ESSENTIA HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ESSENTIA HEALTH (EIN 20-0360007)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-03
IRS object ID: 202401249349300730
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-03T09:10:09-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 W 1ST ST STE 700	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	558021926	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	200360007	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ESSENTIA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ESSE	BusinessNameControlTxt
Phone	2187868376	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 E 2ND ST	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55805	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRACI MORRIS	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	2187868376	PhoneNum
Signature	2024-05-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TRACI	PersonFirstNm
Person Last	MORRIS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE BOYER	PreparerPersonNm
PTIN	P01278549	PTIN
Phone	2187275025	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID HERMAN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 E 2ND ST	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55805	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$425,057,052	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ESSENTIAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2003	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3420	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$4,966,339	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$6,866	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$98,433,264	PYContributionsGrantsAmt
CY Contributions Grants	$557,769	CYContributionsGrantsAmt
PY Program Service Revenue	$272,757,934	PYProgramServiceRevenueAmt
CY Program Service Revenue	$326,854,490	CYProgramServiceRevenueAmt
PY Investment Income	$35,598,565	PYInvestmentIncomeAmt
CY Investment Income	$12,475,106	CYInvestmentIncomeAmt
PY Other Revenue	$10,121,816	PYOtherRevenueAmt
CY Other Revenue	$8,321,740	CYOtherRevenueAmt
PY Total Revenue	$416,911,579	PYTotalRevenueAmt
CY Total Revenue	$348,209,105	CYTotalRevenueAmt
PY Grants And Similar Paid	$103	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$225,215,626	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$256,341,805	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$61,742,098	PYOtherExpensesAmt
CY Other Expenses	$83,824,369	CYOtherExpensesAmt
PY Total Expenses	$286,957,827	PYTotalExpensesAmt
CY Total Expenses	$340,166,174	CYTotalExpensesAmt
PY Revenues Less Expenses	$129,953,752	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,042,931	CYRevenuesLessExpensesAmt
Total Assets BOY	$630,123,333	TotalAssetsBOYAmt
Total Assets EOY	$723,173,585	TotalAssetsEOYAmt
Total Liabilities BOY	$248,867,911	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$294,668,684	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$381,255,422	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$428,504,901	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$165,075,975	ExpenseAmt
Revenue	$326,854,490	RevenueAmt
Desc	ESSENTIA HEALTH IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, SCIENTIFIC, AND RELIGIOUS PURPOSES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ITS SUPPORTED ORGANIZATIONS AS LISTED ON SCHEDULE A OF FORM 990, ALL OF WHICH ARE ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986.ESSENTIA HEALTH IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH SYSTEM THAT INCLUDES ALL ENTITIES THAT ARE OWNED OR CONTROLLED, DIRECTLY OR INDIRECTLY, BY ESSENTIA HEALTH (COLLECTIVELY, THE "SYSTEM"). THE SYSTEM SERVES PATIENTS IN MINNESOTA, WISCONSIN, AND NORTH DAKOTA. HEADQUARTERED IN DULUTH, MINNESOTA, THE SYSTEM COMBINES THE STRENGTHS AND TALENTS OF OVER 15,000 EMPLOYEES, INCLUDING MORE THAN 2,200 PHYSICIANS AND ADVANCED PRACTITIONERS, WHO SERVE OUR PATIENTS AND COMMUNITIES THROUGH THE MISSION OF BEING CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. THE SYSTEM, WHICH INCLUDES MANY CATHOLIC FACILITIES, IS GUIDED BY THE VALUES OF QUALITY, HOSPITALITY, RESPECT, JOY, JUSTICE, STEWARDSHIP AND TEAMWORK. THE SYSTEM DELIVERS ON ITS MISSION BY HAVING PATIENT-CENTERED FOCUS AT 14 HOSPITALS, APPROXIMATELY 78 CLINICS, SIX LONG-TERM CARE FACILITIES, TWO ASSISTED LIVING FACILITIES, THREE INDEPENDENT LIVING FACILITIES, SEVERAL REHABILITATION CENTERS, SEVEN AMBULANCE SERVICES, 27 RETAIL PHARMACIES, HOME HEALTH SERVICES, AND ONE RESEARCH INSTITUTE. THE SYSTEM SERVES A PREDOMINANTLY RURAL POPULATION WHOSE MEDIAN INCOMES GENERALLY FALL BELOW AVERAGES OF THE STATES WHERE THEY LIVE. THE PRESENCE OF OUR CLINICS AND HOSPITALS ENSURES THAT PEOPLE WITH FEW ECONOMIC RESOURCES DO NOT HAVE TO DRIVE AN HOUR OR MORE TO RECEIVE BASIC (AND IN SOME CASES LIFESAVING) MEDICAL CARE. THE LEGAL ENTITIES COMPRISING THE SYSTEM FILE SEPARATE FORM 990S.AT FISCAL YEAR ENDED JUNE 30, 2023, THE SYSTEM'S CONSOLIDATED TOTAL OPERATING REVENUE WAS $2,764,495,000 AND CONSOLIDATED INCOME FROM OPERATIONS WAS $110,000.THE SYSTEM'S HOSPITALS HAVE A TOTAL OF 1,202 LICENSED BEDS WHICH PROVIDED OVER 203,000 HOSPITAL PATIENT DAYS AND NEARLY 776,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2023. THE CLINICS HAD NEARLY 2 MILLION ENCOUNTERS DURING THE SAME TIME PERIOD.DURING THE FISCAL YEAR ENDED JUNE 30, 2023, THE SYSTEM PROVIDED TOTAL COMMUNITY BENEFITS OF OVER $165 MILLION WHICH INCLUDED COSTS OF PROVIDING CHARITY CARE, COSTS IN EXCESS OF MEDICAID PAYMENTS, MEDICAID SURCHARGE, MINNESOTACARE TAX, COMMUNITY SERVICES, HEALTH PROFESSION EDUCATION, RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS.	Desc
Total Program Service Expenses	$165,075,975	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	692	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3420	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRACI MORRIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2187868376	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 E 2ND ST	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55805	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DAVID HERMAN MD
CHIEF EXECUTIVE OFFICER	60.00	0.00	Yes (X)	$3,035,950	$0	$321,531
JODI MANSFIELD
EXECUTIVE VICE PRESIDENT, COO	60.00	0.00		$1,681,487	$0	$159,377	Yes (X)
JON PRYOR MD
PRESIDENT - EAST THRU 1/23	1.00	59.00		$0	$1,131,335	$37,830	Yes (X)
TRACI MORRIS
CHIEF FINANCIAL OFFICER/BD TREASURER	60.00	0.00	Yes (X)	$987,247	$0	$105,691
BRADLEY BEARD
CHIEF OPERATING OFFICER - EAST	1.00	59.00		$0	$932,410	$137,485	Yes (X)
WILLIAM HEEGAARD MD
PRESIDENT - WEST	1.00	59.00		$0	$902,097	$138,409	Yes (X)
KARYN BAUM MD
CHIEF TRANSFORMATION OFFICER	60.00	0.00		$877,389	$0	$155,407		Yes (X)
ANNE STEPHEN MD
CHIEF MEDICAL OFFICER - EAST	1.00	59.00		$0	$876,444	$107,371	Yes (X)
DANIEL NIKCEVICH MD
FORMER PRESIDENT - EAST	0.00	60.00		$0	$908,427	$58,140			Yes (X)
KEVIN CASEY MD
CHIEF MEDICAL OFFICER	57.00	3.00		$816,807	$0	$130,502	Yes (X)
DIANE DAVIDSON
CHIEF HUMAN RESOURCES OFFICER	60.00	0.00		$735,048	$0	$110,023	Yes (X)
CHARLES WATSON
CHIEF INFORMATION OFFICER	60.00	0.00		$718,019	$0	$119,809		Yes (X)
RICHARD VETTER MD
CHIEF MEDICAL OFFICER - WEST	1.00	59.00		$0	$714,040	$109,548	Yes (X)
MICHAEL WATTERS
CHIEF LEGAL OFFICER/BOARD SECRETARY	60.00	0.00		$656,503	$0	$115,933	Yes (X)
AL HURLEY
CHIEF OPERATING OFFICER - WEST	1.00	59.00		$0	$624,072	$92,838	Yes (X)
