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ESSENTIA HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ESSENTIA HEALTH (EIN 20-0360007)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201231319349302108
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)
Timestamp2012-05-10T13:40:52-05:00Timestamp
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)
EIN200360007EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Essentia HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlESSENameControl
Phone2187868376Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 E 2nd StAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT NORMANName
TitleCFOTitle
Date Signed2012-05-08DateSigned

Preparer Preparer

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

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPeter Person MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1502 E 2nd StAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23843515GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.essentiahealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionWe are called to make a healthy difference in people's lives.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI4680TotalGrossUBI
Net Unrelated Business Txbl Income-16015NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11842122ProgramServiceRevenuePriorYear
Program Service Revenue CY20534336ProgramServiceRevenueCY
Investment Income Prior Year-311067InvestmentIncomePriorYear
Investment Income Current Year2840532InvestmentIncomeCurrentYear
Other Revenue Prior Year23636OtherRevenuePriorYear
Other Revenue Current Year468647OtherRevenueCurrentYear
Total Revenue Prior Year11554691TotalRevenuePriorYear
Total Revenue Current Year23843515TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY13850GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year247500SalariesEtcPriorYear
Salaries Etc Current Year314600SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23888348OtherExpensePriorYear
Other Expenses Current Year22364718OtherExpensesCurrentYear
Total Expenses Prior Year24136848TotalExpensesPriorYear
Total Expenses Current Year22693168TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12582157RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1150347RevenuesLessExpensesCY
Total Assets BOY90981545TotalAssetsBOY
Total Assets EOY100741801TotalAssetsEOY
Total Liabilities BOY25156925TotalLiabilitiesBOY
Total Liabilities EOY56417384TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY65824620NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY44324417NetAssetsOrFundBalancesEOY
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
Expense3087670Expense
Grants13850Grants
Revenue20534336Revenue
DescriptionSee schedule ODescription
Total Program Service Expense3087670TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
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
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
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 Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 PersonROBERT NORMANNamePerson
Telephone Number2187863178TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1502 E 2ND STAddressLine1
CityDuluthCity
StateMNState
ZIP Code55805ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeFormerFormer
Richard Blair
Board Chair8.0XX4000000
Laura Boehlke-Bray MD
Board Director60.0X2500026720430454
Terrence Clark MD
Board Director60.0X019233241666
Lori Collard
Board Vice Chair5.0XX250009000
Sister Verda Clare Eichner
Board Director thru 12/31/105.0X000
Joel Haugen MD
Board Director60.0X1500027784338041
Neal Hessen
Board Director5.0X26400115000
Sister Kathleen Hofer
Board Secretary60.0XX000
Lauren Larsen
Board Director5.0X2500000
Walter Leino MD
Board Director3.0X1500000
Sister Beverly Raway
Board Director5.0X000
Thomas Russ MD
Board Secretary thru 12/31/1060.0XX1500027774245175
James Seitz
Board Director3.0X150009000
Sister Clare Marie Trettel
Board Director5.0X000
Sister Claudia Riehl
Board Director5.0X000
Dean Ager
Board Director3.0X280000
James Anderson
Board Director3.0X030000
Peter Dunphy MD
Board Director60.0X038357417923
Theresa Gunnarson MD
Board Director60.0X046282453320
Michael Sheldon MD
Board Director60.0X034864739725
Peter Person MD
Chief Executive Officer60.0X01119337698079
Robert Norman
Chief Financial Officer60.0X0556955131077
Gregory Glasner MD
President & CMO, West Region60.00682078101232X
Carl Heltne MD
Chief Medical Officer60.0056409951247X
Daniel McGinty
Senior VP, Development60.00499207131505X
Kevin Pitzer
CAO, West Region60.0050433179032X
John Smylie
Chief Operating Officer60.00750897115108X
Michael Mahoney
Vice President, Public Policy60.0023467950428X
Teresa O'Toole
CAO & CLO60.0042493674507X
Thomas Prusak
President, Central Region60.00432592111251X
David Boran MD
CMO, Central Region60.0026841527077X
Thomas Patnoe MD
President & CMO, East60.00692487102267X
Michael Metcalf
CAO, East Region60.0041400280222X
Maribeth Olson
SMMC COO60.0032824582436X
James Abelsen
Former Executive Vice Presi0.01382121346310135X
Daniel Zismer
Former Executive Vice Pres8.013543100X
Rocklon Chapin
SMDCMC COO60.0039835374353X
FieldValueIRS element (for citing)
Total Reportable Comp From Org353452TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs10310542TotalReportableCompFrmRltdOrgs
Total Other Compensation2186260TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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
Ernst Young
3712 Solutions CenterCHICAGOIL60677Auditing/Consulting824364
Soft Computer Consultants Inc
5400 Tech Data DrCLEARWATERFL33760IT Services735699
Eclipsys Corporation
PO Box 8538-0133PHILADELPHIAPA191710133IT Services521035
Russell Herder Inc
315 E River RdBRAINERDMN56401Advertising382924
eDocument Resources LLC
6101 Baker Rd Ste 207MINNETONKAMN55345IT Services357750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
SUPPORT FEES5416102052898320529656-673
CONSULTANT FEES54161053535353
FieldValueIRS element (for citing)
