DULUTH CLINIC LTD: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- DULUTH CLINIC LTD (EIN 41-0883623)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-12
- IRS object ID
- 201141329349303199
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-12T16:21:42-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 BEATTIE PLACE SUITE 800 | AddressLine1 |
| City | GREENVILLE | City |
| State | SC | State |
| ZIP Code | 29601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410883623 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Duluth Clinic LTD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DULU | NameControl |
| Phone | 2187861421 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 East Third Street | AddressLine1 |
| City | Duluth | City |
| State | MN | State |
| ZIP Code | 55805 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA JOHNSON | Name |
| Title | CFO | Title |
| Phone | 2187861421 | Phone |
| Date Signed | 2011-05-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8642425740 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARBARA JOHNSON CFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 EAST THIRD STREET | AddressLine1 |
| City | DULUTH | City |
| State | MN | State |
| ZIP Code | 55805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 164885066 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | smdc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1915 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | WE ARE HERE TO SERVE PATIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1505 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 75649 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 34870 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2756280 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1931449 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 367825693 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 158344821 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -6743080 | InvestmentIncomePriorYear |
| Investment Income Current Year | -3457099 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1695867 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3736057 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 365534760 | TotalRevenuePriorYear |
| Total Revenue Current Year | 160555228 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4034 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1043 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 235429756 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 110483390 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 140965572 | OtherExpensePriorYear |
| Other Expenses Current Year | 65290965 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 376399362 | TotalExpensesPriorYear |
| Total Expenses Current Year | 175775398 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -10864602 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -15220170 | RevenuesLessExpensesCY |
| Total Assets BOY | 208795979 | TotalAssetsBOY |
| Total Assets EOY | 207114251 | TotalAssetsEOY |
| Total Liabilities BOY | 457701853 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 475561984 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -248905874 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -268447733 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE HERE TO SERVE PATIENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 145045060 | Expense |
| Grants | 1043 | Grants |
| Revenue | 158344821 | Revenue |
| Description | See Schedule O | Description |
| Total Program Service Expense | 145045060 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 199 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1505 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BARBARA JOHNSON CFO | NamePerson |
| Telephone Number | 2187861421 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 EAST THIRD STREET | AddressLine1 |
| City | DULUTH | City |
| State | MN | State |
| ZIP Code | 55805 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS G PATNOE MD | |||||||||
| SMDC PRESIDENT & CHIEF MEDICAL | 60.0 | X | X | 0 | 622250 | 88719 | |||
| JOSEPH A BIANCO MD | |||||||||
| TREASURER, DC BOARD | 60.0 | X | 282240 | 6400 | 46759 | ||||
| RAHUL AGGARWAL MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 426832 | 0 | 42640 | ||||
| DAVID G ALEXANDER MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 877650 | 0 | 42648 | ||||
| LAURA BOEHLKE-BRAY MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 259023 | 13300 | 26184 | ||||
| JANUS D BUTCHER MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 335188 | 0 | 48983 | ||||
| ALBERT J DEIBELE MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 700741 | 0 | 51251 | ||||
| THOMAS E ELLIOTT MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 309970 | 0 | 35187 | ||||
| JEFFREY S ENGELSJERD MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 425695 | 0 | 49387 | ||||
| JEFFREY S GARLAND MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 309802 | 0 | 46372 | ||||
| KENNETH L IRONS MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 378449 | 0 | 45377 | ||||
| SCOTT W JOHNSON MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 553841 | 0 | 53118 | ||||
| THOMAS E KAISER MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 1077515 | 0 | 45313 | ||||
| DONALD A MUZZI MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 693165 | 0 | 50078 | ||||
| DANIEL A NIKCEVICH MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 615820 | 0 | 47377 | ||||
| ANNE C STEPHEN MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 112508 | 0 | 37246 | ||||
| TIMOTHY D ZAGER MD | |||||||||
| BOARD DIRECTOR DC | 60.0 | X | 275367 | 0 | 41527 | ||||
| MICHAEL C METCALF | |||||||||
| EXECUTIVE VP CLINICAL DIVISION | 60.0 | X | 0 | 422737 | 76772 | ||||
| ROBERT NORMAN | |||||||||
| CHIEF FINANCIAL OFFICER | 60.0 | X | 0 | 531094 | 106313 | ||||
| BARBARA JOHNSON | |||||||||
| CHIEF FINANCIAL OFFICER | 60.0 | X | 0 | 82570 | 12252 | ||||
| MICHAEL G MOTLEY | |||||||||
| VICE PRESIDENT COMMUNITY CLINI | 60.0 | 214287 | 0 | 61373 | X | ||||
| MICHAEL MCAVOY | |||||||||
