SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
right arrowComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
right arrowAttach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
ST MARY'S REGIONAL HEALTH CENTER
 
Employer identification number

41-1620386
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BRAINERD LAKES INTEGRATED HEALTH SYSTEM
2024 S 6TH ST

BRAINERD,MN56401
37-1532145
SUPPORTING ORG MN 501(C)(3) LINE 12B, II ESSENTIA HEALTH
 
Yes
 
(2)BRAINERD MEDICAL CENTER INC
2024 S 6TH ST

BRAINERD,MN56401
37-1532148
CLINIC MN 501(C)(3) LINE 3 BRAINERD LAKES INTEGRATED HEALTH SYSTEM
 
Yes
 
(3)BRIDGES MEDICAL CENTER
201 9TH ST W

ADA,MN56510
20-0479568
HOSPITAL/CLINIC MN 501(C)(3) LINE 3 INNOVIS HEALTH LLC
 
Yes
 
(4)DEER RIVER HEALTHCARE CENTER INC
115 10TH AVE NE

DEER RIVER,MN56636
41-0844574
HOSPITAL/CLINIC/SKILLED NURSING FACILITY MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
(5)ESSENTIA HEALTH
502 E 2ND ST

DULUTH,MN55805
20-0360007
SUPPORTING ORG MN 501(C)(3) LINE 12C, III-FI N/A
 
No
(6)ESSENTIA HEALTH FOUNDATION
502 E 2ND ST

DULUTH,MN55805
27-1984704
FOUNDATION MN 501(C)(3) LINE 7 ESSENTIA HEALTH
 
Yes
 
(7)ESSENTIA HEALTH MOOSE LAKE
4572 COUNTY ROAD 61

MOOSE LAKE,MN55767
84-5099016
HOSPITAL/CLINIC MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
(8)ESSENTIA HEALTH SURGERY CENTERS
502 E 2ND ST

DULUTH,MN55805
88-1577422
SURGERY CENTER MN 501(C)(3) LINE 3 ESSENTIA HEALTH
 
Yes
 
(9)ESSENTIA INSTITUTE OF RURAL HEALTH
502 E 2ND ST

DULUTH,MN55805
27-1291124
RESEARCH MN 501(C)(3) LINE 4 THE DULUTH CLINIC LTD
 
Yes
 
(10)FIRST CARE MEDICAL SERVICES
900 HILLIGOSS BLVD SE

FOSSTON,MN56542
41-0706143
HOSPITAL/CLINIC/SKILLED NURSING FACILITY MN 501(C)(3) LINE 3 INNOVIS HEALTH LLC
 
Yes
 
(11)GRACEVILLE HEALTH CENTER
115 WEST 2ND ST

GRACEVILLE,MN56240
41-0726173
HOSPITAL/CLINIC/SKILLED NURSING FACILITY MN 501(C)(3) LINE 3 INNOVIS HEALTH LLC
 
Yes
 
(12)INNOVIS HEALTH LLC
3000 32ND AVE S

FARGO,ND58103
26-1175213
HOSPITAL/CLINIC DE 501(C)(3) LINE 3 ESSENTIA HEALTH
 
Yes
 
(13)MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
502 E 2ND ST

DULUTH,MN55805
41-1674021
MEDICAL EQUIPMENT MN 501(C)(3) LINE 10 ST MARY'S MEDICAL CENTER
 
Yes
 
(14)NORTHERN PINES MEDICAL CENTER
5211 HWY 110

AURORA,MN55705
41-0841441
HOSPITAL/CLINIC/SKILLED NURSING FACILITY MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
(15)PINE MEDICAL CENTER
705 LUNDORFF DR S

SANDSTONE,MN55072
41-1884597
HOSPITAL MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
(16)POLINSKY MEDICAL REHABILITATION CENTER
530 E 2ND ST

DULUTH,MN55805
41-0691275
REHABILITATION SERVICES MN 501(C)(3) LINE 3 ST MARY'S MEDICAL CENTER
 
Yes
 
(17)SMDC MEDICAL CENTER
502 E 2ND ST

DULUTH,MN55805
41-1878730
HOSPITAL/CLINIC MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
(18)ST JOSEPH'S MEDICAL CENTER
523 N 3RD ST

