ESSENTIA HEALTH FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ESSENTIA HEALTH FOUNDATION (EIN 27-1984704)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-30
IRS object ID
201311209349300741
Schema version
2011v1.5
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)
Timestamp2013-04-30T12:46:33-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

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 E 2nd StreetAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVE YORDEName
TitleExecutive DirectorTitle
Date Signed2013-04-29DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts5957305GrossReceipts
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 Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers162TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year302386ContributionsGrantsPriorYear
Contributions Grants Current Year5474063ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year414701InvestmentIncomeCurrentYear
Other Revenue Prior Year-1251OtherRevenuePriorYear
Other Revenue Current Year-60741OtherRevenueCurrentYear
Total Revenue Prior Year301135TotalRevenuePriorYear
Total Revenue Current Year5828023TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year28133GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1715505GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year129564SalariesEtcPriorYear
Salaries Etc Current Year1277519SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1070246TotalFundrsngExpCurrentYear
Other Expense Prior Year21547OtherExpensePriorYear
Other Expenses Current Year821533OtherExpensesCurrentYear
Total Expenses Prior Year179244TotalExpensesPriorYear
Total Expenses Current Year3814557TotalExpensesCurrentYear
Revenues Less Expenses Prior Year121891RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2013466RevenuesLessExpensesCY
Total Assets BOY250000TotalAssetsBOY
Total Assets EOY22589801TotalAssetsEOY
Total Liabilities BOY128109TotalLiabilitiesBOY
Total Liabilities EOY259878TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY121891NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22329923NetAssetsOrFundBalancesEOY
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
Expense1772722Expense
Grants1715505Grants
Revenue0Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense1772722TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
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
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 OftrueForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
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 FiledMAStatesWhereCopyOfReturnIsFiled
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 FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
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 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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeFormerFormer
Richard Blair
Board Chair0.0XX0400000
John Hyduke
Board Director0.0X000
Peter Person MD
Board Director60.0X01439889751215
Steve Yorde
Chief Development Officer60.0X021084053952
Daniel Fuchs
Director of East Region Fdn50.0011360113780X
Gregory Glasner MD
President60.0061265696602X
Kyle Dorow
Chief Financial Offier60.0022250958495X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2639495TotalReportableCompFrmRltdOrgs
Total Other Compensation974044TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events20350FundraisingEvents
Related Organizations2291105RelatedOrganizations
All Other Contributions3162608AllOtherContributions
Noncash Contributions51932NoncashContributions
Total Contributions5474063TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column344767TotalRevenueColumn
Exclusion$344,767ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities69934Securities
Other6500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other6500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities69934Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column69934TotalRevenueColumn
Exclusion$69,934ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events56228GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events20350CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses118432FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-62204TotalRevenueColumn
Exclusion-$62,204ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming4919GrossIncomeGaming
Gaming Direct Expenses4350GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column569TotalRevenueColumn
Exclusion$569ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionANNUAL INCREASE IN BENEFICIARY LIFE INS POLICYDescription
Business Code900099BusinessCode
Total Revenue Column894TotalRevenueColumn
Exclusion$894ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue894TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5828023TotalRevenueColumn
Exclusion$353,960ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1459467Total
Program Services1459467ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total256038Total
Program Services256038ProgramServices

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)
Total386159Total
Management And General283029ManagementAndGeneral
Fundraising103130Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total739801Total
Management And General202621ManagementAndGeneral
Fundraising537180Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6074Total
Management And General1215ManagementAndGeneral
Fundraising4859Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total129679Total
Management And General31366ManagementAndGeneral
Fundraising98313Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15806Total
Management And General3161ManagementAndGeneral
Fundraising12645Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total120Total
Management And General120ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1500Total
Management And General1500ManagementAndGeneral

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)
Total142156Total
Management And General142156ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total407711Total
Program Services3877ProgramServices
Management And General195288ManagementAndGeneral
Fundraising208546Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total63814Total
Management And General7615ManagementAndGeneral
Fundraising56199Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total77107Total
Program Services9165ProgramServices
Management And General18735ManagementAndGeneral
Fundraising49207Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13031Total
Management And General13031ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total42461Total
Program Services1637ProgramServices
Management And General40824ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39182Total
Program Services8399ProgramServices
Management And General30783ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total100Total
Management And General100ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
GIFT ANNUITY INSTALLMENTS3413934139
PEACE GARDEN BRICKS167167
TUITION REIMBURSEMENT4545

