Deer River Healthcare Center Inc

“Members of organization: essentia health east is the sole member of essentia health deer river. Deer river area health care foundation and essentia health east may elect one or more members of the governing body as described in schedule o, part vi, line 7a. Essentia health and essentia health east have reserved powers with respect to essentia health deer river as described in schedule o, part vi, line 7b.”

“Members with right to elect governing body: deer river area health care foundation appoints and removes two board directors; essentia health east appoints and removes essentia health deer river's remaining governing body.”

“Members with right to approve governing body decisions: essentia health shall have the following reserved powers, for the purposes of serving as the parent organization of an integrated health care network that includes all entities that are owned or controlled, directly or indirectly, by essentia health (collectively, the "system"): (a) strategic and business plans. Authority to create, and to approve, the system's strategic and business plans. (b) 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. (c) debt. Approval of the incurrence of debt 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. (d) governing instruments. Authority to cause, and to approve, amendments of the articles of incorporation and bylaws of all entities in the system. (e) mergers and acquisitions. Authority to cause, and to approve, all mergers, consolidations, and dissolutions of all entities in the system. (f) 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. (g) 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 (i) that would cause such entity to be in default of its covenants or obligations under any bond or other financing documents; (ii) 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 (erds) in the judgment of the local ordinary; or (iii) such that money generated by services at secular facilities within the system by procedures that are contrary to the erds would be used at the catholic entities or money generated by catholic entities would be used in the providing of services contrary to the erds at secular facilities within the system. (h) 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. (i) services. Authority to cause, and to approve, the discontinuance of services and service locations within all entities in the system. (j) budgets. Approval of capital and operating budgets of all entities in the system. (k) professional services. Selection of the general legal counsel and external auditors of all entities in the system. (l) approval of parent boards. Approval of the election and removal, with or without cause, of 100% of the essentia health west (innovis) board of managers and the essentia health central (blihs), critical access group (cag) and essentia health east (smdc) boards of directors (who shall be elected by the methods set forth in the innovis, blihs, cag and smdc governing documents, respectively, subject to essentia health's approval); provided that at least one member of essentia health's board of directors shall serve as a director of cag, at least one member of essentia health's board of directors serve as a director of smdc, at least one member of essentia health's board of directors shall serve as a director of blihs, and at least one member of essentia health's board of directors serve as a man”

“Essentia health east has the following reserved powers over all its subsidiaries: (a) quality, safety and service. Authority to recommend quality and safety initiatives and to review and execute approved quality and safety plans for the east market. (b) mission, vision and values. Authority to create a mission and a vision for the east market that supports the mission and vision of essentia health; responsibility to oversee the mission performance, including charity care, of all facilities within the east market; responsibility to adopt the values of essentia health. (c) operating and financial performance. Responsibility to oversee the operating and financial performance of the east market. (d) development of budgets, strategic plans and strategy map. Authority to develop and recommend, based on essentia health targets, capital and operating budgets for the east market and its facilities; authority to recommend, within the essentia health context, market and local strategic plans for the east market; authority to develop east market governance strategy map and balanced scorecard within essentia health's system strategy to meet system goals. (e) implementation of approved budgets and strategic plans. Responsibility to implement the approved capital and operating budgets and strategic and business plans for the east market. (f) non-budgeted expenditures. Authority to approve non-budgeted capital purchases and leases for east market facilities within dollar limits defined by essentia health. (g) accreditation and licensure. Responsibility to oversee accreditation and licensure compliance for the facilities of the east market. (h) affiliations, acquisitions and joint ventures. Authority to recommend proposed affiliations, joint ventures and other alliances; responsibility to oversee negotiation and implementation of approved acquisitions and operation of all approved affiliations, joint ventures and other alliances with third parties within the east market. (i) appointment of directors. Authority to appoint or elect essentia health east (smdc) designated director positions to serve on the boards of the direct subsidiaries and to remove such directors with or without cause. (j) president. Authority to advise the ceo of essentia health regarding the appointment, removal and periodic evaluation of the president of smdc. (k) satisfaction. Responsibility to execute, evaluate and oversee patient, family and customer satisfaction with respect to the services provided within the east market and to ensure established goals are met. (l) job satisfaction. Responsibility to oversee job satisfaction and staff morale within the east market facilities. (m) human resources. Responsibility to oversee implementation of essentia health human resource policies and procedures throughout the east market. (n) compliance. Responsibility to execute the approved essentia health corporate compliance and risk management plans for the east market. (o) credentialing. Responsibility to perform medical staff credentialing for the east market facilities. (p) nominations. Authority to nominate persons for appointment to the smdc board of directors by the benedictine sisters benevolent association and essentia health. (q) amendments. Authority to suggest proposed amendments to the articles of incorporation and bylaws of smdc, the direct subsidiaries, and any subsidiaries thereof. (r) compensation plans. Responsibility to review and approve compensation of east market executives and physicians for reasonableness and consistency with the law and essentia health's compensation philosophy. (s) president/chief medical officer. By action of the smdc president, authority to appoint and remove, with or without cause, the president/chief medical officer of any of the governing or parent boards of the direct subsidiaries. (t) public policy. Responsibility to support essentia health public policy and advocacy plans. (u) marketing. Responsibility to coordinate local marketing”

“Committees: there are no committees with authority to act on behalf of the governing body.”

“Form 990 review process: the 2023 form 990, including all schedules, was reviewed by management and the governing body prior to filing with the internal revenue service. The finance leader reviewed the form and schedules and any questions were discussed. Each current director of the governing body received a final copy of the 2023 form 990.”

