ESSENTIA HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ESSENTIA HEALTH (EIN 20-0360007)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-09
IRS object ID: 202241299349300339
Schema version: 2020v4.2
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 C
Schedule D
Schedule F
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-09T17:27:48-05:00	ReturnTs
Tax Period End	2021-06-30	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	2020-07-01	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	2022-05-09	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

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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$838,675,796	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2027	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$2,886,764	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$713,281	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$397,700	PYContributionsGrantsAmt
CY Contributions Grants	$2,442,953	CYContributionsGrantsAmt
PY Program Service Revenue	$200,055,453	PYProgramServiceRevenueAmt
CY Program Service Revenue	$201,958,094	CYProgramServiceRevenueAmt
PY Investment Income	$14,850,803	PYInvestmentIncomeAmt
CY Investment Income	$21,870,185	CYInvestmentIncomeAmt
PY Other Revenue	$3,764,177	PYOtherRevenueAmt
CY Other Revenue	$6,383,316	CYOtherRevenueAmt
PY Total Revenue	$219,068,133	PYTotalRevenueAmt
CY Total Revenue	$232,654,548	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,350	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	$160,284,048	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$156,833,921	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$44,608,567	PYOtherExpensesAmt
CY Other Expenses	$55,151,852	CYOtherExpensesAmt
PY Total Expenses	$204,895,965	PYTotalExpensesAmt
CY Total Expenses	$211,985,773	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,172,168	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,668,775	CYRevenuesLessExpensesAmt
Total Assets BOY	$549,423,564	TotalAssetsBOYAmt
Total Assets EOY	$613,077,249	TotalAssetsEOYAmt
Total Liabilities BOY	$334,218,110	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$284,681,870	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$215,205,454	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$328,395,379	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	$82,503,309	ExpenseAmt
Revenue	$201,958,094	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 CRITICAL ACCESS GROUP, A MINNESOTA NONPROFIT CORPORATION, BRAINERD LAKES INTEGRATED HEALTH SYSTEM, A MINNESOTA NONPROFIT CORPORATION, ST. MARY'S DULUTH CLINIC HEALTH SYSTEM DBA ESSENTIA HEALTH EAST, A MINNESOTA NONPROFIT CORPORATION, AND INNOVIS HEALTH, LLC DBA ESSENTIA HEALTH WEST, A DELAWARE LIMITED LIABILITY COMPANY AND IN SUPPORT OF CRITICAL ACCESS GROUP, BRAINERD LAKES INTEGRATED HEALTH SYSTEM, ESSENTIA HEALTH EAST, AND ESSENTIA HEALTH WEST AND EACH OF THE TAX-EXEMPT ENTITIES IDENTIFIED AS SUPPORTED ORGANIZATIONS IN THEIR ARTICLES OF INCORPORATION, ALL OF WHICH ARE ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986.ESSENTIA HEALTH IS AN INTEGRATED HEALTH SYSTEM SERVING PATIENTS IN MINNESOTA, WISCONSIN, AND NORTH DAKOTA. HEADQUARTERED IN DULUTH, MINNESOTA, ESSENTIA HEALTH COMBINES THE STRENGTHS AND TALENTS OF OVER 14,000 EMPLOYEES, INCLUDING MORE THAN 2,000 PHYSICIANS AND ADVANCED PRACTITIONERS, WHO SERVE ITS PATIENTS AND COMMUNITIES THROUGH THE MISSION OF BEING CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. ESSENTIA HEALTH, WHICH INCLUDES MANY CATHOLIC FACILITIES, IS GUIDED BY THE VALUES OF QUALITY, HOSPITALITY, RESPECT, JOY, JUSTICE, STEWARDSHIP AND TEAMWORK. THE ORGANIZATION LIVES OUT ITS MISSION BY HAVING PATIENT-CENTERED FOCUS AT 14 HOSPITALS, APPROXIMATELY 70 CLINICS, SIX LONG-TERM CARE FACILITIES, THREE ASSISTED LIVING FACILITIES, THREE INDEPENDENT LIVING FACILITIES, SIX AMBULANCE SERVICES, 20 RETAIL PHARMACIES, AND ONE RESEARCH INSTITUTE. ESSENTIA HEALTH PROVIDES SERVICES PREDOMINANTLY IN RURAL COMMUNITIES AND IS COMMITTED TO ELIMINATING GEOGRAPHIC BARRIERS TO CARE. MANY OF ESSENTIA HEALTH'S HOSPITALS AND CLINICS ARE LOCATED IN COMMUNITIES THAT ARE FEDERALLY RECOGNIZED AS BEING MEDICALLY UNDERSERVED.ESSENTIA HEALTH IS ACCREDITED AS AN ACCOUNTABLE CARE ORGANIZATION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. THE LEGAL ENTITIES COMPRISING ESSENTIA HEALTH FILE SEPARATE FORM 990'S.AT FISCAL YEAR ENDED JUNE 30, 2021, ESSENTIA HEALTH'S CONSOLIDATED TOTAL REVENUE WAS $2,452,310,000 AND CONSOLIDATED INCOME FROM OPERATIONS WAS $168,258,000.ESSENTIA HEALTH'S HOSPITALS HAVE A TOTAL OF 1,221 LICENSED BEDS WHICH PROVIDED OVER 192,000 HOSPITAL PATIENT DAYS AND OVER 832,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2021. THE CLINICS HAD OVER 1.6 MILLION ENCOUNTERS DURING THE SAME TIME PERIOD.DURING THE FISCAL YEAR ENDED JUNE 30, 2021, ESSENTIA HEALTH PROVIDED TOTAL COMMUNITY BENEFITS OF OVER $134 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	$82,503,309	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	0	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	0	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	701	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2027	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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	0	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 (46 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID HERMAN MD
CHIEF EXECUTIVE OFFICER	60.00	0.00	Yes (X)	$3,333,333	$0	$276,875
JODI MANSFIELD
EXECUTIVE VICE PRESIDENT, COO	60.00	0.00		$1,431,098	$0	$146,196	Yes (X)
GREGORY GLASNER MD
FORMER PRESIDENT - WEST	0.00	0.00		$0	$1,068,895	$50,879		Yes (X)
JON PRYOR MD
PRESIDENT - EAST & CENTRAL	1.00	59.00		$0	$1,017,145	$33,915	Yes (X)
DEBORAH WELLE-POWELL
CHIEF POPULATION HEALTH OFFICER	60.00	0.00		$854,631	$0	$86,864	Yes (X)
TRACI MORRIS
CHIEF FINANCIAL OFFICER	60.00	0.00	Yes (X)	$829,492	$0	$97,388
PETER HENRY MD
CHIEF MEDICAL OFFICER	1.00	59.00		$808,979	$0	$112,833	Yes (X)
BRADLEY BEARD
CHIEF OPERATING OFFICER - EAST	1.00	59.00		$0	$791,165	$129,415	Yes (X)
DANIEL NIKCEVICH MD
FORMER PRESIDENT - EAST	0.00	60.00		$0	$801,821	$59,982		Yes (X)
RICHARD VETTER MD
INTERIM PRES THRU 4/20/CMO - WEST	1.00	59.00		$0	$680,304	$101,735	Yes (X)
DIANE DAVIDSON
CHIEF HUMAN RESOURCE OFFICER	60.00	0.00		$664,176	$0	$101,805	Yes (X)
ANNE STEPHEN MD
CHIEF MEDICAL OFFICER - EAST	1.00	59.00		$0	$635,986	$101,367	Yes (X)
MICHAEL WATTERS
CHIEF LEGAL OFFICER	60.00	0.00		$592,392	$0	$125,275	Yes (X)
MARK HAYWARD
FORMER SENIOR VP, OPERATIONS	0.00	60.00		$0	$588,967	$47,648		Yes (X)
AL HURLEY
CHIEF OPERATING OFFICER - WEST	1.00	59.00		$0	$535,880	$81,225	Yes (X)
SHEILA HART
SENIOR VP-INTEGRATED CARE DELIVERY	60.00	0.00		$522,367	$0	$86,739	Yes (X)
STEFANIE GEFROH ELLISON MD
BOARD DIRECTOR	3.00	57.00		$15,000	$525,293	$56,104			Yes (X)
PATRICK TWOMEY MD
FORMER CHIEF MEDICAL OFFICER	0.00	60.00		$0	$528,681	$59,635		Yes (X)
CHARLES WATSON
CHIEF INFORMATION OFFICER	60.00	0.00		$495,085	$0	$89,970				Yes (X)
ADAM REES
PRESIDENT - CENTRAL THRU 4/20	1.00	59.00		$0	$506,261	$39,361	Yes (X)
WILLIAM HEEGAARD MD
PRESIDENT - WEST	1.00	59.00		$2,165	$504,962	$22,397	Yes (X)
DENNIS DASSENKO
CHIEF INFORMATION OFFICER THRU 3/20	60.00	0.00		$494,956	$0	$31,041	Yes (X)
SARAH MANNEY KURTH MD
CHIEF MEDICAL INFORMATION OFFICER	60.00	0.00		$311,135	$85,444	$66,058				Yes (X)
MELANIE WILSON
VICE PRESIDENT, REVENUE SERVICES	60.00	0.00		$392,523	$0	$47,409				Yes (X)
MICHAEL VAN SCOY MD
PHYSICIAN	60.00	0.00		$378,214	$0	$56,559				Yes (X)
RAJESH PRABHU MD
PHYSICIAN - SECTION CHAIR	60.00	0.00		$349,072	$0	$34,136				Yes (X)
JANE RUDD MD
BOARD DIRECTOR	3.00	57.00		$15,000	$289,263	$60,756			Yes (X)
TIMOTHY SAYLER
FORMER CHIEF OPERATING OFFICER-WEST	0.00	0.00		$0	$335,171	$16,256		Yes (X)
PATRICIA DELONG
CHIEF NURSING OFF-CENTRAL THRU 8/20	1.00	59.00		$0	$261,420	$21,174	Yes (X)
FRANK MODICH
FORMER INTERIM CHIEF LEGAL OFFICER	60.00	0.00		$251,095	$0	$21,525		Yes (X)
THOMAS RUSS MD
BOARD DIRECTOR	3.00	57.00		$22,500	$171,465	$10,288			Yes (X)
JEFFREY KORSMO
FORMER EVP, OPERATIONS & ADMIN	0.00	0.00		$156,580	$0	$0		Yes (X)
DAVID GADDIE
BOARD CHAIR	3.00	0.00	Yes (X)	$45,000	$0	$0			Yes (X)
KEVIN MOUG
BOARD DIRECTOR	3.00	0.00		$33,375	$0	$0			Yes (X)
JAMES ANDERSON
BOARD DIRECTOR	3.00	6.00		$33,250	$0	$0			Yes (X)
DEAN AGER
BOARD DIRECTOR	3.00	2.00		$30,000	$0	$0			Yes (X)
LAURIE LEWANDOWSKI
BOARD DIRECTOR	3.00	2.00		$27,125	$0	$0			Yes (X)
CHARLES ALBRECHT
BOARD DIRECTOR THRU 12/20	3.00	2.00		$21,500	$0	$0			Yes (X)
ALAN HODNIK
BOARD VICE CHAIR	3.00	0.00	Yes (X)	$20,000	$0	$0			Yes (X)
GEORGE GOLDFARB
BOARD DIRECTOR	3.00	0.00		$20,000	$0	$0			Yes (X)
KIMBERLEY STOKES
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)
MARK RONNEI
BOARD DIRECTOR	3.00	6.00		$1,500	$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	2.00		$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	$12,191,543	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,328,123	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,272,810	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	145	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
MAYO COLLABORATIVE SERVICES
PO BOX 4100	ROCHESTER	MN	55903	LAB SERVICES	$14,829,181
CONSTRUCTION ENGINEERS INC
200 NORTH 69TH STREET	GRAND FORKS	ND	58203	CONSTRUCTION SERVICES	$7,579,037
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	MEDICAL BILLING SOFTWARE SUPPORT SERVICE	$7,470,006
OLAF ANDERSON CONSTRUCTION
PO BOX 2766	FARGO	ND	58108	CONSTRUCTION SERVICES	$7,335,115
PHILIPS HEALTHCARE
PO BOX 100355	ATLANTA	GA	30384	MEDICAL EQUIPMENT SUPPORT SERVICES	$5,518,317

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	179	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,442,953	GovernmentGrantsAmt
Total Contributions	$2,442,953	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SUPPORT REVENUE	Desc
Business	541610	BusinessCd
Total Revenue Column	$201,958,094	TotalRevenueColumnAmt
Related Or Exempt Func Income	$201,958,094	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$201,958,094	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,606,473	TotalRevenueColumnAmt
Unrelated Business Revenue	$591	UnrelatedBusinessRevenueAmt
Exclusion	$4,605,882	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$623,284,960	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$605,879,627	SecuritiesAmt
Other	$141,621	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,405,333	SecuritiesAmt
Other	-$141,621	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,263,712	TotalRevenueColumnAmt
Exclusion	$17,263,712	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SYSTEM ACCESS/USE REVENUE	541519	$5,334,116	$2,875,702	$2,458,414
INSURANCE CLAIMS	900099	$1,000,000		$1,000,000
SETTLEMENTS	900099	$33,072		$33,072

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,128	TotalRevenueColumnAmt
Unrelated Business Revenue	$10,471	UnrelatedBusinessRevenueAmt
Exclusion	$5,657	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,383,316	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$232,654,548	TotalRevenueColumnAmt
Related Or Exempt Func Income	$201,958,094	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,886,764	UnrelatedBusinessRevenueAmt
Exclusion	$25,366,737	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	$10,603,926	TotalAmt
Program Services	$1,570,416	ProgramServicesAmt
Management And General	$9,033,510	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$115,361,876	TotalAmt
Program Services	$52,400,876	ProgramServicesAmt
Management And General	$62,961,000	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,279,509	TotalAmt
Program Services	$2,473,677	ProgramServicesAmt
