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SMDC MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SMDC MEDICAL CENTER (EIN 41-1878730)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201231319349301538
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-10T17:43:43-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411878730EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SMDC Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSMDCNameControl
Phone2187861421Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameBARBARA JOHNSONName
TitleCFOTitle
Date Signed2012-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Essentia Health DuluthBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonThomas Patnoe MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1502 East 2nd StreetAddressLine1
CityDULUTHCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts374069868GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.essentiahealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1933YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionWe are called to make a healthy difference in people's lives.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees3439TotalNbrEmployees
Total Nbr Volunteers133TotalNbrVolunteers
Total Gross UBI654886TotalGrossUBI
Net Unrelated Business Txbl Income6454NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year599803ContributionsGrantsPriorYear
Contributions Grants Current Year418287ContributionsGrantsCurrentYear
Program Service Revenue Prior Year360413188ProgramServiceRevenuePriorYear
Program Service Revenue CY369985973ProgramServiceRevenueCY
Investment Income Prior Year1696281InvestmentIncomePriorYear
Investment Income Current Year1465920InvestmentIncomeCurrentYear
Other Revenue Prior Year2485465OtherRevenuePriorYear
Other Revenue Current Year2099795OtherRevenueCurrentYear
Total Revenue Prior Year365194737TotalRevenuePriorYear
Total Revenue Current Year373969975TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1053738GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1296613GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year243329297SalariesEtcPriorYear
Salaries Etc Current Year244510046SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year124191TotalFundrsngExpCurrentYear
Other Expense Prior Year108316779OtherExpensePriorYear
Other Expenses Current Year114323744OtherExpensesCurrentYear
Total Expenses Prior Year352699814TotalExpensesPriorYear
Total Expenses Current Year360130403TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12494923RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13839572RevenuesLessExpensesCY
Total Assets BOY141467647TotalAssetsBOY
Total Assets EOY291130435TotalAssetsEOY
Total Liabilities BOY63869303TotalLiabilitiesBOY
Total Liabilities EOY194858781TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY77598344NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY96271654NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWe are called to make a healthy difference in people's lives.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense298393325Expense
Grants1296613Grants
Revenue369985973Revenue
DescriptionSee schedule ODescription
Total Program Service Expense298393325TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096252NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3439NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBARBARA JOHNSON CFONamePerson
Telephone Number2187861421TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1407 EAST THIRD STREETAddressLine1
CityDULUTHCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
THOMAS PATNOE MD
President & CMO60.0XX6924870102267
Sister Kathleen Hofer
Board Chair60.0XX000
Joseph Bianco MD
Board Director60.0X861726083452231
Laura Boehlke-Bray MD
Board Director60.0X660028560430454
David Gaddie
Board Treasurer10.0XX710023000
Neal Hessen
Board Director10.0X8600293000
Alan Hodnik
Board Director10.0X017000
Sherry Mattson
Board Director10.0X1000000
Sister Donna Shroeder
Board Director10.0X000
Sister Sarah Smedman
Board Director10.0X000
Susan Streitz MD
Board Director60.0X890035797126419
Sister Mary Josephine Torborg
Board Director10.0X000
Michael Van Scoy MD
Board Secretary60.0XX1180030833250781
Chuck Walt
Board Director10.0X590000
BARBARA JOHNSON
CHIEF FINANCIAL OFFICER60.0X329183053386
ROCKLON CHAPIN
EVP HOSPITAL DIVISION, COO60.0398353074353X
MICHAEL METCALF
Chief Aministrative Officer60.0414002080222X
MARIBETH OLSON
CHIEF OPERATING OFFICER60.0032824582436X
ANN WATKINS
VP - SURGICAL SERVICEs60.0196374048193X
CYNTHIA SORENSON
VP - MEDICAL SPECialties60.0206772059057X
MICHAEL MCAVOY
VP - Acute Care & Diagnostics60.0204155051870X
ALBERT DEIBELE MD
CLINICAL CHIEF60.0064543855202X
TIMOTHY ZAGER MD
CLINICAL CHIEF60.0027408143981X
DENNIS DASSENKO
CHIEF INFORMATION OFFICER60.0359532077304X
Scott Johnson MD
Clinical Chief60.0137454174554069X
PETER PERSON MD
Essentia Health CEO60.011193370698079X
JOHN SMYLIE
Chief Operating Officer60.07508970115108X
TERESA O'TOOLE
CAO / CLO60.0424936074507X
DIANE DAVIDSON
Chief HUMAN RESOURCES Officer60.0322267078566X
Michael Mahoney
VP Public Policy60.0234679050428X
ROBERT NORMAN
CHIEF FINANCIAL OFFICER60.00556955131077X
THOMAS KAISER MD
CLINICAL CHIEF60.00101377447444X
TERRI L RUBERG
VP PATIENT CARE OPERATIONS0.02558622981743915X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5747451TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4836096TotalReportableCompFrmRltdOrgs
Total Other Compensation2181349TotalOtherCompensation
Number Individuals GT100 K72NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORPORATION
P O BOX 88314MILWAUKEEWI532880314Software Maint/Srvcs4137948
SISU MEDICAL SYSTEMS
5 WEST 1ST STREET STE 200DULUTHMN55802Software Maint/Srvcs1222115
H T KLATZKY ASSOCIATES
1511 E SUPERIOR STDULUTHMN55812Healthcare Marketing1069816
MAX GRAY CONSTRUCTION INC
2501 FIFTH AVE W P O BOX 689HIBBINGMN55746Construction Srvcs894715
RADIATION PHYSICS CONSULTANTS
1400 OLD HOWARD MILL RDDULUTHMN55804Medical Consulting858749
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Government Grants418287GovernmentGrants
Total Contributions418287TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE621400369331087369331087
AUDIOLOGY62199057405740
OPTICAL SHOP621990132559132559
SKIN RENEWAL621990516587516587
FieldValueIRS element (for citing)
Total Program Service Revenue369985973TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column638795TotalRevenueColumn
Exclusion$638,795ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1476Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1476Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1476TotalRevenueColumn
Exclusion$1,476ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities827534Securities
Other3253Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3662Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities827534Securities
Other-409Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column827125TotalRevenueColumn
Exclusion$827,125ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory236914GrossSalesOfInventory
Cost Of Goods Sold96231CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column140683TotalRevenueColumn
Exclusion$140,683ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA REVENUE7221001219893$1,219,893
COFFEE CART REVENUE722100108576$108,576
PARKING REVENUE812930621134$621,134

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8033TotalRevenueColumn
Exclusion$8,033ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1957636TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column373969975TotalRevenueColumn
Related Or Exempt Function Income369331087RelatedOrExemptFunctionIncome
Unrelated Business Revenue654886UnrelatedBusinessRevenue
Exclusion$3,565,715ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1296613Total
Program Services1296613ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4381722Total
Program Services2126181ProgramServices
Management And General2255541ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total196621369Total
Program Services174519036ProgramServices
Management And General22102333ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12971175Total
Program Services9594396ProgramServices
Management And General3376779ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17677003Total
Program Services15280050ProgramServices
Management And General2396953ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12858777Total
Program Services9767624ProgramServices
Management And General3091153ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total537177Total
Management And General537177ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total398909Total
Management And General398909ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total6331Total
Management And General6331ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total93183Total
Management And General93183ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10862396Total
Program Services7402994ProgramServices
Management And General3459402ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total848819Total
Program Services96867ProgramServices
Management And General751952ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total33349768Total
Program Services32647261ProgramServices
Management And General702507ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14572665Total
Program Services2540380ProgramServices
Management And General12032285ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2894414Total
Program Services398111ProgramServices
