ESSENTIA HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ESSENTIA HEALTH (EIN 20-0360007)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-06
IRS object ID: 202531269349302468
Schema version: 2023v6.0
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	2025-05-06T14:13:40-05:00	ReturnTs
Tax Period End	2024-06-30	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	2023-07-01	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	2025-05-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$502,152,092	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3457	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$7,959,857	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$463,847	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$557,769	PYContributionsGrantsAmt
CY Contributions Grants	$379,975	CYContributionsGrantsAmt
PY Program Service Revenue	$326,854,490	PYProgramServiceRevenueAmt
CY Program Service Revenue	$339,765,124	CYProgramServiceRevenueAmt
PY Investment Income	$12,475,106	PYInvestmentIncomeAmt
CY Investment Income	$20,626,715	CYInvestmentIncomeAmt
PY Other Revenue	$8,321,740	PYOtherRevenueAmt
CY Other Revenue	$9,104,446	CYOtherRevenueAmt
PY Total Revenue	$348,209,105	PYTotalRevenueAmt
CY Total Revenue	$369,876,260	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$256,341,805	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$279,765,776	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,824,369	PYOtherExpensesAmt
CY Other Expenses	$70,606,250	CYOtherExpensesAmt
PY Total Expenses	$340,166,174	PYTotalExpensesAmt
CY Total Expenses	$350,377,026	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,042,931	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,499,234	CYRevenuesLessExpensesAmt
Total Assets BOY	$723,173,585	TotalAssetsBOYAmt
Total Assets EOY	$869,746,602	TotalAssetsEOYAmt
Total Liabilities BOY	$294,668,684	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$369,547,738	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$428,504,901	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$500,198,864	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	$174,214,564	ExpenseAmt
Grant	$5,000	GrantAmt
Revenue	$339,765,124	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 16,000 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 80 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, 2024, THE SYSTEM'S CONSOLIDATED TOTAL OPERATING REVENUE WAS $2,983,758,000 AND CONSOLIDATED INCOME FROM OPERATIONS WAS $20,404,000.THE SYSTEM'S HOSPITALS HAVE A TOTAL OF 1,202 LICENSED BEDS WHICH PROVIDED NEARLY 207,000 HOSPITAL PATIENT DAYS AND OVER 772,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2024. THE CLINICS HAD 2.1 MILLION ENCOUNTERS DURING THE SAME TIME PERIOD.DURING THE FISCAL YEAR ENDED JUNE 30, 2024, THE SYSTEM PROVIDED TOTAL COMMUNITY BENEFITS OF $178 MILLION WHICH INCLUDED COSTS OF PROVIDING CHARITY CARE, COSTS IN EXCESS OF MEDICAID PAYMENTS, MEDICAID SURCHARGE, MINNESOTACARE TAX, COMMUNITY BUILDING ACTIVITIES AND SERVICES, HEALTH PROFESSIONALS EDUCATION, AND RESEARCH.	Desc
Total Program Service Expenses	$174,214,564	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	695	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3457	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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 (44 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	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID HERMAN MD
CHIEF EXECUTIVE OFFICER	60.00	0.00	Yes (X)	$3,045,950	$0	$361,993
JODI MANSFIELD
EXECUTIVE VICE PRESIDENT, COO	60.00	0.00		$1,450,081	$0	$181,697	Yes (X)
LLOYD KETCHUM MD
BD DIRECTOR/REL ORG PHYS & DIV CHAIR	3.00	57.00		$0	$1,188,768	$68,263		Yes (X)
BRADLEY BEARD
CHIEF OPERATING OFFICER - EAST	1.00	59.00		$0	$1,073,967	$159,414	Yes (X)
WILLIAM HEEGAARD MD
PRES-EAST THRU 4/24/FRMR PRES-WEST	1.00	59.00		$0	$879,244	$182,878	Yes (X)
TRACI MORRIS
CHIEF FINANCIAL OFFICER/TREASURER	42.00	18.00	Yes (X)	$900,190	$0	$125,852
KARYN BAUM MD
CHIEF TRANSFORMATION OFF THRU 1/24	60.00	0.00		$827,055	$0	$151,032			Yes (X)
KEVIN CASEY MD
CHIEF MEDICAL OFFICER THRU 10/23	57.00	3.00		$828,826	$0	$141,717	Yes (X)
DANIEL NIKCEVICH MD
FORMER PRESIDENT - EAST	0.00	60.00		$0	$838,948	$60,230				Yes (X)
RICHARD VETTER MD
INTERIM PRES-WEST THRU 8/23/CMO-WEST	1.00	59.00		$0	$725,972	$131,548	Yes (X)
AL HURLEY
CHIEF OPERATING OFFICER - WEST	1.00	59.00		$0	$741,059	$111,212	Yes (X)
DIANE DAVIDSON
CHIEF HUMAN RESOURCES OFF THRU 4/24	60.00	0.00		$685,804	$0	$134,402	Yes (X)
ROBERT GREEN
SNR VICE PRES, FINANCIAL OPERATIONS	60.00	0.00		$645,032	$0	$140,047			Yes (X)
CHARLES WATSON
CHIEF INFORMATION OFFICER	60.00	0.00		$645,626	$0	$134,073			Yes (X)
MICHAEL WATTERS
CHIEF LEGAL OFFICER/SECRETARY	42.00	18.00	Yes (X)	$645,998	$0	$132,655
ANNE STEPHEN MD
CHIEF MEDICAL OFF - EAST THRU 5/24	1.00	59.00		$0	$644,847	$124,684	Yes (X)
RHONDA KAZIK
CHIEF NURSE EXECUTIVE	54.00	6.00		$0	$555,556	$115,867	Yes (X)
MELANIE WILSON
SENIOR VICE PRES, REVENUE SERVICES	60.00	0.00		$539,144	$0	$123,370			Yes (X)
SARAH MANNEY KURTH MD
CHIEF MEDICAL INFORMATION OFFICER	60.00	0.00		$507,408	$0	$120,626			Yes (X)
JON PRYOR MD
PRESIDENT - EAST THRU 1/23	0.00	5.00		$0	$591,355	$9,781	Yes (X)
STEFANIE GEFROH ELLISON MD
BD DIRECT/REL ORG INTERIM CMO & PHYS	3.00	57.00		$0	$488,999	$68,680		Yes (X)
KRISTA SKORUPA MD
PRESIDENT - EAST	1.00	59.00		$0	$469,439	$86,202	Yes (X)
GRATIA PITCHER MD
CHIEF MEDICAL OFFICER	60.00	0.00		$472,648	$0	$58,675	Yes (X)
JANE RUDD MD
BD DIRECTOR/REL ORG PHYS & DIV CHAIR	3.00	57.00		$20,000	$304,188	$64,683		Yes (X)
MARK THOMPSON MD
PRESIDENT - WEST	1.00	59.00		$0	$258,393	$47,471	Yes (X)
FRANK MODICH
FORMER INTERIM CHIEF LEGAL OFFICER	60.00	0.00		$260,107	$0	$26,520				Yes (X)
SHEILA HART
SNR VP-INT CARE DELIVERY THRU 3/23	60.00	0.00		$222,155	$0	$14,938	Yes (X)
ROBERT NORMAN
FORMER CHIEF FINANCIAL OFFICER	0.00	0.00		$216,000	$0	$0				Yes (X)
PETER HENRY MD
FORMER CHIEF MEDICAL OFFICER	0.00	60.00		$0	$118,625	$8,098				Yes (X)
JOHN SMYLIE
FORMER CHIEF OPERATING OFFICER	0.00	0.00		$120,000	$0	$0				Yes (X)
TIMOTHY SAYLER
FRMR CHIEF OPERATING OFFICER - WEST	0.00	0.00		$0	$116,149	$0				Yes (X)
ALAN HODNIK
BOARD CHAIR	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)
KIMBERLY STOKES
BOARD DIRECTOR	3.00	1.00		$30,000	$0	$0		Yes (X)
LAURIE LEWANDOWSKI
BOARD DIRECTOR	3.00	6.00		$24,500	$0	$0		Yes (X)
DAVID GADDIE
BOARD DIRECTOR THRU 12/23	3.00	0.00		$20,000	$0	$0		Yes (X)
DEAN AGER
BOARD DIRECTOR THRU 12/23	3.00	0.00		$20,000	$0	$0		Yes (X)
JAMES ANDERSON
BOARD DIRECTOR THRU 12/23	3.00	0.00		$20,000	$0	$0		Yes (X)
MARK RONNEI
BOARD DIRECTOR	3.00	0.00		$20,000	$0	$0		Yes (X)
WALTER LEINO MD
BOARD DIRECTOR THRU 12/23	3.00	0.00		$20,000	$0	$0		Yes (X)
SISTER BEVERLY RAWAY
BOARD DIRECTOR	3.00	12.00		$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	$12,291,524	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,995,509	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,086,608	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	271	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
MCGOUGH CONSTRUCTION
2737 FAIRVIEW AVE N	ST PAUL	MN	55113	CONSTRUCTION SERVICES	$74,004,176
AMN HEALTHCARE INC
12400 HIGH BLUFF DR STE 100	SAN DIEGO	CA	92130	MEDICAL STAFFING	$36,262,488
PHILIPS HEALTHCARE
3000 MINUTEMAN ROAD	ANDOVER	MA	01810	MEDICAL EQUIPMENT SUPPORT SERVICES	$16,420,751
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	MEDICAL STAFFING	$13,627,908
RJ RYAN CONSTRUCTION INC
1100 MENDOTA HEIGHTS RD	MENDOTA HEIGHTS	MN	55120	CONSTRUCTION SERVICES	$11,984,152

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	293	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,412	RelatedOrganizationsAmt
Government Grants	$372,563	GovernmentGrantsAmt
All Other Contributions	$5,000	AllOtherContributionsAmt
Total Contributions	$379,975	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SUPPORT REVENUE	Desc
Business	541610	BusinessCd
Total Revenue Column	$339,765,124	TotalRevenueColumnAmt
