ESSENTIA HEALTH: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ESSENTIA HEALTH (EIN 20-0360007)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-04-29
- IRS object ID
- 202001209349300330
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-04-29T16:55:44-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 W 1ST ST STE 700 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 558021926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200360007 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESSENTIA HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ESSE | BusinessNameControlTxt |
| Phone | 2187868376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 E 2ND ST | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACI MORRIS | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2187868376 | PhoneNum |
| Signature | 2020-04-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY BETH SANTORI | PreparerPersonNm |
| PTIN | P00023783 | PTIN |
| Phone | 2187275025 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.72.48.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-04-29 | IPDt |
| IP Tm | 16:55:37 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 11F6358DFCB4818DD2A3D3F03C3961CA8BBBD998 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID HERMAN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 E 2ND ST | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $398,421,978 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ESSENTIAHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1887 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $2,421,016 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $30,660 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $82,809 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,928 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $175,684,961 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $176,481,882 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,559,891 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,006,353 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,835,202 | PYOtherRevenueAmt |
| CY Other Revenue | $2,712,470 | CYOtherRevenueAmt |
| PY Total Revenue | $189,162,863 | PYTotalRevenueAmt |
| CY Total Revenue | $194,220,633 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $28,521 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,290 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $136,180,546 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $143,083,794 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $43,887,461 | PYOtherExpensesAmt |
| CY Other Expenses | $39,157,280 | CYOtherExpensesAmt |
| PY Total Expenses | $180,096,528 | PYTotalExpensesAmt |
| CY Total Expenses | $182,244,364 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,066,335 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,976,269 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $396,118,323 | TotalAssetsBOYAmt |
| Total Assets EOY | $419,201,264 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $219,150,832 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $220,446,635 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $176,967,491 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $198,754,629 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $70,012,066 | ExpenseAmt |
| Grant | $3,290 | GrantAmt |
| Revenue | $176,481,882 | RevenueAmt |
| Desc | ESSENTIA HEALTH 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 CRITICAL ACCESS GROUP, A MINNESOTA NONPROFIT CORPORATION, BRAINERD LAKES INTEGRATED HEALTH SYSTEM DBA ESSENTIA HEALTH CENTRAL, A MINNESOTA NONPROFIT CORPORATION, ST. MARY'S DULUTH CLINIC HEALTH SYSTEM DBA ESSENTIA HEALTH EAST, A MINNESOTA NONPROFIT CORPORATION, AND INNOVIS HEALTH, LLC DBA ESSENTIA HEALTH WEST, A DELAWARE LIMITED LIABILITY COMPANY AND IN SUPPORT OF CRITICAL ACCESS GROUP, ESSENTIA HEALTH CENTRAL, ESSENTIA HEALTH EAST, AND ESSENTIA HEALTH WEST AND EACH OF THE TAX-EXEMPT ENTITIES IDENTIFIED AS SUPPORTED ORGANIZATIONS IN THEIR ARTICLES OF INCORPORATION ALL OF WHICH ARE ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. ESSENTIA HEALTH IS AN INTEGRATED HEALTH SYSTEM SERVING PATIENTS IN MINNESOTA, WISCONSIN, NORTH DAKOTA AND IDAHO. HEADQUARTERED IN DULUTH, MINNESOTA, ESSENTIA HEALTH COMBINES THE STRENGTHS AND TALENTS OF 14,500 EMPLOYEES, INCLUDING MORE THAN 2,000 PHYSICIANS AND ADVANCED PRACTITIONERS, WHO SERVE ITS PATIENTS AND COMMUNITIES THROUGH THE MISSION OF BEING CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. ESSENTIA HEALTH, WHICH INCLUDES MANY CATHOLIC FACILITIES, IS GUIDED BY THE VALUES OF QUALITY, HOSPITALITY, RESPECT, JOY, JUSTICE, STEWARDSHIP AND TEAMWORK. THE ORGANIZATION LIVES OUT ITS MISSION BY HAVING PATIENT-CENTERED FOCUS AT 15 HOSPITALS, OVER 70 CLINICS, SIX LONG-TERM CARE FACILITIES, THREE ASSISTED LIVING FACILITIES, THREE INDEPENDENT LIVING FACILITIES, SIX AMBULANCE SERVICES, AND ONE RESEARCH INSTITUTE. ESSENTIA HEALTH PROVIDES SERVICES PREDOMINANTLY IN RURAL COMMUNITIES AND IS COMMITTED TO ELIMINATING GEOGRAPHIC BARRIERS TO CARE. MANY OF ESSENTIA HEALTH'S HOSPITALS AND CLINICS ARE LOCATED IN COMMUNITIES THAT ARE FEDERALLY RECOGNIZED AS BEING MEDICALLY UNDERSERVED. ESSENTIA HEALTH IS ACCREDITED AS AN ACCOUNTABLE CARE ORGANIZATION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. THE LEGAL ENTITIES COMPRISING ESSENTIA HEALTH FILE SEPARATE FORM 990'S. AT FISCAL YEAR ENDED JUNE 30, 2019, ESSENTIA HEALTH'S CONSOLIDATED TOTAL REVENUE WAS $2,168,187,000 AND CONSOLIDATED INCOME FROM OPERATIONS WAS $53,470,000. ESSENTIA HEALTH'S HOSPITALS HAVE A TOTAL OF 1,198 LICENSED BEDS WHICH PROVIDED OVER 189,000 HOSPITAL PATIENT DAYS AND OVER 679,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2019. THE CLINICS HAD OVER 1.7 MILLION ENCOUNTERS DURING THE SAME TIME PERIOD. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, ESSENTIA HEALTH PROVIDED TOTAL COMMUNITY BENEFITS OF OVER $128 MILLION WHICH INCLUDED COSTS OF PROVIDING CHARITY CARE, COSTS IN EXCESS OF MEDICAID PAYMENTS, MEDICAID SURCHARGE, MINNESOTACARE TAX, COMMUNITY SERVICES, HEALTH PROFESSION EDUCATION, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS. | Desc |
| Total Program Service Expenses | $70,012,066 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 751 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1887 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRACI MORRIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2187868376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 E 2ND ST | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DAVID GADDIE | ||||||||||
| BOARD CHAIR | 3.00 | 0.00 | Yes (X) | Yes (X) | $45,000 | $0 | $0 | |||
| LINDA DUNHAM | ||||||||||
| BOARD VICE CHAIR | 3.00 | 0.00 | Yes (X) | Yes (X) | $20,000 | $0 | $0 | |||
| DEAN AGER | ||||||||||
| BOARD DIRECTOR | 3.00 | 1.00 | Yes (X) | $30,000 | $0 | $0 | ||||
| JAMES ANDERSON | ||||||||||
| BOARD DIRECTOR | 3.00 | 4.00 | Yes (X) | $39,000 | $0 | $0 | ||||
| CHARLES ALBRECHT | ||||||||||
| BOARD DIRECTOR | 3.00 | 2.00 | Yes (X) | $12,450 | $0 | $0 | ||||
| ALAN HODNIK | ||||||||||
| BOARD DIRECTOR | 3.00 | 0.00 | Yes (X) | $20,000 | $0 | $0 | ||||
| SISTER KATHLEEN HOFER | ||||||||||
| BOARD DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WALTER LEINO MD | ||||||||||
| BOARD DIRECTOR | 3.00 | 1.00 | Yes (X) | $20,000 | $0 | $0 | ||||
| KEVIN MOUG | ||||||||||
| BOARD DIRECTOR | 3.00 | 1.00 | Yes (X) | $34,500 | $0 | $0 | ||||
| SISTER BEVERLY RAWAY | ||||||||||
| BOARD DIRECTOR | 3.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS RUSS MD | ||||||||||
| BOARD DIRECTOR | 3.00 | 37.00 | Yes (X) | $30,000 | $254,805 | $24,506 | ||||
| KIMBERLEY STOKES | ||||||||||
| BOARD DIRECTOR | 3.00 | 0.00 | Yes (X) | $20,000 | $0 | $0 | ||||
| SISTER CLARE MARIE TRETTEL | ||||||||||
| BOARD DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LAURA BOEHLKE-BRAY MD | ||||||||||
| BOARD DIRECTOR THRU 12/19 | 3.00 | 37.00 | Yes (X) | $10,000 | $208,792 | $16,283 | ||||
| JOEL HAUGEN MD | ||||||||||
| BOARD DIRECTOR THRU 12/19 | 3.00 | 37.00 | Yes (X) | $18,375 | $301,796 | $45,229 | ||||
| DAVID HERMAN MD | ||||||||||
| CHIEF EXECUTIVE OFFICER | 58.00 | 2.00 | Yes (X) | $1,419,889 | $0 | $249,916 | ||||
| TRACI MORRIS | ||||||||||
| CHIEF FINANCIAL OFFICER | 60.00 | 0.00 | Yes (X) | $508,504 | $0 | $53,263 | ||||
| BRADLEY BEARD | ||||||||||
| CHIEF OPERATING OFFICER - EAST | 3.00 | 57.00 | $0 | $251,270 | $54,590 | Yes (X) | ||||
| DENNIS DASSENKO | ||||||||||
| CHIEF INFORMATION OFFICER | 60.00 | 0.00 | $603,955 | $0 | $93,908 | Yes (X) | ||||
| DIANE DAVIDSON | ||||||||||
| CHIEF HUMAN RESOURCE OFFICER | 60.00 | 0.00 | $468,853 | $0 | $94,035 | Yes (X) | ||||