| VICE PRESIDENT ACUTE CARE & DI | 60.0 | 0 | 208541 | 51165 | X | ||||
| ANN WATKINS | |||||||||
| VICE PRESIDENT SURGICAL SERVIC | 60.0 | 0 | 180160 | 48882 | X | ||||
| KIMBERLY A BODDICKER MD | |||||||||
| SECTION CHAIR | 60.0 | 647328 | 0 | 34318 | X | ||||
| SCOTT A ESKURI MD | |||||||||
| SECTION CHAIR | 60.0 | 663395 | 0 | 51576 | X | ||||
| WENDELL R SMITH MD | |||||||||
| SECTION CHAIR | 60.0 | 525643 | 0 | 48130 | X | ||||
| MICHAEL F MARKS | |||||||||
| DIRECTOR OF ANESTHESIOLOGY | 60.0 | 163735 | 0 | 21590 | X | ||||
| FREDERICK B HARRIS MD | |||||||||
| PHYSICIAN | 60.0 | 1367727 | 0 | 49917 | X | ||||
| TROY D ERICKSON MD | |||||||||
| PHYSICIAN | 60.0 | 1236564 | 0 | 48378 | X | ||||
| SUBBAREDDY KONDA MD | |||||||||
| PHYSICIAN | 60.0 | 1169140 | 0 | 26734 | X | ||||
| MICHAEL A GIBBONS MD | |||||||||
| PHYSICIAN | 60.0 | 1055032 | 0 | 41145 | X | ||||
| EDISON P MCDANIELS II MD | |||||||||
| PHYSICIAN | 60.0 | 1054413 | 0 | 50019 | X | ||||
| CYNTHIA G SORENSEN | |||||||||
| VP MEDICAL SPECIALTIES | 60.0 | 0 | 189265 | 57047 | X | ||||
| DAVID H AMUNDSON | |||||||||
| SENIOR VICE PRESIDENT FINANCE | 0.0 | 0 | 172427 | 8426 | X | ||||
| PETER E PERSON MD | |||||||||
| CHIEF EXECUTIVE OFFICER | 60.0 | 0 | 1202710 | 478102 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 15731070 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3631454 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2070305 | TotalOtherCompensation |
| Number Individuals GT100 K | 508 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AIM HEALTHCARE SERVICES INC | |||||
| 1021 WINDCROS COURT | FRANKLIN | TN | 37067 | MEDICAL CLAIMS SERVI | 900869 |
| A L PARTNERSHIP LLP | |||||
| 11 E SUPERIOR ST SUITE 500 | DULUTH | MN | 55802 | PROP MANAGEMENT SCVS | 321033 |
| HEALTH BILLING SYSTEMS INC | |||||
| 14700 28TH AVE N SUITE 200 | PLYMOUTH | MN | 55447 | MEDICAL BILLING SVCS | 305618 |
| BLACK RIVER MILLS INC | |||||
| 701 W ARROWHEAD RD | DULUTH | MN | 55812 | LOCUM PHYSCIANS SVCS | 213416 |
| FREDRIKSON BYRON PA | |||||
| PO BOX 1484 | MINNEAPOLIS | MN | 55480 | LEGAL SERVICES | 134632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 81755 | RelatedOrganizations |
| Government Grants | 1671439 | GovernmentGrants |
| All Other Contributions | 178255 | AllOtherContributions |
| Total Contributions | 1931449 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 621400 | 158193719 | 158193719 |
| JOINT VENTURE REVENUE-INT'L FALLS | 621400 | 151102 | 151102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 158344821 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 748895 | TotalRevenueColumn |
| Exclusion | $748,895 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4000 | TotalRevenueColumn |
| Exclusion | $4,000 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1881644 | Securities |
| Other | 2324350 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1881644 | Securities |
| Other | -2324350 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4205994 | TotalRevenueColumn |
| Exclusion | -$4,205,994 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 199493 | GrossSalesOfInventory |
| Cost Of Goods Sold | 123844 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75649 | TotalRevenueColumn |
| Unrelated Business Revenue | 75649 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PARKING REVENUE | 812930 | 170294 | $170,294 |
| PROFESSIONAL SERVICE REVENUE - INT'L FALLS | 541900 | 2798303 | $2,798,303 |
| MANAGEMENT SERVICE REVENUE - INT'L FALLS | 541900 | 677096 | $677,096 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10715 | TotalRevenueColumn |
| Exclusion | $10,715 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3656408 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 160555228 | TotalRevenueColumn |
| Related Or Exempt Function Income | 158344821 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 75649 | UnrelatedBusinessRevenue |
| Exclusion | $203,309 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1043 | Total |
| Program Services | 1043 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3970648 | Total |
| Program Services | 3970648 | ProgramServices |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87672502 | Total |
| Program Services | 74761817 | ProgramServices |
| Management And General | 12910685 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4819671 | Total |
| Program Services | 4260876 | ProgramServices |
| Management And General | 558795 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9308115 | Total |
| Program Services | 6336577 | ProgramServices |
| Management And General | 2971538 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4712454 | Total |
| Program Services | 3918291 | ProgramServices |
| Management And General | 794163 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56238 | Total |
| Management And General | 56238 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119759 | Total |
| Management And General | 119759 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7649289 | Total |
| Program Services | 5017842 | ProgramServices |
| Management And General | 2631447 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134455 | Total |
| Program Services | 4080 | ProgramServices |
| Management And General | 130375 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34933615 | Total |
| Program Services | 33996141 | ProgramServices |
| Management And General | 937474 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1942209 | Total |
| Program Services | 119652 | ProgramServices |
| Management And General | 1822557 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4500976 | Total |
| Program Services | 1707057 | ProgramServices |
| Management And General | 2793919 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 719782 | Total |
| Program Services | 523528 | ProgramServices |
| Management And General | 196254 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 383080 | Total |
| Program Services | 213500 | ProgramServices |
| Management And General | 169580 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1187736 | Total |
| Program Services | 86541 | ProgramServices |