Related Or Exempt Func Income	$339,765,124	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$339,765,124	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,396,515	TotalRevenueColumnAmt
Unrelated Business Revenue	-$613,696	UnrelatedBusinessRevenueAmt
Exclusion	$15,010,211	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$134,772,261	SecuritiesAmt
Other	$3,733,771	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$132,254,095	SecuritiesAmt
Other	$21,737	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,518,166	SecuritiesAmt
Other	$3,712,034	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,230,200	TotalRevenueColumnAmt
Exclusion	$6,230,200	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SYSTEM ACCESS/USE REVENUE	541519	$8,573,553	$8,573,553
SETTLEMENTS	900099	$523,786		$523,786
MISCELLANEOUS	900099	$5,075		$5,075

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,032	TotalRevenueColumnAmt
Exclusion	$2,032	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,104,446	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,876,260	TotalRevenueColumnAmt
Related Or Exempt Func Income	$339,765,124	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,959,857	UnrelatedBusinessRevenueAmt
Exclusion	$21,771,304	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,864,513	TotalAmt
Program Services	$61,819	ProgramServicesAmt
Management And General	$9,802,694	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$75,522	TotalAmt
Program Services	$75,522	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$209,886,189	TotalAmt
Program Services	$114,242,952	ProgramServicesAmt
Management And General	$95,643,237	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,146,321	TotalAmt
Program Services	$5,179,370	ProgramServicesAmt
Management And General	$2,966,951	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,091,184	TotalAmt
Program Services	$20,708,352	ProgramServicesAmt
Management And General	$16,382,832	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,702,047	TotalAmt
Program Services	$8,144,148	ProgramServicesAmt
Management And General	$6,557,899	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,917,850	TotalAmt
Management And General	$3,917,850	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$518,188	TotalAmt
Management And General	$518,188	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$518,833	TotalAmt
Management And General	$518,833	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,178,227	TotalAmt
Management And General	$1,178,227	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,035,132	TotalAmt
Program Services	$10,458,202	ProgramServicesAmt
Management And General	$20,576,930	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,793,499	TotalAmt
Program Services	$6,093,569	ProgramServicesAmt
Management And General	$699,930	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,701,625	TotalAmt
Program Services	$973,152	ProgramServicesAmt
Management And General	$10,728,473	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,896,264	TotalAmt
Program Services	$3,753,699	ProgramServicesAmt
Management And General	$3,142,565	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$135,676	TotalAmt
Program Services	$73,850	ProgramServicesAmt
Management And General	$61,826	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,899,758	TotalAmt
Program Services	$836,847	ProgramServicesAmt
Management And General	$1,062,911	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$450,868	TotalAmt
Program Services	$293,860	ProgramServicesAmt
Management And General	$157,008	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$745,801	TotalAmt
Program Services	$745,801	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,847,727	TotalAmt
Program Services	$1,005,735	ProgramServicesAmt
Management And General	$841,992	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UNRELATED BUSINESS TAX	-$270,622	-$270,622
DUES	$831,825	$412,453	$419,372
PUBLICATIONS & SUBSCRIP	$797,728	-$10,311	$808,039
FEDERAL EXCISE TAX	$652,470	$652,470