Total Program Service Revenue20534336TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column883046TotalRevenueColumn
Exclusion$883,046ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1151618Securities
Other805868Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1151618Securities
Other805868Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1957486TotalRevenueColumn
Exclusion$1,957,486ExclusionAmount

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

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
FORWARD DELIVERY AGREEMENT TERMINATION900099315000$315,000
COST RECOVERY900099123647$123,647
UBI TAXES90009930000$30,000
FieldValueIRS element (for citing)
Total Other Revenue468647TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23843515TotalRevenueColumn
Related Or Exempt Function Income20529656RelatedOrExemptFunctionIncome
Unrelated Business Revenue4680UnrelatedBusinessRevenue
Exclusion$3,309,179ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total13850Total
Program Services13850ProgramServices

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)
Total314600Total
Management And General314600ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total188847Total
Management And General188847ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total127033Total
Management And General127033ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total6000Total
Management And General6000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total70326Total
Management And General70326ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1037729Total
Program Services379214ProgramServices
Management And General658515ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total612222Total
Program Services612222ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total83877Total
Program Services52654ProgramServices
Management And General31223ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27489Total
Program Services19513ProgramServices
Management And General7976ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total62961Total
Program Services11136ProgramServices
Management And General51825ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total149884Total
Program Services558ProgramServices
Management And General149326ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1340816Total
Management And General1340816ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total49174Total
Management And General49174ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
AFFILIATE EXPENSES ALLOCATION15051865199106313060802
PROVISIONS FOR DOUBTFUL ACCTS34777503477750
UBI TAXES21330328018050
DUES AND SUSCRIPTIONS86108610
ALL OTHER EXPENSES48805418044625

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22693168Total
Program Services3087670ProgramServices
Management And General19605498ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY913056EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8935398BOY
EOY6172989EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY938312BOY
EOY3254977EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY500000BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY474081BOY
EOY602578EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4424LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec74LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY4350EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9488713BOY
EOY447891EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9078971BOY
EOY26273093EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY61532818BOY
EOY62412552EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33252BOY
EOY660315EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY90981545BOY
EOY100741801EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13993369BOY
EOY19799766EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5767616BOY
EOY31264154EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5139506BOY
EOY5235000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY256434BOY
EOY118464EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25156925BOY
EOY56417384EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY65824620BOY
EOY44324417EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65824620BOY
EOY44324417EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY90981545BOY
EOY100741801EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1150347ReconcilationRevenueExpenses
Reconcilation Other Changes-22650550ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (30 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
BRAINERD LAKES INTEGRATED HEALTH SYSTEM
3715321450falsetruetrue$0
BRAINERD MEDICAL CENTER INC
37153214803falsetruetrue$145,716
BRIDGES MEDICAL CENTER
20047956803falsetruetrue$96,520
CLEARWATER VALLEY HOSPITAL & CLINICS INC
82049777103falsetruetrue$271,493
CRITICAL ACCESS GROUP
2612196240truetruetrue$393,592
ST BENEDICT'S FAMILY MEDICAL CENTER
82022716303falsetruetrue$271,932
ST JOSEPH'S MEDICAL CENTER
41069560203falsetruetrue$2,145,538
ST MARY'S EMS
41180581109falsetruetrue$23,164
ST MARY'S HOSPITAL & CLINICS INC
82022645303falsetruetrue$264,849
ST MARY'S REGIONAL HEALTH CENTER
41162038603falsetruetrue$984,361
INNOVIS HEALTH LLC
26117521303truetruetrue$3,615,706
MIDWEST MEDICAL EQUIPMENT & SUPPLY INC
41167402109falsetruetrue$112,959
SMDC MEDICAL CENTER
41187873003falsetruetrue$5,167,965
PINE MEDICAL CENTER
41188459703falsetruetrue$272,311
POLINSKY MEDICAL REHABILITATION CENTER
41069127503falsetruetrue$119,163
ST MARY'S DULUTH CLINIC FOUNDATION
41201697907falsetruetrue$0
ST MARY'S DULUTH CLINIC HEALTH SYSTEM
41183663303truetruetrue$0
ST MARY'S HOSPITAL OF SUPERIOR
41181107303falsetruetrue$607,340
ST MARY'S MEDICAL CENTER
41069560403falsetruetrue$5,133,163
THE DULUTH CLINIC LTD
41088362303falsetruetrue$2,318,030
DIVINE MEDICAL SERVICES
20277371703falsetruetrue$0
DL SURGERY CENTER
26383720303falsetruetrue$1,060
ECHC FOUNDATION
2633594180falsetruetrue$9,046
ST MARY'S INNOVIS HEALTH
26286132103falsetruetrue$51,203
