Smdc Medical Center
Public records show a registered, tax-exempt organization in good standing.
What it says it does
WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES.
- Income
- $846.3 million
- Spending
- $828.8 million
- Spent on programs
- 95%
- Reserves
- -9.2 months of spending
- Largest source of income
- fees for its services, 99%
- Employees
- 3,056
- Volunteers
- 92
- Highest pay
- $1.2 million, treasurer/rel org chief fincl off
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Weak: 47 out of 100. Higher than 26% of charities in its peer group (health care, over $100m).
Reserves
0 of 35Spendable reserves are negative: it owes or has committed more than it holds.
Debt
2 of 20It owes 76% of what it owns.
Living within its means
15 of 15Income exceeded spending by 2% of income.
Income trend
15 of 15Income rose 6% on the year before.
Spending floor
15 of 1595% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 2510 of 12 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $789.2 million spent. SMDC MEDICAL CENTER, DBA ESSENTIA HEALTH DULUTH, IS CREATED AND ORGANIZED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES. MORE SPECIFICALLY, ESSENTIA HEALTH DULUTH SHALL OWN, MAINTAIN, OPERATE AND CONDUCT HEALTH CARE AND RELATED ACTIVITIES AND FACILITIES FOR THE PROMOTION OF HEALTH WITHIN ITS COMMUNITY, INCLUDING CHARITABLE CARE TO PERSONS UNABLE TO PAY.ESSENTIA HEALTH DULUTH HAS A JOINT COMMISSION ACCREDITED HOSPITAL WITH 165 LICENSED BEDS AND 10 MULTI-SPECIALTY CLINICS SERVING ST. LOUIS COUNTY. ESSENTIA HEALTH DULUTH OFFERS A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES FOR ITS PATIENTS, INCLUDING IMAGING/RADIOLOGY, SURGERY, LAB, NEUROSCIENCES, CANCER SERVICES, ORTHOPEDICS, FAMILY AND PEDIATRICS SERVICES, BEHAVIORAL HEALTH, REHABILITATION, AND HEART AND VASCULAR.ESSENTIA HEALTH DULUTH EMPLOYS APPROXIMATELY 1,825 FULL TIME EQUIVALENTS. THE HOSPITAL PROVIDED NEARLY 30,000 HOSPITAL PATIENT DAYS AND 44,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2025. THE CLINICS HAD NEARLY 673,000 ENCOUNTERS DURING THE SAME TIME PERIOD.DURING THE FISCAL YEAR ENDED JUNE 30, 2025, ESSENTIA HEALTH DULUTH PROVIDED THE FOLLOWING COMMUNITY BENEFITS: $2.1 MILLION IN CHARITY CARE, $40.6 MILLION COSTS IN EXCESS OF MEDICAID PAYMENTS, $1.8 MILLION IN COMMUNITY SERVICES, AND $162,000 IN HEALTH PROFESSION EDUCATION.ESSENTIA HEALTH DULUTH IS THE SOLE MEMBER OF ESSENTIA HEALTH VIRGINIA, LLC DBA ESSENTIA HEALTH VIRGINIA. ESSENTIA HEALTH VIRGINIA IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES. ESSENTIA HEALTH VIRGINIA HAS A JOINT COMMISSION ACCREDITED HOSPITAL WITH 83 LICENSED BEDS AND SIX CLINICS SERVING NORTHERN ST. LOUIS COUNTY. THE HOSPITAL IS A LEVEL IV TRAUMA CENTER AND OFFERS EMERGENCY CARE 24 HOURS A DAY. ESSENTIA HEALTH VIRGINIA OFFERS INPATIENT AND OUTPATIENT SERVICES INCLUDING OBSTETRICS AND BIRTHING SERVICES, INTENSIVE CARE, URGENT CARE, IMAGING/RADIOLOGY, SURGERY, LAB, CANCER SERVICES, HEART AND VASCULAR, AND REHABILITATION.ESSENTIA HEALTH VIRGINIA HAS A 40-BED SKILLED NURSING FACILITY WITHIN ITS MEDICAL CAMPUS ALLOWING RESIDENTS AND THEIR FAMILIES EASY ACCESS TO A FULL RANGE OF HOSPITAL, CLINIC, AND OTHER RELATED SERVICES.ESSENTIA HEALTH VIRGINIA EMPLOYS APPROXIMATELY 485 FULL TIME EQUIVALENTS. THE HOSPITAL PROVIDED NEARLY 7,000 PATIENT DAYS AND 57,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2025. THE CLINICS HAD OVER 133,000 ENCOUNTERS AND THE SKILLED NURSING FACILITY PROVIDED 8,000 RESIDENT DAYS DURING THE SAME TIME PERIOD.DURING THE FISCAL YEAR ENDED JUNE 30, 2025, ESSENTIA HEALTH VIRGINIA PROVIDED THE FOLLOWING COMMUNITY BENEFITS: $881,000 IN CHARITY CARE, $7.4 MILLION COSTS IN EXCESS OF MEDICAID PAYMENTS, $211,000 IN COMMUNITY SERVICES, AND $47,000 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").
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since October 1997.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
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