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$955,401	TotalAmt
Program Services	$335,275	ProgramServicesAmt
Management And General	$620,126	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$350,377,026	TotalAmt
Program Services	$174,214,564	ProgramServicesAmt
Management And General	$176,162,462	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,339,962	BOYAmt
EOY	$1,339,619	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$59,902,579	BOYAmt
EOY	$118,276,666	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,600,363	BOYAmt
EOY	$16,095,265	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,290,211	BOYAmt
EOY	$7,326,617	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,339,896	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$13,470,678	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,302,652	BOYAmt
EOY	$35,869,218	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$33,033	BOYAmt
EOY	$2,280	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$451,201,985	BOYAmt
EOY	$486,821,935	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	$7,202,430	BOYAmt
EOY	$6,301,014	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$119,730,053	BOYAmt
EOY	$140,143,671	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$723,173,585	BOYAmt
EOY	$869,746,602	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$115,769,932	BOYAmt
EOY	$132,186,930	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,448,996	BOYAmt
EOY	$261,257	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,480,431	BOYAmt
EOY	$47,583,206	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,684,747	BOYAmt
EOY	$10,237,396	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$118,284,578	BOYAmt
EOY	$179,278,949	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$294,668,684	BOYAmt
EOY	$369,547,738	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	$428,504,901	BOYAmt
EOY	$500,198,864	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$428,504,901	BOYAmt
EOY	$500,198,864	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$723,173,585	BOYAmt
EOY	$869,746,602	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,499,234	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,372,314	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$19,822,415	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)	$3,657,167	$0
BRIDGES MEDICAL CENTER
200479568	3	Yes (1)	$1,313,518	$0
DEER RIVER HEALTHCARE CENTER INC
410844574	3	Yes (1)	$5,206,030	$0
ESSENTIA HEALTH FOUNDATION
271984704	7	Yes (1)	$143,379	$0
ESSENTIA HEALTH MOOSE LAKE
845099016	3	Yes (1)	$4,903,266	$0
ESSENTIA HEALTH SURGERY CENTERS
881577422	3	Yes (1)	$1,176,151	$0
ESSENTIA INSTITUTE OF RURAL HEALTH
271291124	4	Yes (1)	$990,355	$0
FIRST CARE MEDICAL SERVICES
410706143	3	Yes (1)	$3,753,811	$0
GRACEVILLE HEALTH CENTER
410726173	3	Yes (1)	$1,348,214	$0
INNOVIS HEALTH LLC
261175213	3	Yes (1)	$69,063,428	$0
NORTHERN PINES MEDICAL CENTER
410841441	3	Yes (1)	$2,753,137	$0
PINE MEDICAL CENTER
411884597	3	Yes (1)	$2,774,919	$0
POLINSKY MEDICAL REHABILITATION CENTER
410691275	3	Yes (1)	$789,764	$0
SMDC MEDICAL CENTER
411878730	3	Yes (1)	$88,066,993	$0
ST JOSEPH'S MEDICAL CENTER
410695602	3	Yes (1)	$32,151,608	$0
ST MARY'S EMS
411805811	10	Yes (1)	$1,377,635	$0
ST MARY'S HOSPITAL OF SUPERIOR
411811073	3	Yes (1)	$12,344,705	$0
ST MARY'S INNOVIS HEALTH
262861321	3	Yes (1)	$1,101,984	$0
ST MARY'S MEDICAL CENTER
410695604	3	Yes (1)	$62,809,315	$0
ST MARY'S REGIONAL HEALTH CENTER
411620386	3	Yes (1)	$19,927,118	$0
THE DULUTH CLINIC LTD
410883623	3	Yes (1)	$34,495,993	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	21	SupportedOrganizationsTotalCnt
Support Sum	$350,148,490	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	Yes (1)	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 (5 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 A, LINE 6:	SUPPORT TO OTHER ORGANIZATIONS: ESSENTIA HEALTH MADE A CONTRIBUTION TO AN UNRELATED ORGANIZATION THAT ALIGNS WITH ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS' MISSIONS.