| Management And General | 1101195 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3704052 | Total |
| Program Services | 401565 | ProgramServices |
| Management And General | 3302487 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1379837 | Total |
| Program Services | 1309605 | ProgramServices |
| Management And General | 70232 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 6093999 | 6092402 | 1597 |
| MINNESOTA CARE TAX | 1411239 | 1411155 | 84 |
| MD ALLOWANCES | 330722 | 325059 | 5663 |
| UBI TAX | 77442 | 77442 | |
| OTHER EXPENSES | 666535 | 587681 | 78854 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175775398 | Total |
| Program Services | 145045060 | ProgramServices |
| Management And General | 30730338 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8310988 | BOY |
| EOY | 17819807 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2229377 | BOY |
| EOY | 2251238 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18343137 | BOY |
| EOY | 12827714 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11163399 | BOY |
| EOY | 8712224 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1970538 | BOY |
| EOY | 1981284 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 625734 | BOY |
| EOY | 65745 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 206882218 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 75977068 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140386733 | BOY |
| EOY | 130905150 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12494313 | BOY |
| EOY | 4413525 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8189169 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 6652901 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5082591 | BOY |
| EOY | 21484663 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208795979 | BOY |
| EOY | 207114251 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22102579 | BOY |
| EOY | 16152701 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209866893 | BOY |
| EOY | 227411687 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7346928 | BOY |
| EOY | 5678496 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218385453 | BOY |
| EOY | 226319100 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 457701853 | BOY |
| EOY | 475561984 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -248905874 | BOY |
| EOY | -268447733 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -248905874 | BOY |
| EOY | -268447733 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208795979 | BOY |
| EOY | 207114251 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1094122 | OtherCostOrOtherBasis |
| Book Value | 1094122 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 195351064 | OtherCostOrOtherBasis |
| Depreciation | 67468906 | Depreciation |
| Book Value | 127882158 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7899658 | OtherCostOrOtherBasis |
| Depreciation | 8045896 | Depreciation |
| Book Value | -146238 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2537374 | OtherCostOrOtherBasis |
| Depreciation | 462266 | Depreciation |
| Book Value | 2075108 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 130905150 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST SWAP ASSET | 1256416 |
| DEFERRED FINANCING FEES | 5069880 |
| EMPLOYEE BENEFIT PLAN 457B | 11182900 |
| CAPITAL ACCUM INVESTMENT | 1816133 |
| SMDC ADMIN PENSION | 2159334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 21484663 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| BOND SWAP | $11,620,222 |
| FIN47 LIABILITY | $975,367 |
| CAPITAL ACCUMULATION | $1,816,133 |
| POST RETIREMENT BENEFITS-NON PENSION | $5,797,673 |
| EXECUTIVE RETIREMENT PLAN | $4,999,761 |
| BENEFIT PLAN LIABILITY-457 PLAN | $11,182,900 |
| MISCELLANEOUS LIABILITIES | $2,798,355 |
| NET DUE TO AFFILIATES | $187,128,689 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 226319100 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D PART X: | Identifier |
| Return Reference | FIN 48 FOOTNOTE- | ReturnReference |
| Explanation | 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, 2010 no longer includes an ASC 740 footnote. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID H AMUNDSON | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 172427 | 0 | 0 | 0 | 8426 | 0 | 180853 | 0 | 28744 |
| THOMAS G PATNOE MD | |||||||||||||
| 0 | 454905 | 0 | 167345 | 0 | 0 | 0 | 62131 | 0 | 26588 | 0 | 710969 | 0 | 0 |
| MICHAEL C METCALF | |||||||||||||
| 0 | 306907 | 0 | 115830 | 0 | 0 | 0 | 50184 | 0 | 26588 | 0 | 499509 | 0 | 0 |
| ROBERT NORMAN | |||||||||||||
| 0 | 377302 | 0 | 123763 | 0 | 30029 | 0 | 60196 | 0 | 46117 | 0 | 637407 | 0 | 29138 |
| JOSEPH A BIANCO MD | |||||||||||||
| 282240 | 6400 | 0 | 0 | 0 | 0 | 23000 | 0 | 23759 | 0 | 328999 | 6400 | 0 | 0 |
| RAHUL AGGARWAL MD | |||||||||||||
| 426832 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 19640 | 0 | 469472 | 0 | 0 | 0 |
| DAVID G ALEXANDER MD | |||||||||||||
| 877650 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 19648 | 0 | 920298 | 0 | 0 | 0 |
| LAURA BOEHLKE-BRAY MD | |||||||||||||
| 259023 | 13300 | 0 | 0 | 0 | 0 | 23000 | 0 | 3184 | 0 | 285207 | 13300 | 0 | 0 |
| JANUS D BUTCHER MD | |||||||||||||
| 335188 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 25983 | 0 | 384171 | 0 | 0 | 0 |
| ALBERT J DEIBELE MD | |||||||||||||
| 700741 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 28251 | 0 | 751992 | 0 | 0 | 0 |
| THOMAS E ELLIOTT MD | |||||||||||||
| 309970 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 12187 | 0 | 345157 | 0 | 0 | 0 |
| JEFFREY S ENGELSJERD MD | |||||||||||||
| 425695 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 26387 | 0 | 475082 | 0 | 0 | 0 |
| JEFFREY S GARLAND MD | |||||||||||||
| 309802 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 23372 | 0 | 356174 | 0 | 0 | 0 |
| KENNETH L IRONS MD | |||||||||||||
| 378449 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 22377 | 0 | 423826 | 0 | 0 | 0 |
| SCOTT W JOHNSON MD | |||||||||||||
| 553841 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 30118 | 0 | 606959 | 0 | 0 | 0 |