| PATRICIA DELONG | ||||||||||
| CHIEF NURSING OFFICER - CENTRAL | 3.00 | 57.00 | $0 | $247,539 | $25,470 | Yes (X) | ||||
| GREGORY GLASNER MD | ||||||||||
| PRESIDENT - WEST | 3.00 | 57.00 | $0 | $645,561 | $106,543 | Yes (X) | ||||
| SHEILA HART | ||||||||||
| SENIOR VP-INTEGRATED CARE | 60.00 | 0.00 | $379,210 | $0 | $82,231 | Yes (X) | ||||
| PETER HENRY MD | ||||||||||
| CHIEF MEDICAL OFFICER | 3.00 | 57.00 | $731,302 | $0 | $100,399 | Yes (X) | ||||
| MICHAEL MAHONEY | ||||||||||
| VICE PRESIDENT, PUBLIC POLICY | 60.00 | 0.00 | $303,482 | $0 | $50,645 | Yes (X) | ||||
| JODI MANSFIELD | ||||||||||
| EXECUTIVE VICE PRESIDENT, COO | 60.00 | 0.00 | $443,206 | $0 | $1,264 | Yes (X) | ||||
| ADAM REES | ||||||||||
| PRESIDENT - CENTRAL | 3.00 | 57.00 | $0 | $449,391 | $87,773 | Yes (X) | ||||
| TIMOTHY SAYLER | ||||||||||
| CHIEF OPERATING OFFICER - WEST | 3.00 | 57.00 | $0 | $541,904 | $97,634 | Yes (X) | ||||
| ANNE STEPHEN MD | ||||||||||
| CHIEF MEDICAL OFFICER - EAST | 3.00 | 57.00 | $0 | $468,772 | $101,700 | Yes (X) | ||||
| DEBORAH WELLE-POWELL | ||||||||||
| CHIEF POPULATION HEALTH OFFICER | 60.00 | 0.00 | $509,357 | $0 | $84,597 | Yes (X) | ||||
| RICHARD VETTER MD | ||||||||||
| CHIEF MEDICAL OFFICER - WEST | 3.00 | 57.00 | $0 | $484,198 | $83,797 | Yes (X) | ||||
| MARK HAYWARD | ||||||||||
| SENIOR VP, OPERATIONS THRU 7/18 | 3.00 | 57.00 | $0 | $428,947 | $86,323 | Yes (X) | ||||
| JEFFREY KORSMO | ||||||||||
| EVP, OPS & ADMIN THRU 3/18 | 60.00 | 0.00 | $1,045,271 | $0 | $29,162 | Yes (X) | ||||
| TRACY MILAND | ||||||||||
| CHIEF STRATEGY OFFICER THRU 3/18 | 60.00 | 0.00 | $358,747 | $0 | $32,424 | Yes (X) | ||||
| DANIEL NIKCEVICH MD | ||||||||||
| PRESIDENT - EAST THRU 7/18 | 3.00 | 57.00 | $0 | $913,042 | $150,296 | Yes (X) | ||||
| TERESA O'TOOLE | ||||||||||
| CHIEF LEGAL OFFICER THRU 3/19 | 60.00 | 0.00 | $862,395 | $0 | $96,410 | Yes (X) | ||||
| KRISTI SCHMIDT | ||||||||||
| CHIEF MKTG & COM OFF THRU 1/19 | 60.00 | 0.00 | $250,770 | $0 | $23,014 | Yes (X) | ||||
| MICHAEL VAN SCOY MD | ||||||||||
| PHYSICIAN LEADER | 60.00 | 0.00 | $379,358 | $0 | $54,911 | Yes (X) | ||||
| RAJESH PRABHU MD | ||||||||||
| PHYSICIAN LEADER | 60.00 | 0.00 | $334,329 | $0 | $29,092 | Yes (X) | ||||
| MELANIE WILSON | ||||||||||
| VIC PRESIDENT, REVENUE SERVICES | 60.00 | 0.00 | $332,600 | $0 | $27,112 | Yes (X) | ||||
| MICHAEL WHITCOMB MD | ||||||||||
| PHYSICIAN LEADER | 60.00 | 0.00 | $289,252 | $0 | $44,486 | Yes (X) | ||||
| MARTIN SINCLAIR | ||||||||||
| DEPUTY CHIEF LEGAL OFFICER | 60.00 | 0.00 | $283,144 | $0 | $32,745 | Yes (X) | ||||
| ROBERT NORMAN | ||||||||||
| FORMER CHIEF FINANCIAL OFFICER | 0.00 | 0.00 | $565,006 | $0 | $15,930 | Yes (X) | ||||
| STEVEN JORGENSEN | ||||||||||
| FORMER CHIEF OPERATING OFFICER - EAST | 0.00 | 0.00 | $0 | $708,125 | $22,380 | Yes (X) | ||||
| JOHN SMYLIE | ||||||||||
| FORMER CHIEF OPERATING OFFICER | 0.00 | 0.00 | $109,221 | $0 | $0 | Yes (X) | ||||
| PATRICK TWOMEY MD | ||||||||||
| FORMER CHIEF MEDICAL OFFICER | 0.00 | 60.00 | $0 | $624,273 | $57,887 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,477,176 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,528,415 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,155,955 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 126 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OLAF ANDERSON CONSTRUCTION | |||||
| PO BOX 2766 | FARGO | ND | 58108 | CONSTRUCTION SERVICES | $8,934,792 |
| LANDMARK DEVELOPMENT SERVICES | |||||
| 10 W MIFFLIN ST STE 400 | MADISON | WI | 53703 | DEVELOPMENT SERVICES | $8,634,171 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | PHYSICIAN COVERAGE | $7,386,732 |
| EPIC SYSTEMS CORPORATION | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | MEDICAL BILLING SOFTWARE SUPPORT SERVICE | $6,802,782 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 4100 | ROCHESTER | MN | 55903 | LAB SERVICES | $6,585,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 156 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $8,665 | RelatedOrganizationsAmt |
| Government Grants | $3,623 | GovernmentGrantsAmt |
| All Other Contributions | $7,640 | AllOtherContributionsAmt |
| Total Contributions | $19,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUPPORT REVENUE | Desc |
| Business | 541610 | BusinessCd |
| Total Revenue Column | $176,481,882 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $176,481,882 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $176,481,882 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,054,126 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,231,045 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,823,081 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $211,153,572 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $204,061,515 | SecuritiesAmt |
| Other | $139,830 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,092,057 | SecuritiesAmt |
| Other | -$139,830 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,952,227 | TotalRevenueColumnAmt |
| Exclusion | $6,952,227 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| SYSTEM ACCESS/USE REVENUE | 900099 | $2,420,109 | $189,971 | $2,230,138 |
| SETTLEMENTS | 900099 | $209,616 | $209,616 | |
| ATTORNEY RECORD REQUEST FEES | 900099 | $69,671 | $69,671 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,074 | TotalRevenueColumnAmt |
| Exclusion | $13,074 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,712,470 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,220,633 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $176,481,882 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,421,016 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,297,807 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,290 | TotalAmt |
| Program Services | $3,290 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,618,438 | TotalAmt |
| Program Services | $1,576,853 | ProgramServicesAmt |
| Management And General | $7,041,585 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,214,013 | TotalAmt |
| Program Services | $46,453,804 | ProgramServicesAmt |
| Management And General | $57,760,209 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,508,454 | TotalAmt |
| Program Services | $2,127,270 | ProgramServicesAmt |
| Management And General | $2,381,184 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,061,405 | TotalAmt |
| Program Services | $7,813,436 | ProgramServicesAmt |
| Management And General | $10,247,969 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,681,484 | TotalAmt |
| Program Services | $3,396,889 | ProgramServicesAmt |
| Management And General | $4,284,595 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,870 | TotalAmt |
| Management And General | $497,870 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,754 | TotalAmt |
| Management And General | $410,754 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,083 | TotalAmt |
| Management And General | $290,083 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,289,583 | TotalAmt |
| Management And General | $1,289,583 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,809,336 | TotalAmt |
| Program Services | $2,724,047 | ProgramServicesAmt |
| Management And General | $14,085,289 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $743,087 | TotalAmt |
| Program Services | $449,707 | ProgramServicesAmt |
| Management And General | $293,380 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,447,775 | TotalAmt |
| Program Services | $271,858 | ProgramServicesAmt |
| Management And General | $6,175,917 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,822,056 | TotalAmt |
| Program Services | $1,257,943 | ProgramServicesAmt |
| Management And General | $1,564,113 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $847,478 | TotalAmt |
| Program Services | $377,767 | ProgramServicesAmt |
| Management And General | $469,711 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,033 | TotalAmt |
| Program Services | $555,849 | ProgramServicesAmt |
| Management And General | $763,184 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,921 | TotalAmt |
| Program Services | $199,601 | ProgramServicesAmt |
| Management And General | $371,320 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,663,884 | TotalAmt |
| Program Services | $1,662,073 | ProgramServicesAmt |
| Management And General | $1,811 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,183,346 | TotalAmt |
| Program Services | $527,481 | ProgramServicesAmt |
| Management And General | $655,865 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UNRELATED BUSINESS TAX | $45,087 | $45,087 | |
| ASSET IMPAIRMENT LOSS | $2,445,636 | $2,445,636 | |