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3814557Total
Program Services1772722ProgramServices
Management And General971589ManagementAndGeneral
Fundraising1070246Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY1163578EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY1006901EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY1514442EOY

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

FieldValueIRS element (for citing)
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

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY498925EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY18354547EOY

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)
BOY250000BOY
EOY51408EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY250000BOY
EOY22589801EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY74068EOY

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)
BOY128109BOY
EOY185810EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY128109BOY
EOY259878EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY121891BOY
EOY6871054EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY15234715EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY224154EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121891BOY
EOY22329923EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250000BOY
EOY22589801EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2013466ReconcilationRevenueExpenses
Reconcilation Other Changes20194566ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Minus1 Year302386CurrentTaxYearMinus1Year
Current Tax Year5474063CurrentTaxYear
Total5776449Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year302386CurrentTaxYearMinus1Year
Current Tax Year5474063CurrentTaxYear
Total5776449Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total127417AmountsSubstContributorsTotal
Public Support Total1705649032PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year414701CurrentTaxYear
Total414701Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-1251CurrentTaxYearMinus1Year
Current Tax Year-60741CurrentTaxYear
Total-61992Total
FieldValueIRS element (for citing)
Total Support6129158TotalSupport
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 Balance0BeginningOfYearBalance
Contributions17276950Contributions
Investment Earnings Or Losses-381InvestmentEarningsOrLosses
Grants Or Scholarships1403069GrantsOrScholarships
Other Expenditures414631OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance15458869EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus3 YearsCurrentYearMinus3Years
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01450PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.98550TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
POOLED INVESTMENT FUND17401620F
ALTERNATIVE INVESTMENTS952927F
FieldValueIRS element (for citing)
Total Of Book Value Securities18354547TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLES TO RELATED TAX-EXEMPT ORGSDescription
Amount$185,810Amount
FieldValueIRS element (for citing)
Total Of Amounts185810TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Schedule D, Part V, Line 4Uses 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.
Schedule D, Part XASC 740 footnote: Essentia Health has adopted Accounting Standards Codification 740, Income Taxes (formerly known as FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Tax - an interpretation of FASB Statement No. 109, Accounting for Income Taxes). The adoption of this interpretation had no material impact on the consolidated financial statements and therefore, Essentia Health's consolidated financial statements for fiscal year ended June 30, 2012 no longer includes an ASC 740 footnote.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures959508TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent959508SubtotalAmountSpent
Total Amount Spent959508TotalAmountSpent
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 Event130950GrossReceiptsEvent1
Charitable Contributions Event16101CharitableContributionsEvent1
Gross Revenue Event124849GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event111379NonCashPrizesEvent1
Rent Facility Costs Event1600RentFacilityCostsEvent1
Food And Beverage Event16449FoodAndBeverageEvent1
Entertainment Event12000EntertainmentEvent1
Other Direct Expenses Event11125OtherDirectExpensesEvent1
Name Of Event2Dinner/AuctionNameOfEvent2
Gross Receipts Event216290GrossReceiptsEvent2
Charitable Contributions Event24941CharitableContributionsEvent2
Gross Revenue Event211349GrossRevenueEvent2
Cash Prizes Event21421CashPrizesEvent2
Non Cash Prizes Event29138NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event26039FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event261OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events17269GrossReceiptsOtherEvents
Charitable Contrib Other Events3889CharitableContribOtherEvents
Gross Revenue Other Events13380GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events11429NonCashPrizesOtherEvents
Rent Facility Costs Other Events100RentFacilityCostsOtherEvents
Food And Beverage Other Events3979FoodAndBeverageOtherEvents
Entertainment Other Events225EntertainmentOtherEvents
Other Direct Expenses Other Events3390OtherDirectExpensesOtherEvents
Gross Receipts Total64509GrossReceiptsTotal
Charitable Contributions Total14931CharitableContributionsTotal
Gross Revenue Total Events49578GrossRevenueTotalEvents
Cash Prizes Total Events1421CashPrizesTotalEvents
Non Cash Prizes Total Events31946NonCashPrizesTotalEvents
Rent Facility Costs Total Events700RentFacilityCostsTotalEvents
Food And Beverage Total Events16467FoodAndBeverageTotalEvents
Entertainment Total Events2225EntertainmentTotalEvents
Other Direct Expenses Total Events4576OtherDirectExpensesTotalEvents
Direct Expense Summary Events57335DirectExpenseSummaryEvents
Net Income Summary-7757NetIncomeSummary