MINNESOTA VALLEY HEALTH CENTER INC
41083765903falsetruetrue$158,262
FIRST CARE MEDICAL SERVICES
41070614303falsetruetrue$269,837
ESSENTIA INSTITUTE OF RURAL HEALTH
27129112404falsetruetrue$17,954
ESSENTIA HEALTH FOUNDATION
27198470407falsetruetrue$709
GRACEVILLE MISSIONARY BENEDICTINE SISTERS
41072617303falsetruetrue$91,558
NORTHERN PINES MEDICAL CENTER
41084144103falsetruetrue$149,737
FieldValueIRS element (for citing)
Total Number Of Supported Orgs30TotalNumberOfSupportedOrgs
Sum Of Amounts22693168SumOfAmounts
General ExplanationThe supported organizations listed in Part I Line 11h that have a "No" box checked are not specifically listed in Essentia's articles of incorporation Article XI. However, Essentia's articles state that Essentia is organized and shall be operated exclusively for charitable, educational, scientific and religious purposes exclusively for the benefit of, to perform the functions of, or to carry out the purposes of the tax-exempt entities identified as supported organizations in their respective articles of incorporation. Schedule A, Line 11h, Column (vii) The amount of support includes Essentia Health's functional expenses which are incurred for the benefit of Essentia Health's supported organizations.GeneralExplanation

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 ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$109,156DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$6,000OtherActivitiesAmount
Total Lobbying Expenditures IIB115156TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule C, Part II-BIdentifier
ExplanationLobbying Activity Explanation: Essentia Health employs one full-time in-house public policy individual and during 2011 contracted with one consultant firm to monitor state legislative activities of interest dealing fully with Health and Human Services issues. Essentia Health's public policy activities occur on a multi state and national level. Essentia Health public policy activities included in person, telephonic, electronic communication and information relay with legislators and staff, administrative officials, government agencies and departments on both the state and federal levels. The primary issues of interest and concern include: Critical Access Hospital designation Physician and Hospital Services Reimbursement Medicare and Medicaid Reimbursement Policies Disproportionate Share Hospital Funding Graduate Medical Education/Indirect Medical Education Funding Health Information Technology Funding and Privacy Issues State and Federal Health Care Reform Medicare Reimbursement for Rehab Facilities Medicare 340B Prescription Drug Discount Program Nurse Staffing Ratios Electronic Medical Record Interoperability Medicare Recovery Audit Contractor Audits (RAC) Health Information Exchange Medical Education and Research Costs (MERC) State Children's Health Insurance Program Workforce Issues Public Health Initiatives Community BenefitsExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4424OtherCostOrOtherBasis
Depreciation74Depreciation
Book Value4350BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings4350TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value5417247BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPOOLED INVESTMENT FUNDDescription
Book Value20855846BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities26273093TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TAX-EXEMPT RELATED ORG NOTE3879734F
INVESTMENT IN TAX-EXEMPT ORG58532818F
FieldValueIRS element (for citing)
Total Of Book Value Program Related62412552TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYABLES TO RELATED TAX-EXEMPT ORGSDescription
Amount$118,464Amount
FieldValueIRS element (for citing)
Total Of Amounts118464TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D, Part XIdentifier
ExplanationFIN 48 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, 2011 no longer includes an ASC 740 footnote.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpendituresSpecific Services ProvidedSpecificServicesProvided
Central America and the CaribbeanInvestments89669000
Europe (Including Iceland and Greenland)Investments9318000
Central America and the CaribbeanProgram Services9030275Self Indemnity
FieldValueIRS element (for citing)
Subtotal Amount Spent108017275SubtotalAmountSpent
Total Amount Spent108017275TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Duluth Area Chamber of CommerceBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15 West 1st StreetAddressLine1
CityDuluthCity
StateMNState
ZIP Code55802ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient410225910EINOfRecipient
IRC Section501(c)(6)IRCSection
Amount Of Cash Grant5500AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantGeneral SupportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I, Line 2Identifier
ExplanationProcedures for monitoring grants: Essentia Health's management reviews the grant activity by reviewing and documenting each expenditure request and approving the expense.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
Gregory Glasner MD
04737890177022031267069709031523078331000
Carl Heltne MD
05621190001980024500026747061534600
Daniel McGinty
0367024013106201121091206040299063071200
Peter Person MD
084770802678130381606609500371290181741600
Robert Norman
037252001352750491600633760677010688032047861
Kevin Pitzer
03501330123113031085068575010457058336300
John Smylie
0551256019279306848083435031673086600500
Laura Boehlke-Bray MD
25000265322013000582024500059542500029765800
Terrence Clark MD
01910070001325020002021664023399800
Joel Haugen MD
15000250441000274020209820170591500031588400
Thomas Russ MD
1500027543101128011830245000206751500032291700
Michael Mahoney
01793210356850196730401240103040285107018819
Teresa O'Toole
028714101040380337570638060107010499443030519
Thomas Prusak
034342208665402516086306024945054384300
David Boran MD
02684150000012250014827029549200
Maribeth Olson
02569820403690308940558800265560410681030330
James Abelsen