| THOMAS E KAISER MD | |||||||||||||
| 1077515 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 22313 | 0 | 1122828 | 0 | 0 | 0 |
| DONALD A MUZZI MD | |||||||||||||
| 693165 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 27078 | 0 | 743243 | 0 | 0 | 0 |
| DANIEL A NIKCEVICH MD | |||||||||||||
| 615820 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 24377 | 0 | 663197 | 0 | 0 | 0 |
| TIMOTHY D ZAGER MD | |||||||||||||
| 275367 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 18527 | 0 | 316894 | 0 | 0 | 0 |
| MICHAEL G MOTLEY | |||||||||||||
| 182323 | 0 | 31964 | 0 | 0 | 0 | 35381 | 0 | 25992 | 0 | 275660 | 0 | 0 | 0 |
| MICHAEL MCAVOY | |||||||||||||
| 0 | 176545 | 0 | 31996 | 0 | 0 | 0 | 31908 | 0 | 19257 | 0 | 259706 | 0 | 0 |
| ANN WATKINS | |||||||||||||
| 0 | 180160 | 0 | 0 | 0 | 0 | 0 | 29632 | 0 | 19250 | 0 | 229042 | 0 | 0 |
| KIMBERLY A BODDICKER MD | |||||||||||||
| 647328 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 11318 | 0 | 681646 | 0 | 0 | 0 |
| SCOTT A ESKURI MD | |||||||||||||
| 663395 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 28576 | 0 | 714971 | 0 | 0 | 0 |
| WENDELL R SMITH MD | |||||||||||||
| 525643 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 25130 | 0 | 573773 | 0 | 0 | 0 |
| FREDERICK B HARRIS MD | |||||||||||||
| 1367727 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 26917 | 0 | 1417644 | 0 | 0 | 0 |
| TROY D ERICKSON MD | |||||||||||||
| 1236564 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 25378 | 0 | 1284942 | 0 | 0 | 0 |
| SUBBAREDDY KONDA MD | |||||||||||||
| 1169140 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 26734 | 0 | 1195874 | 0 | 0 | 0 |
| MICHAEL A GIBBONS MD | |||||||||||||
| 1055032 | 0 | 0 | 0 | 0 | 0 | 23000 | 0 | 18145 | 0 | 1096177 | 0 | 0 | 0 |
| EDISON P MCDANIELS II MD | |||||||||||||
| 1054413 | 0 | 0 | 0 | 0 | 0 | 24500 | 0 | 25519 | 0 | 1104432 | 0 | 0 | 0 |
| MICHAEL F MARKS | |||||||||||||
| 158911 | 0 | 4824 | 0 | 0 | 0 | 8411 | 0 | 13179 | 0 | 185325 | 0 | 0 | 0 |
| CYNTHIA G SORENSEN | |||||||||||||
| 0 | 155952 | 0 | 28093 | 0 | 5220 | 0 | 27650 | 0 | 29397 | 0 | 246312 | 0 | 5220 |
| PETER E PERSON MD | |||||||||||||
| 0 | 846204 | 0 | 251744 | 0 | 104762 | 0 | 446515 | 0 | 31587 | 0 | 1680812 | 0 | 104762 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J EXPLANATIONS: | Identifier |
| Explanation | SUPPLEMENTAL COMPENSATION INFORMATION: SCHEDULE J PART I LINE 3- SMDC HEALTH SYSTEM RELIED ON THE FOLLOWING METHODS FOR ESTABLISHING THE COMPENSATION FOR PRESIDENT TOM PATNOE: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. COMPENSATION FOR MIKE METCALF, EXECUTIVE VICE PRESIDENT, WAS ESTABLISHED USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEVERANCE PAYMENT: PART I, LINE 4A- FORMER OFFICER, DAVID AMUNDSON, A FORMER EMPLOYEE OF RELATED ORGANIZATION, ST. MARY'S MEDICAL CENTER, RECEIVED PAYMENT TOTALING $145,987 IN TAX YEAR 2009 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE JANUARY 7, 2008 UNTIL JULY 7, 2009. MR. AMUNDSON WILL RECEIVE PAY TOTALING $457,260 AND BENEFITS TOTALING $14,581 RELATED TO HIS TERMINATION. All other individuals listed as Formers in Form 990, Part VII, Section A, Line 1a remain employed within Essentia Health and its subsidiaries and are not receiving a severance payment. NONQUALIFIED RETIREMENT PLAN: SCHEDULE J PART I LINE 4B- THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: CYNTHIA SORENSEN (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $ 5,220 PETER PERSON, MD (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $104,792 ROBERT NORMAN (ECHC) $ 29,138 ST. MARY'S DULUTH CLINIC HEALTH SYSTEM'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO DESIGNATED ST. MARY'S DULUTH CLINIC HEALTH SYSYEM'S EXECUTIVES. THERE IS A MINIMUM TWO YEAR VESTING DATE, BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING, AND BENEFITS ARE PAYABLE FROM ST. MARY'S DULUTH CLINIC HEALTH SYSTEM'S GENERAL ASSETS. ECHC'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO ECHC EXECUTIVES. THERE IS A MINIMUM TWO YEAR VESTING DATE, BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING AND BENEFITS ARE PAYABLE FROM ECHC'S GENERAL ASSETS. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Minnesota Agricultural and Economic Development Bd | ||||||
| 416007162 | 604920Z43 | 2008-05-02 | 42909274 | SERIES 2008E - SEE SCHEDULE O | false | false |
| Cass County North Dakota | ||||||
| 456002205 | 148047AU7 | 2010-02-25 | 59573111 | SERIES 2008A - SEE SCHEDULE O | false | false |
| Wisconsin Health & Education Facilities Authority | ||||||
| 391337855 | 97710BSD5 | 2010-02-25 | 12854722 | SERIES 2008B - SEE SCHEDULE O | false | false |
| Minnesota Agricultural and Economic Development Bd | ||||||
| 416007162 | 6049202H0 | 2010-02-25 | 165717405 | SERIES 2008C - SEE SCHEDULE O | false | false |
| Minnesota Agricultural and Economic Development Bd | ||||||
| 416007162 | 6049202M9 | 2010-06-25 | 109535000 | SERIES 2010 - SEE SCHEDULE O | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount DefeasedAmountDefeased | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 15010957 | 0 | 0 | 0 | 605631 | 0 | 0 | true | false | false | true |
| 28440203 | 0 | 0 | 0 | 0 | 0 | 0 | true | false | false | true |
| 6136844 | 0 | 0 | 0 | 0 | 0 | 0 | true | false | false | true |
| 79113489 | 0 | 0 | 1742302 | 906723 | 0 | 0 | true | false | false | true |