SHEILA HART
SNR VP-INT CARE DELIVERY THRU 3/23	60.00	0.00		$617,715	$0	$91,098	Yes (X)
PETER HENRY MD
CHIEF MEDICAL OFFICER THRU 6/22	57.00	3.00		$371,895	$239,408	$60,578	Yes (X)
STEFANIE GEFROH ELLISON MD
BOARD DIRECTOR	3.00	57.00		$30,000	$574,111	$64,402				Yes (X)
SARAH MANNEY KURTH MD
CHIEF MEDICAL INFORMATION OFFICER	60.00	0.00		$536,936	$0	$104,670		Yes (X)
RHONDA KAZIK
CHIEF NURSING OFFICER	54.00	6.00		$0	$538,327	$90,800	Yes (X)
MELANIE WILSON
SENIOR VP-REVENUE SERVICES	60.00	0.00		$502,567	$0	$112,752		Yes (X)
DEBORAH WELLE-POWELL
CHF POPULATION HEALTH OFF THRU 6/22	60.00	0.00		$540,768	$0	$45,518	Yes (X)
MARIA BEAVER MD
PHYSICIAN LEADER	60.00	0.00		$399,750	$0	$23,402		Yes (X)
JANE RUDD MD
BOARD DIRECTOR	3.00	57.00		$20,000	$306,539	$64,747				Yes (X)
FRANK MODICH
FORMER INTERIM CHIEF LEGAL OFFICER	60.00	0.00		$264,010	$0	$25,898			Yes (X)
ROBERT NORMAN
FORMER CHIEF FINANCIAL OFFICER	0.00	0.00		$216,000	$0	$0			Yes (X)
DENNIS DASSENKO
FORMER CHIEF INFORMATION OFFICER	0.00	0.00		$159,467	$0	$0			Yes (X)
TIMOTHY SAYLER
FORMER CHIEF OPERATING OFFICER-WEST	0.00	0.00		$0	$143,333	$0			Yes (X)
JOHN SMYLIE
FORMER CHIEF OPERATING OFFICER	0.00	0.00		$120,000	$0	$0			Yes (X)
DAVID GADDIE
BOARD CHAIR THRU 12/22/BRD DIRECTOR	3.00	0.00	Yes (X)	$45,000	$0	$0				Yes (X)
GEORGE GOLDFARB
BOARD VICE CHAIR	3.00	0.00	Yes (X)	$30,000	$0	$0				Yes (X)
KEVIN MOUG
BOARD DIRECTOR	3.00	0.00		$30,000	$0	$0				Yes (X)
KIMBERLEY STOKES
BOARD DIRECTOR	3.00	1.00		$30,000	$0	$0				Yes (X)
LAURIE LEWANDOWSKI
BOARD DIRECTOR	3.00	2.00		$25,375	$0	$0				Yes (X)
MARK RONNEI
BOARD DIRECTOR	3.00	6.00		$21,500	$0	$0				Yes (X)
JAMES ANDERSON
BOARD DIRECTOR	3.00	6.00		$20,500	$0	$0				Yes (X)
ALAN HODNIK
BOARD CHAIR	3.00	0.00	Yes (X)	$20,000	$0	$0				Yes (X)
DEAN AGER
BOARD DIRECTOR	3.00	0.00		$20,000	$0	$0				Yes (X)
WALTER LEINO MD
BOARD DIRECTOR	3.00	2.00		$20,000	$0	$0				Yes (X)
SISTER BEVERLY RAWAY
BOARD DIRECTOR	3.00	4.00		$0	$0	$0				Yes (X)
SISTER CLARE MARIE TRETTEL
BOARD DIRECTOR	3.00	0.00		$0	$0	$0				Yes (X)
SISTER KATHLEEN HOFER
BOARD DIRECTOR	3.00	0.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,549,933	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,890,543	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,583,759	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	223	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HEALTHTRUST INC
PO BOX 742697	ATLANTA	GA	30374	MEDICAL STAFFING	$66,329,764
MCGOUGH CONSTRUCTION
34 E SUPERIOR STREET	DULUTH	MN	55802	CONSTRUCTION SERVICES	$15,201,281
JOHNSON WILSON CONSTRUCTOR INC
4431 W MICHIGAN STREET	DULUTH	MN	55816	CONSTRUCTION SERVICES	$14,966,616
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	MEDICAL STAFFING	$13,712,799
HEALTHCARE STAFFING SOLUTIONS
18261 MADISON AVE	CASATRO VALLEY	CA	94546	MEDICAL STAFFING	$10,436,440

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	292	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,901	RelatedOrganizationsAmt
Government Grants	$548,618	GovernmentGrantsAmt
All Other Contributions	$250	AllOtherContributionsAmt
Total Contributions	$557,769	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SUPPORT REVENUE	Desc
Business	541610	BusinessCd
Total Revenue Column	$326,854,490	TotalRevenueColumnAmt
Related Or Exempt Func Income	$326,854,490	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$326,854,490	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,078,609	TotalRevenueColumnAmt
Unrelated Business Revenue	-$219,029	UnrelatedBusinessRevenueAmt
Exclusion	$10,297,638	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$79,240,694	SecuritiesAmt
Other	$3,750	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$76,613,350	SecuritiesAmt
Other	$234,597	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,627,344	SecuritiesAmt
Other	-$230,847	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,396,497	TotalRevenueColumnAmt
Exclusion	$2,396,497	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SYSTEM ACCESS/USE REVENUE	541519	$8,235,583	$5,185,368	$3,050,215
SETTLEMENTS	900099	$76,284		$76,284
MISCELLANEOUS	900099	$4,509		$4,509

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,364	TotalRevenueColumnAmt
Exclusion	$5,364	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,321,740	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$348,209,105	TotalRevenueColumnAmt
Related Or Exempt Func Income	$326,854,490	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,966,339	UnrelatedBusinessRevenueAmt
Exclusion	$15,830,507	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,189,034	TotalAmt
Program Services	$846,506	ProgramServicesAmt
Management And General	$9,342,528	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$65,068	TotalAmt
Program Services	$65,068	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$188,673,727	TotalAmt
Program Services	$104,637,402	ProgramServicesAmt
Management And General	$84,036,325	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,336,428	TotalAmt
Program Services	$4,642,016	ProgramServicesAmt
Management And General	$3,694,412	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,471,401	TotalAmt
Program Services	$19,995,663	ProgramServicesAmt
Management And General	$15,475,738	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,606,147	TotalAmt
Program Services	$7,507,417	ProgramServicesAmt
Management And General	$6,098,730	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,775,028	TotalAmt
Management And General	$6,775,028	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$508,839	TotalAmt
Management And General	$508,839	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$511,716	TotalAmt
Management And General	$511,716	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,214,879	TotalAmt
Management And General	$1,214,879	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,874,561	TotalAmt
Program Services	$10,512,568	ProgramServicesAmt
Management And General	$28,361,993	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,664,155	TotalAmt
Program Services	$6,523,028	ProgramServicesAmt
Management And General	$1,141,127	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,310,427	TotalAmt
Program Services	$1,095,088	ProgramServicesAmt
Management And General	$10,215,339	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,246,328	TotalAmt
Program Services	$4,573,368	ProgramServicesAmt
Management And General	$3,672,960	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$42,033	TotalAmt
Program Services	$23,311	ProgramServicesAmt
Management And General	$18,722	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,752,236	TotalAmt
Program Services	$846,084	ProgramServicesAmt
Management And General	$906,152	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$649,748	TotalAmt
Program Services	$379,782	ProgramServicesAmt
Management And General	$269,966	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$872,705	TotalAmt
Program Services	$872,705	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,588,741	TotalAmt
Program Services	$881,107	ProgramServicesAmt
Management And General	$707,634	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UNRELATED BUSINESS TAX	$431,567	$431,567
PUBLICATIONS & SUBSCRIP	$991,493	$76,746	$914,747
DUES	$896,321	$452,583	$443,738
FEDERAL EXCISE TAX	$559,321	$559,321

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$934,271	TotalAmt
Program Services	$316,377	ProgramServicesAmt