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)(3)353642Program Support
The Duluth Clinic LTD
400 E 3rd StreetDuluthMN55805410883623501(c)329137Program Support
St Mary's Hospital of Superior
3500 Tower AvenueSuperiorWI54880411811073501(c)370325Program Support
Essentia Institute of Rural Health
502 E 2nd StreetDuluthMN55805271291124501(c)3256603Program Support
Polinsky Medical Rehabiliation Center
530 E 2nd StDuluthMN55805410691275501(c)348392Program Support
March of Dimes Foundation
1275 Mamaroneck AveWhite PlainsNY10605131846366501(c)37000Program Support
St Joseph's Medical Center
523 N 3rd StBrainerdMN56401410695602501(c)3515542Program Support
City of Breezy Point-Police Dept
8319 County Rd 11Breezy PointMN56472416031790Police Dept5500Program Support
Innovis Health LLC
3000 32nd AveFargoND58103261175213501(c)37400Program Support
St Mary's Regional Health Center
1027 Washington AveDetroit LakesMN56501411620386501(c)393356Program Support
St Mary's Hospital & Clinics Inc
PO Box 137CottonwoodID83522820226453501(c)312500Program Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (9 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Assist Essentia Health Patients in Financial Need16536095
Assist Essentia Health Employees in Financial Need142135894
Water Safety Supplies to Community Children130032040
Programs to prevent childhood obesity3003133FMVfitness programs
Financial Assistance to patients in treatment6282041015102FMVgift cards/supplies
Ostomy supplies to patients in need2010616FMVOstomy supplies
Utility Assistance to patients relatives1200
Scholarships52500
Volunteer Assistance148

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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 (4 entries)