Management And General	$2,805,832	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,586,788	TotalAmt
Program Services	$9,092,899	ProgramServicesAmt
Management And General	$11,493,889	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,001,822	TotalAmt
Program Services	$2,292,066	ProgramServicesAmt
Management And General	$2,709,756	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,101,785	TotalAmt
Management And General	$7,101,785	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$429,605	TotalAmt
Management And General	$429,605	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$529,101	TotalAmt
Management And General	$529,101	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,018,312	TotalAmt
Management And General	$1,018,312	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,621,385	TotalAmt
Program Services	$6,173,260	ProgramServicesAmt
Management And General	$18,448,125	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,344,131	TotalAmt
Program Services	$4,084,575	ProgramServicesAmt
Management And General	$1,259,556	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,520,603	TotalAmt
Program Services	$230,465	ProgramServicesAmt
Management And General	$7,290,138	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,372,936	TotalAmt
Program Services	$1,532,090	ProgramServicesAmt
Management And General	$1,840,846	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$214,174	TotalAmt
Program Services	$97,284	ProgramServicesAmt
Management And General	$116,890	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$277,805	TotalAmt
Program Services	$133,000	ProgramServicesAmt
Management And General	$144,805	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$171,529	TotalAmt
Program Services	$73,194	ProgramServicesAmt
Management And General	$98,335	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,334,450	TotalAmt
Program Services	$1,334,450	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,262,162	TotalAmt
Program Services	$573,312	ProgramServicesAmt
Management And General	$688,850	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UNRELATED BUSINESS TAX	$94,703	$94,703
DUES	$657,455	$514,481	$142,974
FEDERAL EXCISE TAX	$586,090	$586,090
PUBLICATIONS AND SUBSCR	$175,823	$30,545	$145,278

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$439,803	TotalAmt
Program Services	$153,493	ProgramServicesAmt
Management And General	$286,310	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$211,985,773	TotalAmt
Program Services	$82,503,309	ProgramServicesAmt
Management And General	$129,482,464	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,639,384	BOYAmt
EOY	$6,647,549	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$147,290,731	BOYAmt
EOY	$52,189,969	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,062,062	BOYAmt
EOY	$11,244,383	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,467,244	BOYAmt
EOY	$7,041,357	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,126,185	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,144,215	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,619,537	BOYAmt
EOY	$1,981,970	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$47,721	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$221,046,398	BOYAmt
EOY	$355,702,716	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$53,227,022	BOYAmt
EOY	$53,227,022	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,725,000	BOYAmt
EOY	$7,107,232	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$95,298,465	BOYAmt
EOY	$117,935,051	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$549,423,564	BOYAmt
EOY	$613,077,249	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$122,432,533	BOYAmt
EOY	$143,488,836	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,479,287	BOYAmt
EOY	$449,161	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,105,045	BOYAmt
EOY	$15,216,400	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$101,736,654	BOYAmt
EOY	$11,282,470	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,464,591	BOYAmt
EOY	$114,245,003	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$334,218,110	BOYAmt
EOY	$284,681,870	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	$215,205,454	BOYAmt
EOY	$328,395,379	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$215,205,454	BOYAmt
EOY	$328,395,379	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$549,423,564	BOYAmt
EOY	$613,077,249	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,668,775	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$24,116,803	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$68,404,347	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	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

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

Field	Value	IRS element (for citing)
EIN	261175213	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$55,255,423	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$55,255,423	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	Yes (1)	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 12G:	SUPPORTED ORGANIZATIONS: ESSENTIA HEALTH ALSO SUPPORTS THREE 509(A)(3) ENTITIES WHO ARE LISTED IN ESSENTIA HEALTH'S GOVERNING DOCUMENTS: BRAINERD LAKES INTEGRATED HEALTH SYSTEM (EIN: 37-1532145), CRITICAL ACCESS GROUP (EIN: 26-1219624), AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM (EIN: 41-1836633). ESSENTIA HEALTH PROVIDED MONETARY SUPPORT IN THE AMOUNTS OF $23,594,583 TO BRAINERD LAKES INTEGRATED HEALTH SYSTEM, $0 TO CRITICAL ACCESS GROUP, $133,135,767 TO ST. MARY'S DULUTH CLINIC HEALTH SYSTEM, AND $55,255,423 TO INNOVIS HEALTH, LLC (AS SHOWN ON LINE 12G) FOR AN OVERALL TOTAL OF $211,985,773 IN MONETARY SUPPORT. ESSENTIA HEALTH ALSO SUPPORTS THE TAX-EXEMPT SUBSIDIARIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS, SUBSTANTIALLY ALL OF WHICH ARE PUBLICLY SUPPORTED ENTITIES UNDER IRC SECTION 509(A).