Management And General	$617,894	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$340,166,174	TotalAmt
Program Services	$165,075,975	ProgramServicesAmt
Management And General	$175,090,199	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,821,766	BOYAmt
EOY	$4,339,962	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$79,351,663	BOYAmt
EOY	$59,902,579	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,620,888	BOYAmt
EOY	$10,600,363	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,914,856	BOYAmt
EOY	$7,290,211	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$18,193,565	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$12,890,913	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,932,820	BOYAmt
EOY	$5,302,652	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10	BOYAmt
EOY	$33,033	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$334,254,994	BOYAmt
EOY	$451,201,985	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$57,570,317	BOYAmt
EOY	$57,570,317	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,650,732	BOYAmt
EOY	$7,202,430	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$127,005,287	BOYAmt
EOY	$119,730,053	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$630,123,333	BOYAmt
EOY	$723,173,585	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$124,752,482	BOYAmt
EOY	$115,769,932	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$250,000	BOYAmt
EOY	$1,448,996	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,318,000	BOYAmt
EOY	$48,480,431	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$11,177,704	BOYAmt
EOY	$10,684,747	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,369,725	BOYAmt
EOY	$118,284,578	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$248,867,911	BOYAmt
EOY	$294,668,684	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$381,255,422	BOYAmt
EOY	$428,504,901	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$381,255,422	BOYAmt
EOY	$428,504,901	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$630,123,333	BOYAmt
EOY	$723,173,585	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,042,931	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$33,867,020	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,339,528	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	21	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (21 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
BRAINERD MEDICAL CENTER INC
371532148	3	Yes (1)	$3,154,956	$0
BRIDGES MEDICAL CENTER
200479568	3	Yes (1)	$1,381,946	$0
DEER RIVER HEALTHCARE CENTER INC
410844574	3	Yes (1)	$5,280,972	$0
ESSENTIA HEALTH FOUNDATION
271984704	7	Yes (1)	$176,994	$0
ESSENTIA HEALTH MOOSE LAKE
845099016	3	Yes (1)	$4,785,664	$0
ESSENTIA HEALTH SURGERY CENTERS
881577422	3	Yes (1)	$196,683	$0
ESSENTIA INSTITUTE OF RURAL HEALTH
271291124	4	Yes (1)	$946,991	$0
FIRST CARE MEDICAL SERVICES
410706143	3	Yes (1)	$3,853,628	$0
GRACEVILLE HEALTH CENTER
410726173	3	Yes (1)	$1,210,378	$0
INNOVIS HEALTH LLC
261175213	3	Yes (1)	$67,770,853	$0
NORTHERN PINES MEDICAL CENTER
410841441	3	Yes (1)	$2,907,551	$0
PINE MEDICAL CENTER
411884597	3	Yes (1)	$2,773,324	$0
POLINSKY MEDICAL REHABILITATION CENTER
410691275	3	Yes (1)	$1,367,719	$0
SMDC MEDICAL CENTER
411878730	3	Yes (1)	$84,594,148	$0
ST JOSEPH'S MEDICAL CENTER
410695602	3	Yes (1)	$32,645,808	$0
ST MARY'S EMS
411805811	10	Yes (1)	$1,390,887	$0
ST MARY'S HOSPITAL OF SUPERIOR
411811073	3	Yes (1)	$12,506,512	$0
ST MARY'S INNOVIS HEALTH
262861321	3	Yes (1)	$974,030	$0
ST MARY'S MEDICAL CENTER
410695604	3	Yes (1)	$59,998,181	$0
ST MARY'S REGIONAL HEALTH CENTER
411620386	3	Yes (1)	$20,614,448	$0
THE DULUTH CLINIC LTD
410883623	3	Yes (1)	$31,229,483	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	21	SupportedOrganizationsTotalCnt
Support Sum	$339,761,156	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (1)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (1)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (1)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (1)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (1)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 12G, COLUMN V:	AMOUNT OF SUPPORT: THE AMOUNT OF SUPPORT INCLUDES ESSENTIA HEALTH'S FUNCTIONAL EXPENSES WHICH ARE INCURRED FOR THE BENEFIT OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION D, LINE 3:	SUPPORTED ORGANIZATIONS' VOICE AND DIRECTION: THERE ARE MULTIPLE DIRECTORS THAT SERVE ON ESSENTIA HEALTH'S BOARD OF DIRECTORS AS WELL AS ON ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. IN ADDITION, THE OFFICERS AND OTHER KEY EMPLOYEES OF ESSENTIA HEALTH AND ITS SUPPORTED ORGANIZATIONS MAINTAIN CLOSE AND CONTINUOUS WORKING RELATIONSHIPS BY SITTING ON THE SAME LEADERSHIP COMMITTEES AND TEAMS. FIRST AT THE SUPPORTED ORGANIZATION LEVEL AND THEN AT THE SUPPORTING ORGANIZATION LEVEL, ESSENTIA HEALTH'S INVESTMENTS AND USE OF INCOME AND ASSETS ARE DISCUSSED AND APPROVED RESULTING IN ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS HAVING A SIGNIFICANT VOICE IN DIRECTING THE ACTIVITIES OF ESSENTIA HEALTH.
SCHEDULE A, PART IV, SECTION E, LINE 3A:	POWER TO APPOINT OR ELECT DIRECTORS: ESSENTIA HEALTH HAS THE AUTHORITY TO APPOINT AND REMOVE ALL DIRECTORS, WITH OR WITHOUT CAUSE, ON THE BOARDS OF DIRECTORS OF ITS SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION E, LINE 3B:	DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS: ESSENTIA HEALTH HAS COMPREHENSIVE AUTHORITY, AS THE PARENT OF THE SYSTEM, TO MANAGE ALL CHARITABLE ORGANIZATIONS WITHIN THE SYSTEM. THE ARTICLES OF INCORPORATION OF EACH SUPPORTED ORGANIZATION DELEGATES RESERVED POWERS TO ESSENTIA HEALTH OVER THE FOLLOWING FUNCTIONS OF THE SUPPORTED ORGANIZATION: (A) STRATEGIC AND BUSINESS PLANS; (B) MISSION; (C) DEBT ISSUANCE; (D) INITIATING AND APPROVING CHANGES TO GOVERNANCE DOCUMENTS; (E) APPOINTMENT AND REMOVAL OF DIRECTORS; (F) MERGERS, AFFILIATIONS AND DISSOLUTION; (G) TRANSFER OF ASSETS WITHIN THE SYSTEM; (H) TRANSFER OF ASSETS OUTSIDE THE SYSTEM; (I) OFFER OR DISCONTINUING ANY SERVICES OR SERVICE LOCATIONS; (J) BUDGETS; (K) SELECTION OF GENERAL LEGAL COUNSEL AND EXTERNAL AUDITORS; (L) CORPORATE ACQUISITIONS; (M) MARKETING; (N) COMPLIANCE; (O) QUALITY PLAN; (P) NON-BUDGETED PURCHASES; (Q) HUMAN RESOURCES; AND (R) SYSTEM COMPENSATION.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$47,653	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$505,716	OtherActivitiesAmt