Management And General2496303ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1945912Total
Program Services726138ProgramServices
Management And General1219774ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total575660Total
Program Services94490ProgramServices
Management And General481170ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4087010Total
Management And General4087010ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15602906Total
Program Services15602906ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4583809Total
Program Services4184282ProgramServices
Management And General399527ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE1489535314895353
MINNESOTA CARE TAX4290600426661123989
MEDICAL CARE SURCHARGE153584015271538687
ALL OTHER EXPENSES324299214268791691922124191

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total360130403Total
Program Services298393325ProgramServices
Management And General61612887ManagementAndGeneral
Fundraising124191Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4407241BOY
EOY124837240EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY36608EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY261900BOY
EOY96766EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY43140800BOY
EOY57644676EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1334596BOY
EOY2998125EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2687870BOY
EOY2817985EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3253041BOY
EOY3166298EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis228301783LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec165674734LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY54992580BOY
EOY62627049EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31244359BOY
EOY36850500EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY145260BOY
EOY55188EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY141467647BOY
EOY291130435EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30073749BOY
EOY52092493EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33795554BOY
EOY142766288EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY63869303BOY
EOY194858781EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY77459669BOY
EOY96174888EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY104675BOY
EOY62766EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34000BOY
EOY34000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77598344BOY
EOY96271654EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY141467647BOY
EOY291130435EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13839572ReconcilationRevenueExpenses
Reconcilation Other Changes4833738ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$6,331OtherActivitiesAmount
Total Lobbying Expenditures IIB6331TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule C, Part II-BIdentifier
ExplanationEssentia Health Duluth pays dues to certain organizations related to the industry which have lobbying expenses. The amount listed is the percentage of the dues paid that were used for lobbying.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance34000BeginningOfYearBalance
End Of Year Balance34000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance34000BeginningOfYearBalance
End Of Year Balance34000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance34000BeginningOfYearBalance
End Of Year Balance34000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis519680OtherCostOrOtherBasis
Book Value519680BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37596850OtherCostOrOtherBasis
Depreciation29819135Depreciation
Book Value7777715BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis737022OtherCostOrOtherBasis
Depreciation254020Depreciation
Book Value483002BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis176225021OtherCostOrOtherBasis
Depreciation134017204Depreciation
Book Value42207817BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13223210OtherCostOrOtherBasis
Depreciation1584375Depreciation
Book Value11638835BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62627049TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
POOLED INVESTMENT FUND36810019F
SISU INVESTMENT40481C
FieldValueIRS element (for citing)
Total Of Book Value Securities36850500TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
MINNESOTA CARE$1,685,340
SALES TAX$14,282
PAYABLES TO RELATED TAX-EXEMPT ORGS$136,622,039
DEFINED BENEFIT PENSION LIABILITY$4,048,403
ASSET RETIREMENT OBLIGATION(FIN 47)$385,080
UNCLAIMED PROPERTY$8,088
PATIENT EMERGENCY FUND$3,056
FieldValueIRS element (for citing)
Total Of Amounts142766288TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D, Part VIdentifier
ExplanationEndowment Fund intended uses: The endowment fund is a permanently restricted fund used to establish the Miller Memorial Hospital. Schedule D, Part X ASC 740 footnote: Essentia Health has adopted Accounting Standards Codification 740, Income Taxes (formerly known as FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Tax - an interpretation of FASB Statement No. 109, Accounting for Income Taxes). The adoption of this interpretation had no material impact on the consolidated financial statements and therefore, Essentia Health's consolidated financial statements for fiscal year ended June 30, 2010 no longer includes an ASC 740 footnote.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2137035TotalCommunityBenefitExpense
Direct Offsetting Revenue290776DirectOffsettingRevenue
Net Community Benefit Expense1846259NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense59102917TotalCommunityBenefitExpense
Direct Offsetting Revenue35271496DirectOffsettingRevenue
Net Community Benefit Expense23831421NetCommunityBenefitExpense
Percent Of Total Expense0.06900PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense369132TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense369132NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense61609084TotalCommunityBenefitExpense
Direct Offsetting Revenue35562272DirectOffsettingRevenue
Net Community Benefit Expense26046812NetCommunityBenefitExpense
Percent Of Total Expense0.07540PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense11055TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense11055NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Benefit Expense1158499TotalCommunityBenefitExpense
Direct Offsetting Revenue55338DirectOffsettingRevenue
Net Community Benefit Expense1103161NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense447265TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense447265NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Benefit Expense1616819TotalCommunityBenefitExpense
Direct Offsetting Revenue55338DirectOffsettingRevenue
Net Community Benefit Expense1561481NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Benefit Expense63225903TotalCommunityBenefitExpense
Direct Offsetting Revenue35617610DirectOffsettingRevenue
Net Community Benefit Expense27608293NetCommunityBenefitExpense
Percent Of Total Expense0.07990PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense5300TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense5300NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense10760TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense10760NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense200512TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense200512NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense216572TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense216572NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$7,620,746BadDebtExpenseAmount
Amount Attributable To79000AmountAttributableTo
Amount Reimbursed By Medicare50460345AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare75849717CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-25389372MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Essentia Health DuluthBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1502 East Second StreetAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Essentia Health DuluthBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Essentia Health Lakeside Clinic
4621 E Superior StreetDuluthMN55804Clinic
Essentia Health West Duluth Clinic
4212 Grand AveDuluthMN55807Clinic
Essentia Health Hermentown Clinic
4855 West Arrowhead RdHermantownMN55811Clinic
Essentia Health Duluth Clinic - 3rd St
400 East 3rd StreetDuluthMN55805Clinic
Essentia Health Duluth Clinic - 2nd St
4020 East 2nd StreetDuluthMN55805Clinic
Essentia Health Duluth Clinic - 1st St
420 East 1st StreetDuluthMN55805Clinic
Essentia Health Lakewalk Clinic
1502 london RoadDuluthMN55812CLinic
Essentia Health Proctor Clinic
211 South Boundary AveProctorMN55810Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifierExplanationExplanation
Schedule H, Part VI, Line 1Provide the description required for Part I, lines 3c, 6a, 7g, 7, column (f), 7; Part II; Part III, lines 4, 8, 9b; Part V, lines 1j, 3, 4, 5c, 6i, 7, 11h, 13g, 15e, 16e, 18c, 18d, 19d, 20, 21: Part I, Line 3c The organization uses federal poverty guidelines. In addition to the federal poverty guidelines, an asset threshold test is also applied. Assets, excluding equity in home of $100,000, must be below $10,000 for a household of up to 2 and $20,000 for a household of 3 or more. Assets include bank accounts, IRAs, second vehicles, recreational vehicles, and any additional real estate. Part I, line 6a Essentia Health Duluth's community benefit information is consolidated into the Essentia Health community benefit information which is included in the Essentia Health annual report. The annual report is made available to the public via the website at www.essentiahealth.org. Essentia Health, headquartered in Duluth, Minn., is an integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho and is Essentia Health Duluth's parent corporation. Part 1, line 7g not applicable Part I, line 7, column (f) Bad debt expense that was subtracted from total expense to obtain the % of community benefit to total expense amounted to $14,895,346. Part I, line 7 The cost to charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to calculate cost for the following community benefits: 1) Charity Care; 2) Unreimbursed Medicaid; 3) Unreimbursed costs - other means-tested government Programs. Actual costs were used for the remainder of the community benefits reported. Part II - Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves: Essentia Health Duluth is located in a region with high unemployment rates and per capita incomes well below state averages. The level of poverty, particularly in certain areas of our service region, is associated with higher-than-average risk of homelessness, hunger, child neglect, drug and alcohol abuse, and many other factors that have been shown to have negative impact on people and the communities where they live. Essentia Health Duluth supports a number of organizations that work to address these issues in many ways. This support includes, but is not limited to: Promoting job growth through ongoing support for economic development efforts through organizations like the local chamber of commerce. Supporting housing programs that help low- and moderate-income families purchase homes they can afford. Support for local United Way agencies, which in turn provide much-needed financial support for programs designed to support people in poverty and help them achieve independent lives. Direct support for programs that provide food, shelter and other assistance to people who are homeless or on the verge of homelessness. Direct support for youth programs and activities, including supervised teen drop-in centers, that emphasize responsible behavior, school attendance, and drug and alcohol-free activities. Support for area domestic and sexual violence shelters. Support for programs that provide career-counseling and one-on-one assistance to people looking for work. Part III, line 4 The costing methodology used to report bad debt expense at cost was the cost to charge ratio from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The rationale for using the Cost-to-Charge ratio is that it is the most efficient way to calculate bad debt at cost. We believe this method materially represents the cost of bad debt. Part III, line 4 Discounts and charity care are accounted for as reductions to revenue, where bad debts are accounted for as operating expenses. Bad debt expense on patient accounts would be identified as any balance on the account, less any previous payments and discounts, that has aged and is absent of any payments. If, during the collection process, it becomes known that the patient qualifies for charity care, the amounts included within bad debt expense would be reclassified to charity care (reduction of revenue). Part III, Line 4 In order to estimate the amount of charity care that could potentially be included in bad debt expense, the organization used the dollar amounts from charity care claims (written off to bad debt) that were denied due to lack of information. Part III, Line 4 Essentia Health Duluth is a part of a larger organization, Essentia Health. Essentia Health and its member organizations incorporate the full value of the cost of bad debt as a community benefit. The rationale for the organization's opinion is similar to the rationale used by the American Hospital Association. There are extensive administrative challenges of verifying income and assets to determine charity care eligibility. There is also evidence that low-income patients account for the majority of bad debt expenses. Part III, line 4 The provision for uncollectible accounts is based upon management's ongoing assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. The results of this assessment are used to make modifications to the provision for uncollectible accounts, if necessary. Essentia follows established guidelines for placing certain past-due patient balances with collection agencies, subject to certain restrictions on collection efforts as determined by Essentia. Effective July 1, 2011, Essentia will adopt new accounting guidance regarding the presentation and disclosure of patient service revenue, the provision for bad debts, and the allowance for doubtful accounts. The guidance requires healthcare entities to change the presentation of their statement of operations by reclassifying the provision for bad debts associated with patient service revenue from an operating expense to a deduction from patient service revenue (net of contractual allowances and discounts). Additionally, enhanced disclosures will be required surrounding the entity's policies for recognizing revenue and assessing bad debts. Essentia is evaluating new guidance and will make any additional required disclosures. Part III, line 8 The costing methodology used in determining the Medicare Allowable Cost reported in the organization's Medicare Cost Report is to take total Medicare costs from the general ledger system and then follow the instructions provided by Centers for Medicare Services (CMS) to back off all costs not allowable. From the Medicare allowable costs, any costs attributable to subsidized health services and costs attributable to GME were subtracted, if applicable. Part III, line 8 Essentia Health Duluth is a part of a larger organization, Essentia Health. Essentia Health and its member organizations incorporate the full value of the Medicare shortfall as a community benefit. The rationale for the organization's opinion is similar to the rationale used by the American Hospital Association. Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. Medicare, like Medicaid, does not pay the full cost of care and it is likely to get worse. Many Medicare beneficiaries are poor and are eligible for Medicaid in addition to Medicare. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community. Part III, line 8 Each Essentia Health hospital is required to file a Medicare cost report 5 months after the close of their fiscal year. The cost report provides Medicare with information that is used to determine utilization and spending trends but also is used to set future payment rates for most Medicare services. If the interim payments paid to a hospital are higher or lower than the filed cost report allowable reimbursement there will be a settlement for that fiscal year. This can be due to changes in utilization or cost of providing services for Critical Access Hospitals (CAH) or differences between interim and final payment factors for Disproportionate Share, Bad Debts, or Indirect Medical Education for non-CAH hospitals. An estimate for these settlements is recorded at the close of the fiscal year. If the estimate varies from the final settlement received 6-7 months after the fiscal year ends then these amounts are recorded as prior year Medicare revenue. Part III, line 9b The policies and procedures for internal and external collection practices will take into account the extent to which the patient qualifies for the Community Care Program and financial assistance, a patient's good faith effort to apply for a governmental program or for financial assistance from Essentia Health Duluth and the patient's good faith effort to comply with his/her payment agreements. Essentia Health Duluth will offer extended payment pla
Part VI, line 2Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B: Essentia Health Duluth's parent corporation, Essentia Health East, provides significant financial support for a health-care survey, called "Bridge to Health," which collects and analyzes population-based health data on adults in northeastern Minnesota and northwestern Wisconsin (hospital's primary service area). The Bridge to Health survey is conducted by Duluth, Minnesota-based non-profit that supports programs and activities which improve the physical health and mental well-being of underserved populations. The findings of the survey are the basis for determining community programs supported by our organization.
Part VI, line 3Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's Financial Assistance policy: Essentia Health Duluth has financial assistance packets that contain information about their charity care program as well as contact information on other federal and state government programs. These packets are distributed to patients once a financial need has been determined either through patient request or staff referrals. The Financial Assistance policy and application is available on the Essentia Health website at www.essentiahealth.org. Because financial assistance packets are given to patients when a need is determined, they may be given to the patient at any point (admission, discharge, during the billing process). Essentia Health Duluth has financial counselors on staff to assist patients in Medicaid, Medicare and other assistance programs (including the charity care program) that may be available to them. Contact information for the Financial Counselors is available on the SMDC website and is also included on the back of the billing statements. All hospital staff have been trained to refer patients to the financial counselor. The financial counselors often assist patients with the application process, mailing and follow up.