| 52770988 | 0 | 0 | 0 | 220215 | 0 | 0 | true | false | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE O EXPLANATIONS: | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: PART III LINE 4- The Duluth Clinic, Ltd., is a nationally recognized multi-specialty group with more than 400 physicians who work throughout Essentia Health System's four hospitals and 12 regional clinics across northeastern Minnesota and northwestern Wisconsin. Our physicians cover 55 medical specialties and subspecialties. The clinic is organized and operated exclusively for charitable, scientific, and educational purposes. The clinic offers a broad range of outpatient services for its patients, including family practice, obstetrics and gynecology, behavioral health, cancer, orthopedics, neuroscience, digestive health, family, pediatrics services, weight management and heart and vascular services. In addition to the medical specialties the clinic also operates pharmacies, optical centers, infusion therapy centers, and a cancer center. Beyond its clinical services, The Duluth Clinic also offers educational programs for the community, such as parenting classes and child safety programs such as bicycle helmet fitting, bicycle safety, and pedestrian safety. The Duluth Clinic also participates in continuing education programs for health care professionals. The Duluth Clinic employs over 760 full time equivalents. The clinics had over 385,000 patient encounters during the fiscal year. The Duluth Clinic provided approximately $1,000,000 in charity care as well as an additional $11,300,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2010. Further community benefits provided during the fiscal year include community services of over $1,650,000. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 6- St. Mary's Duluth Clinic Health System may elect one or more members of the governing body as described in Schedule O Part VI 7a. Essentia Health has reserved powers with respect to The Duluth Clinic LTD. as described in Schedule O Part VI Line 7b. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 7A- According to its Bylaws, St. Mary's Duluth Clinic Health System shall appoint and remove The Duluth Clinic LTD.'s governing body. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 7B- The Duluth Clinic LTD. 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. |
| SCHEDULE O EXPLANATION CONTINUED: | FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 11A- The 2009 Form 990 including all schedules were reviewed by The Duluth Clinic LTD.'s management and SMDC Health System's governing body on May 4, 2011 prior to filing with the Internal Revenue Service. Each current director of the governing body received a copy of the 2009 Form 990. The Duluth Clinic LTD.'s CFO led the review of the forms and schedules and any questions were discussed. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 12C- I. Interested Persons shall annually disclose relationships which might lead to a conflict of interest by completing a conflict of interest disclosure form. The General Counsel may revise and update the form periodically within his/her professional discretion. II. Essentia Health shall be responsible for the annual distribution of conflict of interest forms and review of disclosures for the governing bodies of The Duluth Clinic, LTD. and regional locations and for senior management employees of The Duluth Clinic, LTD.. III. Senior management of the regional locations shall be responsible for the implementation of this policy and procedure within their respective direct and indirect subsidiaries. IV. Transactions with parties with whom a conflict of interest exists may be undertaken only if all of the following are observed: A. the conflict of interest is fully disclosed; B. the Interested Person with the conflict of interest does not participate in the approval of such transactions; C. if practical or appropriate, a competitive bid or comparable valuation is obtained; and D. the Board or committee of the Board has determined that the transaction is in the best interest of the organization. V. Disclosure by any Interested Person other than a Board or committee member should be made to the chief executive officer (or if she or he is the one with the conflict, then to the Board chair), who shall bring the matter to the attention of the Board or an appropriate committee of the Board. Disclosure involving Board or committee members shall be made to the Board chair (or if she or he is the one with the conflict, then to the Board vice-chair), who shall bring these matters to the Board or an appropriate committee of the Board. VI. The Board or committee of the Board shall determine whether a conflict exists and if so, whether the contemplated transaction may be authorized as just, fair, and reasonable to The Duluth Clinic, LTD. 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 The Duluth Clinic, LTD. 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 or 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN: FORM 990, PART VI, QUESTION 15A- The executive compensation committee of the board of directors of SMDC Health System fulfills the board's responsibility regarding compensation of SMDC Health System's (SMDC) executives consistent with SMDC's mission, values, and tax exempt status. The committee reviews and makes decisions based on information presented by the SMDC President and Chief Administrative Officer concerning the performance of the system and senior executives of SMDC. The committee provides oversight for incentive compensation program(s) in a manner consistent with the executive compensation philosophy, annually they evaluate the performance of SMDC against approved corporate goals and objectives, including a review of system results and supporting documentation for all members covered by the SMDC incentive compensation program and report such findings to the Essentia Health Executive Compensation Committee. - The year this process was last undertaken for SMDC was 2009. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN: FORM 990, PART VI, QUESTION 15B- Essentia's Chief Financial Officer's compensation is determined by the Executive Compensation Committee of Essentia Health's Board of Directors. 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 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 & modifying, as appropriate, reasonable compensation & benefits for Essentia's Chief Executive Officer. 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's 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 shall 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 year this process was last undertaken for Essentia's CFO was 2008. |