Base 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
054487006426403522071162025440070925800
Kyle Dorow
0179567029399013543040485018010028100400
Peter Person MD
0898669030576002354600714204037011021911040231933
Steve Yorde
017583003390101109026959026993026479200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Part I, Line 3Establishing CDO's compensation: Essentia Health Foundation relied on Essentia Health East's, related organization of Essentia Health Foundation, methods for establishing Essentia Health Foundation's Chief Development Officer's compensation: a compensation committee, compensation survey or study, and approval by the board or compensation committee. Schedule J, Part I, Line 4a 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: Amounts related to participating in a supplemental nonqualified retirement plan are reported in Schedule J, Part II, Column C, and amounts related to receiving payment from a supplemental nonqualified retirement plan are reported in Schedule J, Part II, Column B (iii). The following individuals listed in Form 990, Part VII, Section A, Line 1a received payment from a supplemental nonqualified retirement plan during the year: Peter Person, MD (Essentia Health East) $231,933 Steve Yorde (Essentia Health East) $0 Gregory Glasner, MD (Essentia Health West) $0 Kyle Dorow (Essentia Health West) $0 Essentia Health East's nonqualified retirement plan is offered to designated Essentia Health East's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health East's general assets. Essentia Health West's nonqualified retirement plan is offered to designated Essentia Health West's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health West's general assets.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F990400NoncashContribsRptdF990
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 F9902552NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9906500NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
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 Contributions8NumberOfContributions
Noncash Contribs Rptd F9902440NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9907611NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAuction itemsDescription
Number Of Contributions124NumberOfContributions
Noncash Contribs Rptd F99032429NoncashContribsRptdF990
Method Of Determining Revenuescost or sellingMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
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, Column BIdentifier
ExplanationNumber of contributions: Essentia Health Foundation is reporting the number of contributions. Form 990, Column D Method: Cost or selling price of donated property.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Fomr 990, Part III, Line 4Program service accomplishments: On July 1, 2011, the ECHC Foundation and SMDC Foundation merged into the Essentia Health Foundation. 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 Supported Organizations of Essentia Health. Essentia Health 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. The organizations Essentia Health supports (the "Supported Organizations") include 16 hospitals and more than 60 clinics in Minnesota, Wisconsin, North Dakota, and Idaho with several located in rural areas that have limited access to other healthcare options. These hospitals and clinics employ over 10,200 full time equivalents. The hospitals have a total of 1,098 licensed beds which provided over 177,000 hospital patient days and over 502,000 outpatient visits during the fiscal year ended June 30, 2012. The clinics had over 1.7 million encounters during the same time period. During the fiscal year ended June 30, 2012, Essentia Health's Supported Organizations provided total community benefits of over $94.7 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 7d Form 8282: Essentia Health Foundation has subsequently filed Form 8282. Form 990, Part VI, Section A, Line 4 Form 990 Significant Changes: Effective July 1, 2011, the Articles and Bylaws of Essentia Health Foundation were amended. The amendments revised the Associate Foundations supported by Essentia Health Foundation. Essentia Health also became the sole member of Essentia Health Foundation and has reserved powers over Essentia Health Foundation as described in Part VI, Line 7b. In addition, the amendments modified the number and composition of Essentia Health Foundation's governing body to include at least one Director from each of the three regions representing the Supporting Organizations, at least two but no more than ten at large voting Directors, and an officer of Essentia Health.
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 has reserved powers with respect to Essentia Health Foundation as described in Schedule O Part VI Line 7b. O Part VI Line 7a. Essentia Health 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: According to its Bylaws, Essentia Health shall appoint and remove 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 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 Ethical and Religious Directives for Catholic Health Care Services would be used at the Catholic entities or money generated by Catholic entities would be used in the providing of services contrary to the Ethical and Religious Directives for Catholic Health Care Services 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, Section A, Line 8b Committees: There are no committees with authority to act on behalf of the governing body.
Form 990, Part VI, Line 11aForm 990 Review process: The 2011 Form 990 including all schedules was reviewed by Essentia Health Foundation's management and governing body on April 24th, 2013 prior to filing with the Internal Revenue Service. Each current director of the governing body received a final copy of the 2011 Form 990. Essentia Health Foundation's Finance Manager and Accountant 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: Interested persons annually disclose relationships which might lead to a conflict of interest by completing a conflict of interest disclosure form. Interested persons include any person in a position to exercise substantial influence over the organization. It includes but is not limited to any director, officer, management, employee, or committee member of Essentia Health or any of its affiliates. Essentia is responsible for the annual distribution of conflict of interest forms and review of disclosures for the governing bodies of Essentia and Essentia Operating Members and for senior management employees of Essentia. Transactions with parties with whom a conflict of interest exists may be undertaken only if all of the following are observed: the conflict of interest is fully disclosed; the interested person with the conflict of interest doesn't participate in the approval of such transactions; if practical or appropriate, a competitive bid or comparable valuation is obtained; and the board or committee of the board has determined that the transaction is in the best interest of the organization. Disclosure by any interested person other than a board or committee member should be made to the Chief Executive Officer (or if she/he is the one with the conflict, then to the board chair), who will bring the matter to the attention of the board or an appropriate committee of the board. Disclosure involving board or committee members should be made to the board chair (or if she/he is the one with the conflict, then to the board vice chair), who will bring these