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	$45,271	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$518,833	OtherActivitiesAmt
Total Lobbying Expenditures	$564,104	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	DURING FY 2024, ESSENTIA HEALTH EMPLOYED THREE FULL-TIME IN-HOUSE PUBLIC POLICY INDIVIDUALS AND 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. THIS ALSO INCLUDED EMPLOYEE-LED ADVOCACY EFFORTS THROUGH OUR ESSENTIA HEALTH ADVOCACY NETWORK. 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 PRIOR AUTHORIZATION REFORM 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	$15,438	DepreciationAmt
Book Value	$1,512	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,304,801	OtherCostOrOtherBasisAmt
Depreciation	$13,455,240	DepreciationAmt
Book Value	$1,849,561	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,018,145	OtherCostOrOtherBasisAmt
Book Value	$34,018,145	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,869,218	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
POOLED INVESTMENT FUNDS	$480,219,165	F
BOND CONSTRUCTION FUND	$6,602,770	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$486,821,935	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 (5 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION FUND	$133,441,949
REINSURANCE RECEIVABLE	$3,504,710
RECEIVABLES FROM RELATED ORGS	$3,121,262
DEFERRED TAX ASSET	$2,467,488
DEFERRED TAX ALLOWANCE	-$2,391,738

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$140,143,671	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
BENEFIT PLAN LIABILITY	$133,441,949
PAYABLES TO RELATED ORGS	$45,807,463
UNCLAIMED PROPERTY	$29,537

Field	Value	IRS element (for citing)
Total Liability	$179,278,949	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	INVESTMENTS	$187,572,058
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	PROGRAM SERVICES	$17,706,194	SELF INDEMNITY
NORTH AMERICA	SEND AGENTS TO SEMINAR	$2,113

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	$205,280,365	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$205,280,365	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

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	Yes (1)	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 (31 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	$1,695,888	$0	$1,026,207	$0	$323,855	$0	$358,867	$0	$3,126	$0	$3,407,943	$0	$309,577	$0
JODI MANSFIELD
EXECUTIVE VICE PRESIDENT, COO	$1,024,301	$0	$226,802	$0	$198,978	$0	$180,129	$0	$1,568	$0	$1,631,778	$0	$136,882	$0
LLOYD KETCHUM MD
BD DIRECTOR/REL ORG PHYS & DIV CHAIR	$0	$1,183,975	$0	$0	$0	$4,793	$0	$26,400	$0	$41,863	$0	$1,257,031	$0	$0
BRADLEY BEARD
CHIEF OPERATING OFFICER - EAST	$0	$623,960	$0	$141,083	$0	$308,924	$0	$117,040	$0	$42,374	$0	$1,233,381	$0	$282,744
WILLIAM HEEGAARD MD
PRES-EAST THRU 4/24/FRMR PRES-WEST	$0	$692,531	$0	$175,228	$0	$11,485	$0	$140,520	$0	$42,358	$0	$1,062,122	$0	$0
TRACI MORRIS
CHIEF FINANCIAL OFFICER/TREASURER	$669,563	$0	$146,723	$0	$83,904	$0	$123,590	$0	$2,262	$0	$1,026,042	$0	$63,527	$0
KARYN BAUM MD
CHIEF TRANSFORMATION OFF THRU 1/24	$671,183	$0	$151,870	$0	$4,002	$0	$122,994	$0	$28,038	$0	$978,087	$0	$0	$0
KEVIN CASEY MD