BRAINERD,MN56401
41-0695602
HOSPITAL/CLINIC MN 501(C)(3) LINE 3 BRAINERD LAKES INTEGRATED HEALTH SYSTEM
 
Yes
 
(19)ST MARY'S DULUTH CLINIC HEALTH SYSTEM
502 E 2ND ST

DULUTH,MN55805
41-1836633
SUPPORTING ORG MN 501(C)(3) LINE 12B, II ESSENTIA HEALTH
 
Yes
 
(20)ST MARY'S EMS
1027 WASHINGTON AVE

DETROIT LAKES,MN56501
41-1805811
EMERGENCY SERVICES MN 501(C)(3) LINE 10 INNOVIS HEALTH LLC
 
Yes
 
(21)ST MARY'S HOSPITAL OF SUPERIOR
3500 TOWER AVE

SUPERIOR,WI54880
41-1811073
HOSPITAL/CLINIC MN 501(C)(3) LINE 3 ST MARY'S MEDICAL CENTER
 
Yes
 
(22)ST MARY'S INNOVIS HEALTH
1027 WASHINGTON AVE

DETROIT LAKES,MN56501
26-2861321
PHARMACY MN 501(C)(3) LINE 3 INNOVIS HEALTH LLC
 
Yes
 
(23)ST MARY'S MEDICAL CENTER
402 E 2ND ST

DULUTH,MN55805
41-0695604
HOSPITAL MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
(24)THE DULUTH CLINIC LTD
400 E 3RD ST

DULUTH,MN55805
41-0883623
CLINIC MN 501(C)(3) LINE 3 ST MARY'S DULUTH CLINIC HEALTH SYSTEM
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) PMC-GATEWAY IMAGING LLC THRU 1132022

705 LUNDORFF DR S
SANDSTONE,MN55072
26-1634764
IMAGING SERVICES MN N/A
N/A       No     No  
(2) HORSESHOE SURGERY CENTER LLC

1542 GOLF COURSE ROAD
GRAND RAPIDS,MN55744
20-2137172
SURGERY CENTER MN N/A
N/A       No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ESSENTIA HEALTH INSURANCE SERVICES SPC LTD

PO BOX 1159
GRAND CAYMAN    
CJ
000000000
SELF INSURANCE CJ N/A
C       Yes  
(2) MID DAKOTA CLINIC INC

502 E 2ND ST
DULUTH,MN55805
45-0311334
CLINIC OPERATIONS CEASED 9/30/22 ND N/A
C       Yes  










Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BRIDGES MEDICAL CENTER

A 3,600 ACTUAL COSTS
(2) ESSENTIA HEALTH

M 17,614,716 ACTUAL COSTS
(3) ESSENTIA HEALTH

P 10,632,346 ACTUAL COSTS
(4) ESSENTIA HEALTH

R 12,000,000 ACTUAL COSTS
(5) ESSENTIA HEALTH FOUNDATION

B 234,163 ACTUAL COSTS
(6) ESSENTIA HEALTH FOUNDATION

C 101,934 ACTUAL COSTS
(7) FIRST CARE MEDICAL SERVICES

A 5,580 ACTUAL COSTS
(8) GRACEVILLE HEALTH CENTER

A 3,000 ACTUAL COSTS
(9) INNOVIS HEALTH LLC

A 763,677 ACTUAL COSTS
(10) INNOVIS HEALTH LLC

Q 15,496,280 ACTUAL COSTS
(11) INNOVIS HEALTH LLC

S 20,100,000 ACTUAL COSTS
(12) MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC

A 27,504 ACTUAL COSTS
(13) ST JOSEPH'S MEDICAL CENTER

P 92,400 ACTUAL COSTS
(14) ST MARY'S EMS

A 120,000 ACTUAL COSTS
(15) ST MARY'S INNOVIS HEALTH

A 120,000 ACTUAL COSTS
Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2022
Page 5
Schedule R (Form 990) 2022
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
SCHEDULE R, PART II, COLUMN (A): THE FOLLOWING ESSENTIA HEALTH ENTITIES HAVE A DOING BUSINESS AS NAME: LEGAL NAME; DOING BUSINESS AS NAME BRAINERD MEDICAL CENTER, INC.; ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC BRIDGES MEDICAL CENTER; ESSENTIA HEALTH ADA DEER RIVER HEALTHCARE CENTER, INC.; ESSENTIA HEALTH DEER RIVER FIRST CARE MEDICAL SERVICES; ESSENTIA HEALTH FOSSTON GRACEVILLE HEALTH CENTER; ESSENTIA HEALTH HOLY TRINITY HOSPITAL INNOVIS HEALTH, LLC; ESSENTIA HEALTH WEST MIDWEST MEDICAL EQUIPMENT AND SUPPLIES, INC.; ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES NORTHERN PINES MEDICAL CENTER; ESSENTIA HEALTH NORTHERN PINES PINE MEDICAL CENTER; ESSENTIA HEALTH SANDSTONE POLINSKY MEDICAL REHABILITATION CENTER; ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER SMDC MEDICAL CENTER; ESSENTIA HEALTH DULUTH ST. JOSEPH'S MEDICAL CENTER; ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER ST. MARY'S DULUTH CLINIC HEALTH SYSTEM; ESSENTIA HEALTH EAST ST. MARY'S EMS; ESSENTIA HEALTH EMS ST. MARY'S HOSPITAL OF SUPERIOR; ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR ST. MARY'S MEDICAL CENTER; ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER ST. MARY'S REGIONAL HEALTH CENTER; ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES
Schedule R (Form 990) 2022

Additional Data


Software ID:  
Software Version: