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Essentia Health Moose Lake

Company Details

Name: Essentia Health Moose Lake
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Mar 2020 (5 years ago)
Company Number: a94cdae0-c35f-ea11-9195-00155d01b4fc
File Number: 1146861900020
Registered Office Address: 502 East 2nd Street, Duluth, MN 55805, USA
ZIP code: 55805
County: St. Louis County
Place of Formation: Minnesota

President

Name Role Address
Sam Barney President 4572 County Road 61, Moose Lake, MN 55767–9401, USA

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic)Restated Articles 2023-06-27
Registered Office - Nonprofit Corporation (Domestic) 2020-08-06
Original Filing - Nonprofit Corporation (Domestic) (Business Name: Essentia Health Moose Lake) 2020-03-06

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-5099016 Corporation Unconditional Exemption 4572 COUNTY ROAD 61, MOOSE LAKE, MN, 55767-9401 2020-08
In Care of Name % MICHAEL R WATTERS JD
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-06
Asset 50,000,000 to greater
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 51521612
Income Amount 42920038
Form 990 Revenue Amount 40534250
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter

Final Letter(s) FinalLetter_84-5099016_ESSENTIAHEALTHMOOSELAKE_07302020_00.tif

Form 990-N (e-Postcard)

Organization Name ESSENTIA HEALTH MOOSE LAKE
EIN 84-5099016
Tax Year 2019
Beginning of tax period 2019-07-01
End of tax period 2020-06-30
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 4572 County Road 61, Moose Lake, MN, 55767, US
Principal Officer's Name Michael Youso
Principal Officer's Address 4572 County Road 61, Moose Lake, MN, 55767, US
Website URL https://www.essentiahealth.org/

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name ESSENTIA HEALTH MOOSE LAKE
EIN 84-5099016
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name ESSENTIA HEALTH MOOSE LAKE
EIN 84-5099016
Tax Period 202306
Filing Type E
Return Type 990T
File View File
Organization Name ESSENTIA HEALTH MOOSE LAKE
EIN 84-5099016
Tax Period 202206
Filing Type E
Return Type 990T
File View File
Organization Name ESSENTIA HEALTH MOOSE LAKE
EIN 84-5099016
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name ESSENTIA HEALTH MOOSE LAKE
EIN 84-5099016
Tax Period 202106
Filing Type E
Return Type 990
File View File

Date of last update: 02 Feb 2025

Sources: Minnesota's Official State Website