Total Lobbying Expenditures	$553,369	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ESSENTIA HEALTH EMPLOYS TWO FULL-TIME IN-HOUSE PUBLIC POLICY INDIVIDUALS AND DURING FY 2023 CONTRACTED WITH VARIOUS CONSULTANT FIRMS TO MONITOR FEDERAL AND STATE LEGISLATIVE ACTIVITIES OF INTEREST RELATED TO HEALTH AND HUMAN SERVICES ISSUES AND RURAL HEALTH CARE. ESSENTIA HEALTH'S PUBLIC POLICY ACTIVITIES OCCUR ON THE LOCAL, STATE, AND FEDERAL LEVEL IN MINNESOTA, NORTH DAKOTA, AND WISCONSIN. ESSENTIA HEALTH PUBLIC POLICY ACTIVITIES INCLUDED IN-PERSON, TELEPHONIC, ELECTRONIC COMMUNICATION AND INFORMATION RELAY WITH LEGISLATORS AND STAFF, ADMINISTRATIVE OFFICIALS, GOVERNMENT AGENCIES AND DEPARTMENTS ON THE LOCAL, STATE, AND FEDERAL LEVELS. THE PRIMARY ISSUES OF INTEREST AND CONCERN INCLUDE: VALUE-BASED CARE CRITICAL ACCESS HOSPITAL DESIGNATION, STATUS AND REIMBURSEMENT PHYSICIAN AND HOSPITAL SERVICES REIMBURSEMENT MEDICARE AND MEDICAID REIMBURSEMENT POLICIES DISPROPORTIONATE SHARE HOSPITAL FUNDING SOLE COMMUNITY HOSPITAL STATUS AND FUNDING GRADUATE MEDICAL EDUCATION/INDIRECT MEDICAL EDUCATION FUNDING HEALTH INFORMATION TECHNOLOGY FUNDING AND PRIVACY ISSUES CYBERSECURITY STATE AND FEDERAL SHARED SAVINGS DEMONSTRATION PROJECTS MEDICARE REIMBURSEMENT FOR REHAB FACILITIES MEDICARE 340B PRESCRIPTION DRUG DISCOUNT PROGRAM MULTI-STATE NURSE LICENSURE COMPACT MULTI-STATE ADVANCED PRACTICE REGISTERED NURSE LICENSURE COMPACT MULTI-STATE PHYSICIAN LICENSURE COMPACT MULTI-STATE PHYSICAL THERAPY COMPACT MANDATED NURSE STAFFING QUOTAS ELECTRONIC MEDICAL RECORD INTEROPERABILITY/HEALTH INFORMATION TECHNOLOGY MEDICARE RECOVERY AUDIT CONTRACTOR AUDITS (RAC) HEALTH INFORMATION EXCHANGE MEDICAL EDUCATION AND RESEARCH COSTS (MERC) STATE CHILDREN'S HEALTH INSURANCE PROGRAM WORKFORCE DEVELOPMENT ISSUES PUBLIC HEALTH INITIATIVES COMMUNITY BENEFITS WORKERS COMPENSATION SYSTEM TAX EXEMPT STATUS ENVIRONMENTAL PROTECTION & SOLID WASTE ADVANCED CARE PLANNING PANDEMIC PREPAREDNESS AND READINESS EXPANSION OF TELEHEALTH SERVICES MENTAL HEALTH/BEHAVIORAL HEALTH ISSUES ESSENTIA HEALTH WAS AN ADVOCATE SPONSOR THROUGH THE DULUTH AREA CHAMBER OF COMMERCE FOR THE 2023 "DULUTH & ST. LOUIS COUNTY AT THE CAPITAL DAYS" EVENT. ESSENTIA HEALTH MET WITH MINNESOTA LEGISLATORS TO DISCUSS ISSUES AFFECTING OUR COMMUNITIES AND HEALTH CARE. ESSENTIA HEALTH ALSO PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT INCLUDED IN THE TOTAL IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,950	OtherCostOrOtherBasisAmt
Depreciation	$14,713	DepreciationAmt
Book Value	$2,237	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,581	OtherCostOrOtherBasisAmt
Depreciation	$8,020	DepreciationAmt
Book Value	$6,561	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,153,640	OtherCostOrOtherBasisAmt
Depreciation	$12,868,180	DepreciationAmt
Book Value	$3,285,460	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,008,394	OtherCostOrOtherBasisAmt
Book Value	$2,008,394	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,302,652	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$2,090,779	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
POOLED INVESTMENT FUNDS	$415,127,713	F
BOND CONSTRUCTION FUND	$33,983,493	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$451,201,985	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN BENEDICTINE HEALTH SYSTEM	$53,227,022	C
INVESTMENT IN ST FRANCIS REGIONAL MEDICAL CENTER	$4,343,295	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$57,570,317	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION FUND	$113,845,057
RECEIVABLES FROM RELATED ORGS	$3,308,471
REINSURANCE RECEIVABLE	$2,455,271
DEFERRED TAX ASSET	$2,417,851
OPERATING LEASE ASSET	$45,421
DEFERRED TAX ALLOWANCE	-$2,342,018

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$119,730,053	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
BENEFIT PLAN LIABILITY	$113,845,057
PAYABLES TO RELATED ORGS	$4,370,850
OPERATING LEASES	$45,421
UNCLAIMED PROPERTY	$23,250

Field	Value	IRS element (for citing)
Total Liability	$118,284,578	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS	$171,656,716
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	PROGRAM SERVICES	$17,260,600	SELF INDEMNITY

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$188,917,316	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$188,917,316	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (1)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID HERMAN MD
CHIEF EXECUTIVE OFFICER	$1,602,782	$0	$1,124,852	$0	$308,316	$0	$318,115	$0	$3,416	$0	$3,357,481	$0	$286,038	$0
JODI MANSFIELD
EXECUTIVE VICE PRESIDENT, COO	$982,345	$0	$410,401	$0	$288,741	$0	$157,809	$0	$1,568	$0	$1,840,864	$0	$198,381	$0
JON PRYOR MD
PRESIDENT - EAST THRU 1/23	$0	$785,922	$0	$331,316	$0	$14,097	$0	$24,400	$0	$13,430	$0	$1,169,165	$0	$0
TRACI MORRIS
CHIEF FINANCIAL OFFICER/BD TREASURER	$640,302	$0	$259,888	$0	$87,057	$0	$103,429	$0	$2,262	$0	$1,092,938	$0	$27,605	$0
BRADLEY BEARD
CHIEF OPERATING OFFICER - EAST	$0	$600,630	$0	$256,508	$0	$75,272	$0	$98,483	$0	$39,002	$0	$1,069,895	$0	$43,259
WILLIAM HEEGAARD MD
PRESIDENT - WEST	$0	$623,417	$0	$267,196	$0	$11,484	$0	$101,311	$0	$37,098	$0	$1,040,506	$0	$0
KARYN BAUM MD
CHIEF TRANSFORMATION OFFICER	$653,158	$0	$208,406	$0	$15,825	$0	$128,525	$0	$26,882	$0	$1,032,796	$0	$0	$0
ANNE STEPHEN MD
CHIEF MEDICAL OFFICER - EAST	$0	$456,170	$0	$197,482	$0	$222,792	$0	$75,729	$0	$31,642	$0	$983,815	$0	$190,490
DANIEL NIKCEVICH MD
FORMER PRESIDENT - EAST	$0	$768,532	$0	$0	$0	$139,895	$0	$20,705	$0	$37,435	$0	$966,567	$0	$134,962
KEVIN CASEY MD
CHIEF MEDICAL OFFICER	$633,232	$0	$168,938	$0	$14,637	$0	$107,120	$0	$23,382	$0	$947,309	$0	$0	$0
DIANE DAVIDSON
CHIEF HUMAN RESOURCES OFFICER	$468,016	$0	$201,173	$0	$65,859	$0	$77,151	$0	$32,872	$0	$845,071	$0	$52,093	$0
CHARLES WATSON
CHIEF INFORMATION OFFICER	$499,729	$0	$214,288	$0	$4,002	$0	$82,207	$0	$37,602	$0	$837,828	$0	$0	$0
RICHARD VETTER MD
CHIEF MEDICAL OFFICER - WEST	$0	$483,985	$0	$192,485	$0	$37,570	$0	$73,802	$0	$35,746	$0	$823,588	$0	$26,574
MICHAEL WATTERS
CHIEF LEGAL OFFICER/BOARD SECRETARY	$473,535	$0	$175,667	$0	$7,301	$0	$76,950	$0	$38,983	$0	$772,436	$0	$0	$0
AL HURLEY
CHIEF OPERATING OFFICER - WEST	$0	$421,495	$0	$179,556	$0	$23,021	$0	$68,251	$0	$24,587	$0	$716,910	$0	$7,608
SHEILA HART
SNR VP-INT CARE DELIVERY THRU 3/23	$394,435	$0	$171,242	$0	$52,038	$0	$65,613	$0	$25,485	$0	$708,813	$0	$40,891	$0
PETER HENRY MD
CHIEF MEDICAL OFFICER THRU 6/22	$297,901	$0	$0	$239,408	$73,994	$0	$35,172	$11,680	$13,064	$662	$420,131	$251,750	$33,202	$33,201
STEFANIE GEFROH ELLISON MD
BOARD DIRECTOR	$30,000	$524,623	$0	$0	$0	$49,488	$0	$24,400	$0	$40,002	$30,000	$638,513	$0	$0
SARAH MANNEY KURTH MD
CHIEF MEDICAL INFORMATION OFFICER	$364,926	$0	$152,685	$0	$19,325	$0	$64,130	$0	$40,540	$0	$641,606	$0	$0	$0
RHONDA KAZIK
CHIEF NURSING OFFICER	$0	$381,088	$0	$151,426	$0	$5,813	$0	$64,447	$0	$26,353	$0	$629,127	$0	$0
MELANIE WILSON
SENIOR VP-REVENUE SERVICES	$416,128	$0	$54,221	$0	$32,218	$0	$75,255	$0	$37,497	$0	$615,319	$0	$0	$0
DEBORAH WELLE-POWELL
CHF POPULATION HEALTH OFF THRU 6/22	$264,964	$0	$212,474	$0	$63,330	$0	$39,011	$0	$6,507	$0	$586,286	$0	$56,323	$0
MARIA BEAVER MD
PHYSICIAN LEADER	$399,361	$0	$0	$0	$389	$0	$22,565	$0	$837	$0	$423,152	$0	$0	$0
JANE RUDD MD
BOARD DIRECTOR	$20,000	$305,249	$0	$0	$0	$1,290	$0	$24,400	$0	$40,347	$20,000	$371,286	$0	$0
FRANK MODICH
FORMER INTERIM CHIEF LEGAL OFFICER	$233,852	$0	$29,819	$0	$339	$0	$12,444	$0	$13,454	$0	$289,908	$0	$0	$0
ROBERT NORMAN
FORMER CHIEF FINANCIAL OFFICER	$0	$0	$0	$0	$216,000	$0	$0	$0	$0	$0	$216,000	$0	$0	$0
DENNIS DASSENKO
FORMER CHIEF INFORMATION OFFICER	$0	$0	$0	$0	$159,467	$0	$0	$0	$0	$0	$159,467	$0	$12,518	$0
TIMOTHY SAYLER
FORMER CHIEF OPERATING OFFICER-WEST	$0	$0	$0	$0	$0	$143,333	$0	$0	$0	$0	$0	$143,333	$0	$0
JOHN SMYLIE
FORMER CHIEF OPERATING OFFICER	$0	$0	$0	$0	$120,000	$0	$0	$0	$0	$0	$120,000	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BENEFITS PROVIDED: DURING CALENDAR YEAR 2022, CHARTER TRAVEL WAS USED BY TWO BOARD DIRECTORS, TWO OFFICERS, AND SIX KEY EMPLOYEES FOR TRAVEL BETWEEN ESSENTIA HEALTH AND OTHER ORGANIZATIONS. THE USE OF CHARTER TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS AS ALL TRAVEL WAS BUSINESS RELATED. DURING CALENDAR YEAR 2022, KEY EMPLOYEE JODI MANSFIELD AND HIGHEST-COMPENSATED EMPLOYEE KARYN BAUM, MD RECEIVED HOUSING ALLOWANCES. THESE BENEFITS WERE TREATED AS TAXABLE COMPENSATION TO BOTH INDIVIDUALS.