| DUES | $700,315 | $403,808 | $296,507 |
| SALES TAX | $288,117 | $284,693 | $3,424 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,919 | TotalAmt |
| Program Services | $314,267 | ProgramServicesAmt |
| Management And General | $468,652 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,244,364 | TotalAmt |
| Program Services | $70,012,066 | ProgramServicesAmt |
| Management And General | $112,232,298 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,497,904 | BOYAmt |
| EOY | $5,911,127 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,808,996 | BOYAmt |
| EOY | $42,948,609 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,956,976 | BOYAmt |
| EOY | $9,205,454 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,232,772 | BOYAmt |
| EOY | $6,301,040 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,316,611 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,546,497 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,713,699 | BOYAmt |
| EOY | $4,770,114 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,492 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,790,137 | BOYAmt |
| EOY | $209,026,007 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,672,658 | BOYAmt |
| EOY | $53,227,022 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,366,689 | BOYAmt |
| EOY | $87,811,891 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,118,323 | BOYAmt |
| EOY | $419,201,264 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,649,010 | BOYAmt |
| EOY | $96,250,933 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,000 | BOYAmt |
| EOY | $1,904,510 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,414,418 | BOYAmt |
| EOY | $16,424,673 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,250,469 | BOYAmt |
| EOY | $16,989,170 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,436,935 | BOYAmt |
| EOY | $88,877,349 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,150,832 | BOYAmt |
| EOY | $220,446,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,967,491 | BOYAmt |
| EOY | $198,754,629 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,967,491 | BOYAmt |
| EOY | $198,754,629 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,118,323 | BOYAmt |
| EOY | $419,201,264 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,976,269 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,612,928 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $11,423,797 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 4 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INNOVIS HEALTH LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261175213 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $48,155,951 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 4 | SupportedOrganizationsTotalCnt |
| Support Sum | $48,155,951 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (1) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART I, LINE 12G: | SUPPORTED ORGANIZATIONS: ESSENTIA HEALTH ALSO SUPPORTS THREE 509(A)(3) ENTITIES WHO ARE LISTED IN ESSENTIA HEALTH'S GOVERNING DOCUMENTS: BRAINERD LAKES INTEGRATED HEALTH SYSTEM (EIN: 37-1532145), CRITICAL ACCESS GROUP (EIN: 26-1219624), AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM (EIN: 41-1836633). ESSENTIA HEALTH PROVIDED MONETARY SUPPORT IN THE AMOUNTS OF $20,080,891 TO BRAINERD LAKES INTEGRATED HEALTH SYSTEM, $3,593,282 TO CRITICAL ACCESS GROUP, AND $110,414,240 TO ST. MARY'S DULUTH CLINIC HEALTH SYSTEM FOR AN OVERALL TOTAL OF $182,244,364 IN MONETARY SUPPORT. ESSENTIA HEALTH ALSO SUPPORTS THE TAX-EXEMPT SUBSIDIARIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS, SUBSTANTIALLY ALL OF WHICH ARE PUBLICLY SUPPORTED ENTITIES UNDER IRC SECTION 509(A). |
| SCHEDULE A, PART I, LINE 12G, COLUMN V: | AMOUNT OF SUPPORT: THE AMOUNT OF SUPPORT INCLUDES ESSENTIA HEALTH'S FUNCTIONAL EXPENSES WHICH ARE INCURRED FOR THE BENEFIT OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION A, LINE 2: | DETERMINATION OF STATUS OF SUPPORTED ORGANIZATIONS: THREE OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS (BRAINERD LAKES INTEGRATED HEALTH SYSTEM, CRITICAL ACCESS GROUP, AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) ARE TYPE II SUPPORTING ORGANIZATIONS UNDER IRC SECTION 509(A)(3). BRAINERD LAKES INTEGRATED HEALTH SYSTEM, CRITICAL ACCESS GROUP, AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM SUPPORT TAX-EXEMPT ORGANIZATIONS ORGANIZED UNDER IRC SECTION 509(A)(1) OR 509(A)(2). |
| SCHEDULE A, PART IV, SECTION A, LINE 6: | SUPPORT TO OTHER ORGANIZATIONS: ESSENTIA HEALTH MADE CONTRIBUTIONS TO UNRELATED ORGANIZATIONS THAT ALIGN WITH ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS' MISSIONS. THESE CONTRIBUTIONS CREATED A HEALTHY DIFFERENCE IN PEOPLES' LIVES BY PROVIDING RESOURCES TO FAMILIES IN NEED. ESSENTIA HEALTH ALSO SUPPORTS THE TAX-EXEMPT SUBSIDIARIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS BY PROVIDING VARIOUS SERVICES AND MONETARY SUPPORT. |
| SCHEDULE A, PART IV, SECTION D, LINE 3: | SUPPORTED ORGANIZATIONS' VOICE AND DIRECTION: THERE ARE MULTIPLE DIRECTORS THAT SERVE ON ESSENTIA HEALTH'S BOARD OF DIRECTORS, AS WELL AS, ON ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. IN ADDITION, THE OFFICERS AND OTHER KEY EMPLOYEES OF ESSENTIA HEALTH AND ITS SUPPORTED ORGANIZATIONS MAINTAIN CLOSE AND CONTINUOUS WORKING RELATIONSHIPS BY SITTING ON THE SAME LEADERSHIP COMMITTEES AND TEAMS. FIRST AT THE SUPPORTED ORGANIZATION LEVEL AND THEN AT THE SUPPORTING ORGANIZATION LEVEL, ESSENTIA HEALTH'S INVESTMENTS AND USE OF INCOME AND ASSETS ARE DISCUSSED AND APPROVED RESULTING IN ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS HAVING A SIGNIFICANT VOICE IN DIRECTING THE ACTIVITIES OF ESSENTIA HEALTH. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A: | POWER TO APPOINT OR ELECT DIRECTORS: ESSENTIA HEALTH APPROVES THE ELECTION OF ITS SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS AND MAY REMOVE, WITH OR WITHOUT CAUSE, THESE SAME DIRECTORS AT ANY TIME. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B: | DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS: AS THE PARENT OF ITS SUPPORTED ORGANIZATIONS, ESSENTIA HEALTH HAS VARIOUS FINANCIAL, OPERATIONAL, AND ADVISORY POWERS, KNOWN AS RESERVED POWERS, WITH RESPECT TO ITS SUPPORTED ORGANIZATIONS AND THEIR SUBSIDIARIES CREATING A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS. ESSENTIA HEALTH ESTABLISHES AND OVERSEES VARIOUS POLICIES AND PROGRAMS INCLUDING POLICIES RELATED TO BUT NOT LIMITED TO ADMINISTRATION, HUMAN RESOURCES, FINANCE, COMPLIANCE, INFORMATION SERVICES, PATIENT RELATIONS/RISK MANAGEMENT, SAFETY, EMERGENCY PREPAREDNESS & SERVICES, REVENUE SERVICES, ESSENTIA HEALTH MEDICAL GROUP, PHYSICIAN/PROVIDER SERVICES, RESEARCH AND EDUCATION, AND THE ESSENTIA HEALTH FOUNDATION. ESSENTIA HEALTH HAS THE FOLLOWING AUTHORITY OVER ITS SUPPORTED ORGANIZATIONS AND THEIR SUBSIDIARIES: CREATE AND APPROVE STRATEGIC BUSINESS PLANS; CREATE AND APPROVE THE MISSION, PURPOSE AND VISION STATEMENTS; CREATE AND APPROVE AMENDMENTS OF THE ARTICLES OF INCORPORATION AND BYLAWS AND/OR CERTIFICATES OF FORMATION AND OPERATING AGREEMENTS; AND CAUSE AND APPROVE THE DISCONTINUANCE OF SERVICES AND SERVICE LOCATIONS. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $138,588 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $290,083 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $428,671 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ESSENTIA HEALTH EMPLOYS ONE FULL-TIME IN-HOUSE PUBLIC POLICY INDIVIDUAL AND DURING 2019 CONTRACTED WITH TWO CONSULTANT FIRMS TO MONITOR STATE LEGISLATIVE ACTIVITIES OF INTEREST, THREE CONSULTANT FIRMS TO MONITOR FEDERAL LEGISLATIVE ACTIVITIES OF INTEREST RELATED TO HEALTH AND HUMAN SERVICES ISSUES, AND ONE LEGAL FIRM TO PROVIDE LEGISLATIVE REPRESENTATION SERVICES. ESSENTIA HEALTH'S PUBLIC POLICY ACTIVITIES OCCUR ON A MULTI-STATE AND NATIONAL LEVEL. ESSENTIA HEALTH PUBLIC POLICY ACTIVITIES INCLUDED IN PERSON, TELEPHONIC, ELECTRONIC COMMUNICATION AND INFORMATION RELAY WITH LEGISLATORS AND STAFF, ADMINISTRATIVE OFFICIALS, GOVERNMENT AGENCIES AND DEPARTMENTS ON BOTH THE STATE AND FEDERAL LEVELS. THE PRIMARY ISSUES OF INTEREST AND CONCERN INCLUDE: CRITICAL ACCESS HOSPITAL DESIGNATION, STATUS AND REIMBURSEMENT PHYSICIAN AND HOSPITAL SERVICES REIMBURSEMENT MEDICARE AND MEDICAID REIMBURSEMENT POLICIES DISPROPORTIONATE SHARE HOSPITAL FUNDING SOLE COMMUNITY HOSPITAL STATUS AND FUNDING GRADUATE MEDICAL EDUCATION/INDIRECT MEDICAL EDUCATION FUNDING HEALTH INFORMATION TECHNOLOGY FUNDING AND PRIVACY ISSUES CYBERSECURITY STATE AND FEDERAL HEALTH CARE REFORM STATE AND FEDERAL SHARED SAVINGS DEMONSTRATION PROJECTS MEDICARE REIMBURSEMENT FOR REHAB FACILITIES MEDICARE 340B PRESCRIPTION DRUG DISCOUNT PROGRAM MULTI-STATE NURSE LICENSURE COMPACT MULTI-STATE ADVANCED PRACTICE REGISTERED NURSE LICENSURE COMPACT MULTI-STATE PHYSICIAN LICENSURE COMPACT MULTI-STATE PHYSICAL THERAPY COMPACT MANDATED NURSE STAFFING QUOTAS ELECTRONIC MEDICAL RECORD INTEROPERABILITY/HEALTH INFORMATION TECHNOLOGY MEDICARE RECOVERY AUDIT CONTRACTOR AUDITS (RAC) HEALTH INFORMATION EXCHANGE MEDICAL EDUCATION AND RESEARCH COSTS (MERC) STATE CHILDREN'S HEALTH INSURANCE PROGRAM WORKFORCE DEVELOPMENT ISSUES PUBLIC HEALTH INITIATIVES COMMUNITY BENEFITS WORKERS COMPENSATION SYSTEM TAX EXEMPT STATUS ENVIRONMENTAL PROTECTION & SOLID WASTE ADVANCED CARE PLANNING TELEMEDICINE MENTAL HEALTH/BEHAVIORAL HEALTH ISSUES ESSENTIA HEALTH ALSO PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT INCLUDED IN THE TOTAL IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,203,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $153,798 | DepreciationAmt |