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 2:	DETERMINATION OF STATUS OF SUPPORTED ORGANIZATIONS: THREE OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS (BRAINERD LAKES INTEGRATED HEALTH SYSTEM, CRITICAL ACCESS GROUP, AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) ARE TYPE II SUPPORTING ORGANIZATIONS UNDER IRC SECTION 509(A)(3). BRAINERD LAKES INTEGRATED HEALTH SYSTEM, CRITICAL ACCESS GROUP, AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM SUPPORT TAX-EXEMPT ORGANIZATIONS ORGANIZED UNDER IRC SECTION 509(A)(1) OR 509(A)(2).
SCHEDULE A, PART IV, SECTION A, LINE 6:	SUPPORT TO OTHER ORGANIZATIONS: ESSENTIA HEALTH SUPPORTS THE TAX-EXEMPT SUBSIDIARIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS BY PROVIDING VARIOUS SERVICES AND MONETARY SUPPORT.
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 APPROVES THE ELECTION OF ITS SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS AND MAY REMOVE, WITH OR WITHOUT CAUSE, THESE SAME DIRECTORS AT ANY TIME.
SCHEDULE A, PART IV, SECTION E, LINE 3B:	DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS: AS THE PARENT OF ITS SUPPORTED ORGANIZATIONS, ESSENTIA HEALTH HAS VARIOUS FINANCIAL, OPERATIONAL, AND ADVISORY POWERS, KNOWN AS RESERVED POWERS, WITH RESPECT TO ITS SUPPORTED ORGANIZATIONS AND THEIR SUBSIDIARIES CREATING A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS. ESSENTIA HEALTH ESTABLISHES AND OVERSEES VARIOUS POLICIES AND PROGRAMS INCLUDING POLICIES RELATED TO BUT NOT LIMITED TO ADMINISTRATION, HUMAN RESOURCES, FINANCE, COMPLIANCE, INFORMATION SERVICES, PATIENT RELATIONS/RISK MANAGEMENT, SAFETY, EMERGENCY PREPAREDNESS & SERVICES, REVENUE SERVICES, ESSENTIA HEALTH MEDICAL GROUP, PHYSICIAN/PROVIDER SERVICES, RESEARCH AND EDUCATION, AND THE ESSENTIA HEALTH FOUNDATION. ESSENTIA HEALTH HAS THE FOLLOWING AUTHORITY OVER ITS SUPPORTED ORGANIZATIONS AND THEIR SUBSIDIARIES: CREATE AND APPROVE STRATEGIC BUSINESS PLANS; CREATE AND APPROVE THE MISSION, PURPOSE AND VISION STATEMENTS; CREATE AND APPROVE AMENDMENTS OF THE ARTICLES OF INCORPORATION AND BYLAWS AND/OR CERTIFICATES OF FORMATION AND OPERATING AGREEMENTS; AND CAUSE AND APPROVE THE DISCONTINUANCE OF SERVICES AND SERVICE LOCATIONS.

