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Nonprofiteer
← ESSENTIA INSTITUTE OF RURAL HEALTH

Form 990 for tax year 2023

Filed by ESSENTIA INSTITUTE OF RURAL HEALTH.

Totals

Total revenue
$12,455,516
Total expenses
$11,482,109
Contributions and grants received
$5,331,616
Grants paid
$0
Program service revenue
$3,188,388
Investment income
$107,752
Other revenue
$3,827,760
Total assets, end of year
$6,687,286
Total liabilities, end of year
$942,521
Net assets or fund balances, end of year
$5,744,765
Program services expenses (Part IX)
$10,378,763
Management and general expenses
$1,103,346
Fundraising expenses
$0
Program service expenses (Part III)
$10,378,763

Program services were 90.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DANIEL NIKCEVICH MD

    BOARD CHAIR/RELATED ORG PHYSICIAN

    Total calculated
    $899,178
    From this org
    $0
    From related orgs
    $838,948
    Other
    $60,230
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $782,526 related
    Bonus
    $0
    Other
    $0 + $56,422 related
    Deferred
    $0 + $22,699 related
    Nontaxable benefits
    $0 + $37,531 related
    Filer's total
    $0 + $899,178 related

  • KATHERINE DEAN

    EXECUTIVE DIRECTOR

    Total calculated
    $311,540
    From this org
    $266,605
    From related orgs
    $0
    Other
    $44,935
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $235,712
    Bonus
    $18,375
    Other
    $12,518
    Deferred
    $13,605
    Nontaxable benefits
    $31,330
    Filer's total
    $311,540

  • STEPHEN WARING

    PRINCIPLE SCIENTIST

    Total calculated
    $215,858
    From this org
    $182,337
    From related orgs
    $0
    Other
    $33,521
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $181,478
    Bonus
    $0
    Other
    $859
    Deferred
    $8,507
    Nontaxable benefits
    $25,014
    Filer's total
    $215,858

  • BAILEY KAIRA

    RESIDENT PHYSICIAN

    Total calculated
    $177,160
    From this org
    $145,628
    From related orgs
    $0
    Other
    $31,532
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $65,436
    Bonus
    $80,000
    Other
    $192
    Deferred
    $7,544
    Nontaxable benefits
    $23,988
    Filer's total
    $177,160

  • PATRICIA CONWAY

    RESEARCH SCIENTIST III

    Total calculated
    $176,443
    From this org
    $155,606
    From related orgs
    $0
    Other
    $20,837
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $155,029
    Bonus
    $0
    Other
    $577
    Deferred
    $7,846
    Nontaxable benefits
    $12,991
    Filer's total
    $176,443

  • IRINA HALLER

    RESEARCH SCIENTIST II

    Total calculated
    $169,649
    From this org
    $147,273
    From related orgs
    $0
    Other
    $22,376
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $146,744
    Bonus
    $0
    Other
    $529
    Deferred
    $7,585
    Nontaxable benefits
    $14,791
    Filer's total
    $169,649

  • AUSTIN PICKUP

    RESIDENT PHYSICIAN

    Total calculated
    $161,198
    From this org
    $145,312
    From related orgs
    $0
    Other
    $15,886
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $65,302
    Bonus
    $80,000
    Other
    $10
    Deferred
    $1,569
    Nontaxable benefits
    $14,317
    Filer's total
    $161,198

  • LAURIE LEWANDOWSKI

    BOARD DIRECTOR

    Total calculated
    $24,500
    From this org
    $0
    From related orgs
    $24,500
    Other
    $0
    Hours/week
    1 + 8 related

  • ANTHONY SERTICH

    BOARD SECRETARY/TREASURER

    Total calculated
    $10,100
    From this org
    $0
    From related orgs
    $10,100
    Other
    $0
    Hours/week
    2 + 12 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
ESTABLISHING CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH ESSENTIA INSTITUTE OF RURAL HEALTH'S EXECUTIVE DIRECTOR'S COMPENSATION: A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ESSENTIA HEALTH'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO DESIGNATED ESSENTIA HEALTH EXECUTIVES. THERE IS A MINIMUM FOUR YEAR VESTING DATE, OR VESTING IS AUTOMATIC UPON REACHING RETIREMENT AGE, DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING AND PAYABLE FROM ESSENTIA HEALTH'S GENERAL ASSETS. REPORTED AS OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B (III), THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT OF THE VESTED BENEFIT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: DANIEL NIKCEVICH, MD $50,786

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ESSENTIA HEALTH INSURANCE SERVICES SPC LTD

    C · SELF INSURANCE · CJ · controlled entity

  • MID DAKOTA CLINIC INC

    C · CLINIC OPERATIONS CEASED 9/30/22 · ND · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
9 May 2025
IRS schema version
2023v6.0
Source object
202521299349301037

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