13821000021346300010135138212235980215796
Daniel Zismer
135431000000000135431000
Thomas Patnoe MD
051452201772960669069931032336079475400
Rocklon Chapin
030958608751601251052511021842047270600
Peter Dunphy MD
0383574000001225005673040149700
Theresa Gunnarson MD
04239550385690300024500028820051614400
Michael Sheldon MD
032141300027234022397017328038837200
Michael Metcalf
031485409498004168052095028127049422400

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Part I, Line 1aBenefits provided: During tax year 2010, charter travel was used on occasion by two board directors, one officer and five key employees 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 4aSeverance payment Former key employee, James Abelsen, a former employee of related organization The Duluth Clinic, Ltd., received payment totaling $155,747 in tax year 2010 related to his termination. The termination terms are from June 30, 2008 until June 30, 2010. Mr. Abelsen will receive pay totaling $883,406 & benefits totaling $18,489 related to his termination. All other individuals listed as Formers in Form 990, Par VII, Section A, Line 1a were employed within Essentia Health and its subsidiaries and did not receive a severance payment during tax year 2010.
Schedule J, Part I, Line 4bSupplemental nonqualified retirement plan The following individuals listed in Form 990, Part VII, Section A, Line 1a received payment from a supplemental nonqualified retirement plan during the year: Peter Person, MD (Essentia Health East) $0 Robert Norman (Critical Access Group) $47,861 Gregory Glasner, MD (Essentia Health West) $0 Kevin Pitzer, (Essentia Health West) $0 John Smylie (Essentia Health East) $0 Michael Mahoney (Essentia Health East) $18,819 Teresa O'Toole (Essentia Health East) $30,519 Thomas Patnoe, MD (Essentia Health East) $0 Michael Metcalf (Essentia Health East) $0 James Abelsen (Essentia Health East) $60,049 Maribeth Olson (Essentia Health East) $30,330 Rocklon Chapin (Essentia Health East) $0 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. Essentia Health East's nonqualified retirement plan is offered to designated Essentia Health East's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health East's general assets. Essentia Health West's nonqualified retirement plan is offered to designated Essentia Health West's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health West's general assets.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Cass County North Dakota
456002205148047AU72010-02-2559573111Srs 2008 A Reoffered (See Sch O)falsefalsetrue
WI Health and Education Facilities Authority
39133785597710BSD52010-02-2512854722Srs 2008 B Reoffered (See Sch O)falsefalsetrue
MN Agricultural and Economic Development Board
4160071626049202H02010-02-25165717405Srs 2008 C Reoffered (See Sch O)falsefalsetrue
MN Agricultural and Economic Development Board
4160071626049202M92010-06-25109535000Srs 2010 (See Sch O)falsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0038722520000000387225202010truefalsetruetrue
00835557000000083555702010truefalsetruetrue
975000107716320001234540001064817802010truefalsetruetrue
47322001637729100063167005747832105662920truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsetruefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSee Schedule OIdentifier

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDaniel ZismerNamePerson
FieldValueIRS element (for citing)
RelationshipFormer Key EmployeeRelationship
Amount Of Transaction135431AmountOfTransaction
Description Of TransactionIndependent ContractorDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part III, Line 4Program service accomplishments Essentia Health is organized and shall be operated exclusively for charitable, educational, scientific and religious purposes exclusively for the benefit of, to perform the functions of, or to carry out the purposes of Critical Access Group, a Minnesota nonprofit corporation, St. Mary's Duluth Clinic dba Essentia Health East, a Minnesota nonprofit corporation, and Innovis Health dba Essentia Health West, a Delaware limited liability company and in support of Critical Access Group, Essentia Health East, and Essentia Health West and each of the tax-exempt entities identified as supported organizations in their articles of incorporation all of which are organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986. Essentia Health supports regional leaders in the development and advancement of business, clinical and financial models for the delivery of high-quality and cost-effective health care. The regional leaders provide integrated health care delivery through their physician group practices, ambulatory and outpatient centers, acute care hospitals and community, rural and critical access hospitals. The organizations Essentia Health supports (the "Supported Organizations") include 17 hospitals and more than 60 clinics in Minnesota, Wisconsin, North Dakota, and Idaho with several located in rural areas that have limited access to other healthcare options. These Supported organization file separate Form 990's. At fiscal year ended June 30, 2011, Essentia Health's Supported Organizations' consolidated total unrestricted revenue was $1,593,454,000 and consolidated income from operations was $50,887,000. These hospitals and clinics employ approximately 10,100 full time equivalents. The hospitals have a total of 1,123 licensed beds which provided for over 184,000 hospital patient days and over 666,800 outpatient visits during the fiscal year ended June 30, 2011. The clinics had over 1.8 million encounters during the same time period. During the fiscal year ended June 30, 2011, Essentia Health's Supported Organizations provided total community benefits of over $120.4 million which included costs of providing charity care, costs in excess of Medicaid payments, Medicaid surcharge, Minnesota Care tax, community services, subsidized health services, education, research, and cash and in-kind donations.