| SCHEDULE O EXPLANATION CONTINUED: | FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE PUBLIC- The Duluth Clinic LTD makes its governing documents, conflict of interest policy, and financial statements available to the public. The Duluth Clinic LTD's governing documents, conflict of interest policy, and financial statements are available to the public upon request. The Duluth Clinic is part of Essentia Health's consolidated financials statements which are included in Essentia Health's annual report posted on Essentia Health's web site. HOURS DEVOTED TO RELATED ORGANIZATIONS: PART VII SECTION A LINE 1A COLUMN B- Tom Patnoe, MD, is employed by SMDC Medical Center as President and Chief Medical Officer. 100% of his time is spent furthering the purpose of SMDC Health System and all of it's related organizations. Michael Metcalf, is employed by SMDC Medical Center as one of SMDC Health System's Executive Vice Presidents. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Robert Norman is employed by ECHC as Essentia Health's Chief Financial Officer. 100% of his time is spent furthering the purpose of Essentia Health and related organizations. Barbara Johnson is employed by SMDC Medical Center as Chief Financial Officer. 100% of her time is spent furthering the purpose of SMDC Health System and all of it's related organizations. Joseph Bianco, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Rahul Aggarwal, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. David Alexander, MD is employed by The Duluth Clinic, Ltd. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Laura Boehlke-Bray, MD is employed by The Duluth Clinic, Ltd. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Janus Butcher, MD is employed by The Duluth Clinic, Ltd. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Albert Deibele, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Thomas Elliott, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Jeffrey Engelsjerd, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Jeffrey Garland, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Kenneth Irons, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Scott Johnson, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Thomas Kaiser, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Donald Muzzi, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Daniel Nikcevich, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Anne C. Stephen, MD is employed by The Duluth Clinic, Ltd. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Timothy Zager, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Mike Motley, is employed by The Duluth Clinic, Ltd. as one of SMDC Health System's Vice Presidents. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Michael Mcavoy, is employed by SMDC Medical Center as one of SMDC Health System's Vice Presidents. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Ann Watkins, is employed by SMDC Medical Center as one of SMDC Health System's Vice Presidents. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Kimberly Boddicker, MD is employed by The Duluth Clinic, Ltd. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Scott Eskuri, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Wendell Smith, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Frederick Harris, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Troy Erickson, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Subareddy Konda, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Michael Gibbons, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Edison McDaniels II, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Michael Marks, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Peter Person, MD is employed by SMDC Medical Center as SMDC Health System's Chief Executive Officer. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. PART XI LINE 3: CONSOLIDATED A-133- The Duluth Clinic LTD., as part of Essentia Health's consolidated financial statements, was required and underwent a consolidated audit set forth in the Single Audit Act and OMB Circular A-133. The consolidated audit is reviewed by the Essentia Health Audit Committee. |
| SCHEDULE O EXPLANATION CONTINUED: | SCHEDULE K: FURTHER INFORMATION- 1) Additional information/comments relating to the reporting of liabilities by related organizations: Essentia Health has an Obligated Group created under the Master Indenture which is composed of the following Members: Essentia Health, ECHC, St. Mary's Duluth Clinic Health System, St. Joseph's Medical Center, St. Mary's Regional Health Center, St. Mary's Medical Center, Inc., SMDC Medical Center, formerly known as Miller-Dwan Medical Center, Inc., Nat G. Polinsky Memorial Rehabilitation Center, Inc., St. Mary's Hospital of Superior, Brainerd Medical Center, Inc., Brainerd Lakes Integrated Health System, St. Mary's Innovis Health, The Duluth Clinic, Ltd. and Innovis Health, LLC (the "Obligated Group Members" or the "Members of the Obligated Group"). The Members of the Obligated Group are jointly and severally obligated on all indebtedness evidenced or secured by Notes issued under the Master Indenture. Series 2008E: The Series 2008E bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: St. Mary's Duluth Clinic Health System, The Duluth Clinic, Ltd., Essentia Health, St. Mary's Medical Center, Inc. and SMDC Medical Center are the conduit borrowers of the Series 2008E bonds. The conduit borrower, The Duluth Clinic, Ltd., has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Obligated Group Member, Innovis Health, LLC, is an indirect beneficiary of a portion of the Series 2008E borrowing and has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. Series 2008A Reoffered: The Series 2008A reoffered bonds are secured by Notes issued under the Master Indenture. Essentia Health is the conduit borrower of the Series 2008A reoffered bonds. The Obligated Group Members, ECHC, Innovis Health, LLC, The Duluth Clinic, Ltd., and St. Mary's Regional Health Center, are indirect beneficiaries of the Series 2008A reoffered borrowing and have recorded the bond liability on their balance sheets which are consolidated with Essentia Health. Series 2008B Reoffered: The Series 2008B reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health and St. Mary's Hospital of Superior are the conduit borrowers of