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	$121,906	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$523,101	OtherActivitiesAmt
Total Lobbying Expenditures	$645,007	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 ONE FULL-TIME IN-HOUSE PUBLIC POLICY INDIVIDUAL AND DURING 2021 CONTRACTED WITH VARIOUS CONSULTANT FIRMS TO MONITOR FEDERAL AND STATE LEGISLATIVE ACTIVITIES OF INTEREST RELATED TO HEALTH AND HUMAN SERVICES ISSUES. ESSENTIA HEALTH'S PUBLIC POLICY ACTIVITIES OCCUR ON A MULTI-STATE AND NATIONAL LEVEL. 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 BOTH THE STATE AND FEDERAL LEVELS. THE PRIMARY ISSUES OF INTEREST AND CONCERN INCLUDE: 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 COVID-19 RELIEF ESSENTIA HEALTH WAS AN ADVOCATE SPONSOR THROUGH THE DULUTH AREA CHAMBER OF COMMERCE FOR THE 2021 "DULUTH & ST. LOUIS COUNTY AT THE CAPITAL DAYS" EVENT. WHILE ESSENTIA HEALTH PLANNED TO MEET FACE-TO-FACE WITH MINNESOTA LEGISLATORS TO DISCUSS ISSUES AFFECTING OUR COMMUNITIES AND HEALTHCARE, THE EVENT WAS HELD VIRTUALLY DUE TO COVID-19. 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	$10,880	OtherCostOrOtherBasisAmt
Depreciation	$7,193	DepreciationAmt
Book Value	$3,687	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,115,305	OtherCostOrOtherBasisAmt
Depreciation	$6,137,022	DepreciationAmt
Book Value	$1,978,283	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,981,970	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$528,865	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	POOLED INVESTMENT FUNDS	Desc
Book Value	$355,173,851	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$355,702,716	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN BENEDICTINE HEALTH SYSTEM	Desc
Book Value	$53,227,022	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$53,227,022	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED DEBT FINANCING COSTS - LINE OF CREDIT	$59,931
DEFERRED COMPENSATION FUND	$113,680,063
REINSURANCE RECEIVABLE	$3,162,478
DEFERRED TAX ASSET	$1,580,222
DEFERRED TAX ALLOWANCE	-$582,659
OPERATING LEASE ASSET	$35,016

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$117,935,051	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
SWAP LIABILITY	$420,534
BENEFIT PLAN LIABILITY	$113,680,063
UNCLAIMED PROPERTY	$113,890
OPERATING LEASES	$30,516

Field	Value	IRS element (for citing)
Total Liability	$114,245,003	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	$154,696,643
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	PROGRAM SERVICES	$18,073,503	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	$172,770,146	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$172,770,146	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	0	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	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 (32 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	$1,381,185	$0	$894,842	$0	$1,057,306	$0	$272,692	$0	$4,183	$0	$3,610,208	$0	$854,084	$0
JODI MANSFIELD
EXECUTIVE VICE PRESIDENT, COO	$891,815	$0	$354,482	$0	$184,801	$0	$143,844	$0	$2,352	$0	$1,577,294	$0	$115,602	$0
GREGORY GLASNER MD
FORMER PRESIDENT - WEST	$0	$85,991	$0	$98,232	$0	$884,672	$0	$24,882	$0	$25,997	$0	$1,119,774	$0	$224,829
JON PRYOR MD
PRESIDENT - EAST & CENTRAL	$0	$733,769	$0	$271,892	$0	$11,484	$0	$20,340	$0	$13,575	$0	$1,051,060	$0	$0
DEBORAH WELLE-POWELL
CHIEF POPULATION HEALTH OFFICER	$449,452	$0	$180,577	$0	$224,602	$0	$73,079	$0	$13,785	$0	$941,495	$0	$185,514	$0
TRACI MORRIS
CHIEF FINANCIAL OFFICER	$586,581	$0	$232,679	$0	$10,232	$0	$94,280	$0	$3,108	$0	$926,880	$0	$5,714	$0
PETER HENRY MD
CHIEF MEDICAL OFFICER	$515,481	$0	$210,600	$0	$82,898	$0	$85,296	$0	$27,537	$0	$921,812	$0	$56,831	$0
BRADLEY BEARD
CHIEF OPERATING OFFICER - EAST	$0	$553,975	$0	$225,586	$0	$11,604	$0	$91,394	$0	$38,021	$0	$920,580	$0	$0
DANIEL NIKCEVICH MD
FORMER PRESIDENT - EAST	$0	$677,509	$0	$0	$0	$124,312	$0	$24,024	$0	$35,958	$0	$861,803	$0	$87,496
RICHARD VETTER MD
INTERIM PRES THRU 4/20/CMO - WEST	$0	$501,301	$0	$171,875	$0	$7,128	$0	$69,608	$0	$32,127	$0	$782,039	$0	$0
DIANE DAVIDSON
CHIEF HUMAN RESOURCE OFFICER	$428,354	$0	$176,213	$0	$59,609	$0	$71,304	$0	$30,501	$0	$765,981	$0	$46,635	$0
ANNE STEPHEN MD
CHIEF MEDICAL OFFICER - EAST	$0	$426,386	$0	$175,320	$0	$34,280	$0	$70,940	$0	$30,427	$0	$737,353	$0	$18,214
MICHAEL WATTERS
CHIEF LEGAL OFFICER	$435,609	$0	$148,699	$0	$8,084	$0	$88,390	$0	$36,885	$0	$717,667	$0	$0	$0
MARK HAYWARD
FORMER SENIOR VP, OPERATIONS	$0	$114,915	$0	$125,401	$0	$348,651	$0	$14,674	$0	$32,974	$0	$636,615	$0	$121,271
AL HURLEY
CHIEF OPERATING OFFICER - WEST	$0	$378,133	$0	$149,139	$0	$8,608	$0	$60,686	$0	$20,539	$0	$617,105	$0	$0
SHEILA HART
SENIOR VP-INTEGRATED CARE DELIVERY	$335,747	$0	$139,004	$0	$47,616	$0	$56,563	$0	$30,176	$0	$609,106	$0	$32,235	$0
STEFANIE GEFROH ELLISON MD
BOARD DIRECTOR	$15,000	$524,681	$0	$0	$0	$612	$0	$22,746	$0	$33,358	$15,000	$581,397	$0	$0
PATRICK TWOMEY MD
FORMER CHIEF MEDICAL OFFICER	$0	$490,684	$0	$0	$0	$37,997	$0	$22,800	$0	$36,835	$0	$588,316	$0	$26,745
CHARLES WATSON
CHIEF INFORMATION OFFICER	$370,998	$0	$95,589	$0	$28,498	$0	$64,148	$0	$25,822	$0	$585,055	$0	$0	$0
ADAM REES
PRESIDENT - CENTRAL THRU 4/20	$0	$101,861	$0	$0	$0	$404,400	$0	$13,928	$0	$25,433	$0	$545,622	$0	$133,971
WILLIAM HEEGAARD MD
PRESIDENT - WEST	$2,165	$424,904	$0	$53,655	$0	$26,403	$0	$0	$0	$22,397	$2,165	$527,359	$0	$0
DENNIS DASSENKO
CHIEF INFORMATION OFFICER THRU 3/20	$137,823	$0	$165,555	$0	$191,578	$0	$23,385	$0	$7,656	$0	$525,997	$0	$47,319	$0
SARAH MANNEY KURTH MD
CHIEF MEDICAL INFORMATION OFFICER	$262,989	$85,308	$46,868	$0	$1,278	$136	$21,031	$7,075	$27,886	$10,066	$360,052	$102,585	$0	$0
MELANIE WILSON
VICE PRESIDENT, REVENUE SERVICES	$348,249	$0	$43,974	$0	$300	$0	$14,250	$0	$33,159	$0	$439,932	$0	$0	$0
MICHAEL VAN SCOY MD
PHYSICIAN	$376,460	$0	$0	$0	$1,754	$0	$22,800	$0	$33,759	$0	$434,773	$0	$0	$0
RAJESH PRABHU MD
PHYSICIAN - SECTION CHAIR	$348,430	$0	$0	$0	$642	$0	$21,667	$0	$12,469	$0	$383,208	$0	$0	$0
JANE RUDD MD
BOARD DIRECTOR	$15,000	$287,922	$0	$0	$0	$1,341	$0	$22,800	$0	$37,956	$15,000	$350,019	$0	$0
TIMOTHY SAYLER
FORMER CHIEF OPERATING OFFICER-WEST	$0	$0	$0	$0	$0	$335,171	$0	$0	$0	$16,256	$0	$351,427	$0	$0
PATRICIA DELONG
CHIEF NURSING OFF-CENTRAL THRU 8/20	$0	$169,876	$0	$33,362	$0	$58,182	$0	$10,761	$0	$10,413	$0	$282,594	$0	$0
FRANK MODICH
FORMER INTERIM CHIEF LEGAL OFFICER	$221,129	$0	$29,759	$0	$207	$0	$11,618	$0	$9,907	$0	$272,620	$0	$0	$0
THOMAS RUSS MD
BOARD DIRECTOR	$22,500	$171,465	$0	$0	$0	$0	$0	$10,288	$0	$0	$22,500	$181,753	$0	$0
JEFFREY KORSMO
FORMER EVP, OPERATIONS & ADMIN	$0	$0	$0	$0	$156,580	$0	$0	$0	$0	$0	$156,580	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	BENEFITS PROVIDED: DURING CALENDAR YEAR 2020, CHARTER TRAVEL WAS USED BY ONE OFFICER AND ONE KEY EMPLOYEE FOR TRAVEL BETWEEN ESSENTIA HEALTH'S OFFICE IN DULUTH, MN 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 2020, KEY EMPLOYEE JODI MANSFIELD AND HIGHEST-COMPENSATED EMPLOYEE CHARLES WATSON RECEIVED HOUSING ALLOWANCES. THESE BENEFITS WERE TREATED AS TAXABLE COMPENSATION TO BOTH INDIVIDUALS.
PART I, LINES 4A-B	SEVERANCE PAYMENT: FORMER KEY EMPLOYEE GREGORY GLASNER, MD RECEIVED PAYMENT TOTALING $502,073 IN CALENDAR YEAR 2020 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM DECEMBER 31, 2019 TO JUNE 30, 2021. MR. GLASNER WILL RECEIVE PAY TOTALING $773,947 & BENEFITS TOTALING $32,883 RELATED TO HIS TERMINATION. FORMER KEY EMPLOYEE MARK HAYWARD RECEIVED PAYMENT TOTALING $213,503 IN CALENDAR YEAR 2020 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM APRIL 30, 2020 TO APRIL 30, 2021. MR. HAYWARD WILL RECEIVE PAY TOTALING $334,402 & BENEFITS TOTALING $26,206 RELATED TO HIS TERMINATION. KEY EMPLOYEE ADAM REES RECEIVED PAYMENT TOTALING $255,274 IN CALENDAR YEAR 2020 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM APRIL 6, 2020 TO OCTOBER 6, 2021. MR. REES WILL RECEIVE PAY TOTALING $541,070 & BENEFITS TOTALING $29,839 RELATED TO HIS TERMINATION. FORMER KEY EMPLOYEE TIMOTHY SAYLER RECEIVED PAYMENT TOTALING $335,171 IN CALENDAR YEAR 2020 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM APRIL 15, 2019 TO OCTOBER 14, 2020. MR. SAYLER WILL RECEIVE PAY TOTALING $630,396 & BENEFITS TOTALING $30,477 RELATED TO HIS TERMINATION. ALL OTHER INDIVIDUALS LISTED AS FORMERS IN FORM 990, PART VII, SECTION A, LINE 1A DID NOT RECEIVE A SEVERANCE PAYMENT DURING CALENDAR YEAR 2020. SOME OF THESE INDIVIDUALS REMAIN EMPLOYED WITHIN ESSENTIA HEALTH AND ITS SUBSIDIARIES. 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 $1,045,702 JODI MANSFIELD $117,642 GREGORY GLASNER, MD $219,413 DEBORAH WELLE-POWELL $214,301 TRACI MORRIS $7,622 PETER HENRY, MD $60,800 DANIEL NIKCEVICH, MD $116,709 DIANE DAVIDSON $47,215 ANNE STEPHEN, MD $24,295 MARK HAYWARD $133,434 SHEILA HART $32,515 PATRICK TWOMEY, MD $35,675 ADAM REES $146,591 DENNIS DASSENKO $185,575 JEFFREY KORSMO $3,222 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 $249,892 JODI MANSFIELD $121,044 DEBORAH WELLE-POWELL $50,279 TRACI MORRIS $71,480 PETER HENRY, MD $62,496 BRADLEY BEARD $68,594 RICHARD VETTER, MD $46,808 DIANE DAVIDSON $48,504 ANNE STEPHEN, MD $48,140 MICHAEL WATTERS $71,290 MARK HAYWARD $4,822 AL HURLEY $37,886 SHEILA HART $33,763 CHARLES WATSON $64,148 ADAM REES $5,201 DENNIS DASSENKO $12,518
PART I, LINE 8	INITIAL CONTRACT EXCEPTION: ESSENTIA HEALTH'S CHIEF INFORMATION OFFICER, CHARLES WATSON, AND ESSENTIA HEALTH'S CHIEF MEDICAL INFORMATION OFFICER, SARAH MANNEY KURTH, 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)	0	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	$893,425

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	Term Of GICTermOfGICPct	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)	3.400000000000	Yes (1)	0	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: 06/30/2021
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, CRITICAL ACCESS GROUP, 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.
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.
SCHEDULE K, PART II, LINE 3:	ISSUE PRICE: THE SERIES 2018A, SERIES 2020A, SERIES 2020B AND SERIES 2020C 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.
SCHEDULE K, PART II, LINES 3 THROUGH 12:	PROCEEDS: THE SERIES 2018A, SERIES 2020A, SERIES 2020B, AND SERIES 2020C BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. A PORTION OF THE SERIES 2018A, SERIES 2020A, SERIES 2020B, AND SERIES 2020C 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A:	1099 REPORTING: CERTAIN VENDOR PAYMENTS AND FORM 1099'S WERE PROCESSED THROUGH ESSENTIA HEALTH ON BEHALF OF CERTAIN LEGAL ENTITIES COMPRISING ESSENTIA HEALTH.
FORM 990, PART V, LINE 1C:	NO GAMING (GAMBLING) WINNINGS.
FORM 990, PART VI, SECTION A, LINE 7B	MEMBER WITH RIGHT TO APPROVE GOVERNING BODY DECISIONS: THE BENEDICTINE SISTERS BENEVOLENT ASSOCIATION ("BSBA") HAS CERTAIN RESERVED POWERS OVER ESSENTIA HEALTH'S CATHOLIC FACILITIES. BSBA'S RESERVED POWERS ARE AS FOLLOWS: MISSION. AUTHORITY TO APPROVE THE MISSION AND PURPOSE STATEMENTS FOR CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM. ADHERENCE TO ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES (ERDS). AUTHORITY TO APPROVE THE METHODS, POLICIES AND PROCEDURES PERTAINING TO THE ADHERENCE OF CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM TO THE ERDS. OFFICIAL CATHOLIC DIRECTORY. AUTHORITY TO OVERSEE THE LISTING OF QUALIFIED ENTITIES AND FACILITIES WITHIN THE SYSTEM IN THE OFFICIAL CATHOLIC DIRECTORY, SUBJECT TO THE APPROVAL OF APPLICABLE CATHOLIC AUTHORITIES. CATHOLIC HEALTH ASSOCIATION. AUTHORITY TO REQUIRE CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM TO JOIN THE MEMBERSHIP OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES. ALIENATION OF STABLE PATRIMONY OR ECCLESIASTICAL GOODS. AUTHORITY TO APPROVE ALIENATION OF EITHER STABLE PATRIMONY OR OTHER ECCLESIASTICAL GOODS WITHIN THE SYSTEM IF SUCH GOODS INVOLVED IN A SPECIFIC TRANSACTION APPROVED BY ESSENTIA HEALTH PURSUANT TO THE AFFILIATION AGREEMENT, HAVE A DOLLAR VALUE EQUAL TO OR GREATER THAN 70% OF THE AMOUNT ESTABLISHED FROM TIME TO TIME THAT REQUIRES APPROVAL FROM THE HOLY SEE; PROVIDED, HOWEVER, THAT IT IS THE INTENT OF THE PARTIES THAT THIS PROVISION NOT BE APPLIED TO RESTRICT OR TO IMPEDE ESSENTIA HEALTH FROM ACTING AND MAKING DECISIONS ON BEHALF OF THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS BUT BE APPLIED TO PREVENT THE TRANSFER OF SUBSTANTIAL ASSETS OF CATHOLIC ENTITIES WITHIN THE SYSTEM TO SUPPORT THE SECULAR ENTITIES WITHIN THE SYSTEM WITHOUT THE PRIOR APPROVAL OF BSBA. MISSION EFFECTIVENESS. AUTHORITY TO APPROVE ANNUAL PLANS AND EVALUATIONS RELATING TO MISSION EFFECTIVENESS AND CHAPLAINCY FOR CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM, INCLUDING THE USE OF RELIGIOUS SYMBOLS AND PRAYERS. AMENDMENTS. AUTHORITY TO APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF ESSENTIA HEALTH, ESSENTIA HEALTH EAST (SMDC), ESSENTIA HEALTH CENTRAL (BLIHS), ESSENTIA HEALTH WEST (INNOVIS) OR CRITICAL ACCESS GROUP (CAG) THAT WOULD ALTER THE NUMBER OF DULUTH BENEDICTINES OR BSBA BOARD OF DIRECTOR MEMBERS OR OTHER APPOINTEES OF THE DULUTH BENEDICTINES SERVING AS MEMBERS OF SUCH ENTITY'S BOARD OF DIRECTORS; AUTHORITY TO APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE CATHOLIC CAG SUBSIDIARIES, THE CATHOLIC SMDC SUBSIDIARIES, THE CATHOLIC BLIHS SUBSIDIARIES OR THE CATHOLIC SUBSIDIARIES OF INNOVIS, WHICH COULD MATERIALLY AFFECT SUCH ENTITY'S IDENTITY AS A CATHOLIC INSTITUTION, INCLUDING WITHOUT LIMITATION ANY AMENDMENT THAT WOULD ALTER THE NUMBER OF DULUTH BENEDICTINES OR BSBA BOARD OF DIRECTOR MEMBERS OR OTHER APPOINTEES OF THE DULUTH BENEDICTINES SERVING AS MEMBERS OF SUCH ENTITY'S BOARD OF DIRECTORS; AND AUTHORITY TO CAUSE ESSENTIA HEALTH TO MAKE AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE CATHOLIC SUBSIDIARIES OF ESSENTIA HEALTH'S DIRECT SUBSIDIARIES, WHICH AMENDMENTS BSBA DETERMINES IN GOOD FAITH ARE NECESSARY TO PRESERVE SUCH ENTITY'S IDENTITY AS A CATHOLIC INSTITUTION. MERGERS AND DISSOLUTION. SUBJECT TO THE APPROVAL OF THE DULUTH BENEDICTINES, AUTHORITY TO APPROVE A PROPOSED MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF ST. MARY'S