Part VI, line 4Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: Essentia Health Duluth is located in Duluth, MN. Essentia Health Duluth is a part of the larger Essentia Health system, which is defined in Part VI, line 6. Essentia Health Duluth operates 1 hospital and 8 clinics that serve the St. Louis County area. The overall community is classified as suburban and rural. Essentia Health Duluth covers a service region of approximately 465,000 people. The service region age distribution is 20.3% under the age of 18; 61.7% between the ages of 18 and 65; and 18.0% over the age of 65. The racial makeup of the service region is 92.3% Caucasian; 1.1% Black or African American; 3.9% American Indian or Alaskan Native; 0.6% Asian; 1.8% two or more races; and 0.3% other. The gender split ratio is 50.9% women and 49.1% men. The average income for the service area is approximately $51,000. Approximately 9.2% of the population falls below the federal poverty guidelines. Essentia Health Duluth, along with Essentia Health is committed to serve patients regardless of their ability to pay. 1.5% net revenue dollars were from self pay patients. In addition, approximately 11.7% of their net revenue dollars were Medicaid recipients. As mentioned above, Essentia Health Duluth is part of a larger system, Essentia Health. Essentia Health staffs hospitals and clinics in federally-recognized underserved areas and supports the health of its communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into its smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. There are 13 other hospitals outside of the Essentia Health umbrella that service the community.
Part VI, line 5Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting the health of the community: Essentia Health Duluth's board of directors is composed of volunteer representatives from the community it serves. Essentia Health Duluth has an open Medical Staff, so any qualified physician of the community is allowed to apply. All applicants that apply must meet the credentialing standards and be approved by our governing board in order to come and provide services in our system. Essentia Health Duluth is a part of the Essentia Health East. Essentia Health East's consolidated community benefits are summarized below: Benefits for person living in poverty Charity care at cost Cost-to-Charge Ratio $8,033,881.00 Unreimbursed Medicaid Cost-to-Charge Ratio $59,175,475.00 Unreimbursed costs other means-tested government programs Actual Costs $763,629.00 Total Charity Care and Means-Tested Government Programs $67,972,985.00 Benefits for the broader community Community health improvement services and community benefit operations Actual Costs $44,928.00 Health professions education Actual Costs $6,565,667.00 Subsidized health services Actual Costs $0.00 Research Actual Costs $1,166,181.00 Financial and in-kind contributions Actual Costs $1,533,201.00 Total Other Benefits $9,309,977.00 Community building activities Actual Costs $305,424.00 Unpaid cost of public programs, Medicare $79,016,422.00 Cost-to-Charge Ratio Other care provided without compensation (bad debt) $19,799,790.00 Cost-to-Charge Ratio Discounts offered to uninsured patients $5,545,439.00 Actual Costs Taxes and fees $2,630,495.00 Actual Costs Total Community Benefit $184,580,532.00 Essentia Health Duluth is a part of a larger system Essentia Health. As a non-profit organization, Essentia Health is focused on reinvesting surplus revenues into programs and technology that improve patient care. One of the most significant investments has been in the area of electronic health records, which are being rolled out across the health system's network of hospitals and clinics. The majority of Essentia hospitals and clinics were linked via one central EHR by the end of 2011. We also continue to replace and upgrade technology, ranging from CT scanners to robotic surgery devices that ensure patients in our predominantly rural communities have access to these needed services in their home communities. We are also investing in the development of medical homes, which are designed to improve health outcomes for patients, particularly those with chronic diseases. Much of this work is currently not reimbursed by state or federal programs, so Essentia Health assumes responsibility for medical home costs. We also support the health of our communities through active research and clinical trials through the Essentia Institute of Rural Health. Various Essentia Health organizations contributed almost $1.5 million in support to the Institute over the past year. The Institute conducts clinical, translational and health services research with a primary focus on the needs of rural Americans.
Part VI, line 6: If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served: Essentia Health Duluth is part of Essentia Health, an integrated health system of 14 hospitals, 64 clinics and several long-term care facilities in four states: Minnesota, Wisconsin, North Dakota and Idaho. The health system serves a predominantly rural population whose median incomes generally fall below averages of the states where they live. The presence of our clinics and hospitals ensures that people with few economic resources don't have to drive an hour or more to receive basic (and in some cases live-saving) medical care. In addition to staffing hospitals and clinics in federally-recognized underserved areas, we support the health of our communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into our smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. Our size and integrated structure allow us to offer patients services often found only in larger urban settings. Services ranging from chemotherapy and cancer clinical trials to congestive heart failure management and hospice are available to patients in many of the rural communities we serve. Essentia Health also supports the health of our communities with active research and clinical trials, through the Essentia Institute of Rural Health. The Institute conducts clinical, translational and health services research with a primary focus on the needs of rural Americans. Essentia Health is also serving patients through implementation of the Epic electronic health record (EHR). By the end of FY 2011, the vast majority of Essentia's 14 hospitals and 64 clinics were using a fully-integrated EHR for patient care. A common electronic health record allows health professionals to share test results and consult with colleagues in real time across great distances. Medical information is no longer lost in the shuffle of paper records - an important consideration in a region where patients must often be transferred to a larger Essentia facility for complex surgeries or medical care. Essentia is also actively working with government agencies and insurers to develop innovative, cost-effective approaches to care that will improve health outcomes while reducing overall costs to patients and insurers. This innovation can be found in our use of remote home monitors for patients with congestive heart failure to a focus on using a team-based approach to helping patients manage chronic diseases. Essentia Health is committed to helping patients and their families lead active and fulfilling lives in the small and large communities where they live. We hope to become a model of health care delivery, particularly in rural areas, in the years to come.