the Series 2008B reoffered bonds. The conduit borrower, The Duluth Clinic, Ltd., has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Obligated Group Members, ECHC, Innovis Health, LLC, and St. Mary's Regional Health Center, are indirect beneficiaries of a portion of the Series 2008B reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. Series 2008C Reoffered: The Series 2008C reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: St. Mary's Duluth Clinic Health System, St. Joseph's Medical Center, St. Mary's Regional Health Center, The Duluth Clinic, Ltd., Essentia Health, and St. Mary's Medical Center, Inc. are the conduit borrowers of the Series 2008C reoffered bonds. The conduit borrowers, St. Mary's Regional Health Center and The Duluth Clinic, Ltd., have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, ECHC and Innovis Health, LLC, are indirect beneficiaries of a portion of the Series 2008C reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. Series 2010: The Series 2010 bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health, St. Joseph's Medical Center, St. Mary's Duluth Clinic Health System, St. Mary's Medical Center, Inc. and St. Mary's Regional Health Center are the conduit borrowers of the Series 2010 bonds. The conduit borrowers, The Duluth Clinic, Ltd., Essentia Health, St. Joseph's Medical Center, and St. Mary's Regional Health Center, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, ECHC and Innovis Health, LLC, are indirect beneficiaries of a portion of the Series 2010 borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. 2) Part I Column (e) - issue price listed on the filed Form 8038: Series 2008E were issued by the Essentia Health Obligated Group. The issue price listed in The Duluth CLinic LTD.'s Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. Series 2008A were issued by the Essentia Health Obligated Group. The issue price listed in The Duluth CLinic LTD.'s Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. Series 2008B were issued by the Essentia Health Obligated Group. The issue price listed in The Duluth CLinic LTD.'s Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. Series 2008C were issued by the Essentia Health Obligated Group. The issue price listed in The Duluth CLinic LTD.'s Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. Series 2010 were issued by the Essentia Health Obligated Group. The issue price listed in The Duluth CLinic LTD.'s Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. |
| SCHEDULE O EXPLANATION CONTINUED: | 3) Part II Lines 1 through 7 - proceeds: Series 2008E were issued by the Essentia Health Obligated Group. A portion of the Series 2008E borrowing was allocated to The Duluth Clinic LTD., an Essentia Health Obligated Group Member. The proceeds listed in The Duluth Clinic LTD.'s Schedule K Part II Lines 2 through 7 represent The Duluth Clinic LTD. allocated portion of the proceeds. Series 2008A were issued by the Essentia Health Obligated Group. A portion of the Series 2008A borrowing was allocated to The Duluth Clinic LTD., an Essentia Health Obligated Group Member. The proceeds listed in The Duluth Clinic LTD.'s Schedule K Part II Lines 2 through 7 represent The Duluth Clinic LTD. allocated portion of the proceeds. Series 2008B were issued by the Essentia Health Obligated Group. A portion of the Series 2008B borrowing was allocated to The Duluth Clinic LTD., an Essentia Health Obligated Group Member. The proceeds listed in The Duluth Clinic LTD.'s Schedule K Part II Lines 2 through 7 represent The Duluth Clinic LTD. allocated portion of the proceeds. Series 2008C were issued by the Essentia Health Obligated Group. A portion of the Series 2008C borrowing was allocated to The Duluth Clinic LTD., an Essentia Health Obligated Group Member. The proceeds listed in The Duluth Clinic LTD.'s Schedule K Part II Lines 2 through 7 represent The Duluth Clinic LTD. allocated portion of the proceeds. Series 2010 were issued by the Essentia Health Obligated Group. A portion of the Series 2010 borrowing was allocated to The Duluth Clinic LTD., an Essentia Health Obligated Group Member. The proceeds listed in The Duluth Clinic LTD.'s Schedule K Part II Lines 2 through 7 represent The Duluth Clinic LTD. allocated portion of the proceeds. 4) Part II Line 5 - Identify portions of the amount entered relating to issuance costs and credit enhancement fees: Series 2008E: Of the total amount reported in Part II Line 5, $327,722 represents the amount of proceeds used to pay bond issuance costs and $277,909 represents the amount used to pay fees for credit enhancement. Series 2008C Reoffered: The total amount reported in Part II Line 5 represents the amount of proceeds used to pay bond issuance costs. Series 2010: The total amount reported in Part II Line 5 represents the amount of proceeds used to pay bond issuance costs. SCHEDULE K PART I COLUMN (F): DESCRIPTION OF PURPOSE- Series 2008E: Refinance Series 1997 bonds issued December 18, 1997 to finance equipment purchases in Duluth, MN. Series 2008A: Refund Series 2008 A-1 and A-2 bonds issued March 4, 2008 to refinance a portion of the acquisition of certain assets of Innovis Health in connection with the affiliation of Essentia Health with Innovis Health. Series 2008B: Refund Series 2008 B-1 bonds issued March 4, 2008 to refund Series 1999B bonds issued May 18, 1999 for construction projects and equipment purchases in Superior, WI and various Duluth Clinic locations in northwestern Wisconsin. Series 2008C: Refund Series 2008 C-5 and 2008 C-4A bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and refund Series 1999A bonds issued May 18, 1999 for various acquisitions, construction projects, capital improvements and equipment purchases in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. Series 2010: Refund Series 1993C and 1993E bonds issued January 15, 1993 and refund Series 2008 C-3 and 2008 C-4B bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and various Duluth Clinic sites in northern Minnesota and finance various construction projects, capital improvements and equipment purchased in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. SCHEDULE K PART II LINE 8: YEAR OF SUBSTANTIAL COMPLETION- N/A SCHEDULE K PART III LINE 3C: ROUTINELY ENGAGE BOND COUNSEL TO REVIEW MANAGEMENT, SERVICE CONTRACTS, OR RESEARCH AGREEMENTS- None SCHEDULE R PART V COLUMN C: METHOD USED TO DETERMINE VALUE OF SERVICES, CASH, AND OTHER ASSETS- The methods used to determine the amounts in Schedule R Part V Column C were: -Reimbursement of actual costs -Fee based upon expected costs -Reimbursement of actual costs -Fee based upon expected costs |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BRAINERD LAKES INTEGRATED HEALTH SYSTEM | |||||||||