“Monitoring and enforcing conflict of interest policy: essentia health's comprehensive conflict of interest program prevents, detects, and resolves actual conflicts of interests or the actual or potential appearance of such. Fiduciaries, defined as an essentia health board member/trustee, officer, board committee member, senior management employee, or any others considered to be in a position of influence, are covered under essentia health's conflict of interest program. Upon initial appointment, each fiduciary must complete an initial conflict of interest statement and disclosure questionnaire. At the conclusion of each calendar year, each fiduciary must complete an annual conflict of interest statement and disclosure questionnaire. As needed, a fiduciary will update his/her most recently completed questionnaire each time the fiduciary becomes aware of a financial interest, a potential conflict, or change to any information that the fiduciary previously reported. Essentia health's chief compliance officer will collect the questionnaires and evaluate the disclosures. If a fiduciary has a potential conflict of interest, the chief compliance officer or designee may request additional information from the fiduciary, the management team, and others. During the evaluation process, the chief compliance officer may also consult with essentia health's board and audit committee chairs, senior management, legal department, or appropriate representatives from essentia health. The chief compliance officer reports to the essentia health audit committee and the essentia health board of directors any actual or potential conflicts of interest disclosed by the fiduciary, along with recommended actions. The essentia health board of directors (or designee) will then determine whether to approve the situation or to implement special controls to manage the potential conflict of interest. The chief compliance officer will then officially notify the fiduciary in writing of the board's decision. The decision of whether or not the disclosure constitutes a conflict will be at the essentia health board of director's (or designee) sole discretion, and its concern must be the welfare of essentia health and its affiliate(s) and the advancement of its purposes. When the essentia health board of directors (or designee) considers a fiduciary's disclosure as a conflict of interest, special controls will be identified to manage, eliminate or reduce the likelihood and/or appearance of a conflict arising. Controls may include, but are not limited to: a. If the conflict involves an on-going matter or relationship, the fiduciary must not participate in board, board committee, or management discussions related to the conflict and must recuse themselves and if appropriate, withdraw, from any board meeting or portion thereof where the matter is being discussed and during the vote on the potential conflict of interest. The fiduciary may answer questions at the board's or the board committee's request. B. If the conflict involves a specific transaction or decision, the fiduciary will fully disclose their interest and all related material facts. The board or committee of the board will determine whether the contemplated transaction may be authorized as just, fair, and reasonable to essentia health or its affiliate(s). If the board determines a conflict does not exist, the fiduciary may proceed with the transaction; however, he or she will not be eligible to vote on related issues should they arise. If the board determines a conflict does exist, the fiduciary will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.”

“Process for determining compensation: the independent executive compensation committee of essentia health's board of directors is authorized to fulfill the board's responsibilities regarding executive compensation consistent with essentia's mission, values and tax-exempt status, and the executive compensation committee's charter. The executive compensation committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing and modifying, as appropriate, reasonable compensation and benefits for designated essentia executives who are officers or key employees of essentia or any of its affiliates which may be paid by related organizations. The executive compensation committee engages qualified independent compensation advisors to provide objective and impartial comparative data and to express opinions on total compensation reasonableness. The executive compensation committee may request its independent advisors to: monitor comparability data and marketplace trends; make appropriate recommendations regarding salary ranges; and periodically review the market competitiveness of essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the executive compensation committee will obtain and rely upon appropriate data as to comparability of the proposed compensation or adjustments. The executive compensation committee will adequately document the basis for its determination concurrently with making those determinations. The executive compensation committee minutes will include: the terms of the approved compensation and the date approved; the executive compensation committee members present during the review, discussion and approval of the proposed compensation and those who voted on the proposed compensation; identification of the comparability data obtained and relied upon by the executive compensation committee and how the data was obtained; any actions by a member of the executive compensation committee having a conflict of interest; and documentation of the basis for the determination. This process was last undertaken in 2023 for essentia health deer river's finance director and administrator. The essentia health physician and provider compensation committee has an annual compensation process that includes a review and recommendation of the upcoming fiscal year's physician and provider compensation plan rates and the compensation plan methodology. Compensation rates for the essentia health physician leadership are recommended by the essentia health system executive leadership team based on its review of market surveys, regional competitive factors, and the annual budget process. The compensation of essentia health physician, provider and physician leadership, including appointed chief and chair positions, is reviewed and approved by the essentia health board of directors. This process was last undertaken in 2024 for essentia health deer river's associate chief medical officer.”

“Availability of governing documents, conflict of interest policy, & financial statements to the public: governing documents, conflict of interest policy, and financial statements are made available to the public upon request for the same period of disclosure as set forth in section 6104(d).”

“1099 reporting: vendor payments and form 1099s were processed through essentia health on behalf of the legal entities comprising essentia health.”

“Affiliate revenue and expense allocation: essentia health duluth, essentia health st. Mary's medical center, and the duluth clinic, ltd. Allocate certain revenues and expenses directly to essentia health duluth, essentia health st. Mary's medical center, the duluth clinic, ltd., essentia health sandstone, essentia health st. Mary's hospital-superior, essentia health northern pines, essentia health polinsky medical rehabilitation center, essentia health deer river, essentia health virginia, essentia health surgery centers, essentia health moose lake, essentia health st. Joseph's medical center, and essentia health brainerd specialty clinic, all related organizations. Net affiliate revenue and expense allocations of $2,793,038 include the following types of revenue and expenses: patient revenue; nonpatient revenue; amortization and depreciation; interest; professional fees; purchased services; repairs and maintenance; salaries, wages, and related benefits; supplies; utilities; agency fees; provider and other taxes; and other expenses.”

“Net asset transfer with related organization -359,700.”

“Consolidated uniform guidance audit: essentia health deer river, as part of essentia health's consolidated financial statements, was required and underwent a consolidated audit set forth in the uniform guidance, 2 c.f.r. Part 200, subpart f. The consolidated audit is reviewed by the essentia health audit committee.”