Form 990, Part V, Line 1cNo Gaming (Gambling) Winnings
Form 990, Part VI, Section A, Line 4Form 990 Significant Changes: During the fiscal year ended June 30, 2011, the Bylaws of Essentia Health were amended. The amendments modified the composition of Essentia Health's governing body to include three current or former members of the Duluth Clinic medical staff; up to three members of the Benedictine Sisters Benevolent Association; four additional physician members; up to three members who are chairs of the boards of directors of the organizations supported by Essentia Health; and six remaining independent members who subscribe to Essentia Health's mission, vision, and beliefs.
Form 990, Part VI, Line 7bMember with right to approve governing body decisions: The Benedictine Sisters Benevolent Association ("BSBA") has certain reserved powers over all Catholic facilities within Essentia Health. BSBA's reserved powers are as follows Mission. Authority to approve the mission, purpose and vision statements for Catholic facilities and entities within the System. Adherence to Ethical Religious Directives (ERDs). Authority to approve the methods, policies and procedures pertaining to the adherence of Catholic facilities and entities within the System to the ERDs, and to require the use of religious symbols, distinguishing elements and prayers. Official Catholic Directory. Authority to request the listing of qualified entities and facilities within the System in The Official Catholic Directory, subject to the approval of applicable Catholic authorities. Catholic Health Association. Authority to require Catholic facilities and entities within the System to join the membership of the Catholic Health Association of the United States. Alienation of Stable Patrimony or Ecclesiastical Goods. Authority to approve alienation of either stable patrimony or other ecclesiastical goods in the System if such goods involved in a specific transaction approved by Essentia Health pursuant to Section 2.8(g) or 2.8(h) of the Affiliation Agreement have a dollar value equal to or greater than 70% of the amount established from time to time that requires approval from the Holy See. Amendments. Authority to approve any amendments to the Articles of Incorporation or Bylaws of this corporation that would alter the number of Benedictine Sisters of St. Scholastica Monastery of Duluth or Benedictine Sisters Benevolent Association board of director members serving as members of this corporation's board of directors; authority to approve any amendments to the Articles of Incorporation or Bylaws of the Supported Organizations, as well as the Catholic ECHC and SMDC Subsidiaries (as defined in the Affiliation Agreement), which could materially affect such entity's identity as a Catholic institution, including without limitation any amendment that would alter the number of Benedictine Sisters of St. Scholastica Monastery of Duluth or Benedictine Sisters Benevolent Association board of director members serving as members of such entity's board of directors; and authority to cause Essentia Health to make amendments to the Articles of Incorporation or Bylaws of the Supported Organizations, as well as the Catholic ECHC and SMDC Subsidiaries, which amendments Benedictine Sisters Benevolent Association in good faith are necessary to preserve such entity's identity as a Catholic institution. Mission Effectiveness. Authority to approve annual plans and evaluations relating to mission effectiveness and chaplaincy for the Catholic facilities and entities within the System. Mergers and Dissolution. Subject to the approval of the Benedictine Sisters of St. Scholastica Monastery of Duluth, authority to approve a proposed merger, consolidation, liquidation, dissolution, or the disposition of all or substantially all the assets.