Part VI, Line 7Essentia Health Duluth files a community benefit report in Minnesota.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (38 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
AMERICAN CANCER SOCIETY
8317 Elderberry RdMadisonWI53717410724036501( c)311000FMVRelay for Life
American Heart Association
208 S Lasalle StreetChicagoIL60604135613797501(C)320000FMVProgram Support
BENTLEYVILLE Tour of Lights
4313 Haines RoadDULUTHMN55811263787799501(C)310000FMVSanta Sponsor
BOYS & GIRLS CLUB OF the Northland
102 S 29th W 200DULUTHMN55816410969947501(C)36500FMV2011 Ball for boys and girls
Bayfield Area Recreation
PO Box 1146BayfieldWI54814421706601501(C)39562FMVExpanded Programs
DULUTH Area CHAMBER OF COMMERCE
5 West 1 st StreetDULUTHMN55802410225910501(C)35450FMVPROGRAM SUPPORT
CHURCHES UNITED IN MINISTRY
102 W 2ND STDULUTHMN55802411227969501(C)348525FMVFood Shelf and Clinic
COLLEGE OF ST SCHOLASTICA
1200 KENWOOD AVEDULUTHMN55806410698301501(C)318500FMVSCIENCE INITIATIVE
DULUTH PLAYHOUSE Inc
506 W MICHIGAN STDULUTHMN55802410694692501(C)310000FMV2010 SPONSORSHIP
DULUTH SUPERIOR SYMPHONY ASSOC
331 W Superior StreetDULUTHMN55802410760835501(C)363000FMVAccoustical Shell
FIRST WITNESS Child Abuse
4 W 5TH STDULUTHMN55806411737291501(C)320000FMVPROGRAM SUPPORT
GRANDMA's Marathon
PO Box 16234DULUTHMN55816411573627501(C)314000FMV2011 Marathon SPONSOR
GRANT COMMUNITY SCHOOL
108 East 6th StDULUTHMN55805412002724501(C)320000FMVEnrichment PROGRAM
HEAD OF THE LAKES
201 E 1ST STDULUTHMN55802362193619501(C)310000FMVThe Encounter
Duluth Bethel Society
23 Mesaba AveDuluthMN55806410694691501(c)310000FMVFemale Offender Rehabilitation
Duluth Public Schools
215 N First AveDuluthWI55802416003776501(C)315229FMVProgram Nursing Services
KIDS CLOSET of Duluth
727 Central AvenueDULUTHMN55807201878745501(c)36000FMVClothing
Fit City Duluth
332 W Superior Street 202DULUTHMN55802261647764501(C)310000FMVExercise Education
ROTARY CLUB OF SUPERIOR
1627 N 34TH STSUPERIORWI54880390579300501(C)417500FMVDRAGON BOAT SPONSOR 2011
LAKEVIEW MEMORIAL HOSPITAL INC
325 11TH AVETWO HARBORSMN55616410786046501(C)315000FMVJUST KIDS DENTAL
Girl Scouts of MN and WI Lakes and Pines
400 2nd Ave SWaite ParkMN56387410877820501(C)310000FMVGirls at risk
Gloria Dei Lutheran Church
326 11th AveTwo HarborsMN55616410786046501(C)322000FMVParish Nurse Program
MEN AS PEACEMAKERS
205 W 2ND ST Suite 15DULUTHMN55802411841689501(C)310000FMVMENTORING Works
MILLER DWAN FOUNDATION
502 E 2ND STDULUTHMN55805237396466501(C)3105000FMVMental Wellness
Local Initiatives Support Corp
733 Third AveNew YorkNY100173204133030229501(c)330000FMVAt Home in Duluth
NORTHERN COMMUNITIES LAND TRUST
206 W 4TH ST 201DULUTHMN55806411678328501(C)315000FMVPROGRAM SUPPORT
NORTHLAND FOUNDATION
202 W SUPERIOR ST Ste 610DULUTHMN55802411554455501(C)325000FMVGrants for Children
Northland Family Program
407 E 3rd StDuluthMN55805411360396501(C)36000FMV2011 Annual Meeting
NORTHWOODS WOMEN INC
P O BOX 88ASHLANDWI54806391364912501(C)38000FMVNEW DAY SHELTER
PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT INC
32 E 1ST ST STE 200DULUTHMN55802411350021501(C)315000FMVPROGRAM SUPPORT
Range Respite Caregiver
1309 20th StVirginiaMN55792411726790501(C)310000FMVProgram Support
SCHOOL DISTRICT OF SUPERIOR
3025 TOWER AVESUPERIORWI54880396004736501(C)315000FMVJUST KIDS DENTAL
SECOND HARVEST NORTHERN LAKES
4503 AIRPARK BLVDDULUTHMN55811363479964501(C)320000FMVProgram Support
UNION GOSPEL MISSION
219 E First StDULUTHMN55802410724066501(C)38000FMVFOOD PROGRAM
UNITED WAY OF GREATER DULUTH
424 W Superior St Ste 402DULUTHMN55802410857077501(C)327200FMVCorp Exec Program
UNITED WAY OF NORTHEASTERN MINNESOTA
229 W LAKE STCHISHOLMMN55719410908454501(C)310150FMVANNUAL SUPPORT
UNIVERSITY OF MINNESOTA-Duluth
1300 S 2nd Room 206DuluthMN55454416007513501(C)338500FMVWellness Outreach
Duluth Family Practice
330 N 8th Ave EastDULUTHMN55805237456795501(C)3FMVMedical Software License308098Med Software License
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants37TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I, Line 2Identifier
ExplanationEssentia Health Duluth provides grant monies to organizations that demonstrate the mission or values of Essentia Health. The Board approves grant monies to community organizations that make a healthy difference in the Northland. The Board also approves grants for healthcare initiatives that make a positive difference in the lives of patients in the area it serves. The Board is provided an annual report of the use of funds. Grant recipients are required to provide a written report for grants over $5,000.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT NORMAN
037252001352750491600633760677010688032047861
BARBARA JOHNSON
2584370702510495047000063860382569000
ROCKLON CHAPIN
309586087516012510525110218420472706000
THOMAS PATNOE MD
514522017729606690699310323360794754000
MICHAEL METCALF
314854094980041680520950281270494224000
MARIBETH OLSON
02569820403690308940558800265560410681030330
ANN WATKINS
15913602452901270902866701952602445670125150
CYNTHIA SORENSON
172633024529096100303990286580265829084190
MICHAEL MCAVOY
175422026055026780319780198920256025000
ALBERT DEIBELE MD
0641460032880690024500030702070064000
THOMAS KAISER MD
0100645605338019800245000229440106121800
TIMOTHY ZAGER MD
02715490116501367024500019481031806200
DENNIS DASSENKO
25734507586902631805689002041404368360211110
PETER PERSON MD
847708026781303816066095003712901817416000
JOHN SMYLIE
5512560192793068480834350316730866005000
TERESA O'TOOLE
287141010403803375706380601070104994430305190
DIANE DAVIDSON
252889068347010310518880266780400833000
TERRI L RUBERG
210531200890219914533877370196439042336826490272828453339294
Michael Mahoney
17932103568501967304012401030402851070188190
Scott Johnson MD
1374537960030950690140243607529494158959559900
Joseph Bianco MD
8617259075011520607024500027731861731306500
Laura Boehlke-Bray MD
660028372201300058202450005954660031605800
Susan Streitz MD
8900354665020160129002450001919890038439000
Michael Van Scoy MD
118003063960148604500245000262811180035911300

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Part I, Line 1aBenefits provided: During tax year 2010, charter travel was used on occasion by three highest compensated employees, three key employees and one former key employee for travel between Essentia Health's Corporate office in Duluth, MN and Essentia Health's supported organizations. Many of Essentia Health's supported organizations are located in rural areas which do not have direct commercial flights available. Charter travel ensures efficient use of Essentia Health's board directors' and employees' time. The use of charter travel is not treated as taxable compensation to these individuals as all travel was business related.
Schedule J, Part I Line 3Establishing CEO's compensation: Essentia Health Duluth relied on Essentia Health's, supporting organization of Essentia Health Duluth, methods for establishing Essentia Health Duluth's President/Chief Medical Officer compensation: a compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee.
Schedule J, Part I, Line 4aSeverance payment: Former key employee, Terri Ruberg received payment totaling $48,222 in tax year 2010 related to her termination. The termination terms are from August 20, 2010 until December 6, 2010. Ms. Ruberg will receive pay totaling $48,222 & benefits totaling $1,815 related to her termination. All other individuals listed as Formers in Form 990, Part VII, Section A, Line 1a remain employed within Essentia Health and its subsidiaries and are not receiving a termination payment.