| Book Value | $1,050,158 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,077,655 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,392,699 | DepreciationAmt |
| Book Value | $3,684,956 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,000 | OtherCostOrOtherBasisAmt |
| Book Value | $35,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,770,114 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $571,238 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | POOLED INVESTMENT FUNDS | Desc |
| Book Value | $208,454,769 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $209,026,007 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN BENEDICTINE HEALTH SYSTEM | Desc |
| Book Value | $53,227,022 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $53,227,022 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED DEBT FINANCING COSTS - LINE OF CREDIT | $29,504 |
| DEFERRED COMPENSATION FUND | $83,060,751 |
| REINSURANCE RECEIVABLE | $3,985,450 |
| DEFERRED TAX ASSET | $736,186 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $87,811,891 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| NON CURRENT SWAP LIABILITY | $311,395 |
| BENEFIT PLAN LIABILITY | $83,060,751 |
| PAYABLES TO RELATED ORGS | $5,401,561 |
| UNCLAIMED PROPERTY | $103,642 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $88,877,349 | TotalLiabilityAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | Specific Services ProvidedSpecificServicesProvidedTxt |
|---|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | 0 | 0 | INVESTMENTS | $124,392,978 | |
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | 0 | 0 | PROGRAM SERVICES | $15,939,600 | SELF INDEMNITY |
| NORTH AMERICA | 0 | 0 | SEND AGENTS TO SEMINAR | $4,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $140,336,855 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $140,336,855 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (1) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (1) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS RUSS MD | ||||||||||||||
| BOARD DIRECTOR | $30,000 | $250,995 | $0 | $0 | $0 | $3,810 | $0 | $13,561 | $0 | $10,945 | $30,000 | $279,311 | $0 | $0 |
| LAURA BOEHLKE-BRAY MD | ||||||||||||||
| BOARD DIRECTOR THRU 12/19 | $10,000 | $207,911 | $0 | $0 | $0 | $881 | $0 | $15,048 | $0 | $1,235 | $10,000 | $225,075 | $0 | $0 |
| JOEL HAUGEN MD | ||||||||||||||
| BOARD DIRECTOR THRU 12/19 | $18,375 | $299,615 | $0 | $0 | $0 | $2,181 | $0 | $22,000 | $0 | $23,229 | $18,375 | $347,025 | $0 | $0 |
| DAVID HERMAN MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $1,183,542 | $0 | $224,683 | $0 | $11,664 | $0 | $245,075 | $0 | $4,841 | $0 | $1,669,805 | $0 | $0 | $0 |
| TRACI MORRIS | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $453,282 | $0 | $46,542 | $0 | $8,680 | $0 | $50,228 | $0 | $3,035 | $0 | $561,767 | $0 | $0 | $0 |
| BRADLEY BEARD | ||||||||||||||
| CHIEF OPERATING OFFICER - EAST | $0 | $208,354 | $0 | $20,000 | $0 | $22,916 | $0 | $43,259 | $0 | $11,331 | $0 | $305,860 | $0 | $0 |
| DENNIS DASSENKO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $376,235 | $0 | $69,575 | $0 | $158,145 | $0 | $70,244 | $0 | $23,664 | $0 | $697,863 | $0 | $100,237 | $0 |
| DIANE DAVIDSON | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFICER | $362,127 | $0 | $66,276 | $0 | $40,450 | $0 | $67,657 | $0 | $26,378 | $0 | $562,888 | $0 | $31,756 | $0 |
| PATRICIA DELONG | ||||||||||||||
| CHIEF NURSING OFFICER - CENTRAL | $0 | $227,165 | $0 | $18,925 | $0 | $1,449 | $0 | $12,214 | $0 | $13,256 | $0 | $273,009 | $0 | $0 |
| GREGORY GLASNER MD | ||||||||||||||
| PRESIDENT - WEST | $0 | $496,973 | $0 | $80,061 | $0 | $68,527 | $0 | $76,477 | $0 | $30,066 | $0 | $752,104 | $0 | $49,414 |
| SHEILA HART | ||||||||||||||
| SENIOR VP-INTEGRATED CARE | $279,437 | $0 | $51,696 | $0 | $48,077 | $0 | $54,545 | $0 | $27,686 | $0 | $461,441 | $0 | $39,619 | $0 |
| PETER HENRY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $441,541 | $0 | $104,098 | $0 | $185,663 | $0 | $74,712 | $0 | $25,687 | $0 | $831,701 | $0 | $125,872 | $0 |
| MICHAEL MAHONEY | ||||||||||||||
| VICE PRESIDENT, PUBLIC POLICY | $243,063 | $0 | $33,411 | $0 | $27,008 | $0 | $30,813 | $0 | $19,832 | $0 | $354,127 | $0 | $7,596 | $0 |
| JODI MANSFIELD | ||||||||||||||
| EXECUTIVE VICE PRESIDENT, COO | $396,640 | $0 | $0 | $0 | $46,566 | $0 | $0 | $0 | $1,264 | $0 | $444,470 | $0 | $0 | $0 |
| ADAM REES | ||||||||||||||
| PRESIDENT - CENTRAL | $0 | $328,290 | $0 | $78,279 | $0 | $42,822 | $0 | $59,131 | $0 | $28,642 | $0 | $537,164 | $0 | $30,574 |
| TIMOTHY SAYLER | ||||||||||||||
| CHIEF OPERATING OFFICER - WEST | $0 | $399,166 | $0 | $67,169 | $0 | $75,569 | $0 | $67,689 | $0 | $29,945 | $0 | $639,538 | $0 | $66,223 |
| ANNE STEPHEN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER - EAST | $0 | $399,951 | $0 | $62,732 | $0 | $6,089 | $0 | $67,689 | $0 | $34,011 | $0 | $570,472 | $0 | $0 |
| DEBORAH WELLE-POWELL | ||||||||||||||
| CHIEF POPULATION HEALTH OFFICER | $416,172 | $0 | $83,523 | $0 | $9,662 | $0 | $69,468 | $0 | $15,129 | $0 | $593,954 | $0 | $0 | $0 |
| RICHARD VETTER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER - WEST | $0 | $479,872 | $0 | $0 | $0 | $4,326 | $0 | $54,393 | $0 | $29,404 | $0 | $567,995 | $0 | $0 |
| MARK HAYWARD | ||||||||||||||
| SENIOR VP, OPERATIONS THRU 7/18 | $0 | $375,844 | $0 | $48,459 | $0 | $4,644 | $0 | $52,134 | $0 | $34,189 | $0 | $515,270 | $0 | $0 |
| JEFFREY KORSMO | ||||||||||||||
| EVP, OPS & ADMIN THRU 3/18 | $192,666 | $0 | $0 | $0 | $852,605 | $0 | $15,818 | $0 | $13,344 | $0 | $1,074,433 | $0 | $188,397 | $0 |
| TRACY MILAND | ||||||||||||||
| CHIEF STRATEGY OFFICER THRU 3/18 | $58,457 | $0 | $0 | $0 | $300,290 | $0 | $0 | $0 | $32,424 | $0 | $391,171 | $0 | $0 | $0 |
| DANIEL NIKCEVICH MD | ||||||||||||||
| PRESIDENT - EAST THRU 7/18 | $0 | $684,101 | $0 | $115,893 | $0 | $113,048 | $0 | $115,285 | $0 | $35,011 | $0 | $1,063,338 | $0 | $85,888 |
| TERESA O'TOOLE | ||||||||||||||
| CHIEF LEGAL OFFICER THRU 3/19 | $488,966 | $0 | $97,777 | $0 | $275,652 | $0 | $81,402 | $0 | $15,008 | $0 | $958,805 | $0 | $166,809 | $0 |
| KRISTI SCHMIDT | ||||||||||||||
| CHIEF MKTG & COM OFF THRU 1/19 | $221,593 | $0 | $20,273 | $0 | $8,904 | $0 | $20,981 | $0 | $2,033 | $0 | $273,784 | $0 | $4,019 | $0 |
| MICHAEL VAN SCOY MD | ||||||||||||||
| PHYSICIAN LEADER | $377,439 | $0 | $0 | $0 | $1,919 | $0 | $22,132 | $0 | $32,779 | $0 | $434,269 | $0 | $0 | $0 |
| RAJESH PRABHU MD | ||||||||||||||
| PHYSICIAN LEADER | $333,657 | $0 | $0 | $0 | $672 | $0 | $22,000 | $0 | $7,092 | $0 | $363,421 | $0 | $0 | $0 |
| MELANIE WILSON | ||||||||||||||
| VIC PRESIDENT, REVENUE SERVICES | $284,969 | $0 | $29,109 | $0 | $18,522 | $0 | $0 | $0 | $27,112 | $0 | $359,712 | $0 | $0 | $0 |
| MICHAEL WHITCOMB MD | ||||||||||||||
| PHYSICIAN LEADER | $287,391 | $0 | $0 | $0 | $1,861 | $0 | $21,923 | $0 | $22,563 | $0 | $333,738 | $0 | $0 | $0 |
| MARTIN SINCLAIR | ||||||||||||||
| DEPUTY CHIEF LEGAL OFFICER | $246,019 | $0 | $24,515 | $0 | $12,610 | $0 | $29,730 | $0 | $3,015 | $0 | $315,889 | $0 | $4,359 | $0 |
| ROBERT NORMAN | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER | $0 | $0 | $0 | $0 | $565,006 | $0 | $0 | $0 | $15,930 | $0 | $580,936 | $0 | $0 | $0 |
| STEVEN JORGENSEN | ||||||||||||||
| FORMER CHIEF OPERATING OFFICER - EAS | $0 | $32,780 | $0 | $0 | $0 | $675,345 | $0 | $1,907 | $0 | $20,473 | $0 | $730,505 | $0 | $71,338 |
| JOHN SMYLIE | ||||||||||||||
| FORMER CHIEF OPERATING OFFICER | $0 | $0 | $0 | $0 | $109,221 | $0 | $0 | $0 | $0 | $0 | $109,221 | $0 | $0 | $0 |
