First CARE Medical Services
Also known as Essentia Health Fosston
First CARE Medical Services reported $35.9 million in revenue and $32.5 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $82.54 went to program services, $17.46 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 96.8% of the total. The highest compensation it reported for one person was $586,207 (PHYSICIAN & SECTION CHAIR). 22 people received more than $100,000 in reportable compensation. Revenue rose 17% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $33MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $36MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 82.5% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 17.5% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.5% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.4% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 96.8% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $586,207 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.80% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 22 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 13.3 | 6.6 |
| Independent voting board members Part VI 1a–1b | 1 of 3 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseFirst Care Medical Services, dba essentia health fosston, is organized and shall be operated exclusively for charitable, educational, and scientific purposes. More specifically, essentia health fosston is created and organized to own, maintain, operate and conduct, directly or indirectly, and to assist and coordinate activities of facilities for health care, education, care for the aged and social services, including charitable care to persons unable to pay.essentia health fosston has a critical access hospital with 43 licensed beds and primary care clinics serving polk, clearwater, mahnomen…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PHYSICIAN & SECTION CHAIR Key employee, 1.00 hrs/week | $0 | $557,548 | $28,659 | $586,207 |
| INTERIM ADMINISTRATOR THRU 7/24 Officer, 1.00 hrs/week | $0 | $464,920 | $113,980 | $578,900 |
| PHYSICIAN ASSISTANT Highest compensated employee, 60.00 hrs/week | $309,157 | $0 | $34,034 | $343,191 |
| NURSE PRACTITIONER Highest compensated employee, 60.00 hrs/week | $317,024 | $0 | $18,539 | $335,563 |
| CRNA Highest compensated employee, 60.00 hrs/week | $261,549 | $0 | $52,037 | $313,586 |
| CRNA Highest compensated employee, 60.00 hrs/week | $238,655 | $20,059 | $51,906 | $310,620 |
| CRNA Highest compensated employee, 60.00 hrs/week | $249,760 | $0 | $45,154 | $294,914 |
| FINANCE DIRECTOR & BOARD CHAIR Director/trustee, officer, 56.00 hrs/week | $247,040 | $0 | $28,913 | $275,953 |
22 people received more than $100,000 in reportable compensation from First CARE Medical Services (Part VII, line 2). Compensation of current officers, directors and key employees totaled $985K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b3 · 1 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5259
- Volunteers Part I, line 61
Correct a figure or respond
Every number above is copied from First CARE Medical Services's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for First CARE Medical Services, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 First CARE Medical Services spent in FY2025, $82.54 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Hiawatha Hospital AssociationHiawatha, KS · revenue $36M · programs 83.4% · 2024
- Phoebe Berks Health CARE CenterWernersville, PA · revenue $36M · programs 86.1% · FY2025
- South Central Missouri Community Health CenterRolla, MO · revenue $36M · programs 80.9% · 2024
- Sisters of St Mary of Oregon Maryville CorporationBeaverton, OR · revenue $36M · programs 89.8% · FY2025
- Meridian HospiceOak Brook, IL · revenue $36M · programs 56.5% · 2024
Questions people ask
How much of First CARE Medical Services's spending goes to programs?
In the fiscal year ending June 30, 2025, First CARE Medical Services reported that 82.5% of its $32.5 million in expenses went to program services, 17.5% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does First CARE Medical Services pay its top executive?
The largest total compensation First CARE Medical Services reported for one person in the fiscal year ending June 30, 2025 was $586,207, for the role of PHYSICIAN & SECTION CHAIR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does First CARE Medical Services get its money?
Of $35.9 million in revenue in the fiscal year ending June 30, 2025, 0.5% came from contributions and grants (including 0.4% from government grants) and 96.8% from program service revenue (Form 990, Part VIII).
Is First CARE Medical Services a registered charity?
The IRS lists EIN 41-0706143 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202621319349301432 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202531329349304678 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421229349301512 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202331239349300818 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221299349300847 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101259349301615 · read the filing
All filings for EIN 41-0706143: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.