CHIEF MEDICAL OFFICER THRU 10/23	$544,746	$0	$151,370	$0	$132,710	$0	$111,701	$0	$30,016	$0	$970,543	$0	$0	$0
DANIEL NIKCEVICH MD
FORMER PRESIDENT - EAST	$0	$782,526	$0	$0	$0	$56,422	$0	$22,699	$0	$37,531	$0	$899,178	$0	$47,365
RICHARD VETTER MD
INTERIM PRES-WEST THRU 8/23/CMO-WEST	$0	$557,980	$0	$104,855	$0	$63,137	$0	$90,376	$0	$41,172	$0	$857,520	$0	$44,511
AL HURLEY
CHIEF OPERATING OFFICER - WEST	$0	$437,036	$0	$98,285	$0	$205,738	$0	$85,036	$0	$26,176	$0	$852,271	$0	$184,950
DIANE DAVIDSON
CHIEF HUMAN RESOURCES OFF THRU 4/24	$505,512	$0	$111,333	$0	$68,959	$0	$101,036	$0	$33,366	$0	$820,206	$0	$54,770	$0
ROBERT GREEN
SNR VICE PRES, FINANCIAL OPERATIONS	$528,350	$0	$105,198	$0	$11,484	$0	$100,969	$0	$39,078	$0	$785,079	$0	$0	$0
CHARLES WATSON
CHIEF INFORMATION OFFICER	$520,804	$0	$117,295	$0	$7,527	$0	$99,948	$0	$34,125	$0	$779,699	$0	$0	$0
MICHAEL WATTERS
CHIEF LEGAL OFFICER/SECRETARY	$489,927	$0	$111,318	$0	$44,753	$0	$93,066	$0	$39,589	$0	$778,653	$0	$28,999	$0
ANNE STEPHEN MD
CHIEF MEDICAL OFF - EAST THRU 5/24	$0	$471,933	$0	$107,579	$0	$65,335	$0	$92,380	$0	$32,304	$0	$769,531	$0	$52,101
RHONDA KAZIK
CHIEF NURSE EXECUTIVE	$0	$450,726	$0	$97,962	$0	$6,868	$0	$88,083	$0	$27,784	$0	$671,423	$0	$0
MELANIE WILSON
SENIOR VICE PRES, REVENUE SERVICES	$437,809	$0	$99,001	$0	$2,334	$0	$86,067	$0	$37,303	$0	$662,514	$0	$0	$0
SARAH MANNEY KURTH MD
CHIEF MEDICAL INFORMATION OFFICER	$393,596	$0	$90,001	$0	$23,811	$0	$79,444	$0	$41,182	$0	$628,034	$0	$0	$0
JON PRYOR MD
PRESIDENT - EAST THRU 1/23	$0	$107,717	$0	$120,323	$0	$363,315	$0	$7,713	$0	$2,068	$0	$601,136	$0	$0
STEFANIE GEFROH ELLISON MD
BD DIRECT/REL ORG INTERIM CMO & PHYS	$0	$484,549	$0	$0	$0	$4,450	$0	$26,400	$0	$42,280	$0	$557,679	$0	$0
KRISTA SKORUPA MD
PRESIDENT - EAST	$0	$389,189	$0	$78,395	$0	$1,855	$0	$70,901	$0	$15,301	$0	$555,641	$0	$0
GRATIA PITCHER MD
CHIEF MEDICAL OFFICER	$445,417	$0	$0	$0	$27,231	$0	$33,631	$0	$25,044	$0	$531,323	$0	$0	$0
JANE RUDD MD
BD DIRECTOR/REL ORG PHYS & DIV CHAIR	$20,000	$302,823	$0	$0	$0	$1,365	$0	$25,200	$0	$39,483	$20,000	$368,871	$0	$0
MARK THOMPSON MD
PRESIDENT - WEST	$0	$184,312	$0	$50,000	$0	$24,081	$0	$37,334	$0	$10,137	$0	$305,864	$0	$0
FRANK MODICH
FORMER INTERIM CHIEF LEGAL OFFICER	$241,598	$0	$18,155	$0	$354	$0	$12,436	$0	$14,084	$0	$286,627	$0	$0	$0
SHEILA HART
SNR VP-INT CARE DELIVERY THRU 3/23	$80,001	$0	$67,596	$0	$74,558	$0	$8,069	$0	$6,869	$0	$237,093	$0	$39,691	$0
ROBERT NORMAN
FORMER CHIEF FINANCIAL OFFICER	$0	$0	$0	$0	$216,000	$0	$0	$0	$0	$0	$216,000	$0	$0	$0
PETER HENRY MD
FORMER CHIEF MEDICAL OFFICER	$0	$98,223	$0	$0	$0	$20,402	$0	$7,876	$0	$222	$0	$126,723	$0	$20,402
JOHN SMYLIE
FORMER CHIEF OPERATING OFFICER	$0	$0	$0	$0	$120,000	$0	$0	$0	$0	$0	$120,000	$0	$0	$0
TIMOTHY SAYLER
FRMR CHIEF OPERATING OFFICER - WEST	$0	$0	$0	$0	$0	$116,149	$0	$0	$0	$0	$0	$116,149	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BENEFITS PROVIDED: DURING CALENDAR YEAR 2023, CHARTER TRAVEL WAS USED BY TWO OFFICERS, ONE KEY EMPLOYEE, AND ONE FORMER KEY EMPLOYEE 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 2023, KEY EMPLOYEE JODI MANSFIELD RECEIVED A HOUSING ALLOWANCE. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION.
