Brainerd Lakes Integrated Health System

What it reported doing in 2023

Brainerd lakes integrated health system is organized and operated exclusively for charitable and educational purposes exclusively for the benefit of, to support the functions of, and to assist in carrying out the purposes of brainerd medical center, inc. Dba essentia health brainerd specialty clinic and st. Joseph's medical center dba essentia health st. Joseph's medical center, both Minnesota nonprofit corporations. More specifically, brainerd lakes integrated health system shall oversee the operation of hospital and medical clinics that provide inpatient, outpatient, professional and other health care services, including charitable care to persons unable to pay.as supported organizations of brainerd lakes integrated health system, all program services are reported on essentia health brainerd specialty clinic and essentia health st. Joseph's medical center form 990s. Brainerd lakes integrated health system does not have any revenues or expenses not already reported under essentia health brainerd specialty clinic and essentia health st. Joseph's medical center.essentia health brainerd specialty clinic and essentia health st. Joseph's medical center employ approximately 965 full time equivalents. The hospital had a total of 162 licensed beds which provided 20,000 hospital patient days and 117,000 outpatient visits during the fiscal year ended june 30, 2024. The clinics had approximately 242,000 encounters during the same time period.during the fiscal year ended june 30, 2024, essentia health brainerd specialty clinic and essentia health st. Joseph's medical center provided the following community benefits: $996,000 in charity care, $17.5 million costs in excess of medicaid payments, $270,000 in community services, and $581,000 in health profession education.essentia health is the parent organization of an integrated health system that includes this organization and all entities that are owned or controlled, directly or indirectly, by essentia health (collectively, the "system or "essentia health").

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 71.4%; rating input score 71; 0th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 83.3%; rating input score 83; 25th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: Limited
• Total-asset coverage ratio: Limited
• Liabilities to assets ratio: Limited
• Officer compensation ratio: Limited

Growth

• Program expense growth: Limited
• Revenue growth: Limited
• Asset growth: Limited