Health system employs over 10,600 full time equivalents. The hospitals have a total of 1,201 licensed beds which provided over 184,000 hospital patient days and over 530,000 outpatient visits during the fiscal year ended June 30, 2013. The clinics had over 1.5 million encounters during the same time period. During the fiscal year ended June 30, 2013, Essentia Health system provided total community benefits of over $116 million which included costs of providing charity care, costs in excess of Medicaid payments, Medicaid surcharge, MinnesotaCare tax, community services, subsidized health services, education, research, and cash and in-kind donations.
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 system.
Form 990, Part VI, 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, Line 7aMember with right to elect governing body: Essentia Health appointS and removeS Essentia Health Foundation's governing body.
Form 990, Part VI, 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 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 addition of new services and service locations and 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, Line 11aForm 990 Review process: The 2012 Form 990 including all schedules was reviewed by Essentia Health Foundation's management and governing body on April 29th, 2014 prior to filing with the Internal Revenue Service. Each current director of the governing body received a final copy of the 2012 Form 990. Essentia Health Foundation's Finance Manager led the review of the form and schedules and any questions were discussed.
Form 990, Part VI, 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'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 fiscal 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 or not 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, Line 15 A&BProcess for determining compensation: The 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 CHIEF DEVELOPMENT OFFICER WAS 2012. The compensation of other Essentia Health West senior leadership is recommended by the President and Chief Administrative Officer of Essentia Health West Region and approved by the Executive Committee of the Essentia Health West Region Board of Directors. The annual compensation review process begins with an industry compensation survey completed by an external consulting group retained by the Essentia Health Board of Directors and coordinated by Essentia's Corporate Human Resources Department. The consultant's report encompasses: current compensation trends, significant market factors, regional/national salary surveys and the consultant's recommended changes to compensation levels and compensation plan methodology. Based on this data, the Chief Executive Officer of Essentia Health will make a recommendation of compensation adjustments for the Essentia Corporate Leadership Team, which includes the West Region President and Chief Administrative Officer, to the Essentia Health Compensation Committee, who will then act on these recommendations. A similar process is followed at Essentia Health West Region, the West Region President and Chief Administrative Officer recommending compensation adjustments to the Executive Committee of the Essentia Health West Board of Directors, who will then act on these recommendations. The year this process was last undertaken for Essentia Health FOUNDATION'S VICE PRESIDENT OF REGIONAL FOUNDATION was 2012.
Form 990, Part VI, Line 19Availability of governing documents, conflict of interest policy, & financial statements to the public: Essentia Health Foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Essentia Health Foundation is part of Essentia Health's consolidated financial statements which are included in Essentia Health's annual report posted on Essentia Health's web site.
Form 990, Part XI, Line 9The total amount of other changes in net assets includes: Transfer of Net Assets to Liability for Charitable Gift Annuities ($400,357) Adjustment for Change in Value of Charitable Remainder Trust $1,030 NET ASSET TRANSFERS WITH RELATED ORGANIZATIONS; REALLOCATED BALANCE SHEET ITEMS TRANSFERRED TO ALIGN WITH ORGANIZATIONAL STRUCTURE $46,856 Refund of contribution from prior year ($2,000) Uncollectible pledges ($81,996) Total ($436,467)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Brainerd Lakes Integrated Health System
2024 S 6th StBrainerdMN56401371532145SUPPORT ORGMN501(c)(3)11 TYPE IIEssentiatrue