Schedule J, Part I, Line 4bSupplemental nonqualified retirement plan: Peter Person, MD (Essentia Health East) $0 Thomas Patnoe, MD (Essentia Health East) $0 Maribeth Olson (Essentia Health East) $30,330 Teresa O'Toole (Essentia Health East) $30,519 John Smylie (Essentia Health East) $0 Robert Norman (Critical Access Group) $47,861 Rocklon Chapin (Essentia Health East) $0 Terri Ruberg (Essentia Health East) $43,827 Cynthia Sorensen (Essentia Health East) $8,419 Ann Watkins (Essentia Health East) $12,515 Dennis Dassenko (Essentia Health East) $21,111 Michael Mahoney (Essentia Health East) $18,819 Diane T. Davidson (Essentia Health East) $0 Michael Metcalf (Essentia Health East) $0 Michael Mcavoy (Essentia Health East) $0 Barbara Johnson (Essentia Health East) $0 Essentia Health East's nonqualified retirement plan is offered to designate Essentia Health East's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health East's general assets. Critical Access Group's nonqualified retirement plan is offered to Critical Access Group executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Critical Access Group's general assets.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Sheri Mattson
Related to Sherry Mattson43285Employee of SMDC Med Centerfalse
Karen Vendela
Related to Sherry Mattson60904Employee of SMDC Med Centerfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part III, Line 4Program service accomplishments: SMDC Medical Center dba Essentia Health Duluth is organized and operated exclusively for charitable, scientific, and educational purposes. In furtherance of its purposes, Essentia Health Duluth provides health care services in Minnesota through its 154 bed hospital and 8 clinics. The hospital offers a broad range of inpatient and outpatient services for its patients, including medical surgical care, behavioral health, rehabilitation, orthopedics, neuroscience, digestive health, family and pediatrics services, and heart and vascular services. In accordance with the Federal Emergency Medical Treatment and Active Labor Act, any person who presents at the hospital seeking treatment of an emergency medical condition is given a medical screening and necessary stabilizing treatment regardless of the person's ability to pay. In addition to the hospital and clinics, Essentia Health Duluth also operates pharmacies, optical centers, infusion therapy centers, outpatient surgery centers, and a cancer center. Beyond its clinical services, Essentia Health Duluth also offers educational programs for the community, such as parenting classes and child safety programs such as bicycle helmet fitting, bicycle safety, and pedestrian safety. Essentia Health Duluth also participates in continuing education programs for health care professionals. Essentia Health Duluth employs over 2,500 full time equivalents. The hospital provided for over 27,000 hospital patient days and over 33,000 outpatient visits during the fiscal year ended June 30, 2011. The clinics had over 488,000 encounters during the same time period. Essentia Health Duluth provided over $1,988,000 in charity care as well as an additional $24,200,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2011. Further community benefits provided during the fiscal year include community services of over $227,000, cash and in-kind donations of over $447,000 and continuing education programs for health care professionals of $1,103,000.
Form 990, Part VI Section A, Line 4Form 990 Significant Changes During the fiscal year ended June 30, 2011, Essentia Health Duluth Bylaws were amended. Essentia Health East has reserved powers and the special board has retained powers over Essentia Health Duluth. These reserved powers are discussed in further detail in Part VI, Line 7b. The governing body's voting member number and composition were changed.
Form 990, Part VI, Line 6Members of Organization: Essentia Health East may elect one or more members of the governing body as described in Schedule O Part VI Line 7a. Essentia Health, Essentia Health East, and the special board have reserved powers with respect to Essentia Health Duluth as described in Schedule O Part VI Line 7b.
Form 990, Part VI, Line 7aMember with right to elect governing body: According to its Bylaws, Essentia Health East shall appoint and remove Essentia Health Duluth's governing body.
Form 990, Part VI, Line 7bMember with right to approve governing body decision: Essentia Health Duluth is a subsidiary of Essentia Health, whose Board of Directors has reserved powers with respect to this corporation and its subsidiaries, and all of the other direct and indirect subsidiaries of Essentia Health (collectively, the "System"). Essentia Health's reserved powers are as follows: Strategic and Business Plans. Authority to create, and to approve, the System's strategic and business plans. Mission. Authority to create, and to approve, the mission, purpose and vision statements for all entities in the System by the affirmative vote of at least 67% of the Essentia Health board of directors. Debt. Approval of the incurrence of debt by, and the creation of all mortgages, liens, security interests, or other encumbrances on the assets of, all entities in the System in excess of the single or annual aggregate dollar limits prescribed in writing by the Essentia Health board of directors, and the authority to cause all entities in the System to participate in System borrowing. Governing Instruments. Authority to cause, and to approve, amendments of the articles of incorporation and bylaws of all entities in the System. Mergers and Acquisitions. Authority to cause, and to approve, all mergers, consolidations, and dissolutions of all entities in the System. Affiliations and Joint Ventures. Authority to cause, and to approve, all affiliations, joint ventures and other alliances with third parties of all entities in the System. Transfer of Assets Within the System. Authority to transfer assets, including cash, between and among entities within the System; provided, however, that Essentia Health shall not have authority to require any entity in the System to transfer assets (a) that would cause such entity to be in default of its covenants or obligations under any bond or other financing documents; (b) from the Catholic entities to the secular entities or from the secular entities to the Catholic entities in a manner or to an extent that would cause the Catholic entities to be in violation of the Ethical and Religious Directives for Catholic Health Care Services in the judgment of the local ordinary; or (c) such that money generated by services at secular facilities within the System by procedures that are contrary to the Ethical and Religious Directives for Catholic Health Care Services would be used at the Catholic entities or money generated by Catholic entities would be used in the providing of services contrary to the Ethical and Religious Directives for Catholic Health Care Services at secular facilities within the System. Transfer of Assets Outside the System. Authority to cause, and to approve, the sale, lease or other transfer of assets of all entities in the System to parties outside of the System when the asset's value exceeds the single or annual aggregate dollar limits prescribed in writing by the Essentia Health board of directors. Services. Authority to cause, and to approve, the addition of new services and service locations and the discontinuance of services and service locations within all entities in the System. Budgets. Approval of capital and operating budgets of all entities in the System. Professional Services. Selection of the general legal counsel and external auditors of all entities in the System. Acquisitions. Authority to cause, and to approve, all acquisitions by and formations of entities in the System. Marketing, Authority to implement System-wide marketing and promotional activities. Compliance Plans. Authority to create, and to approve, corporate compliance, safety and risk management plans for entities within the System. Quality Plan. Authority to create, and to approve, the System's quality plan. Non-Budgeted Purchases. Approval of non-budgeted capital purchases and leases in excess of the single or annual aggregate dollar limits prescribed in writing by Essentia Health for entities within the System. Human Resources. Authority to create human resource policies and procedures within the System. Reserved Powers. Authority to create additional Essentia Health reserved powers by the affirmative vote of at least 80% of the Essentia Health board of directors (excluding the Essentia Health CEO); provided, however, that any additional Essentia Health reserved powers shall not contravene or hinder the reserved powers of Benedictine Sisters Benevolent Association.