matters to the board or an appropriate committee of the board. The board or committee of the board will determine whether a conflict exists and if so, whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia or its affiliate(s). The decision of the board or a duly constituted committee of the board on these matters will be at its sole discretion, and its concern must be the welfare of Essentia and its affiliate(s) and the advancement of its purposes. The decision of the board is final. If the board determines a conflict does not exist, the interested person may proceed with the transaction; however, he/she will not be eligible to vote on related issues should they arise. If the board determines a conflict does exist, the interested person 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 AProcess 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, tax-exempt status and with the Executive Compensation Committee Charter. The Executive Compensation Committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing & modifying, as appropriate, reasonable compensation & benefits for Essentia's Chief Executive Officer and his direct reports. The Executive Compensation Committee engages qualified independent compensation advisors to provide objective & impartial comparative data & to express opinions on total compensation reasonableness. The Executive Compensation Committee may request its independent advisors to: monitor comparability data & marketplace trends; make appropriate recommendations regarding salary ranges; & periodically review the market competitiveness of Essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the Executive Compensation Committee will obtain & 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 & the date approved; the Executive Compensation Committee members present during the review, discussion & approval of the proposed compensation & those who voted on the proposed compensation; identification of the comparability data obtained & relied upon by the Executive Compensation Committee & how the data was obtained; any actions by a member of the Executive Compensation Committee having a conflict of interest; & documentation of the basis for the determination. The Essentia Health Executive Compensation committee determines policy (establishes peer group, determines competitive ranking and establishes positioning of total compensation dependent upon performance) for all executives at the Vice President level or above. The Executive Compensation Committee of the Essentia Health East board of directors is authorized to fulfill the board's responsibility regarding executive compensation consistent with Essentia Health East's mission, values and tax-exempt status. It is bound by and relies upon the policy set by the Executive Compensation Committee of Essentia's board of directors. Annually, the Executive Compensation Committee of Essentia Health East's board of directors meets to review information presented by the Essentia Health East President and Chief Administrative Officer concerning the performance of the system and senior executives of Essentia Health East and to approve executive incentives based on system results and supporting documentation for all members covered by the Essentia Health East incentive compensation program and report such findings to the Executive Compensation Committee of Essentia's Board of Directors. The year this process was last undertaken for Essentia Health Foundation's Chief Development Officer 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 VII, Line 1a, Column BHours devoted to related organizations: The following individuals listed in Form 990, Part VII, Section A, Line 1a also devoted time each week to related organizations: Richard Blair: approximately 4 hours Peter Person, MD is employed by Essentia Health Duluth as Essentia Health's Chief Executive Officer. 100% of his time is spent furthering the purpose of Essentia Health and related organizations. Daniel Fuchs is employed by Essentia Health St. Mary's Medical Center. 100% of his time is spent furthering the purpose of Essentia Health East and related organizations. Gregory Glasner, MD is employed by Essentia Health. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations. Kyle Dorow is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations.
Form 990, Part XI, Line 5Other Changes in Net Assets: The total amount of other changes in net assets includes: Net Asset Transfer From Related Organizations in relation to merger: $20,932,048 Net Change in Unrealized Gain/(Loss) on Trading Securities ($722,748) Other net asset adjustments ($14,289) Adjustment for Change In Value of Charitable Remainder Trust ($262) Net Change in Unrealized Gains/(Losses) on Other-Than-Trading Securities ($183)
Form 990, Schedule B, Part II, column dDate received: The ostomy supplies were received 7/1/11 - 6/30/12.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 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 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
Divine Medical Services thru 10111
709 N LincolnJeromeID83338202773717Emerg SRvcsID501(c)(3)3SBFMCtrue
DL Surgery Center
1027 Washington AveDetroit LakesMN56501263837203ASCMN501(c)(3)3CAGtrue
Critical Access Group
503 E 3rd St Ste 400DuluthMN55805261219624SUPPORT ORGMN501(c)(3)11 IIEssentiatrue
First Care Medical Services
900 Hilligross Blvd SEFosstonMN56542410706143Clinic/HospMN501(c)(3)3Innovistrue
Minnesota Valley Health Center Inc
621 S 4th StLe SueurMN56058410837659Hospital/NURSMN501(c)(3)3CAGtrue
StBenedicts Fam Med Ctr thru 10111
709 N LincolnJeromeID83338820227163Clinic/HospID501(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 & Clinics 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)11 III-FINAfalse
Essentia Institute of Rural Health
502 E 2nd StDuluthMN55805271291124ResearchMN501(c)(1)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 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

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 TypeNONEPredominantIncomeType
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 OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
East Range Clinics Ltd
910 6th Ave NVirginiaMN55792410909915ClinicsMNNAC corp000.00000
Essentia Health Insurance Services SPC
000000000InsuranceNAForeign Corp000.00000Buckingham Sq 720 W Bay Rd PO 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 EmployeestrueSharingOfPaidEmployees
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 (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Innovis Health LLC
C370000actual costs
Innovis Health LLC
o315908actual costs
St Mary's Medical Center
O1100826actual costs
St Mary's Medical Center
C933542actual costs
St Mary's Medical Center
B175505actual costs
The Duluth Clinic Ltd
R576748actual costs
SMDC Medical Center
P323344actual costs
St Mary's Regional Health Center
B93356actual costs
St Mary's Regional Health Center
N111407actual costs
St Mary's Regional Health Center
O73866actual costs
St Joseph's Medical Center
B515542actual costs
Essentia Institute of Rural Health
B256603actual costs

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule R, Part II, Column (a)Identifier
ExplanationName: In 2011, many Essentia entities adopted a doing business as name as part of a system-wide rebranding strategy using the Essentia brand. 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 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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