Form 990, Part VI, Line 11aForm 990 review process: The 2010 Form 990 including all schedules was reviewed by Essentia Health's management and governing body on March 30th, 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'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 which are paid by related organizations. The Executive Compensation Committee engages qualified independent compensation advisors to provide objective and impartial comparative data and to express opinions on total compensation reasonableness. The Executive Compensation Committee may request its independent advisors to: monitor comparability data and marketplace trends; make appropriate recommendations regarding salary ranges; and periodically review the market competitiveness of Essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the Executive Compensation Committee will obtain and rely upon appropriate data as to comparability of the proposed compensation or adjustments. The Executive Compensation Committee will adequately document the basis for its determination concurrently with making those determinations. The Executive Compensation Committee minutes 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's Chief Executive Officer, Chief Financial Officer, Senior Vice President, Development, Chief Operating Officer, Vice President, Public Policy and Chief Administrative Officer/Chief Legal Officer; East Region's President/Chief Medical Officer and Chief Administrative Officer; West Region's President/Chief Medical Officer and Chief Administrative Officer; and Central Region's President and Chief Medical Officer was 2010.
Form 990, Part VI, Line 19Availability of governing documents, conflict of interest policy, and financial statements to the public: Essentia Health makes its governing documents, conflict of interest policy, and financial statements available to the public. Essentia Health's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Essentia Health 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 individuals listed in Form 990, Part VII, Section A, Line 1a also devoted time each week to related organizations: Lori Collard: approximately 5 hours Neal Hessen: approximately 16 hours James Seitz: approximately 5 hours James Anderson: approximately 8 hours Peter Person, MD is employed by Essentia Health Duluth as Essentia Health's Chief Executive Officer. 100% of his time is spent furthering the purpose of Essentia Health and 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. Terrance Clark, 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. Sister Verda Clare Eichner is employed by Essentia Health St. Mary's Medical Center. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Joel Haugen, MD is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West 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. Thomas Russ, 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 Dunphy, MD is employed by Essentia Health Specialty Clinic. 100% of his time is spent furthering the purpose of Essentia Health Central and its' related organizations. Theresa Gunnarson, 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 Sheldon, MD is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West 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. Gregory Glasner, MD is employed by Essentia Health West as the West Region's President and Chief Medical Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Carl Heltne, MD is employed by The Duluth Clinic, Ltd. as Essentia Health's Chief Medical Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Daniel McGinty is employed by Critical Access Group as Essentia Health's Senior Vice President, Development and Critical Access Group President. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Kevin Pitzer is employed by Essentia Health West as Essentia Health West's Chief Administrative 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 Essentia Health's Chief Operating Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Michael Mahoney is employed by Essentia Health Duluth as Essentia Health's Vice President, Public Policy. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Teresa O'Toole is employed by Essentia Health Duluth as Essentia Health's Chief Administrative Officer and Chief Legal Officer. 100% of her time is spent furthering the purpose of Essentia Health and its' related organizations. Thomas Patnoe, MD is employed by Essentia Health Duluth as Essentia Health's East's President and Chief Medical Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Thomas Prusak is employed by Critical Access Group as Essentia Health Central's President. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Michael Metcalf is employed by Essentia Health Duluth as Essentia Health East's Chief Administrative Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. David Boran, MD is employed by Essentia Health Brainerd Specialty Clinic as Essentia Health Central's Chief Medical Officer. 100% of his time is spent furthering the purpose of Essentia Health and its' related organizations. Maribeth Olson is employed by Essentia Health St. Mary's Medical Center as Essentia Health St. Mary's Medical Center's Chief Operating Officer. 100% of her time is spent furthering the purpose of Essentia Health East and its' related organizations. Rocklon Chapin is employed by Essentia Health Duluth as Essentia Health Duluth Executive Vice President, Hospital Division. 100% of his time is spent furthering the purpose of Essentia Health East and its' related organizations.
Form 990, Part IX, Line 24aOther Expenses: Affiliate expenses allocation of $15,051,865 represents the portion of Critical Access Group, Essentia Health West, and Essentia Health East compensation ($14,551,621), supplies ($6,768), depreciation and amortization ($8,580), other purchased services ($115,452), rent ($94,500), miscellaneous operating expenses ($271,704), repairs and maintenance ($3,240) related to Essentia Health, a supporting organization of Critical Access Group, Essentia Health Central, Essentia Health West, and Essentia Health East, and allocated directly to Essentia.