| 2024 S 6TH ST | BRAINERD | MN | 56401 | 371532145 | SUPPORT ORG | MN | 501 C 3 | 11 II | ECHC |
| BRAINERD MEDICAL CENTER INC | |||||||||
| 2024 S 6TH ST | BRAINERD | MN | 56401 | 371532148 | CLINIC | MN | 501 C 3 | 3 | BLIHS |
| BRIDGES MEDICAL CENTER | |||||||||
| 201 9TH ST WEST | ADA | MN | 56510 | 200479568 | CLINIC HOSPIT | MN | 501 C 3 | 3 | ECHC |
| CLEARWATER VALLEY HOSPITAL & CLINICS INC | |||||||||
| 301 CEDAR | OROFINO | ID | 83544 | 820497771 | CLINIC HOSPIT | ID | 501 C 3 | 3 | ECHC |
| DIVINE MEDICAL SERVICES | |||||||||
| 709 N LINCOLN | JEROME | ID | 83338 | 202773717 | EMERGENCY SER | ID | 501 C 3 | 3 | SBFMC |
| DL SURGERY CENTER | |||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 263837203 | ASC | MN | 501 C 3 | 3 | ECHC |
| ECHC FOUNDATION | |||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 263359418 | FOUNDATION | MN | 501 C 3 | 11 I | ECHC |
| ECHC | |||||||||
| 503 E 3RD ST | DULUTH | MN | 55805 | 261219624 | SUPPORT ORG | MN | 501 C 3 | 11 I | ESSENTIA |
| FIRST CARE MEDICAL SERVICES | |||||||||
| 900 HILLIGROSS BLVD SE | FOSSTON | MN | 56542 | 410706143 | CLINIC HOSPIT | MN | 501 C 3 | 3 | ECHC |
| MINNESOTA VALLEY HEALTH CENTER INC | |||||||||
| 621 S 4TH ST | LE SUEUR | MN | 56058 | 410837659 | HOSPITAL NURS | MN | 501 C 3 | 3 | ECHC |
| ST BENEDICTS FAMILY MEDICAL CENTER | |||||||||
| 709 N LINCOLN | JEROME | ID | 83338 | 820227163 | CLINIC HOSPIT | ID | 501 C 3 | 3 | ECHC |
| ST JOSEPHS MEDICAL CENTER | |||||||||
| 523 N 3RD ST | BRAINERD | MN | 56401 | 410695602 | HOSPITAL | MN | 501 C 3 | 3 | BLIHS |
| ST MARYS EMS | |||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 411805811 | EMERGENY SERV | MN | 501 C 3 | 9 | SMRHC |
| ST MARYS HOSPITAL AND CLINICS INC | |||||||||
| P O BOX 137 | COTTONWOOD | ID | 83522 | 820226453 | CLINIC HOSPIT | ID | 501 C 3 | 3 | ECHC |
| ST MARYS INNOVIS HEALTH | |||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 262863121 | CLINIC | MN | 501 C 3 | 3 | ECHC |
| ST MARYS REGIONAL HEALTH CENTER (SMRHC) | |||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 411620386 | CLINIC HOSPIT | MN | 501 C 3 | 3 | ECHC |
| ESSENTIA HEALTH | |||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 200360007 | SUPPORT ORG | MN | 501 C 3 | 11 III FI | NA |
| ESSENTIA INSTITUTE OF RURAL HEALTH | |||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 271291124 | RESEARCH | MN | 501 C 3 | 4 | ESSENTIA |
| INNOVIS HEALTH LLC | |||||||||
| 1702 S UNIVERSITY DR | FARGO | ND | 58103 | 261175213 | CLINIC HOSPIT | DE | 501 C 3 | 3 | ESSENTIA |
| INNOVIS HEALTH FOUNDATION | |||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 271984704 | FOUNDATION | MN | 501 C 3 | 7 | INNOVIS |
| MIDWEST MEDICAL EQUIP & SUPPLY INC | |||||||||
| 4418 HAINES RD | DULUTH | MN | 55811 | 411674021 | MEDICAL EQUIP | MN | 501 C 3 | 9 | SMDC |
| PINE MEDICAL CENTER | |||||||||
| 109 COURT AVE S | SANDSTONE | MN | 55072 | 411884597 | CLINIC HOSPIT | MN | 501 C 3 | 3 | SMDC |
| POLINSKY MEDICAL REHAB CENTER | |||||||||
| 530 E 2ND ST | DULUTH | MN | 55805 | 410691275 | CLINIC HOSPIT | MN | 501 C 3 | 3 | SMMC |
| SMDC MEDICAL CENTER | |||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 411878730 | CLINIC HOSPIT | MN | 501 C 3 | 3 | SMDC |
| ST MARYS DULUTH CLINIC FOUNDATION | |||||||||
| 400 E 3RD ST | DULUTH | MN | 55805 | 412016979 | FOUNDATION | MN | 501 C 3 | 7 | SMDC |
| ST MARYS DULUTH CLINIC HEALTH SYS (SMDC) | |||||||||
| 407 E 3RD ST | DULUTH | MN | 55805 | 411836633 | CLINIC HOSPIT | MN | 501 C 3 | 3 | ESSENTIA |
| ST MARYS HOSPITAL OF SUPERIOR | |||||||||
| 3500 TOWER AVE | SUPERIOR | WI | 54880 | 411811073 | CLINIC HOSPIT | WI | 501 C 3 | 3 | SMMC |
| ST MARYS MEDICAL CENTER (SMMC) | |||||||||
| 407 E 3RD ST | DULUTH | MN | 55805 | 410695604 | CLINIC HOSPIT | MN | 501 C 3 | 3 | SMDC |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PMC GATEWAY IMAGING LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 109 COURT AVE S | AddressLine1 |
| City | SANDSTONE | City |
| State | MN | State |
| ZIP Code | 55072 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261634764 | EIN |
| Primary Activity | IMAGING SERVICES | PrimaryActivity |
| Legal Domicile State | MN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | NONE | PredominantIncomeType |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EAST RANGE CLINICS LTD | |||||||||||||||||
| 910 6TH AVE N | VIRGINIA | MN | 55792 | 410909915 | CLINICS | MN | DULUTH CLINIC | C | -97720 | 1752607 | 1.00000 | ||||||
| ESSENTIA HEALTH INS SERVICES SPC LTD | |||||||||||||||||
| 000000000 | INSURANCE | NA | FOREIGN CORP | 0 | 0 | 0.00000 | BUCKINGHAM SQ 720 W BAY RD PO BX69 | GRAND CAYMAN | CAYMAN ISLANDS | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| ESSENTIA INST OF RURAL HLTH 27-1291124 | |
| F | 325178 |
| ESSENTIA INST OF RURAL HLTH 27-1291124 | |
| Q | 2211604 |
| ESSENTIA INST OF RURAL HLTH 27-1291124 | |
| P | 467894 |
| ESSENTIA INST OF RURAL HLTH 27-1291124 | |
| O | 336897 |
| ST MARYS MEDICAL CENTER 41-0695604 | |
| Q | 322000000 |
| ST MARYS MEDICAL CENTER 41-0695604 | |
| O | 85092 |
| ST MARYS DULUTH CLINIC FOUND 41-2016979 | |
| B | 71332 |
| ST MARYS DULUTH CLINIC FOUND 41-2016979 | |
| P | 103296 |
| SMDC MEDICAL CENTER 41-01878730 | |
| Q | 4000000 |
| SMDC MEDICAL CENTER 41-01878730 | |
| O | 147787 |
| ST MARYS MEDICAL CENTER 41-0695604 | |
| P | 86639 |
| ECHC 26-1219624 | |
| O | 7217542 |
| ESSENTIA HEALTH 20-0360007 | |
| O | 4240732 |
| ESSENTIA HEALTH 20-0360007 | |
| Q | 1203885 |
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