Form 990, Part VI, Line 7b - contEssentia Health East also has certain reserved powers over all East facilities within Essentia Health. Essentia Health East's reserved powers are as follows: Oversight of quality, safety and service performance; Oversight of the mission performance; Oversight of the operating and financial performance; Development of capital and operating budgets and strategic plans; Execution of the approved capital and operating budgets and strategic and business plans; Oversight of accreditation and licensure compliance; Oversight of operation of all affiliations, joint ventures and other alliances with third parties, including such transactions with the medical staffs; Election of members to serve on the boards of the subsidiaries, (consistent with, and as provided for, in the applicable subsidiary's bylaws) and removal of such members with or without cause; Evaluation of the performance of subsidiary senior officers and; Evaluation of patient, family and customer satisfaction with respect to the services provided within the System; Evaluation of job satisfaction and staff morale within the System; Administration of human resource policies and procedures; Execution of the approved corporate compliance, safety and risk management plans; and Authority to comment on proposed amendments of the Articles of Incorporation and Bylaws, before such amendments are acted upon by BSBA or Essentia. Essentia Health Duluth special board also has certain retained powers over Essentia Health Duluth. Essentia Health Duluth special board retained powers are as follows: Authority to approve changes in the mission and vision statements of the Corporation; provided, however, that such changes shall become effective only upon the prior approval of the Corporation's Board of Directors and Essentia Health East ; Authority to review appropriate financial documents and reports in order to ensure an appropriate level of charitable contributions and also to ensure that all revenues generated by reproductive services at Essentia Health Duluth are appropriately segregated and used exclusively for purposes unrelated to the entities within Essentia Health East which are subject to the Ethical and Religious Directives of the Catholic Church; and Authority to review activities, programs and services within Essentia Health Duluth to ensure that it remains a secular institution, operating in compliance with its community and trust obligations, and also to ensure that such activities, programs and services will be conducted in a manner which will permit Essentia Health St. Mary's Medical Center and its Catholic Subsidiaries to continue to be members of Essentia Health East and still maintain their identity as Catholic Institutions.
Form 990, Part VI, Line 11aForm 990 review process: The 2010 Form 990 including all schedules was reviewed by Essentia Health Duluth's management and governing body on March 7, 2012 prior to filing with the Internal Revenue Service. Each current director of the governing body received a copy of the 2010 Form 990. Essentia Health Duluth's Chief Financial Officer led the review of the form and schedules and any questions were discussed.
Form 990 Part VI Line 12cMonitoring and enforcing Conflict of Interest policy: Interested persons shall annually disclose relationships which might lead to a conflict of interest by completing a conflict of interest disclosure form. Interested persons include any person in a position to exercise substantial influence over the organization. It includes but is not limited to any director, officer, management, employee, or committee member of Essentia Health or any of its affiliates. Essentia shall be responsible for the annual distribution of conflict of interest forms and review of disclosures for the governing bodies of Essentia and Essentia Operating Members and for senior management employees of Essentia. Transactions with parties with whom a conflict of interest exists may be undertaken only if all of the following are observed: the conflict of interest is fully disclosed; the interested person with the conflict of interest doesn't participate in the approval of such transactions; if practical or appropriate, a competitive bid or comparable valuation is obtained; and the board or committee of the board has determined that the transaction is in the best interest of the organization. Disclosure by any interested person other than a board or committee member should be made to the Chief Executive Officer (or if she/he is the one with the conflict, then to the board chair), who shall bring the matter to the attention of the board or an appropriate committee of the board. Disclosure involving board or committee members shall be made to the board chair (or if she/he is the one with the conflict, then to the board vice chair), who shall bring these matters to the board or an appropriate committee of the board. The board or committee of the board shall determine whether a conflict exists and if so, whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia or its affiliate(s). The decision of the board or a duly constituted committee of the board on these matters will be at its sole discretion, and its concern must be the welfare of Essentia and its affiliate(s) and the advancement of its purposes. The decision of the board is final. If the board determines a conflict does not exist, the interested person may proceed with the transaction; however, he/she will not be eligible to vote on related issues should they arise. If the board determines a conflict does exist, the interested person will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.
Form 990, Part VI, Line 15 A&BProcess for determining compensation: The Executive Compensation Committee of Essentia Health's board of directors is authorized to fulfill the board's responsibilities regarding executive compensation consistent with Essentia's mission, values and tax-exempt status, and the Executive Compensation Committee's Charter. The Executive Compensation Committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing and modifying, as appropriate, reasonable compensation and benefits for Essentia's Chief Executive Officer and his direct reports. 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 shall 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 East's President/Chief Medical Officer and Chief Administrative Officer was 2010. The Essentia Health Executive Compensation committee determines policy (establishes peer group, determines competitive ranking and establishes positioning of total compensation dependent upon performance) for all executives at the Vice President level or above. The Executive Compensation Committee of the Essentia Health East board of directors is authorized to fulfill the board's responsibility regarding executive compensation consistent with Essentia Health East's mission, values and tax-exempt status. It is bound by and relies upon the policy set by the Executive Compensation Committee of Essentia's board of directors. Annually, the Executive Compensation Committee of Essentia Health East's board of directors meets to review information presented by the Essentia Health East President and Chief Administrative Officer concerning the performance of the system and senior executives of Essentia Health East and to approve executive incentives based on system results and supporting documentation for all members covered by the Essentia Health East incentive compensation program and report such findings to the Executive Compensation Committee of Essentia's Board of Directors. The year a total compensation review process was undertaken for all Essentia Health East executives at the Vice President and above was 2010.
Form 990, Part VI, Line 19Availability of governing documents, conflict of interest policy, and financial statements to the public: Essentia Health Duluth makes its governing documents, conflict of interest policy, and financial statements available to the public. Essentia Health Duluth's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Essentia Health Duluth is part of Essentia Health's consolidated financial statements which are included in Essentia Health's annual report posted on Essentia Health's web site.
Form 990, Part VII, Section A, Line 1a, Column BHours devoted to related organizations: The following individual listed in Form 990, Part VII, Section A, Line 1a also devoted time each week to related organizations: Neal Hessen: approximately 11 hours The following individuals spent 100% of their time furthering the purpose of Essentia Health East as a board director of Essentia Health Medical Equipment & Supplies, Essentia Health Sandstone, Essentia Health Polinsky Medical Rehabilitation Center, Essentia Health East, Essentia Health Duluth, Essentia Health St. Mary's Hospital-Superior and Essentia Health St. Mary's Medical Center: Alan Hodnik Chuck Walt David Gaddie Neal Hessen Sherry Mattson Sister Donna Shroeder Sister Mary Josephine Torborg Sister Sarah Smedman Thomas Patnoe, MD is employed by Essentia Health Duluth as President and Chief Medical Officer. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Sister Kathleen Hofer is employed by Essentia Health St. Mary's Medical Center as Essentia Health's Senior Vice President, Benedictine Sponsorship. 100% of her time is spent furthering the purpose of Essentia Health and its' related organizations. Joseph A. Bianco, MD is employed by The Duluth Clinic Ltd. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Laura Boehlke-Bray, MD is employed by The Duluth Clinic Ltd. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Susan Streitz, MD is employed by The Duluth Clinic Ltd. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Michael Van Scoy, MD is employed by The Duluth Clinic Ltd. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Barbara Johnson is employed by Essentia Health Duluth as Chief Financial Officer. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Maribeth Olson is employed by Essentia Health St. Mary's Medical Center as Chief operating Officer. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Ann Watkins is employed by Essentia Health Duluth as Vice President - Surgical Services. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Michael Mcavoy is employed by Essentia Health Duluth as Vice President Acute Care & Diagnostics. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Albert Deibele, MD is employed by The Duluth Clinic Ltd. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Dennis Dassenko is employed by Essentia Health East as Chief Information Officer. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Michael Metcalf is employed by Essentia Health Duluth as Chief Administrative Officer. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Rocklon Chapin is employed by Essentia Health Duluth as Executive Vice President Hospital Division. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Scott Johnson, MD is employed by The Duluth Clinic Ltd. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Peter Person, MD is employed by Essentia Health Duluth as Essentia Health's Chief Executive Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. John Smylie is employed by Essentia Health Duluth as one of Essentia Health's General Counsel. 100% of his time is spent furthering the purpose of Essentia Health organizations and its' related organizations. Teresa O'Toole is employed by Essentia Health Duluth as one of Essentia Health's Chief Administrator/Legal Officer. 100% of her time is spent furthering the purpose of Essentia Health organizations and its' related organizations. Michael Mahoney is employed by Essentia Health Duluth as Essentia Health's Vice President, Government Affairs. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Thomas Kaiser, MD is employed by The Duluth Clinic Ltd. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations. Robert Norman is employed by Critical Access Group as Essentia Health's Chief Financial Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations.