Brainerd Medical Center Inc
2024 S 6th StBrainerdMN56401371532148ClinicMN501(c)(3)3BLIHStrue
Bridges Medical Center
201 9th St WAdaMN56510200479568Clinic/HospMN501(c)(3)3Innovistrue
Clearwater Valley Hospital & Clinics INC
301 CedarOrofinoID83544820497771Clinic/HospID501(c)(3)3CAGtrue
DL Surgery Center THRU 712
1027 Washington AveDetroit LakesMN56501263837203ASCMN501(c)(3)3CAGtrue
Critical Access Group
503 E 3rd St Ste 400DuluthMN55805261219624SUPPORT ORGMN501(c)(3)11 TYPE IIEssentiatrue
First Care Medical Services
900 Hilligoss Blvd SEFosstonMN56542410706143Clinic/HospMN501(c)(3)3Innovistrue
Minnesota Valley Health Center Inc
621 S 4th StLe SueurMN56058410837659Hospital/NURSMN501(c)(3)3CAGtrue
St Joseph's Medical Center
523 N 3rd StBrainerdMN56401410695602Clinic/HospMN501(c)(3)3BLIHStrue
St Mary's EMS
1027 Washington AveDetroit LakesMN56501411805811Emerg SRvcsMN501(c)(3)9SMRHCtrue
St Mary's Hospital Inc
PO Box 137CottonwoodID83522820226453Clinic/HospID501(c)(3)3CAGtrue
St Mary's Innovis Health
1027 Washington AveDetroit LakesMN56501262861321ClinicMN501(c)(3)3Innovistrue
St Mary's Regional Health Center
1027 Washington AveDetroit LakesMN56501411620386Clinic/HospMN501(c)(3)3Innovistrue
Essentia Health
502 E 2nd StDuluthMN55805200360007SUPPORT ORGMN501(c)(3)11TYPEIIIFINAfalse
Essentia Institute of Rural Health
502 E 2nd StDuluthMN55805271291124ResearchMN501(c)(3)4Essentiatrue
Midwest Medical Equipment & Supply Inc
4418 Haines RdDuluthMN55811411674021MedICAL EquipMN501(c)(3)9SMMCtrue
Pine Medical Center
109 Court Ave SSandstoneMN55072411884597Hospital/NURSMN501(c)(3)3SMDCHStrue
Polinsky Medical Rehabilitation Center
530 E 2nd StDuluthMN55805410691275ClinicMN501(c)(3)3SMMCtrue
SMDC Medical Center
502 E 2nd StDuluthMN55805411878730Clinic/HospMN501(c)(3)3SMDCHStrue
St Mary's Duluth Clinic Health System
407 E 3rd StDuluthMN55805411836633SUPPORT ORGMN501(c)(3)11 TYPE IIEssentiatrue
St Mary's Hospital of Superior
3500 Tower AveSuperiorWI54880411811073Clinic/HospWI501(c)(3)3SMMCtrue
St Mary's Medical Center
407 E 3rd StDuluthMN55805410695604HospitalMN501(c)(3)3SMDCHStrue
The Duluth Clinic Ltd
400 E 3rd StDuluthMN55805410883623ClinicMN501(c)(3)3SMDCHStrue
Northern Pines Medical Center
5211 Hwy 110AuroraMN55705410841441Hospital/NURSMN501(c)(3)3SMDCHStrue
Graceville Health Center
115 West Second StGracevilleMN56240410726173Clinic/HospMN501(c)(3)3Innovistrue
Innovis Health LLC
3000 32nd Ave SFargoND58103261175213Clinic/HospDE501(c)(3)3Essentiatrue
DEER RIVER HEALTHCARE CENTER INC
115 10TH AVE NEDEER RIVERMN56636410844574HOSPITAL/NURSMN501(c)(3)3SMDCHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PMC-Gateway Imaging LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1109 Court Ave SAddressLine1
CitySandstoneCity
StateMNState
ZIP Code55072ZIPCode
FieldValueIRS element (for citing)
EIN261634764EIN
Primary ActivityImaging ServiCESPrimaryActivity
Legal Domicile StateMNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeType
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Code V$0CodeVAmount
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
East Range Clinics Ltd
910 6th Ave NVirginiaMN55792410909915ClinicsMNNAC corp000.00000true
Essentia Health Insurance Services SPC
000000000InsuranceNAForeign Corp000.00000true94 Solaris Ave PO Box 69Grand CaymanCayman IslandsCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE DULUTH CLINIC LTD
S54155actual costs
ESSENTIA INSTITUTE OF RURAL HEALTH
B163520actual costs
INNOVIS HEALTH LLC
B85455actual costs
INNOVIS HEALTH LLC
C346374actual costs
ST JOSEPH'S MEDICAL CENTER
B129597actual costs
ST JOSEPH'S MEDICAL CENTER
C82097actual costs
SMDC Medical Center
B87899actual costs
SMDC Medical Center
C160000actual costs
ST MARY'S MEDICAL CENTER
B61307actual costs
ST MARY'S MEDICAL CENTER
C1072395actual costs
ST MARY'S MEDICAL CENTER
P172402actual costs
ST MARY'S MEDICAL CENTER
Q65986actual costs
ST MARY'S REGIONAL HEALTH CENTER
B74016actual costs
ST MARY'S REGIONAL HEALTH CENTER
C139098actual costs

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule R, Part II, Column (a)Identifier
ExplanationName: The 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 & Supply Inc.; Essentia Health Medical Equipment and 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 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 LakesExplanation

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