| PATRICK TWOMEY MD | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $0 | $556,525 | $0 | $0 | $0 | $67,748 | $0 | $22,118 | $0 | $35,769 | $0 | $682,160 | $0 | $53,490 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | BENEFITS PROVIDED: DURING CALENDAR YEAR 2018, CHARTER TRAVEL WAS USED BY FOUR BOARD DIRECTORS, TWO OFFICERS, AND FIVE KEY EMPLOYEES FOR TRAVEL BETWEEN ESSENTIA HEALTH'S OFFICE IN DULUTH, MN AND OTHER ORGANIZATIONS. THE USE OF CHARTER TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS AS ALL TRAVEL WAS BUSINESS RELATED. DURING TAX YEAR 2018, AS NEW EMPLOYEES RELOCATING FROM ANOTHER AREA, KEY EMPLOYEES JODI MANSFIELD AND TRACY MILAND RECEIVED HOUSING ALLOWANCES. THESE BENEFITS WERE TREATED AS TAXABLE COMPENSATION TO BOTH INDIVIDUALS. |
| PART I, LINES 4A-B | SEVERANCE PAYMENT: KEY EMPLOYEE, JEFFREY KORSMO, RECEIVED PAYMENT TOTALING $659,088 IN CALENDAR YEAR 2018 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM MARCH 5, 2018 TO SEPTEMBER 5, 2019. MR. KORSMO WILL RECEIVE PAY TOTALING $1,285,222 & BENEFITS TOTALING $15,611 RELATED TO HIS TERMINATION. KEY EMPLOYEE, TRACY MILAND, RECEIVED PAYMENT TOTALING $275,713 IN CALENDAR YEAR 2018 RELATED TO HER TERMINATION. THE TERMINATION TERMS ARE FROM MARCH 5, 2018 TO SEPTEMBER 5, 2019. MS. MILAND WILL RECEIVE PAY TOTALING $514,488 & BENEFITS TOTALING $38,144 RELATED TO HER TERMINATION. FORMER OFFICER, ROBERT NORMAN, RECEIVED PAYMENT TOTALING $569,858 IN CALENDAR YEAR 2018 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM NOVEMBER 1, 2017 TO MAY 1, 2019. MR. NORMAN WILL RECEIVE PAY TOTALING $854,786 & BENEFITS TOTALING $20,120 RELATED TO HIS TERMINATION. FORMER KEY EMPLOYEE, STEVEN JORGENSEN, RECEIVED PAYMENT TOTALING $425,818 IN CALENDAR YEAR 2018 RELATED TO HIS TERMINATION. THE TERMINATION TERMS WERE FROM JANUARY 19, 2018 TO DECEMBER 19, 2018. MR. JORGENSEN RECEIVED PAY TOTALING $425,818 & BENEFITS TOTALING $23,907 RELATED TO HIS TERMINATION. ALL OTHER INDIVIDUALS LISTED AS FORMERS IN FORM 990, PART VII, SECTION A, LINE 1A DID NOT RECEIVE A SEVERANCE PAYMENT DURING CALENDAR YEAR 2018. SOME OF THESE INDIVIDUALS REMAIN EMPLOYED WITHIN ESSENTIA HEALTH AND ITS SUBSIDIARIES. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ESSENTIA HEALTH'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO DESIGNATED ESSENTIA HEALTH EXECUTIVES. THERE IS A MINIMUM FOUR YEAR VESTING DATE, OR VESTING IS AUTOMATIC UPON REACHING RETIREMENT AGE, DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING AND PAYABLE FROM ESSENTIA HEALTH'S GENERAL ASSETS. REPORTED AS OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B (III), THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT OF THE VESTED BENEFIT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: TRACI MORRIS $6,475 DENNIS DASSENKO $149,393 DIANE DAVIDSON $31,756 GREGORY GLASNER, MD $61,251 SHEILA HART $41,463 PETER HENRY, MD $175,188 MICHAEL MAHONEY $9,728 ADAM REES $37,792 TIMOTHY SAYLER $66,223 JEFFREY KORSMO $190,380 TRACY MILAND $16,070 DANIEL NIKCEVICH, MD $105,386 TERESA O'TOOLE $264,146 KRISTI SCHMIDT $7,180 MARTIN SINCLAIR $6,961 STEVEN JORGENSEN $212,848 JOHN SMYLIE $109,221 PATRICK TWOMEY, MD $66,326 REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C, ESSENTIA HEALTH MADE CONTRIBUTIONS, SUBJECT TO THE VESTING TERMS, DURING THE YEAR INTO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A: DAVID HERMAN, MD $210,879 TRACI MORRIS $27,605 BRADLEY BEARD $43,259 DENNIS DASSENKO $44,383 DIANE DAVIDSON $43,374 GREGORY GLASNER, MD $58,146 SHEILA HART $29,485 PETER HENRY, MD $52,508 MICHAEL MAHONEY $9,167 ADAM REES $34,028 TIMOTHY SAYLER $45,240 ANNE STEPHEN, MD $45,240 DEBORAH WELLE-POWELL $47,256 RICHARD VETTER, MD $32,385 MARK HAYWARD $29,942 DANIEL NIKCEVICH, MD $92,195 TERESA O'TOOLE $59,075 KRISTI SCHMIDT $2,942 MARTIN SINCLAIR $8,491 |
| PART I, LINE 8 | INITIAL CONTRACT EXCEPTION: ESSENTIA HEALTH'S CHIEF FINANCIAL OFFICER, TRACI MORRIS, RECEIVED COMPENSATION DURING THE YEAR UNDER AN INITIAL EMPLOYMENT AGREEMENT SUBJECT TO THE INITIAL CONTRACT EXCEPTION. THROUGH THE ESSENTIA HEALTH EXECUTIVE COMPENSATION COMMITTEE, THIS COMPENSATION ARRANGEMENT WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. ESSENTIA HEALTH'S EXECUTIVE VICE PRESIDENT, COO, JODI MANSFIELD, RECEIVED COMPENSATION DURING THE YEAR UNDER AN INITIAL EMPLOYMENT AGREEMENT SUBJECT TO THE INITIAL CONTRACT EXCEPTION. THROUGH THE ESSENTIA HEALTH EXECUTIVE COMPENSATION COMMITTEE, THIS COMPENSATION ARRANGEMENT WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. ESSENTIA HEALTH'S CHIEF STRATEGY OFFICER, TRACY MILAND, RECEIVED COMPENSATION DURING THE YEAR UNDER AN INITIAL EMPLOYMENT AGREEMENT SUBJECT TO THE INITIAL CONTRACT EXCEPTION. THROUGH THE ESSENTIA HEALTH EXECUTIVE COMPENSATION COMMITTEE, THIS COMPENSATION ARRANGEMENT WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. ESSENTIA HEALTH'S VICE PRESIDENT OF REVENUE SERVICES, MELANIE WILSON, RECEIVED COMPENSATION DURING THE YEAR UNDER AN INITIAL EMPLOYMENT AGREEMENT SUBJECT TO THE INITIAL CONTRACT EXCEPTION. THROUGH THE ESSENTIA HEALTH EXECUTIVE COMPENSATION COMMITTEE, THIS COMPENSATION ARRANGEMENT WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CASS COUNTY ND | ||||||||
| A | 456002205 | 148047AU7 | 2010-02-25 | $59,573,111 | SRS 2008A REOFF (SEE PART VI) | 0 | 0 | 0 |
| WI HEALTH & EDU FAC AUTH | ||||||||
| B | 391337855 | 97710BSD5 | 2010-02-25 | $12,854,722 | SRS 2008B REOFF (SEE PART VI) | 0 | 0 | 0 |
| MN AG & ECON DEVEL BRD | ||||||||
| C | 416007162 | 6049202H0 | 2010-02-25 | $165,717,405 | SRS 2008C REOFF (SEE PART VI) | 0 | 0 | 0 |
| DULUTH ECONOMIC DEVELOPMENT AUTHORITY | ||||||||
| D | 900848286 | 26444CHF2 | 2018-11-01 | $704,253,406 | SERIES 2018A (SEE PART VI) | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $3,872,252 | $3,872,252 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $835,557 | $835,557 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $10,771,632 | $10,648,178 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | $2,398,175 | $123,454 |
| D | $3,776,805 | $3,744,153 | Yes (1) | 0 | 0 | Yes (1) | $32,652 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | |
| C | 0 | 0 | Yes (1) | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | 0 |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||||
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| (no name) | |||||||||||
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| (no name) | |||||||||||
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| SEE PART VI | |||||||||||
| D | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | Yes (1) | 3.400000000000 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2019 |
| SCHEDULE K | ADDITIONAL INFORMATION/COMMENTS RELATING TO THE REPORTING OF LIABILITIES BY RELATED ORGANIZATIONS: ESSENTIA HEALTH HAS AN OBLIGATED GROUP CREATED UNDER THE MASTER TRUST INDENTURE WHICH IS COMPOSED OF THE FOLLOWING MEMBERS: ESSENTIA HEALTH, CRITICAL ACCESS GROUP, ESSENTIA HEALTH EAST, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER, ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR, ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, ESSENTIA HEALTH CENTRAL, ST. MARY'S INNOVIS HEALTH, THE DULUTH CLINIC, LTD. AND ESSENTIA HEALTH WEST (THE "OBLIGATED GROUP MEMBERS"). THE OBLIGATED GROUP MEMBERS ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL INDEBTEDNESS EVIDENCED OR SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. SERIES 2008A REOFFERED: THE SERIES 2008A REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. ESSENTIA HEALTH IS THE CONDUIT BORROWER OF THE SERIES 2008A REOFFERED BONDS AND HAS RECORDED A PORTION OF THE BOND LIABILITY ON ITS BALANCE SHEET. THE OBLIGATED GROUP MEMBERS, ESSENTIA HEALTH WEST, THE DULUTH CLINIC, LTD., AND ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ARE INDIRECT BENEFICIARIES OF THE SERIES 2008A REOFFERED BORROWING AND HAVE RECORDED A PORTION OF 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 TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: THE DULUTH CLINIC, LTD., ESSENTIA HEALTH AND ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR ARE THE CONDUIT BORROWERS OF THE SERIES 2008B REOFFERED BONDS. THE CONDUIT BORROWERS, THE DULUTH CLINIC, LTD. AND ESSENTIA HEALTH, HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE OBLIGATED GROUP MEMBERS, ESSENTIA HEALTH WEST AND ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, 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 TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH EAST, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH, AND ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER ARE THE CONDUIT BORROWERS OF THE SERIES 2008C REOFFERED BONDS. THE CONDUIT BORROWERS, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH, 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 MEMBER, ESSENTIA HEALTH WEST IS AN INDIRECT BENEFICIARY OF A PORTION OF THE SERIES 2008C REOFFERED BORROWING AND HAS RECORDED A PORTION OF THE BOND LIABILITY ON ITS BALANCE SHEET WHICH IS CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2018A: THE SERIES 2018A BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH, ESSENTIA HEALTH EAST, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH CENTRAL, ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, AND ESSENTIA HEALTH WEST ARE THE CONDUIT BORROWERS OF THE SERIES 2018A BONDS. THE CONDUIT BORROWERS, ESSENTIA HEALTH, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH DULUTH, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH WEST, AND ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. |