Part XI Line 5Other Changes in Net Assets: Pension and Post Retirement Liability Adjustments: $3,628,213 Beginning Balance Adjustment: ($475,746) Unrealized gain on trading securities: $1,675,722 Other Net Assets: $5,550

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BRAINERD LAKES INTEGRATED HEALTH SYSTEM
2024 S 6TH STBRAINERDMN56401371532145SUPPORT ORGMN501(c)(3)11 IIEssentia
BRAINERD MEDICAL CENTER INC
2024 S 6TH STBRAINERDMN56401371532148CLINICMN501(c)(3)3BLIHS
BRIDGES MEDICAL CENTER
201 9TH ST WESTADAMN56510200479568CLINIC/HOSPMN501(c)(3)3Innovis
CLEARWATER VALLEY HOSPITAL & CLINICS INC
301 CEDAROROFINOID83544820497771CLINIC/HOSPID501(c)(3)3CAG
DIVINE MEDICAL SERVICES
709 N LINCOLNJEROMEID83338202773717EMERG SrvsID501(c)(3)3SBFMC
DL SURGERY CENTER
1027 WASHINGTON AVEDETROIT LAKESMN56501263837203ASCMN501(c)(3)3CAG
ECHC FOUNDATION
502 E 2NS STDULUTHMN55805263359418FOUNDATIONMN501(c)(3)11 ICAG
Citical Access Group
503 E 3RD ST SUITE 400DULUTHMN55805261219624SUPPORT ORGMN501(c)(3)11 IIESSENTIA
FIRST CARE MEDICAL SERVICES
900 HILLIGROSS BLVD SEFOSSTONMN56542410706143CLINIC/HOSPMN501(c)(3)3Innovis
MINNESOTA VALLEY HEALTH CENTER
621 S 4TH STLE SUEURMN56058410837659HOSPITAL/NURSMN501(c)(3)3CAG
ST BENEDICTS FAMILY MEDICAL CENTER
709 N LINCOLNJEROMEID83338820227163CLINIC/HOSPID501(c)(3)3CAG
ST J0SEPHS MEDICAL CENTER
523 N 3RD STBRAINERDMN56401410695602Clinic/HospMN501(c)(3)3BLIHS
ST MARYS EMS
1027 WASHINGTON AVEDETROIT LAKESMN56501411805811EMERG SrvsMN501(c)(3)9SMRHC
ST MARYS HOSPITAL AND CLINICS INC
P O BOX 137COTTONWOODID83522820226453CLINIC/HOSPID501(c)(3)3CAG
ST MARYS INNOVIS HEALTH
1027 WASHINGTON AVEDETROIT LAKESMN56501262861321CLINICMN501(c)(3)3Innovis
ST MARYS REGIONAL HEALTH CENTER (SMRHC)
1027 WASHINGTON AVEDETROIT LAKESMN56501411620386CLINIC/HOSPMN501(c)(3)3Innovis
ESSENTIA HEALTH
502 E 2ND STDULUTHMN55805200360007SUPPORT ORGMN501(c)(3)11 III FINA
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E 2ND STDULUTHMN55805271291124RESEARCHMN501(c)(3)4ESSENTIA
INNOVIS HEALTH LLC
1702 S UNIVERSITY DRIVEFARGOND58103261175213CLINIC/HOSPDE501(c)(3)3ESSENTIA
Essentia HEALTH FOUNDATION
502 E 2ND STDULUTHMN55805271984704FOUNDATIONMN501(c)(3)7INNOVIS
MIDWEST MEDICAL EQUIP AND SUPPLY INC
4418 HAINES ROADDULUTHMN55811471674021MED EQUIPMENTMN501(c)(3)9SMDCHS
PINE MEDICAL CENTER
109 COURT AVE SSANDSTONEMN55072411884597Hospital/NursMN501(c)(3)3SMDCHS
POLINSKY MEDICAL REHABILITATION CENTER
530 E 2ND STDULUTHMN55805410691275CLINICMN501(c)(3)3SMMC
ST MARYS DULUTH CLINIC FOUNDATION
400 E 3RD STDULUTHMN55805412016979FOUNDATIONMN501(c)(3)7SMDCHS
ST MARYS DULUTH CLINIC HEALTH SYS (SMDC)
407 E 3RD STDULUTHMN55805411836633Support OrgMN501(c)(3)11 IIESSENTIA
ST MARYS HOSPITAL OF SUPERIOR
3500 TOWER AVESUPERIORWI54880411811073CLINIC/HOSPWI501(c)(3)3SMMC
ST MARYS MEDICAL CENTER
407 E 3RD STDULUTHMN55805410695604HOSPITALMN501(c)(3)3SMDCHS
THE DULUTH CLINIC LTD
400 E 3RD STDULUTHMN55805410883623CLINICMN501(c)(3)3SMDCHS
Northern Pines Medical Center
5211 Hwy 110 AuroraAuroraMN55705410841441Hospital/NursMN501(c)(3)3SMDCHS
Graceville Missionary Benedictine Sister
115 West Second StGracevilleMN56240410726173Clinic/HospMN501(c)(3)3Innovis

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
ESSENTIA HLTH INS SERVICES SPC LTD
BUCKINGHAM SQ 720W BAY RD PO BOX 69GRAND CAYMANCAYMAN ISLANDSCJKY1 1102000000000INSURANCECJNAFOREIGN CORP000.00000
East Range Clinics Ltd
410909915ClinicsNAC Corp000.00000910 6th Ave NVirginiaMN55792MN
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (25 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
The Duluth Clinic Ltd
o97825310
The Duluth Clinic Ltd
p184563685
Essentia Institute of Rural Health
q2473000
Essentia Institute of Rural Health
n71829
Essentia Institute of Rural Health
p109188
Midwest Medical Equipment and Supply
p83559
Pine Medical Center
p88878
POLINSKY MEDICAL REHABILITATION CENTER
o3584293
POLINSKY MEDICAL REHABILITATION CENTER
p7003471
ST MARYS DULUTH CLINIC FOUNDATION
o60681
ST MARYS DULUTH CLINIC FOUNDATION
p67874
St Joseph's Medical Center
o164843
St Joseph's Medical Center
p2599694
St Mary's Hospital of Superior
o8928123
St Mary's Hospital of Superior
p11030193
St Mary's Medical Center
j243527
St Mary's Medical Center
o294182100
St Mary's Hospital of Superior
l189052
St Mary's Medical Center
p99196439
Essentia Health
l11724996
Essentia Health
n10578721
Essentia Health
p6864842
Essentia Health
o7615432
Essentia Health
r953265
Innovis Health
p64969