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: DAVID HERMAN, MD $286,038 JODI MANSFIELD $230,610 TRACI MORRIS $84,447 BRADLEY BEARD $63,788 ANNE STEPHEN, MD $211,981 DANIEL NIKCEVICH, MD $134,962 DIANE DAVIDSON $52,093 RICHARD VETTER, MD $26,574 AL HURLEY $13,160 SHEILA HART $40,891 PETER HENRY, MD $66,403 DEBORAH WELLE-POWELL $56,323 DENNIS DASSENKO $105,467 REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C, ESSENTIA HEALTH MADE CONTRIBUTIONS, SUBJECT TO THE VESTING TERMS, DURING THE YEAR INTO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A: DAVID HERMAN, MD $293,715 JODI MANSFIELD $133,409 TRACI MORRIS $79,029 BRADLEY BEARD $74,083 WILLIAM HEEGAARD, MD $78,203 KARYN BAUM, MD $107,120 ANNE STEPHEN, MD $51,329 KEVIN CASEY, MD $107,120 DIANE DAVIDSON $52,751 CHARLES WATSON $57,807 RICHARD VETTER, MD $49,402 MICHAEL WATTERS $53,975 AL HURLEY $44,418 SHEILA HART $41,213 PETER HENRY, MD $22,946 SARAH MANNEY KURTH, MD $39,730 RHONDA KAZIK $40,047 MELANIE WILSON $47,713 DEBORAH WELLE-POWELL $17,754
PART I, LINE 8	INITIAL CONTRACT EXCEPTION: ESSENTIA HEALTH'S CHIEF TRANSFORMATION OFFICER, KARYN BAUM, MD, AND ITS CHIEF MEDICAL OFFICER, KEVIN CASEY, MD, RECEIVED COMPENSATION DURING THE YEAR UNDER INITIAL EMPLOYMENT AGREEMENTS SUBJECT TO THE INITIAL CONTRACT EXCEPTION. THROUGH THE ESSENTIA HEALTH EXECUTIVE COMPENSATION COMMITTEE, THESE COMPENSATION ARRANGEMENTS WERE REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DULUTH ECONOMIC DEVELOPMENT AUTHORITY
A	900848286	26444CHF2	2018-11-01	$704,253,406	SERIES 2018A (SEE PART VI)	0	0	0
CASS COUNTY ND
B	456002205	000000000	2020-02-18	$61,320,000	SERIES 2020A (SEE PART VI)	0	0	0
WI HEALTH & EDU FAC AUTH
C	391337855	000000000	2020-02-18	$13,095,000	SERIES 2020B (SEE PART VI)	0	0	0
DULUTH ECONOMIC DEVELOPMENT AUTHORITY
D	900848286	000000000	2020-02-18	$116,955,000	SERIES 2020C (SEE PART VI)	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr	RetiredRetiredAmt
A	$3,776,805	$32,652	$3,744,153	Yes (1)	Yes (1)	Yes (1)
B	$3,985,800	$14,300	$3,971,500	Yes (1)	Yes (1)	Yes (1)	2020
C	$851,175	$7,800	$843,375	Yes (1)	Yes (1)	Yes (1)	2020
D	$7,602,074	$46,800	$7,555,274	Yes (1)	Yes (1)	Yes (1)	2020	$2,694,575

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd
A	0	Yes (1)
B	0	Yes (1)
C	0	Yes (1)
D	Yes (1)	Yes (1)	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
SEE PART VI
A	0	0	0	Yes (1)	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)
(no name)
B	0	0	Yes (1)	0	0	0	0		0	Yes (1)
(no name)
C	0	0	Yes (1)	0	0	0	0		0	Yes (1)
(no name)
D	0	0	Yes (1)	0	0	0	0		0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2023
SCHEDULE K:	ADDITIONAL INFORMATION/COMMENTS RELATING TO THE REPORTING OF LIABILITIES BY RELATED ORGANIZATIONS: ESSENTIA HEALTH HAS AN OBLIGATED GROUP CREATED UNDER THE MASTER TRUST INDENTURE WHICH IS COMPOSED OF THE FOLLOWING MEMBERS: ESSENTIA HEALTH, ESSENTIA HEALTH EAST, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER, ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR, ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, BRAINERD LAKES INTEGRATED HEALTH SYSTEM, ST. MARY'S INNOVIS HEALTH, THE DULUTH CLINIC, LTD. AND ESSENTIA HEALTH WEST (THE "OBLIGATED GROUP MEMBERS"). THE OBLIGATED GROUP MEMBERS ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL INDEBTEDNESS EVIDENCED OR SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. SERIES 2018A: THE SERIES 2018A BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH, ESSENTIA HEALTH EAST, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, BRAINERD LAKES INTEGRATED HEALTH SYSTEM, ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, AND ESSENTIA HEALTH WEST ARE THE CONDUIT BORROWERS OF THE SERIES 2018A BONDS. THE CONDUIT BORROWERS ESSENTIA HEALTH, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH DULUTH, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH WEST, AND ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2020A: THE SERIES 2020A BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH, ESSENTIA HEALTH WEST, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH EAST, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR, AND ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER ARE THE CONDUIT BORROWERS OF THE SERIES 2020A BONDS. THE CONDUIT BORROWERS ESSENTIA HEALTH, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH WEST, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, AND ST. MARY'S INNOVIS HEALTH HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2020B: THE SERIES 2020B BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH, ESSENTIA HEALTH WEST, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH EAST, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR, AND ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER ARE THE CONDUIT BORROWERS OF THE SERIES 2020B BONDS. THE CONDUIT BORROWERS ESSENTIA HEALTH, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH WEST, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, AND ST. MARY'S INNOVIS HEALTH HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2020C: THE SERIES 2020C BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH, ESSENTIA HEALTH WEST, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH EAST, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR, AND ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER ARE THE CONDUIT BORROWERS OF THE SERIES 2020C BONDS. THE CONDUIT BORROWERS ESSENTIA HEALTH, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH WEST, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, AND ST. MARY'S INNOVIS HEALTH HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2023C: THE SERIES 2023C BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH AND ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER ARE THE CONDUIT BORROWERS OF THE SERIES 2023C BONDS. THE CONDUIT BORROWERS ESSENTIA HEALTH AND ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH.
SCHEDULE K, PART I, COLUMN (F):	DESCRIPTION OF PURPOSE: SERIES 2018A: ACQUIRE, CONSTRUCT, BUILD, AND EQUIP MEDICAL CAMPUS PROJECT IN DULUTH, MN; REFUND SERIES 2008E BONDS ISSUED MAY 2, 2008 TO REFINANCE SERIES 1997 BONDS ISSUED DECEMBER 18, 1997 TO FINANCE EQUIPMENT PURCHASES IN DULUTH, MN AND FINANCE PROPERTY ACQUISITIONS, CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES IN NORTHERN MINNESOTA; AND REFUND SERIES 2014 BONDS ISSUED JULY 29, 2014 TO REFINANCE PRIOR NOTE USED FOR CAPITAL IMPROVEMENTS TO SKILLED NURSING FACILITY LOCATED IN DETROIT LAKES, MN AND VARIOUS CONSTRUCTION PROJECTS AND EQUIPMENT PURCHASES IN BAXTER, FRAZEE, AND PELICAN RAPIDS, MN AND FINANCE CAPITAL EXPENDITURES TO REPLACE THE CHILLER UNIT FOR ESSENTIA HEALTH VIRGINIA, RENOVATE APPROXIMATELY 118,000 SQUARE FEET OF CLINIC SPACE FOR ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, REMODEL AND EQUIP EXISTING CLINIC SPACE IN EMILY, MN FOR ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, AND EXPAND AND REMODEL THE IMAGING AREA IN THE EMERGENCY ROOM OF ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES' HOSPITAL. SERIES 2020A: REFUND SERIES 2008A BONDS ISSUED FEBRUARY 25, 2010 TO REOFFER BONDS ORIGINALLY ISSUED MARCH 4, 2008 TO REFINANCE A PORTION OF THE ACQUISITION OF CERTAIN ASSETS OF ESSENTIA HEALTH WEST IN CONNECTION WITH THE AFFILIATION OF ESSENTIA HEALTH WITH ESSENTIA HEALTH WEST. SERIES 2020B: REFUND SERIES 2008B BONDS ISSUED FEBRUARY 25, 2010 TO REOFFER BONDS ORIGINALLY ISSUED MARCH 4, 2008 TO REFUND SERIES 1999B BONDS ISSUED MAY 18, 1999 FOR CONSTRUCTION PROJECTS AND EQUIPMENT PURCHASES IN SUPERIOR, WI AND VARIOUS DULUTH CLINIC LOCATIONS IN NORTHWESTERN WISCONSIN. SERIES 2020C: REFUND SERIES 2008C BONDS ISSUED FEBRUARY 25, 2010 TO REOFFER BONDS ORIGINALLY ISSUED MARCH 4, 2008 TO REFUND SERIES 2004 BONDS ISSUED MARCH 19, 2004 FOR VARIOUS ACQUISITIONS, CONSTRUCTION PROJECTS, CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES IN DULUTH, BRAINERD, AND DETROIT LAKES, MN AND REFUND SERIES 1999A BONDS ISSUED MAY 18, 1999 FOR VARIOUS ACQUISITIONS, CONSTRUCTION PROJECTS, CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES IN BRAINERD, DETROIT LAKES AND DULUTH, MN AND VARIOUS DULUTH CLINIC SITES IN NORTHERN MINNESOTA. SERIES 2023C: ACQUIRE, CONSTRUCT, RENOVATE, AND EQUIP CERTAIN HEALTH FACILITIES IN ESKO AND STAPLES, MN.