| SCHEDULE K, PART I, COLUMN (F): | DESCRIPTION OF PURPOSE: SERIES 2008A REOFFERED: REOFFER SERIES 2008 A-1 AND A-2 BONDS ISSUED MARCH 4, 2008 TO REFINANCE A PORTION OF THE ACQUISITION OF CERTAIN ASSETS OF ESSENTIA HEALTH WEST IN CONNECTION WITH THE AFFILIATION OF ESSENTIA HEALTH WITH ESSENTIA HEALTH WEST. SERIES 2008B REOFFERED: REOFFER 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 REOFFERED: REOFFER 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 2018A: ACQUIRE, CONSTRUCT, BUILD, AND EQUIP MEDICAL CAMPUS PROJECT IN DULUTH, MN; REFUND SERIES 2008E BONDS ISSUED MAY 2, 2008 TO REFINANCE SERIES 1997 BONDS ISSUED DECEMBER 18, 1997 TO FINANCE EQUIPMENT PURCHASES IN DULUTH, MN AND FINANCE PROPERTY ACQUISITIONS, CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES IN NORTHERN MINNESOTA; AND REFUND SERIES 2014 BONDS ISSUED JULY 29, 2014 TO REFINANCE PRIOR NOTE USED FOR CAPITAL IMPROVEMENTS TO SKILLED NURSING FACILITY LOCATED IN DETROIT LAKES, MN AND VARIOUS CONSTRUCTION PROJECTS AND EQUIPMENT PURCHASES IN BAXTER, FRAZEE, AND PELICAN RAPIDS, MN AND FINANCE CAPITAL EXPENDITURES TO REPLACE THE CHILLER UNIT FOR ESSENTIA HEALTH VIRGINIA, RENOVATE APPROXIMATELY 118,000 SQUARE FEET OF CLINIC SPACE FOR ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, REMODEL AND EQUIP EXISTING CLINIC SPACE IN EMILY, MN FOR ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, AND EXPAND AND REMODEL THE IMAGING AREA IN THE EMERGENCY ROOM OF ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES' HOSPITAL. |
| SCHEDULE K, PART II, LINE 3 | ISSUE PRICE: THE SERIES 2008A REOFFERED, SERIES 2008B REOFFERED, SERIES 2008C REOFFERED, AND SERIES 2018A BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. THE ISSUE PRICE LISTED IN ESSENTIA HEALTH'S SCHEDULE K, PART I, COLUMN (E) REPRESENTS THE ESSENTIA HEALTH OBLIGATED GROUP'S TOTAL BORROWING. |
| SCHEDULE K, PART II, LINES 3 THROUGH 12: | PROCEEDS: THE SERIES 2008A REOFFERED, SERIES 2008B REOFFERED, SERIES 2008C REOFFERED, AND SERIES 2018A BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. A PORTION OF THE SERIES 2008A REOFFERED, 2008B REOFFERED, 2008C REOFFERED AND 2018A BORROWINGS WERE ALLOCATED TO ESSENTIA HEALTH, AN ESSENTIA HEALTH OBLIGATED GROUP MEMBER. THE PROCEEDS LISTED IN ESSENTIA HEALTH'S SCHEDULE K, PART II, LINES 3 THROUGH 12 REPRESENT ESSENTIA HEALTH'S ALLOCATED PORTION OF THE PROCEEDS. |
| SCHEDULE K, PART IV, LINE 5B: | NAME OF PROVIDER OF GIC: NATIXIS FUNDING CORP & THE TORONTO-DOMINION BANK |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: | 1099 REPORTING: CERTAIN VENDOR PAYMENTS AND FORM 1099'S WERE PROCESSED THROUGH ESSENTIA HEALTH ON BEHALF OF CERTAIN LEGAL ENTITIES COMPRISING ESSENTIA HEALTH. |
| FORM 990, PART V, LINE 1C: | NO GAMING (GAMBLING) WINNINGS. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBER WITH RIGHT TO APPROVE GOVERNING BODY DECISIONS: THE BENEDICTINE SISTERS BENEVOLENT ASSOCIATION ("BSBA") HAS CERTAIN RESERVED POWERS OVER ESSENTIA HEALTH'S CATHOLIC FACILITIES. BSBA'S RESERVED POWERS ARE AS FOLLOWS: MISSION. AUTHORITY TO APPROVE THE MISSION AND PURPOSE STATEMENTS FOR CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM. *ADHERENCE TO ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES (ERDS). AUTHORITY TO APPROVE THE METHODS, POLICIES AND PROCEDURES PERTAINING TO THE ADHERENCE OF CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM TO THE ERDS. *OFFICIAL CATHOLIC DIRECTORY. AUTHORITY TO OVERSEE THE LISTING OF QUALIFIED ENTITIES AND FACILITIES WITHIN THE SYSTEM IN THE OFFICIAL CATHOLIC DIRECTORY, SUBJECT TO THE APPROVAL OF APPLICABLE CATHOLIC AUTHORITIES. *CATHOLIC HEALTH ASSOCIATION. AUTHORITY TO REQUIRE CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM TO JOIN THE MEMBERSHIP OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES. ALIENATION OF STABLE PATRIMONY OR ECCLESIASTICAL GOODS. AUTHORITY TO APPROVE ALIENATION OF EITHER STABLE PATRIMONY OR OTHER ECCLESIASTICAL GOODS WITHIN THE SYSTEM IF SUCH GOODS INVOLVED IN A SPECIFIC TRANSACTION APPROVED BY ESSENTIA HEALTH PURSUANT TO THE AFFILIATION AGREEMENT, HAVE A DOLLAR VALUE EQUAL TO OR GREATER THAN 70% OF THE AMOUNT ESTABLISHED FROM TIME TO TIME THAT REQUIRES APPROVAL FROM THE HOLY SEE; PROVIDED, HOWEVER, THAT IT IS THE INTENT OF THE PARTIES THAT THIS PROVISION NOT BE APPLIED TO RESTRICT OR TO IMPEDE ESSENTIA HEALTH FROM ACTING AND MAKING DECISIONS ON BEHALF OF THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS BUT BE APPLIED TO PREVENT THE TRANSFER OF SUBSTANTIAL ASSETS OF CATHOLIC ENTITIES WITHIN THE SYSTEM TO SUPPORT THE SECULAR ENTITIES WITHIN THE SYSTEM WITHOUT THE PRIOR APPROVAL OF BSBA. *MISSION EFFECTIVENESS. AUTHORITY TO APPROVE ANNUAL PLANS AND EVALUATIONS RELATING TO MISSION EFFECTIVENESS AND CHAPLAINCY FOR CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM, INCLUDING THE USE OF RELIGIOUS SYMBOLS AND PRAYERS. AMENDMENTS. AUTHORITY TO APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF ESSENTIA HEALTH, ESSENTIA HEALTH EAST (SMDC), ESSENTIA HEALTH CENTRAL (BLIHS), ESSENTIA HEALTH WEST (INNOVIS) OR CRITICAL ACCESS GROUP (CAG) THAT WOULD ALTER THE NUMBER OF DULUTH BENEDICTINES OR BSBA BOARD OF DIRECTOR MEMBERS OR OTHER APPOINTEES OF THE DULUTH BENEDICTINES SERVING AS MEMBERS OF SUCH ENTITY'S BOARD OF DIRECTORS; AUTHORITY TO APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE CATHOLIC CAG SUBSIDIARIES, THE CATHOLIC SMDC SUBSIDIARIES, THE CATHOLIC BLIHS SUBSIDIARIES OR THE CATHOLIC SUBSIDIARIES OF INNOVIS, WHICH COULD MATERIALLY AFFECT SUCH ENTITY'S IDENTITY AS A CATHOLIC INSTITUTION, INCLUDING WITHOUT LIMITATION ANY AMENDMENT THAT WOULD ALTER THE NUMBER OF DULUTH BENEDICTINES OR BSBA BOARD OF DIRECTOR MEMBERS OR OTHER APPOINTEES OF THE DULUTH BENEDICTINES SERVING AS MEMBERS OF SUCH ENTITY'S BOARD OF DIRECTORS; AND AUTHORITY TO CAUSE ESSENTIA HEALTH TO MAKE AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE CATHOLIC SUBSIDIARIES OF ESSENTIA HEALTH'S DIRECT SUBSIDIARIES, WHICH AMENDMENTS BSBA DETERMINES IN GOOD FAITH ARE NECESSARY TO PRESERVE SUCH ENTITY'S IDENTITY AS A CATHOLIC INSTITUTION. MERGERS AND DISSOLUTION. SUBJECT TO THE APPROVAL OF THE DULUTH BENEDICTINES, AUTHORITY TO APPROVE A PROPOSED MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF ST. MARY'S MEDICAL CENTER (SMMC) AND ST. JOSEPH'S MEDICAL CENTER (SJMC) OR THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF SMMC AND SJMC. BSBA SPONSORSHIP. AUTHORITY TO ESTABLISH, ACCEPT, TRANSFER OR TERMINATE BSBA SPONSORSHIP OR CO-SPONSORSHIP OF A HEALTHCARE FACILITY. *RESERVED POWER CURRENTLY DELEGATED TO THE SPONSORSHIP COUNCIL. NOTE: SOME OF THE RESERVED POWERS OF THE BSBA BOARD LISTED ABOVE MAY ALSO BE RESERVED TO THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY OF DULUTH (THE "CHAPTER OR "DULUTH BENEDICTINES"). PRIOR TO THESE MATTERS GOING TO THE CHAPTER, ORDINARILY THEY WILL BE CONSIDERED AND ACTED UPON BY THE BSBA BOARD. THE FOLLOWING ACTIONS OF THE BSBA BOARD ARE SUBJECT TO APPROVAL BY THE CHAPTER: 1. APPROVE MERGERS, CONSOLIDATIONS, LIQUIDATIONS, OR DISSOLUTIONS INVOLVING SMMC OR SJMC. 2. APPROVE THE ACQUISITION OR DISPOSITION OF REAL ESTATE OWNED BY BSBA. 3. APPROVE DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, ASSETS OF SMMC OR SJMC. 4. APPROVE INDEBTEDNESS THAT WILL BE GUARANTEED BY BSBA. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: THE 2018 FORM 990, INCLUDING ALL SCHEDULES, WAS REVIEWED BY ESSENTIA HEALTH'S MANAGEMENT AND EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH CURRENT DIRECTOR OF THE GOVERNING BODY RECEIVED A COPY OF THE 2018 FORM 990. ESSENTIA HEALTH'S FINANCE LEADER REVIEWED THE FORM AND SCHEDULES AND ANY QUESTIONS WERE DISCUSSED. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY: ESSENTIA HEALTH'S COMPREHENSIVE CONFLICT OF INTEREST PROGRAM PREVENTS, DETECTS, AND RESOLVES ACTUAL CONFLICTS OF INTERESTS OR THE ACTUAL OR POTENTIAL APPEARANCE OF SUCH. FIDUCIARIES, DEFINED AS AN ESSENTIA HEALTH BOARD MEMBER/TRUSTEE, OFFICER, BOARD COMMITTEE MEMBER, SENIOR MANAGEMENT EMPLOYEE, OR ANY OTHERS CONSIDERED TO BE IN A POSITION OF INFLUENCE, ARE COVERED UNDER ESSENTIA HEALTH'S CONFLICT OF INTEREST PROGRAM. UPON INITIAL APPOINTMENT, EACH FIDUCIARY MUST COMPLETE AN INITIAL CONFLICT OF INTEREST STATEMENT AND DISCLOSURE QUESTIONNAIRE. AT THE CONCLUSION OF EACH CALENDAR YEAR, EACH FIDUCIARY MUST COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT AND DISCLOSURE QUESTIONNAIRE. AS NEEDED, A FIDUCIARY WILL UPDATE HIS/HER MOST RECENTLY COMPLETED QUESTIONNAIRE EACH TIME THE FIDUCIARY BECOMES AWARE OF A FINANCIAL INTEREST, A POTENTIAL CONFLICT, OR CHANGE TO ANY INFORMATION THAT THE FIDUCIARY PREVIOUSLY REPORTED. ESSENTIA HEALTH'S CHIEF COMPLIANCE OFFICER WILL COLLECT THE QUESTIONNAIRES AND EVALUATE THE DISCLOSURES. IF A FIDUCIARY HAS A POTENTIAL CONFLICT OF INTEREST, THE CHIEF COMPLIANCE OFFICER OR DESIGNEE MAY REQUEST ADDITIONAL INFORMATION FROM THE FIDUCIARY, THE MANAGEMENT TEAM, AND OTHERS. DURING THE EVALUATION PROCESS, THE CHIEF COMPLIANCE OFFICER MAY ALSO CONSULT WITH ESSENTIA HEALTH'S BOARD AND AUDIT COMMITTEE CHAIRS, SENIOR MANAGEMENT, LEGAL DEPARTMENT, OR APPROPRIATE REPRESENTATIVES FROM ESSENTIA HEALTH. THE CHIEF COMPLIANCE OFFICER REPORTS TO THE ESSENTIA HEALTH AUDIT COMMITTEE AND THE ESSENTIA HEALTH BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY THE FIDUCIARY, ALONG WITH RECOMMENDED ACTIONS. THE ESSENTIA HEALTH BOARD OF DIRECTORS (OR DESIGNEE) WILL THEN DETERMINE WHETHER TO APPROVE THE SITUATION OR TO IMPLEMENT SPECIAL CONTROLS TO MANAGE THE POTENTIAL CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER WILL THEN OFFICIALLY NOTIFY THE FIDUCIARY IN WRITING OF THE BOARD'S DECISION. THE DECISION OF WHETHER OR NOT THE DISCLOSURE CONSTITUTES A CONFLICT WILL BE AT THE ESSENTIA HEALTH BOARD OF DIRECTOR'S (OR DESIGNEE) SOLE DISCRETION, AND ITS CONCERN MUST BE THE WELFARE OF ESSENTIA HEALTH AND ITS AFFILIATE(S) AND THE ADVANCEMENT OF ITS PURPOSES. WHEN THE ESSENTIA HEALTH BOARD OF DIRECTORS (OR DESIGNEE) CONSIDERS A FIDUCIARY'S DISCLOSURE AS A CONFLICT OF INTEREST, SPECIAL CONTROLS WILL BE IDENTIFIED TO MANAGE, ELIMINATE OR REDUCE THE LIKELIHOOD AND/OR APPEARANCE OF A CONFLICT ARISING. CONTROLS MAY INCLUDE, BUT ARE NOT LIMITED TO: A. IF THE CONFLICT INVOLVES AN ON-GOING MATTER OR RELATIONSHIP, THE FIDUCIARY MUST NOT PARTICIPATE IN BOARD, BOARD COMMITTEE, OR MANAGEMENT DISCUSSIONS RELATED TO THE CONFLICT AND MUST RECUSE THEMSELVES AND IF APPROPRIATE, WITHDRAW, FROM ANY BOARD MEETING OR PORTION THEREOF WHERE THE MATTER IS BEING DISCUSSED AND DURING THE VOTE ON THE POTENTIAL CONFLICT OF INTEREST. THE FIDUCIARY MAY ANSWER QUESTIONS AT THE BOARD'S OR THE BOARD COMMITTEE'S REQUEST. B. IF THE CONFLICT INVOLVES A SPECIFIC TRANSACTION OR DECISION, THE FIDUCIARY WILL FULLY DISCLOSE THEIR INTEREST AND ALL RELATED MATERIAL FACTS. THE BOARD OR COMMITTEE OF THE BOARD WILL DETERMINE WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO ESSENTIA HEALTH OR ITS AFFILIATE(S). IF THE BOARD DETERMINES A CONFLICT DOES NOT EXIST, THE FIDUCIARY MAY PROCEED WITH THE TRANSACTION; HOWEVER, HE OR SHE WILL NOT BE ELIGIBLE TO VOTE ON RELATED ISSUES SHOULD THEY ARISE. IF THE BOARD DETERMINES A CONFLICT DOES EXIST, THE FIDUCIARY WILL BE NOTIFIED OF THE DECISION REGARDING WHETHER THE CONTEMPLATED TRANSACTION WILL BE AUTHORIZED AS JUST, FAIR, AND REASONABLE. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS FOR DETERMINING COMPENSATION: THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE OF ESSENTIA HEALTH'S BOARD OF DIRECTORS IS AUTHORIZED TO FULFILL THE BOARD'S RESPONSIBILITIES REGARDING EXECUTIVE COMPENSATION CONSISTENT WITH ESSENTIA'S MISSION, VALUES AND TAX-EXEMPT STATUS, AND THE EXECUTIVE COMPENSATION COMMITTEE'S CHARTER. THE EXECUTIVE COMPENSATION COMMITTEE MEETS AT LEAST TWICE ANNUALLY TO CARRY OUT ITS RESPONSIBILITIES, WHICH INCLUDE, BUT ARE NOT LIMITED TO, ESTABLISHING, REVIEWING AND MODIFYING, AS APPROPRIATE, REASONABLE COMPENSATION AND BENEFITS FOR DESIGNATED ESSENTIA EXECUTIVES WHO ARE OFFICERS OR KEY EMPLOYEES OF ESSENTIA OR ANY OF ITS AFFILIATES WHICH MAY BE PAID BY RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE ENGAGES QUALIFIED INDEPENDENT COMPENSATION ADVISORS TO PROVIDE OBJECTIVE AND IMPARTIAL COMPARATIVE DATA AND TO EXPRESS OPINIONS ON TOTAL COMPENSATION REASONABLENESS. THE EXECUTIVE COMPENSATION COMMITTEE MAY REQUEST ITS INDEPENDENT ADVISORS TO: MONITOR COMPARABILITY DATA AND MARKETPLACE TRENDS; MAKE APPROPRIATE RECOMMENDATIONS REGARDING SALARY RANGES; AND PERIODICALLY REVIEW THE MARKET COMPETITIVENESS OF ESSENTIA EXECUTIVE COMPENSATION PACKAGES. PRIOR TO ESTABLISHING OR ADJUSTING EXECUTIVE COMPENSATION, THE EXECUTIVE COMPENSATION COMMITTEE WILL OBTAIN AND RELY UPON APPROPRIATE DATA AS TO COMPARABILITY OF THE PROPOSED COMPENSATION OR ADJUSTMENTS. THE EXECUTIVE COMPENSATION COMMITTEE WILL ADEQUATELY DOCUMENT THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THOSE DETERMINATIONS. THE EXECUTIVE COMPENSATION COMMITTEE MINUTES WILL INCLUDE: THE TERMS OF THE APPROVED COMPENSATION AND THE DATE APPROVED; THE EXECUTIVE COMPENSATION COMMITTEE MEMBERS PRESENT DURING THE REVIEW, DISCUSSION AND APPROVAL OF THE PROPOSED COMPENSATION AND THOSE WHO VOTED ON THE PROPOSED COMPENSATION; IDENTIFICATION OF THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE EXECUTIVE COMPENSATION COMMITTEE AND HOW THE DATA WAS OBTAINED; ANY ACTIONS BY A MEMBER OF THE EXECUTIVE COMPENSATION COMMITTEE HAVING A CONFLICT OF INTEREST; AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. THE YEAR THIS PROCESS WAS LAST UNDERTAKEN FOR ESSENTIA HEALTH'S CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF INFORMATION OFFICER, CHIEF HUMAN RESOURCE OFFICER, SENIOR VICE PRESIDENT OF INTEGRATED CARE DELIVERY, CHIEF MEDICAL OFFICER, VICE PRESIDENT OF PUBLIC POLICY, EXECUTIVE VICE PRESIDENT, COO, CHIEF POPULATION HEALTH OFFICER, CHIEF STRATEGY OFFICER, AND CHIEF LEGAL OFFICER; ESSENTIA HEALTH EAST'S CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER; ESSENTIA HEALTH CENTRAL'S PRESIDENT AND CHIEF NURSING OFFICER; AND ESSENTIA HEALTH WEST'S PRESIDENT, CHIEF OPERATING OFFICER, AND CHIEF MEDICAL OFFICER WAS 2019. THE YEAR THIS PROCESS WAS LAST UNDERTAKEN FOR ESSENTIA HEALTH'S CHIEF MARKETING AND COMMUNICATIONS OFFICER AND ESSENTIA HEALTH EAST'S PRESIDENT WAS 2018. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE PUBLIC: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990, PART XI, LINE 9: | NET ASSET TRANSFERS WITH RELATED ORGS 13,654,842. BOOK/TAX DIFFERENCE RELATED TO PARTNERSHIP INVESTMENTS -2,231,045. |
| PART XII LINE 3: | CONSOLIDATED A-133: ESSENTIA HEALTH, 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 R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRAINERD LAKES INTEGRATED HEALTH SYSTEM | ||||||||||
| 2024 S 6TH ST | BRAINERD | MN | 56401 | 371532145 | SUPPORTING ORG | MN | 501(C)(3) | LINE 12B, II | ESSENTIA HEALTH | Yes (1) |
| BRAINERD MEDICAL CENTER INC | ||||||||||
| 2024 S 6TH ST | BRAINERD | MN | 56401 | 371532148 | CLINIC | MN | 501(C)(3) | LINE 3 | BRAINERD LAKES INTEGRATED HEALTH SYSTEM | Yes (1) |
| BRIDGES MEDICAL CENTER | ||||||||||
| 201 9TH ST W | ADA | MN | 56510 | 200479568 | HOSPITAL/CLINIC | MN | 501(C)(3) | LINE 3 | INNOVIS HEALTH LLC | Yes (1) |
| CLEARWATER VALLEY HOSPITAL AND CLINICS INC | ||||||||||
| 301 CEDAR | OROFINO | ID | 83544 | 820497771 | HOSPITAL/CLINIC | ID | 501(C)(3) | LINE 3 | CRITICAL ACCESS GROUP | Yes (1) |
| CRITICAL ACCESS GROUP | ||||||||||
| 503 E 3RD ST STE 400 | DULUTH | MN | 55805 | 261219624 | SUPPORTING ORG | MN | 501(C)(3) | LINE 12B, II | ESSENTIA HEALTH | Yes (1) |
| DEER RIVER HEALTHCARE CENTER INC | ||||||||||
| 115 10TH AVE NE | DEER RIVER | MN | 56636 | 410844574 | HOSPITAL/CLINIC/SKILLED NURSING FACILITY | MN | 501(C)(3) | LINE 3 | ST MARY'S DULUTH CLINIC HEALTH SYSTEM | Yes (1) |
| ESSENTIA HEALTH FOUNDATION | ||||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 271984704 | FOUNDATION | MN | 501(C)(3) | LINE 7 | ESSENTIA HEALTH | Yes (1) |
| ESSENTIA INSTITUTE OF RURAL HEALTH | ||||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 271291124 | RESEARCH | MN | 501(C)(3) | LINE 4 | THE DULUTH CLINIC LTD | Yes (1) |
| FIRST CARE MEDICAL SERVICES | ||||||||||
| 900 HILLIGOSS BLVD SE | FOSSTON | MN | 56542 | 410706143 | HOSPITAL/CLINIC/SKILLED NURSING FACILITY | MN | 501(C)(3) | LINE 3 | INNOVIS HEALTH LLC | Yes (1) |
| GRACEVILLE HEALTH CENTER | ||||||||||
| 115 WEST 2ND ST | GRACEVILLE | MN | 56240 | 410726173 | HOSPITAL/CLINIC/SKILLED NURSING FACILITY | MN | 501(C)(3) | LINE 3 | INNOVIS HEALTH LLC | Yes (1) |
| INNOVIS HEALTH LLC | ||||||||||
| 3000 32ND AVE S | FARGO | ND | 58103 | 261175213 | HOSPITAL/CLINIC | DE | 501(C)(3) | LINE 3 | ESSENTIA HEALTH | Yes (1) |
| MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC | ||||||||||
| 4418 HAINES RD | DULUTH | MN | 55811 | 411674021 | MEDICAL EQUIPMENT | MN | 501(C)(3) | LINE 10 | ST MARY'S MEDICAL CENTER | Yes (1) |
| NORTHERN PINES MEDICAL CENTER | ||||||||||
| 5211 HWY 110 | AURORA | MN | 55705 | 410841441 | HOSPITAL/CLINIC/SKILLED NURSING FACILITY | MN | 501(C)(3) | LINE 3 | ST MARY'S DULUTH CLINIC HEALTH SYSTEM | Yes (1) |
| PINE MEDICAL CENTER | ||||||||||
| 705 LUNDORFF DR S | SANDSTONE | MN | 55072 | 411884597 | HOSPITAL | MN | 501(C)(3) | LINE 3 | ST MARY'S DULUTH CLINIC HEALTH SYSTEM | Yes (1) |
| POLINSKY MEDICAL REHABILITATION CENTER | ||||||||||
| 530 E 2ND ST | DULUTH | MN | 55805 | 410691275 | REHABILITATION SERVICES | MN | 501(C)(3) | LINE 3 | ST MARY'S MEDICAL CENTER | Yes (1) |
| SMDC MEDICAL CENTER | ||||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 411878730 | HOSPITAL/CLINIC | MN | 501(C)(3) | LINE 3 | ST MARY'S DULUTH CLINIC HEALTH SYSTEM | Yes (1) |
| ST JOSEPH'S MEDICAL CENTER | ||||||||||
| 523 N 3RD ST | BRAINERD | MN | 56401 | 410695602 | HOSPITAL/CLINIC | MN | 501(C)(3) | LINE 3 | BRAINERD LAKES INTEGRATED HEALTH SYSTEM | Yes (1) |
| ST MARY'S DULUTH CLINIC HEALTH SYSTEM | ||||||||||
| 407 E 3RD ST | DULUTH | MN | 55805 | 411836633 | SUPPORTING ORG | MN | 501(C)(3) | LINE 12B, II | ESSENTIA HEALTH | Yes (1) |
| ST MARY'S EMS | ||||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 411805811 | EMERGENCY SERVICES | MN | 501(C)(3) | LINE 10 | INNOVIS HEALTH LLC | Yes (1) |
| ST MARY'S HOSPITAL OF SUPERIOR | ||||||||||
| 3500 TOWER AVE | SUPERIOR | WI | 54880 | 411811073 | HOSPITAL/CLINIC | MN | 501(C)(3) | LINE 3 | ST MARY'S MEDICAL CENTER | Yes (1) |
| ST MARY'S HOSPITAL INC | ||||||||||
| PO BOX 137 | COTTONWOOD | ID | 83522 | 820226453 | HOSPITAL/CLINIC | ID | 501(C)(3) | LINE 3 | CRITICAL ACCESS GROUP | Yes (1) |
| ST MARY'S INNOVIS HEALTH | ||||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 262861321 | PHARMACY | MN | 501(C)(3) | LINE 3 | INNOVIS HEALTH LLC | Yes (1) |
| ST MARY'S MEDICAL CENTER | ||||||||||
| 407 E 3RD ST | DULUTH | MN | 55805 | 410695604 | HOSPITAL | MN | 501(C)(3) | LINE 3 | ST MARY'S DULUTH CLINIC HEALTH SYSTEM | Yes (1) |
| ST MARY'S REGIONAL HEALTH CENTER | ||||||||||
| 1027 WASHINGTON AVE | DETROIT LAKES | MN | 56501 | 411620386 | HOSPITAL/CLINIC/SKILLED NURSING FACILITY | MN | 501(C)(3) | LINE 3 | INNOVIS HEALTH LLC | Yes (1) |
| THE DULUTH CLINIC LTD | ||||||||||
| 400 E 3RD ST | DULUTH | MN | 55805 | 410883623 | CLINIC | MN | 501(C)(3) | LINE 3 | ST MARY'S DULUTH CLINIC HEALTH SYSTEM | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PMC-GATEWAY IMAGING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 LUNDORFF DR S | AddressLine1Txt |
| City | SANDSTONE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261634764 | EIN |
| Primary Activities | IMAGING SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESSENTIA HEALTH INSURANCE SERVICES SPC LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1159 | AddressLine1Txt |
| City | GRAND CAYMAN | CityNm |
| Country | CJ | CountryCd |
| Foreign Postal | K71-1102 | ForeignPostalCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 000000000 | EIN |
| Primary Activities | SELF INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $8,551,450 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $68,584,550 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (55 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BRAINERD MEDICAL CENTER INC | ||
| L | $1,414,153 | ACTUAL COSTS |
| BRAINERD MEDICAL CENTER INC | ||
| Q | $849,227 | ACTUAL COSTS |
| BRIDGES MEDICAL CENTER | ||
| L | $798,214 | ACTUAL COSTS |
| BRIDGES MEDICAL CENTER | ||
| Q | $681,492 | ACTUAL COSTS |
| BRIDGES MEDICAL CENTER | ||
| R | $2,000,000 | ACTUAL COSTS |
| CLEARWATER VALLEY HOSPITAL AND CLINICS INC | ||
| Q | $327,804 | ACTUAL COSTS |
| CRITICAL ACCESS GROUP | ||
| L | $499,992 | ACTUAL COSTS |
| CRITICAL ACCESS GROUP | ||
| R | $1,000,000 | ACTUAL COSTS |
| DEER RIVER HEALTHCARE CENTER INC | ||
| L | $2,631,756 | ACTUAL COSTS |
| DEER RIVER HEALTHCARE CENTER INC | ||
| Q | $2,164,764 | ACTUAL COSTS |
| ESSENTIA HEALTH FOUNDATION | ||
| Q | $119,269 | ACTUAL COSTS |
| ESSENTIA HEALTH INSURANCE SERVICES SPC | ||
| Q | $2,201,007 | ACTUAL COSTS |
| ESSENTIA HEALTH INSURANCE SERVICES SPC | ||
| R | $15,939,600 | ACTUAL COSTS |
| ESSENTIA HEALTH INSURANCE SERVICES SPC | ||
| S | $11,545,000 | ACTUAL COSTS |
| ESSENTIA INSTITUTE OF RURAL HEALTH | ||
| L | $600,000 | ACTUAL COSTS |
| ESSENTIA INSTITUTE OF RURAL HEALTH | ||
| Q | $865,516 | ACTUAL COSTS |
| FIRST CARE MEDICAL SERVICES | ||
| L | $2,471,641 | ACTUAL COSTS |
| FIRST CARE MEDICAL SERVICES | ||
| Q | $1,613,791 | ACTUAL COSTS |
| FIRST CARE MEDICAL SERVICES | ||
| R | $3,000,000 | ACTUAL COSTS |
| GRACEVILLE HEALTH CENTER | ||
| L | $863,127 | ACTUAL COSTS |
| GRACEVILLE HEALTH CENTER | ||
| Q | $830,538 | ACTUAL COSTS |
| INNOVIS HEALTH LLC | ||
| L | $29,838,969 | ACTUAL COSTS |
| INNOVIS HEALTH LLC | ||
| Q | $21,006,395 | ACTUAL COSTS |
| INNOVIS HEALTH LLC | ||
| S | $5,917,990 | ACTUAL COSTS |
| MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC | ||
| L | $633,625 | ACTUAL COSTS |
| MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC | ||
| Q | $794,748 | ACTUAL COSTS |
| NORTHERN PINES MEDICAL CENTER | ||
| L | $1,428,845 | ACTUAL COSTS |
| NORTHERN PINES MEDICAL CENTER | ||
| Q | $1,126,381 | ACTUAL COSTS |
| PINE MEDICAL CENTER | ||
| L | $1,439,859 | ACTUAL COSTS |
| PINE MEDICAL CENTER | ||
| Q | $1,194,158 | ACTUAL COSTS |
| POLINSKY MEDICAL REHABILITATION CENTER | ||
| L | $963,599 | ACTUAL COSTS |
| POLINSKY MEDICAL REHABILITATION CENTER | ||
| Q | $1,255,259 | ACTUAL COSTS |
| SMDC MEDICAL CENTER | ||
| L | $40,639,254 | ACTUAL COSTS |
| SMDC MEDICAL CENTER | ||
| Q | $40,927,544 | ACTUAL COSTS |
| SMDC MEDICAL CENTER | ||
| R | $4,128,516 | ACTUAL COSTS |
| ST JOSEPH'S MEDICAL CENTER | ||
| L | $15,391,629 | ACTUAL COSTS |
| ST JOSEPH'S MEDICAL CENTER | ||
| Q | $11,079,381 | ACTUAL COSTS |
| ST JOSEPH'S MEDICAL CENTER | ||
| R | $6,100,000 | ACTUAL COSTS |
| ST MARY'S EMS | ||
| L | $238,682 | ACTUAL COSTS |
| ST MARY'S EMS | ||
| Q | $123,041 | ACTUAL COSTS |
| ST MARY'S EMS | ||
| R | $2,000,000 | ACTUAL COSTS |
| ST MARY'S HOSPITAL OF SUPERIOR | ||
| L | $4,201,407 | ACTUAL COSTS |
| ST MARY'S HOSPITAL OF SUPERIOR | ||
| Q | $4,430,123 | ACTUAL COSTS |
| ST MARY'S HOSPITAL OF SUPERIOR | ||
| R | $5,009,155 | ACTUAL COSTS |
| ST MARY'S HOSPITAL INC | ||
| Q | $327,053 | ACTUAL COSTS |
| ST MARY'S INNOVIS HEALTH | ||
| L | $293,387 | ACTUAL COSTS |
| ST MARY'S INNOVIS HEALTH | ||
| Q | $109,265 | ACTUAL COSTS |
| ST MARY'S MEDICAL CENTER | ||
| L | $33,698,404 | ACTUAL COSTS |
| ST MARY'S MEDICAL CENTER | ||
| Q | $30,618,507 | ACTUAL COSTS |
| ST MARY'S MEDICAL CENTER | ||
| R | $29,337,400 | ACTUAL COSTS |
| ST MARY'S REGIONAL HEALTH CENTER | ||
| L | $9,864,965 | ACTUAL COSTS |
| ST MARY'S REGIONAL HEALTH CENTER | ||
| Q | $8,310,586 | ACTUAL COSTS |
| ST MARY'S REGIONAL HEALTH CENTER | ||
| R | $1,400,000 | ACTUAL COSTS |
| THE DULUTH CLINIC LTD | ||
| L | $11,478,495 | ACTUAL COSTS |
| THE DULUTH CLINIC LTD | ||
| Q | $6,162,324 | ACTUAL COSTS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II, COLUMN (A) | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING ESSENTIA HEALTH ENTITIES HAVE A DOING BUSINESS AS NAME: LEGAL NAME; DOING BUSINESS AS NAME BRAINERD LAKES INTEGRATED HEALTH SYSTEM; ESSENTIA HEALTH CENTRAL BRAINERD MEDICAL CENTER, INC.; ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC BRIDGES MEDICAL CENTER; ESSENTIA HEALTH ADA DEER RIVER HEALTHCARE CENTER, INC.; ESSENTIA HEALTH DEER RIVER FIRST CARE MEDICAL SERVICES; ESSENTIA HEALTH FOSSTON GRACEVILLE HEALTH CENTER; ESSENTIA HEALTH HOLY TRINITY HOSPITAL INNOVIS HEALTH, LLC; ESSENTIA HEALTH WEST MIDWEST MEDICAL EQUIPMENT AND SUPPLIES, INC.; ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES NORTHERN PINES MEDICAL CENTER; ESSENTIA HEALTH NORTHERN PINES PINE MEDICAL CENTER; ESSENTIA HEALTH SANDSTONE POLINSKY MEDICAL REHABILITATION CENTER; ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER SMDC MEDICAL CENTER; ESSENTIA HEALTH DULUTH ST. JOSEPH'S MEDICAL CENTER; ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER ST. MARY'S DULUTH CLINIC HEALTH SYSTEM; ESSENTIA HEALTH EAST ST. MARY'S EMS; ESSENTIA HEALTH ST. MARY'S EMERGENCY MEDICAL SERVICES-DETROIT LAKES ST. MARY'S HOSPITAL OF SUPERIOR; ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR ST. MARY'S MEDICAL CENTER; ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER ST. MARY'S REGIONAL HEALTH CENTER; ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES | ExplanationTxt |