Form 990, Part XI, Line 5Other Changes in Net Assets: The total amount of other changes in net assets includes: Net Asset transfer with related organizations; reallocated Balance Sheet items to more appropriate companies: ($26,563,308) Unrealized gain on trading securities and swaps: $3,912,758
Schedule KAdditional information/comments relating to the reporting of liabilities by related organizations: Essentia Health has an Obligated Group created under the Master Indenture which is composed of the following Members: Essentia Health, Critical Access Group, Essentia Health East, Essentia Health St. Joseph's Medical Center, Essentia Health St. Mary's-Detroit Lakes, Essentia Health St. Mary's Medical Center, Essentia Health Duluth. Essentia Health Polinsky Medical Rehabilitation Center, Essentia Health St. Mary's Hospital -Superior, Essentia Health Brainerd Specialty Clinic, Essentia Health Central, St. Mary's Innovis Health, The Duluth Clinic, Ltd. and Essentia Health West (the "Obligated Group Members" or the "Members of the Obligated Group"). The Members of the Obligated Group are jointly and severally obligated on all indebtedness evidenced or secured by Notes issued under the Master Indenture. The Series 2008A reoffered bonds are secured by Notes issued under the Master Indenture. Essentia Health is the conduit borrower of the Series 2008A reoffered bonds and has recorded a portion of the bond liability on its balance sheet. The Obligated Group Members, Essentia Health West, The Duluth Clinic, Ltd., and Essentia Health St. Mary's-Detroit Lakes, are indirect beneficiaries of the Series 2008A reoffered borrowing and have recorded the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2008B reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health and Essentia Health St. Mary's Hospital -Superior are the conduit borrowers of the Series 2008B reoffered bonds. The conduit borrowers, The Duluth Clinic, Ltd. and Essentia Health, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, Essentia Health West and Essentia Health St. Mary's-Detroit Lakes, are indirect beneficiaries of a portion of the Series 2008B reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2008C reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: Essentia Health East, Essentia Health St. Joseph's Medical Center, Essentia Health St. Mary's-Detroit Lakes, The Duluth Clinic, Ltd., Essentia Health, and Essentia Health St. Mary's Medical Center, Inc. are the conduit borrowers of the Series 2008C reoffered bonds. The conduit borrowers, Essentia Health St. Mary's-Detroit Lakes , Essentia Health, and The Duluth Clinic, Ltd., have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Member, Essentia Health West is an indirect beneficiary of a portion of the Series 2008C reoffered borrowing and has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Series 2010 bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health, Essentia Health St. Joseph's Medical Center, Essentia Health East, Essentia Health St. Mary's Medical Center and Essentia Health St. Mary's-Detroit Lakes are the conduit borrowers of the Series 2010 bonds. The conduit borrowers, The Duluth Clinic, Ltd., Essentia Health, Essentia Health St. Joseph's Medical Center, and Essentia Health St. Mary's-Detroit Lakes, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Member, Essentia Health West is an indirect beneficiary of a portion of the Series 2010 borrowing and has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. Part 1, Column (f) Description of purpose: Series 2008A Reoffered: Reoffer Series 2008 A-1 and A-2 bonds issued March 4, 2008 to refinance a portion of the acquisition of certain assets of Essentia Health West in connection with the affiliation of Essentia Health with Essentia Health West. Series 2008B Reoffered: Reoffer Series 2008 B-1 bonds issued March 4, 2008 to refund Series 1999B bonds issued May 18, 1999 for construction projects and equipment purchases in Superior, WI and various Duluth Clinic locations in northwestern Wisconsin. Series 2008C Reoffered: Reoffer Series 2008 C-5 and 2008 C-4A bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and refund Series 1999A bonds issued May 18, 1999 for various acquisitions, construction projects, capital improvements and equipment purchases in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. Series 2010: Refund Series 1993C and 1993E bonds issued January 15, 1993 and refund Series 2008 C-3 and 2008 C-4B bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and various Duluth Clinic sites in northern Minnesota and finance various construction projects, capital improvements and equipment purchased in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. Part II, Line 3 Issue Price: Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 were issued by the Essentia Health Obligated Group. The issue price listed in Essentia Health Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. Part II, Lines 3 through 12 Proceeds: Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 were issued by the Essentia Health Obligated Group. A portion of the Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 borrowing were allocated to Essentia Health, an Essentia Health Obligated Group Member. The proceeds listed in Essentia Health Schedule K Part II Lines 3 through 12 represent Essentia Health allocated portion of the proceeds.