PART I, LINES 4A-B	KEY EMPLOYEE KEVIN CASEY, MD RECEIVED PAYMENTS TOTALING $129,325 IN CALENDAR YEAR 2023 RELATED TO A TERMINATION AGREEMENT. UNDER THE TERMS OF THE AGREEMENT, CASEY WILL RECEIVE PAY TOTALING $1,029,319 & BENEFITS TOTALING $33,928 FROM OCTOBER 9, 2023 TO APRIL 8, 2025. ALL OTHER INDIVIDUALS LISTED AS FORMERS IN FORM 990, PART VII, SECTION A, LINE 1A DID NOT RECEIVE A SEVERANCE PAYMENT DURING CALENDAR YEAR 2023. SOME OF THESE INDIVIDUALS REMAIN EMPLOYED WITHIN ESSENTIA HEALTH AND ITS SUBSIDIARIES. 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 $309,577 JODI MANSFIELD $136,882 BRADLEY BEARD $297,439 TRACI MORRIS $79,902 DANIEL NIKCEVICH, MD $50,786 RICHARD VETTER, MD $52,278 AL HURLEY $195,546 DIANE DAVIDSON $54,770 MICHAEL WATTERS $33,314 ANNE STEPHEN, MD $54,159 JON PRYOR, MD $361,146 SHEILA HART $39,691 PETER HENRY, MD $20,402 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 $332,467 JODI MANSFIELD $153,729 BRADLEY BEARD $90,640 WILLIAM HEEGAARD, MD $103,603 TRACI MORRIS $97,190 KARYN BAUM, MD $96,594 KEVIN CASEY, MD $85,301 RICHARD VETTER, MD $63,976 AL HURLEY $59,141 DIANE DAVIDSON $74,636 ROBERT GREEN $74,569 CHARLES WATSON $73,548 MICHAEL WATTERS $68,732 ANNE STEPHEN, MD $65,980 RHONDA KAZIK $61,683 MELANIE WILSON $59,667 SARAH MANNEY KURTH, MD $53,044 KRISTA SKORUPA, MD $44,501 GRATIA PITCHER, MD $7,680 MARK THOMPSON, MD $37,334
PART I, LINE 8	INITIAL CONTRACT EXCEPTION: ESSENTIA HEALTH'S CHIEF MEDICAL OFFICER, GRATIA PITCHER, MD, RECEIVED COMPENSATION DURING THE YEAR UNDER AN INITIAL EMPLOYMENT AGREEMENT SUBJECT TO THE INITIAL CONTRACT EXCEPTION. THROUGH THE ESSENTIA HEALTH EXECUTIVE COMPENSATION COMMITTEE, THIS COMPENSATION ARRANGEMENT WAS REVIEWED AND APPROVED BY INDEPENDENT PERSONS USING COMPARABILITY DATA; 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	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$3,776,805	$32,652	$3,744,153	2023	Yes (1)	Yes (1)	Yes (1)
B	$3,985,800	$14,300	$3,971,500	2020	Yes (1)	Yes (1)	Yes (1)
C	$851,175	$7,800	$843,375	2020	Yes (1)	Yes (1)	Yes (1)
D	$7,602,074	$46,800	$7,555,274	2020	Yes (1)	Yes (1)	Yes (1)	$3,598,400

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 ISSUER NAME: MN AGRICULTURAL AND ECONOMIC DEVELOPMENT BRD DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2024
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, 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, 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, 2020A, 2020B, 2020C, AND 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, 2020A, 2020B, 2020C, AND 2023C BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. A PORTION OF THE SERIES 2018A, 2020A, 2020B, 2020C, AND 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	$36,366,724	TotalProceedsAmt
Issuance Costs From Proceeds	$222,523	IssuanceCostsFromProceedsAmt
Capital Expenditures	$29,541,431	CapitalExpendituresAmt
Unspent	$6,602,770	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	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	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	RELATED TO DANIEL NIKCEVICH, MD	RelationshipDescriptionTxt
Transaction	$75,522	TransactionAmt
Transaction	COMPENSATION OF FAMILY MEMBER OF FORMER KEY EMPLOYEE	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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 7A	MEMBER 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 2023 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 2023 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. THIS PROCESS WAS LAST UNDERTAKEN IN 2024 FOR ESSENTIA HEALTH'S CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT, COO, CHIEF FINANCIAL OFFICER, CHIEF HUMAN RESOURCE OFFICER, CHIEF LEGAL OFFICER, CHIEF NURSE EXECUTIVE, AND CHIEF MEDICAL OFFICER; ESSENTIA HEALTH EAST'S CHIEF OPERATING OFFICER, CHIEF MEDICAL OFFICER, AND PRESIDENT; AND ESSENTIA HEALTH WEST'S CHIEF MEDICAL OFFICER, CHIEF OPERATING OFFICER, AND PRESIDENT.
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 XI, LINE 9:	EHIS DIVIDEND 20,000,000. NET ASSET TRANSFERS WITH RELATED ORGS -177,585.
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	ESSENTIA HEALTH	Yes (1)
BRIDGES MEDICAL CENTER
201 9TH ST W	ADA	MN	56510	200479568	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	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	ESSENTIA HEALTH	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	ESSENTIA HEALTH	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	ESSENTIA HEALTH	Yes (1)
PINE MEDICAL CENTER
705 LUNDORFF DR S	SANDSTONE	MN	55072	411884597	HOSPITAL	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
POLINSKY MEDICAL REHABILITATION CENTER
530 E 2ND ST	DULUTH	MN	55805	410691275	REHABILITATION SERVICES	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
SMDC MEDICAL CENTER
502 E 2ND ST	DULUTH	MN	55805	411878730	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
ST JOSEPH'S MEDICAL CENTER
523 N 3RD ST	BRAINERD	MN	56401	410695602	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	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	ESSENTIA HEALTH	Yes (1)
ST MARY'S HOSPITAL OF SUPERIOR
3500 TOWER AVE	SUPERIOR	WI	54880	411811073	HOSPITAL/CLINIC	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
ST MARY'S INNOVIS HEALTH
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	262861321	PHARMACY	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)
ST MARY'S MEDICAL CENTER
402 E 2ND ST	DULUTH	MN	55805	410695604	HOSPITAL	MN	501(C)(3)	LINE 3	ESSENTIA HEALTH	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	ESSENTIA HEALTH	Yes (1)
THE DULUTH CLINIC LTD
400 E 3RD ST	DULUTH	MN	55805	410883623	CLINIC	DE	501(C)(3)	LINE 3	ESSENTIA HEALTH	Yes (1)

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	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	Direct Controlling NADirectControllingNACd
ESSENTIA HEALTH INSURANCE SERVICES SPC LTD
PO BOX 1159	GRAND CAYMAN	CJ	K71-1102	000000000	SELF INSURANCE	CJ	ESSENTIA HEALTH	C	$24,547,821	$50,911,142	1.00000	Yes (1)
MID DAKOTA CLINIC INC
				450311334	CLINIC OPERATIONS CEASED 9/30/22			C				Yes (1)	502 E 2ND ST	DULUTH	MN	55805	ND	N/A

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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (53 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINERD MEDICAL CENTER INC
L	$2,667,315	ACTUAL COSTS
BRAINERD MEDICAL CENTER INC
Q	$898,000	ACTUAL COSTS
BRIDGES MEDICAL CENTER
L	$1,156,018	ACTUAL COSTS
BRIDGES MEDICAL CENTER
Q	$721,722	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
L	$4,904,544	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
Q	$2,133,043	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
R	$11,600,000	ACTUAL COSTS
ESSENTIA HEALTH FOUNDATION
Q	$231,491	ACTUAL COSTS
ESSENTIA HEALTH FOUNDATION
S	$1,750,000	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
F	$20,000,000	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
P	$17,706,194	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
Q	$7,352,437	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
L	$4,383,386	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
Q	$2,321,985	ACTUAL COSTS
ESSENTIA HEALTH SURGERY CENTERS
L	$1,726,100	ACTUAL COSTS
ESSENTIA HEALTH SURGERY CENTERS
Q	$384,618	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
L	$703,460	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
Q	$1,018,245	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
L	$3,646,755	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
Q	$1,800,712	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
R	$3,200,000	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
L	$1,182,481	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
Q	$937,595	ACTUAL COSTS
INNOVIS HEALTH LLC
L	$55,330,420	ACTUAL COSTS
INNOVIS HEALTH LLC
Q	$31,972,386	ACTUAL COSTS
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
L	$277,065	ACTUAL COSTS
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
Q	$238,694	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
L	$2,457,654	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
Q	$1,193,126	ACTUAL COSTS
PINE MEDICAL CENTER
L	$2,373,861	ACTUAL COSTS
PINE MEDICAL CENTER
Q	$1,069,668	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
L	$1,500,195	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
Q	$694,422	ACTUAL COSTS
SMDC MEDICAL CENTER
L	$75,804,610	ACTUAL COSTS
SMDC MEDICAL CENTER
Q	$42,630,736	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
L	$30,209,220	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
Q	$15,718,178	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
R	$26,600,000	ACTUAL COSTS
ST MARY'S EMS
L	$995,483	ACTUAL COSTS
ST MARY'S EMS
Q	$924,587	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
L	$10,090,625	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
Q	$5,272,547	ACTUAL COSTS
ST MARY'S INNOVIS HEALTH
L	$587,803	ACTUAL COSTS
ST MARY'S INNOVIS HEALTH
Q	$121,961	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
L	$56,320,134	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
Q	$31,098,453	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
R	$109,100,000	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
L	$18,411,715	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
Q	$11,353,959	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
R	$59,250,000	ACTUAL COSTS
THE DULUTH CLINIC LTD
D	$151,363	ACTUAL COSTS
THE DULUTH CLINIC LTD
L	$22,966,346	ACTUAL COSTS
THE DULUTH CLINIC LTD
Q	$6,045,658	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