SCHEDULE K, PART II, LINE 3:	ISSUE PRICE: THE SERIES 2018A, SERIES 2020A, SERIES 2020B, SERIES 2020C, AND SERIES 2023C BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. THE ISSUE PRICE LISTED IN ESSENTIA HEALTH'S SCHEDULE K, PART I, COLUMN (E) REPRESENTS THE ESSENTIA HEALTH OBLIGATED GROUP'S TOTAL BORROWING. IN ADDITION, THE SERIES 2023C TOTAL PROCEEDS ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINES 3 THROUGH 12:	PROCEEDS: THE SERIES 2018A, SERIES 2020A, SERIES 2020B, SERIES 2020C, AND SERIES 2023C BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. A PORTION OF THE SERIES 2018A, SERIES 2020A, SERIES 2020B, SERIES 2020C, AND SERIES 2023C BORROWINGS WERE ALLOCATED TO ESSENTIA HEALTH, AN ESSENTIA HEALTH OBLIGATED GROUP MEMBER. THE PROCEEDS LISTED IN ESSENTIA HEALTH'S SCHEDULE K, PART II, LINES 3 THROUGH 12 REPRESENT ESSENTIA HEALTH'S ALLOCATED PORTION OF THE PROCEEDS.
SCHEDULE K, PART IV, LINE 5B:	NAME OF PROVIDER OF GIC: NATIXIS FUNDING CORP & THE TORONTO-DOMINION BANK

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MN AGRICULTURAL AND ECONOMIC DEVELOPMENT BRD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	416007162	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2023-06-22	BondIssuedDt
Issue Price	$44,585,000	IssuePriceAmt
Purpose	SERIES 2023C (SEE PART VI)	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$35,317,890	TotalProceedsAmt
Issuance Costs From Proceeds	$222,523	IssuanceCostsFromProceedsAmt
Capital Expenditures	$1,111,873	CapitalExpendituresAmt
Unspent	$33,983,494	UnspentAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KATHERINE NIKCEVICH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	REALTED TO DANIEL NIKCEVICH, MD	RelationshipDescriptionTxt
Transaction	$65,068	TransactionAmt
Transaction	COMPENSATION OF FAMILY MEMBER OF FORMER KEY EMPLOYEE	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A:	1099 REPORTING: VENDOR PAYMENTS AND FORM 1099S WERE PROCESSED THROUGH ESSENTIA HEALTH ON BEHALF OF THE LEGAL ENTITIES COMPRISING ESSENTIA HEALTH.
FORM 990, PART V, LINE 1C:	NO GAMING (GAMBLING) WINNINGS.
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: DURING THE FISCAL YEAR ENDED JUNE 30, 2023, THE ESSENTIA HEALTH BOARD OF DIRECTORS AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS TO (A) REAFFIRM THAT EACH PUBLICLY SUPPORTED ORGANIZATION IN THE SYSTEM IS A SUPPORTED ORGANIZATION; (B) CLARIFY AND UPDATE THE RESERVED POWERS AND RIGHTS OF THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY OF DULUTH OR ITS CANONICALLY AUTHORIZED SUCCESSOR; AND (C) UPDATE AND STREAMLINE THE BOARD OPERATION, ELECTION AND APPOINTMENT PROCESS AND POWERS OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS WITH RIGHT TO ELECT GOVERNING BODY: THE PRIORESS OF THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY OF DULUTH OR ITS CANONICALLY AUTHORIZED SUCCESSOR (COLLECTIVELY, "SSMD") (OR HER DESIGNEE WHO SHALL BE A BENEDICTINE SISTER OF SSMD) SHALL SERVE AS A DIRECTOR FOR SO LONG AS SHE HOLDS SUCH OFFICE (OR DESIGNATION).
FORM 990, PART VI, SECTION A, LINE 7B	MEMBER WITH RIGHT TO APPROVE GOVERNING BODY DECISIONS: THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY OF DULUTH OR ITS CANONICALLY AUTHORIZED SUCCESSOR (COLLECTIVELY, "SSMD") HOLD CERTAIN RESERVED POWERS OVER ESSENTIA HEALTH AND ITS CATHOLIC ENTITIES ("SSMD SPONSORED ENTITY"). SSMD HAS THE RESERVED POWER TO APPROVE ANY AMENDMENTS TO ESSENTIA HEALTH'S GOVERNING DOCUMENTS THAT WOULD ALTER THE NUMBER OF SSMD REPRESENTATIVES SERVING ON THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: THE 2022 FORM 990, INCLUDING ALL SCHEDULES, WAS REVIEWED BY MANAGEMENT AND THE GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE FINANCE LEADER REVIEWED THE FORM AND SCHEDULES AND ANY QUESTIONS WERE DISCUSSED. EACH CURRENT DIRECTOR OF THE GOVERNING BODY RECEIVED A FINAL COPY OF THE 2022 FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY: ESSENTIA HEALTH'S COMPREHENSIVE CONFLICT OF INTEREST PROGRAM PREVENTS, DETECTS, AND RESOLVES ACTUAL CONFLICTS OF INTERESTS OR THE ACTUAL OR POTENTIAL APPEARANCE OF SUCH. FIDUCIARIES, DEFINED AS AN ESSENTIA HEALTH BOARD MEMBER/TRUSTEE, OFFICER, BOARD COMMITTEE MEMBER, SENIOR MANAGEMENT EMPLOYEE, OR ANY OTHERS CONSIDERED TO BE IN A POSITION OF INFLUENCE, ARE COVERED UNDER ESSENTIA HEALTH'S CONFLICT OF INTEREST PROGRAM. UPON INITIAL APPOINTMENT, EACH FIDUCIARY MUST COMPLETE AN INITIAL CONFLICT OF INTEREST STATEMENT AND DISCLOSURE QUESTIONNAIRE. AT THE CONCLUSION OF EACH CALENDAR YEAR, EACH FIDUCIARY MUST COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT AND DISCLOSURE QUESTIONNAIRE. AS NEEDED, A FIDUCIARY WILL UPDATE HIS/HER MOST RECENTLY COMPLETED QUESTIONNAIRE EACH TIME THE FIDUCIARY BECOMES AWARE OF A FINANCIAL INTEREST, A POTENTIAL CONFLICT, OR CHANGE TO ANY INFORMATION THAT THE FIDUCIARY PREVIOUSLY REPORTED. ESSENTIA HEALTH'S CHIEF COMPLIANCE OFFICER WILL COLLECT THE QUESTIONNAIRES AND EVALUATE THE DISCLOSURES. IF A FIDUCIARY HAS A POTENTIAL CONFLICT OF INTEREST, THE CHIEF COMPLIANCE OFFICER OR DESIGNEE MAY REQUEST ADDITIONAL INFORMATION FROM THE FIDUCIARY, THE MANAGEMENT TEAM, AND OTHERS. DURING THE EVALUATION PROCESS, THE CHIEF COMPLIANCE OFFICER MAY ALSO CONSULT WITH ESSENTIA HEALTH'S BOARD AND AUDIT COMMITTEE CHAIRS, SENIOR MANAGEMENT, LEGAL DEPARTMENT, OR APPROPRIATE REPRESENTATIVES FROM ESSENTIA HEALTH. THE CHIEF COMPLIANCE OFFICER REPORTS TO THE ESSENTIA HEALTH AUDIT COMMITTEE AND THE ESSENTIA HEALTH BOARD OF DIRECTORS ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY THE FIDUCIARY, ALONG WITH RECOMMENDED ACTIONS. THE ESSENTIA HEALTH BOARD OF DIRECTORS (OR DESIGNEE) WILL THEN DETERMINE WHETHER TO APPROVE THE SITUATION OR TO IMPLEMENT SPECIAL CONTROLS TO MANAGE THE POTENTIAL CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER WILL THEN OFFICIALLY NOTIFY THE FIDUCIARY IN WRITING OF THE BOARD'S DECISION. THE DECISION OF WHETHER OR NOT THE DISCLOSURE CONSTITUTES A CONFLICT WILL BE AT THE ESSENTIA HEALTH BOARD OF DIRECTOR'S (OR DESIGNEE) SOLE DISCRETION, AND ITS CONCERN MUST BE THE WELFARE OF ESSENTIA HEALTH AND ITS AFFILIATE(S) AND THE ADVANCEMENT OF ITS PURPOSES. WHEN THE ESSENTIA HEALTH BOARD OF DIRECTORS (OR DESIGNEE) CONSIDERS A FIDUCIARY'S DISCLOSURE AS A CONFLICT OF INTEREST, SPECIAL CONTROLS WILL BE IDENTIFIED TO MANAGE, ELIMINATE OR REDUCE THE LIKELIHOOD AND/OR APPEARANCE OF A CONFLICT ARISING. CONTROLS MAY INCLUDE, BUT ARE NOT LIMITED TO: A. IF THE CONFLICT INVOLVES AN ON-GOING MATTER OR RELATIONSHIP, THE FIDUCIARY MUST NOT PARTICIPATE IN BOARD, BOARD COMMITTEE, OR MANAGEMENT DISCUSSIONS RELATED TO THE CONFLICT AND MUST RECUSE THEMSELVES AND IF APPROPRIATE, WITHDRAW, FROM ANY BOARD MEETING OR PORTION THEREOF WHERE THE MATTER IS BEING DISCUSSED AND DURING THE VOTE ON THE POTENTIAL CONFLICT OF INTEREST. THE FIDUCIARY MAY ANSWER QUESTIONS AT THE BOARD'S OR THE BOARD COMMITTEE'S REQUEST. B. IF THE CONFLICT INVOLVES A SPECIFIC TRANSACTION OR DECISION, THE FIDUCIARY WILL FULLY DISCLOSE THEIR INTEREST AND ALL RELATED MATERIAL FACTS. THE BOARD OR COMMITTEE OF THE BOARD WILL DETERMINE WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO ESSENTIA HEALTH OR ITS AFFILIATE(S). IF THE BOARD DETERMINES A CONFLICT DOES NOT EXIST, THE FIDUCIARY MAY PROCEED WITH THE TRANSACTION; HOWEVER, HE OR SHE WILL NOT BE ELIGIBLE TO VOTE ON RELATED ISSUES SHOULD THEY ARISE. IF THE BOARD DETERMINES A CONFLICT DOES EXIST, THE FIDUCIARY WILL BE NOTIFIED OF THE DECISION REGARDING WHETHER THE CONTEMPLATED TRANSACTION WILL BE AUTHORIZED AS JUST, FAIR, AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION: THE INDEPENDENT EXECUTIVE COMPENSATION COMMITTEE OF ESSENTIA HEALTH'S BOARD OF DIRECTORS IS AUTHORIZED TO FULFILL THE BOARD'S RESPONSIBILITIES REGARDING EXECUTIVE COMPENSATION CONSISTENT WITH ESSENTIA'S MISSION, VALUES AND TAX-EXEMPT STATUS, AND THE EXECUTIVE COMPENSATION COMMITTEE'S CHARTER. THE EXECUTIVE COMPENSATION COMMITTEE MEETS AT LEAST TWICE ANNUALLY TO CARRY OUT ITS RESPONSIBILITIES, WHICH INCLUDE, BUT ARE NOT LIMITED TO, ESTABLISHING, REVIEWING AND MODIFYING, AS APPROPRIATE, REASONABLE COMPENSATION AND BENEFITS FOR DESIGNATED ESSENTIA EXECUTIVES WHO ARE OFFICERS OR KEY EMPLOYEES OF ESSENTIA OR ANY OF ITS AFFILIATES WHICH MAY BE PAID BY RELATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE ENGAGES QUALIFIED INDEPENDENT COMPENSATION ADVISORS TO PROVIDE OBJECTIVE AND IMPARTIAL COMPARATIVE DATA AND TO EXPRESS OPINIONS ON TOTAL COMPENSATION REASONABLENESS. THE EXECUTIVE COMPENSATION COMMITTEE MAY REQUEST ITS INDEPENDENT ADVISORS TO: MONITOR COMPARABILITY DATA AND MARKETPLACE TRENDS; MAKE APPROPRIATE RECOMMENDATIONS REGARDING SALARY RANGES; AND PERIODICALLY REVIEW THE MARKET COMPETITIVENESS OF ESSENTIA EXECUTIVE COMPENSATION PACKAGES. PRIOR TO ESTABLISHING OR ADJUSTING EXECUTIVE COMPENSATION, THE EXECUTIVE COMPENSATION COMMITTEE WILL OBTAIN AND RELY UPON APPROPRIATE DATA AS TO COMPARABILITY OF THE PROPOSED COMPENSATION OR ADJUSTMENTS. THE EXECUTIVE COMPENSATION COMMITTEE WILL ADEQUATELY DOCUMENT THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THOSE DETERMINATIONS. THE EXECUTIVE COMPENSATION COMMITTEE MINUTES WILL INCLUDE: THE TERMS OF THE APPROVED COMPENSATION AND THE DATE APPROVED; THE EXECUTIVE COMPENSATION COMMITTEE MEMBERS PRESENT DURING THE REVIEW, DISCUSSION AND APPROVAL OF THE PROPOSED COMPENSATION AND THOSE WHO VOTED ON THE PROPOSED COMPENSATION; IDENTIFICATION OF THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE EXECUTIVE COMPENSATION COMMITTEE AND HOW THE DATA WAS OBTAINED; ANY ACTIONS BY A MEMBER OF THE EXECUTIVE COMPENSATION COMMITTEE HAVING A CONFLICT OF INTEREST; AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. THE YEAR THIS PROCESS WAS LAST UNDERTAKEN FOR ESSENTIA HEALTH'S CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT, COO, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF HUMAN RESOURCE OFFICER, CHIEF LEGAL OFFICER, CHIEF NURSING OFFICER, AND CHIEF POPULATION HEALTH OFFICER; ESSENTIA HEALTH EAST'S PRESIDENT, CHIEF OPERATING OFFICER, AND CHIEF MEDICAL OFFICER; AND ESSENTIA HEALTH WEST'S PRESIDENT, CHIEF MEDICAL OFFICER, AND CHIEF OPERATING OFFICER WAS 2023. THE YEAR THIS PROCESS WAS LAST UNDERTAKEN FOR ESSENTIA HEALTH'S SENIOR VICE PRESIDENT OF INTEGRATED CARE DELIVERY WAS 2022.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE PUBLIC: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,861,399. MANAGEMENT AND GENERAL EXPENSES 18,603,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,465,116. TEMP AGENCY FEES: PROGRAM SERVICE EXPENSES 1,291,204. MANAGEMENT AND GENERAL EXPENSES 3,422,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,713,457. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 359,738. MANAGEMENT AND GENERAL EXPENSES 2,795,201. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,154,939. PATIENT LOAN PROGRAM FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,765,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,765,951. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,760,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,760,597. CONTRACT SERVICE MAINTENANCE: PROGRAM SERVICE EXPENSES 227. MANAGEMENT AND GENERAL EXPENSES 14,081. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,308. INTERCOMPANY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 193. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193.
FORM 990, PART XI, LINE 9:	EHIS DIVIDEND 5,000,000. NET ASSET TRANSFERS WITH RELATED ORGS 374,524. REVERSAL OF GRANT EXPENSES FROM PRIOR YEAR -34,996.