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 StBrainerdMN56401371532145SupportingMN501(c)(3)11 IIEssentia
Brainerd Medical Center Inc
2024 S 6th StBrainerdMN56401371532148ClinicMN501(c)(3)3BLIHS
Bridges Medical Center
201 9th St WAdaMN56510200479568Clinic/HospMN501(c)(3)3Innovis
Clearwater Valley Hospital and Clinics
301 CedarOrofinoID83544820497771Clinic/HospID501(c)(3)3CAG
Divine Medical Services
709 N LincolnJeromeID83338202773717Emergency SrID501(c)(3)3SBFMC
DL Surgery Center
1027 Washington AveDetroit LakesMN56501263837203ASCMN501(c)(3)3CAG
ECHC Foundation
502 E 2nd StDuluthMN55805263359418FoundationMN501(c)(3)11 ICAG
Critical Access Group
503 E 3rd St Ste 400DuluthMN55805261219624SupportingMN501(c)(3)11 IIEssentia
St Benedict's Family Medical Center
709 N LincolnJeromeID83338820227163Clinic/HospMN501(c)(3)3CAG
St Joseph's Medical Center
523 N 3rd StBrainerdMN56401410965602HospitalMN501(c)(3)3BLIHS
St Mary's EMS
1027 Washington AveDetroit LakesMN56501411805811Emergency SrvMN501(c)(3)9SMRHC
St Mary's Hospital & Clinics Inc
PO Box 137CottonwoodID83522820226453CLinic/HospID501(c)(3)3CAG
St Mary's Innovis Health
1027 Washington AveDetroit LakesMN56501262861321ClinicMN501(c)(3)3Innovis
St Mary's Regional Health Center
1027 Washington AveDetroit LakesMN56501411620386Clinic/HospMN501(c)(3)3Innovis
Innovis Health LLC
1702 S University DrFargoND58103261175213Clinic/HospDE501(c)(3)3Essentia
Midwest Medical Equipment & Supply Inc
4418 Haines RdDuluthMN55811411674021Medical EquipMN501(c)(3)9SMDC
SMDC Medical Center
502 E 2nd StDuluthMN55805411878730Clinic/HospMN501(c)(3)3SMDC
Pine Medical Center
109 Court Ave SSandstoneMN55072411884597Hospital/NursMN501(c)(3)3SMDC
Polinsky Medical Rehabilitation Center
530 E 2nd StDuluthMN55805410691275ClinicMN501(c)(3)3SMMC
St Mary's Duluth Clinic Foundation
400 E 3rd StDuluthMN55805412016979FoundationMN501(c)(3)7SMDC
St Mary's Duluth Clinic Health System
407 E 3rd StDuluthMN55805411836633SupportingMN501(c)(3)11 IIEssentia
St Mary's Hospital of Superior
3500 Tower AveSuperiorWI54880411811073Clinic/HospWI501(c)(3)3SMMC
St Mary's Medical Center
407 E 3rd StDuluthMN55805410695604HospitalMN501(c)(3)3SMDC
The Duluth Clinic Ltd
400 E 3rd StDuluthMN55805410883623ClinicMN501(c)(3)3SMDC
First Care Medical Services
900 Hilligross Blvd SEFosstonMN56542410706143Clinic/HospitMN501(c)(3)3Innovis
Minnesota Valley Health Center
621 S 4th StLeSueurMN56058410837659Hospital/NursMN501(c)(3)3CAG
Essentia Institute of Rural Health
502 E 2nd StDuluthMN55805271291124ResearchMN501(c)(3)4Essentia
Essentia Health Foundation
502 E 2nd StDuluthMN55805271984704FoundationMN501(c)(3)7Innovis
Northern Pines Medical Center
5211 Hwy 110AuroraMN55705410841441Hospital/NursMN501(c)(3)3SMDC
Graceville Health Center
115 West Second StGracevilleMN56240410726173Clinic/HospitMN501(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 Health Insurance Services SPC
Buckingham Sq 720 W Bay Rd PO 69Grand CaymanCayman IslandsCJKY1-1102000000000InsuranceCJNAForeign Corp10780911429645711.00000
East Range Clinics Ltd
410909915ClinicsNAC000.00000910 6th Ave NVirginiaMN55792MN
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (32 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Critical Access Group
k3900000
Critical Access Group
n1657548
Critical Access Group
o27980728
Critical Access Group
r933735
Brainerd Medical Center Inc
p711753
St Joseph's Medical Center
p4967395
St Joseph's Medical Center
q985801
Bridges Medical Center
p78330
Clearwater Valley Hospital and Clinics Inc
p398025
St Mary's Hospital & Clinics Inc
p410221
Minnesota Valley Health Center
p122815
St Benedict's Family Medical Center
d650000
St Benedict's Family Medical Center
p360641
St Mary's Regional Health Center
p4307060
St Mary's Regional Health Center
q61487
Innovis Health LLC
k3200004
Innovis Health LLC
n364273
Innovis Health LLC
p15698929
Innovis Health LLC
q1250527
Innovis Health LLC
r554631
Northern Pines Medical Center
a123781
SMDC Medical Center
k11724996
SMDC Medical Center
n10578721
SMDC Medical Center
o6864842
SMDC Medical Center
p7615432
SMDC Medical Center
q953265
St Mary's Hospital of Superior
p283023
The Duluth Clinic Ltd
o6150038
The Duluth Clinic Ltd
p12419760
The Duluth Clinic Ltd
r5585762
Essentia Health Insurance Services SPC Ltd
p4110405
Essentia Health Insurance Services SPC Ltd
q9030275