FORM 990, PART XII, LINE 3:	CONSOLIDATED UNIFORM GUIDANCE AUDIT: ESSENTIA HEALTH, AS PART OF ESSENTIA HEALTH'S CONSOLIDATED FINANCIAL STATEMENTS, WAS REQUIRED AND UNDERWENT A CONSOLIDATED AUDIT SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. THE CONSOLIDATED AUDIT IS REVIEWED BY THE ESSENTIA HEALTH AUDIT COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BRAINERD LAKES INTEGRATED HEALTH SYSTEM
2024 S 6TH ST	BRAINERD	MN	56401	371532145	SUPPORTING ORG	MN	501(C)(3)	LINE 12B, II	ESSENTIA HEALTH	Yes (1)
BRAINERD MEDICAL CENTER INC
2024 S 6TH ST	BRAINERD	MN	56401	371532148	CLINIC	MN	501(C)(3)	LINE 3	BRAINERD LAKES INTEGRATED HEALTH SYSTEM	Yes (1)
BRIDGES MEDICAL CENTER
201 9TH ST W	ADA	MN	56510	200479568	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	INNOVIS HEALTH LLC	Yes (1)
DEER RIVER HEALTHCARE CENTER INC
115 10TH AVE NE	DEER RIVER	MN	56636	410844574	HOSPITAL/CLINIC/SKILLED NURSING FACILITY	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)
ESSENTIA HEALTH FOUNDATION
502 E 2ND ST	DULUTH	MN	55805	271984704	FOUNDATION	MN	501(C)(3)	LINE 7	ESSENTIA HEALTH	Yes (1)
ESSENTIA HEALTH MOOSE LAKE
4572 COUNTY ROAD 61	MOOSE LAKE	MN	55767	845099016	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)
ESSENTIA HEALTH SURGERY CENTERS
502 E 2ND ST	DULUTH	MN	55805	881577422	SURGERY CENTER	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E 2ND ST	DULUTH	MN	55805	271291124	RESEARCH	MN	501(C)(3)	LINE 4	THE DULUTH CLINIC LTD	Yes (1)
FIRST CARE MEDICAL SERVICES
900 HILLIGOSS BLVD SE	FOSSTON	MN	56542	410706143	HOSPITAL/CLINIC/SKILLED NURSING FACILITY	MN	501(C)(3)	LINE 3	INNOVIS HEALTH LLC	Yes (1)
GRACEVILLE HEALTH CENTER
115 WEST 2ND ST	GRACEVILLE	MN	56240	410726173	HOSPITAL/CLINIC/SKILLED NURSING FACILITY	MN	501(C)(3)	LINE 3	INNOVIS HEALTH LLC	Yes (1)
INNOVIS HEALTH LLC
3000 32ND AVE S	FARGO	ND	58103	261175213	HOSPITAL/CLINIC	DE	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
502 E 2ND ST	DULUTH	MN	55805	411674021	MEDICAL EQUIPMENT	MN	501(C)(3)	LINE 10	ST MARY'S MEDICAL CENTER	Yes (1)
NORTHERN PINES MEDICAL CENTER
5211 HWY 110	AURORA	MN	55705	410841441	HOSPITAL/CLINIC/SKILLED NURSING FACILITY	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)
PINE MEDICAL CENTER
705 LUNDORFF DR S	SANDSTONE	MN	55072	411884597	HOSPITAL	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)
POLINSKY MEDICAL REHABILITATION CENTER
530 E 2ND ST	DULUTH	MN	55805	410691275	REHABILITATION SERVICES	MN	501(C)(3)	LINE 3	ST MARY'S MEDICAL CENTER	Yes (1)
SMDC MEDICAL CENTER
502 E 2ND ST	DULUTH	MN	55805	411878730	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)
ST JOSEPH'S MEDICAL CENTER
523 N 3RD ST	BRAINERD	MN	56401	410695602	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	BRAINERD LAKES INTEGRATED HEALTH SYSTEM	Yes (1)
ST MARY'S DULUTH CLINIC HEALTH SYSTEM
502 E 2ND ST	DULUTH	MN	55805	411836633	SUPPORTING ORG	MN	501(C)(3)	LINE 12B, II	ESSENTIA HEALTH	Yes (1)
ST MARY'S EMS
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	411805811	EMERGENCY SERVICES	MN	501(C)(3)	LINE 10	INNOVIS HEALTH LLC	Yes (1)
ST MARY'S HOSPITAL OF SUPERIOR
3500 TOWER AVE	SUPERIOR	WI	54880	411811073	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ST MARY'S MEDICAL CENTER	Yes (1)
ST MARY'S INNOVIS HEALTH
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	262861321	PHARMACY	MN	501(C)(3)	LINE 3	INNOVIS HEALTH LLC	Yes (1)
ST MARY'S MEDICAL CENTER
402 E 2ND ST	DULUTH	MN	55805	410695604	HOSPITAL	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)
ST MARY'S REGIONAL HEALTH CENTER
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	411620386	HOSPITAL/CLINIC/SKILLED NURSING FACILITY	MN	501(C)(3)	LINE 3	INNOVIS HEALTH LLC	Yes (1)
THE DULUTH CLINIC LTD
400 E 3RD ST	DULUTH	MN	55805	410883623	CLINIC	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
PMC-GATEWAY IMAGING LLC THRU 1132022
705 LUNDORFF DR S	SANDSTONE	MN	55072	261634764	IMAGING SERVICES	MN	N/A	N/A	0	0
HORSESHOE SURGERY CENTER LLC
1542 GOLF COURSE ROAD	GRAND RAPIDS	MN	55744	202137172	SURGERY CENTER	MN	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
ESSENTIA HEALTH INSURANCE SERVICES SPC LTD
PO BOX 1159	GRAND CAYMAN	CJ	K71-1102	000000000	SELF INSURANCE	CJ	N/A	C	$21,588,020	$57,645,460	1.00000	Yes (1)
MID DAKOTA CLINIC INC
				450311334	CLINIC OPERATIONS CEASED 9/30/22		N/A	C				Yes (1)	502 E 2ND ST	DULUTH	MN	55805	ND

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (56 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINERD MEDICAL CENTER INC
L	$2,719,308	ACTUAL COSTS
BRAINERD MEDICAL CENTER INC
Q	$865,585	ACTUAL COSTS
BRIDGES MEDICAL CENTER
L	$1,091,100	ACTUAL COSTS
BRIDGES MEDICAL CENTER
Q	$685,440	ACTUAL COSTS
BRIDGES MEDICAL CENTER
S	$1,000,000	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
L	$4,656,060	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
Q	$2,183,921	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
S	$1,750,000	ACTUAL COSTS
ESSENTIA HEALTH FOUNDATION
Q	$175,835	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
F	$5,000,000	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
P	$17,260,600	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
Q	$11,448,098	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
L	$4,078,524	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
Q	$2,331,116	ACTUAL COSTS
ESSENTIA HEALTH SURGERY CENTERS
L	$1,478,148	ACTUAL COSTS
ESSENTIA HEALTH SURGERY CENTERS
Q	$189,466	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
L	$682,224	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
Q	$1,067,434	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
S	$450,000	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
L	$3,502,788	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
Q	$1,730,347	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
L	$1,267,536	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
Q	$968,711	ACTUAL COSTS
INNOVIS HEALTH LLC
L	$56,050,212	ACTUAL COSTS
INNOVIS HEALTH LLC
Q	$35,057,274	ACTUAL COSTS
INNOVIS HEALTH LLC
S	$2,000,000	ACTUAL COSTS
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
L	$130,363	ACTUAL COSTS
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
Q	$15,340,662	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
L	$2,210,424	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
Q	$1,107,109	ACTUAL COSTS
PINE MEDICAL CENTER
L	$2,018,448	ACTUAL COSTS
PINE MEDICAL CENTER
Q	$1,043,814	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
L	$1,413,444	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
Q	$1,374,307	ACTUAL COSTS
SMDC MEDICAL CENTER
L	$76,167,689	ACTUAL COSTS
SMDC MEDICAL CENTER
Q	$42,041,443	ACTUAL COSTS
SMDC MEDICAL CENTER
S	$12,250,000	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
L	$28,268,424	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
Q	$14,222,889	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
S	$1,550,000	ACTUAL COSTS
ST MARY'S EMS
L	$1,004,736	ACTUAL COSTS
ST MARY'S EMS
Q	$796,024	ACTUAL COSTS
ST MARY'S EMS
S	$950,000	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
L	$9,042,516	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
Q	$4,957,524	ACTUAL COSTS
ST MARY'S INNOVIS HEALTH
L	$517,908	ACTUAL COSTS
ST MARY'S INNOVIS HEALTH
Q	$114,955	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
L	$56,522,208	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
Q	$29,733,450	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
S	$34,750,000	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
L	$17,614,716	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
Q	$10,632,346	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
S	$12,000,000	ACTUAL COSTS
THE DULUTH CLINIC LTD
D	$151,363	ACTUAL COSTS
THE DULUTH CLINIC LTD
L	$21,349,500	ACTUAL COSTS
THE DULUTH CLINIC LTD
Q	$5,924,421	ACTUAL COSTS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II, COLUMN (A):	FormAndLineReferenceDesc
Explanation	THE FOLLOWING ESSENTIA HEALTH ENTITIES HAVE A DOING BUSINESS AS NAME: LEGAL NAME; DOING BUSINESS AS NAME BRAINERD MEDICAL CENTER, INC.; ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC BRIDGES MEDICAL CENTER; ESSENTIA HEALTH ADA DEER RIVER HEALTHCARE CENTER, INC.; ESSENTIA HEALTH DEER RIVER FIRST CARE MEDICAL SERVICES; ESSENTIA HEALTH FOSSTON GRACEVILLE HEALTH CENTER; ESSENTIA HEALTH HOLY TRINITY HOSPITAL INNOVIS HEALTH, LLC; ESSENTIA HEALTH WEST MIDWEST MEDICAL EQUIPMENT AND SUPPLIES, INC.; ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES NORTHERN PINES MEDICAL CENTER; ESSENTIA HEALTH NORTHERN PINES PINE MEDICAL CENTER; ESSENTIA HEALTH SANDSTONE POLINSKY MEDICAL REHABILITATION CENTER; ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER SMDC MEDICAL CENTER; ESSENTIA HEALTH DULUTH ST. JOSEPH'S MEDICAL CENTER; ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER ST. MARY'S DULUTH CLINIC HEALTH SYSTEM; ESSENTIA HEALTH EAST ST. MARY'S EMS; ESSENTIA HEALTH EMS ST. MARY'S HOSPITAL OF SUPERIOR; ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR ST. MARY'S MEDICAL CENTER; ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER ST. MARY'S REGIONAL HEALTH CENTER; ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES	ExplanationTxt