MEDICAL CENTER (SMMC) AND ST. JOSEPH'S MEDICAL CENTER (SJMC) OR THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF SMMC AND SJMC. BSBA SPONSORSHIP. AUTHORITY TO ESTABLISH, ACCEPT, TRANSFER OR TERMINATE BSBA SPONSORSHIP OR CO-SPONSORSHIP OF A HEALTHCARE FACILITY. *RESERVED POWER CURRENTLY DELEGATED TO THE SPONSORSHIP COUNCIL. NOTE: SOME OF THE RESERVED POWERS OF THE BSBA BOARD LISTED ABOVE MAY ALSO BE RESERVED TO THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY OF DULUTH (THE "CHAPTER OR "DULUTH BENEDICTINES"). PRIOR TO THESE MATTERS GOING TO THE CHAPTER, ORDINARILY THEY WILL BE CONSIDERED AND ACTED UPON BY THE BSBA BOARD. THE FOLLOWING ACTIONS OF THE BSBA BOARD ARE SUBJECT TO APPROVAL BY THE CHAPTER: 1. APPROVE MERGERS, CONSOLIDATIONS, LIQUIDATIONS, OR DISSOLUTIONS INVOLVING SMMC OR SJMC. 2. APPROVE THE ACQUISITION OR DISPOSITION OF REAL ESTATE OWNED BY BSBA. 3. APPROVE DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, ASSETS OF SMMC OR SJMC. 4. APPROVE INDEBTEDNESS THAT WILL BE GUARANTEED BY BSBA.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: THE 2020 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 2020 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, CHIEF FINANCIAL OFFICER, EXECUTIVE VICE PRESIDENT, COO, CHIEF MEDICAL OFFICER, CHIEF POPULATION HEALTH OFFICER, CHIEF HUMAN RESOURCE OFFICER, CHIEF LEGAL OFFICER, SENIOR VICE PRESIDENT OF INTEGRATED CARE DELIVERY, AND CHIEF INFORMATION OFFICER; ESSENTIA HEALTH EAST'S PRESIDENT, CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER; AND ESSENTIA HEALTH WEST'S PRESIDENT, CHIEF OPERATING OFFICER, AND CHIEF MEDICAL OFFICER WAS 2021. THE YEAR THIS PROCESS WAS LAST UNDERTAKEN FOR ESSENTIA HEALTH CENTRAL'S CHIEF NURSING OFFICER WAS 2020.
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 5,666,088. MANAGEMENT AND GENERAL EXPENSES 13,463,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,129,307. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,975,824. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,975,824. PATIENT LOAN PROGRAM FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,669,299. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,669,299. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 388,826. MANAGEMENT AND GENERAL EXPENSES 390,266. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 779,092. TEMP AGENCY FEES: PROGRAM SERVICE EXPENSES 118,346. MANAGEMENT AND GENERAL EXPENSES 948,102. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,066,448. CONTRACT SERVICE MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,415.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS WITH RELATED ORGS 28,404,347. EHIS DIVIDEND 40,000,000.
PART XII LINE 3:	CONSOLIDATED A-133: ESSENTIA HEALTH, AS PART OF ESSENTIA HEALTH'S CONSOLIDATED FINANCIAL STATEMENTS, WAS REQUIRED AND UNDERWENT A CONSOLIDATED AUDIT SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. 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)
CRITICAL ACCESS GROUP
503 E 3RD ST STE 400	DULUTH	MN	55805	261219624	SUPPORTING ORG	MN	501(C)(3)	LINE 12B, II	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	MN	501(C)(3)	LINE 3	ST MARY'S DULUTH CLINIC HEALTH SYSTEM	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
4418 HAINES RD	DULUTH	MN	55811	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
407 E 3RD 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
407 E 3RD 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
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

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ESSENTIA HEALTH INSURANCE SERVICES SPC LTD	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1159	AddressLine1Txt
City	GRAND CAYMAN	CityNm
Country	CJ	CountryCd
Foreign Postal	K71-1102	ForeignPostalCd

Field	Value	IRS element (for citing)
EIN	000000000	EIN
Primary Activities	SELF INSURANCE	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	$28,922,973	ShareOfTotalIncomeAmt
Share Of EOY Assets	$57,108,607	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	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 (61 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINERD MEDICAL CENTER INC
L	$1,411,501	ACTUAL COSTS
BRAINERD MEDICAL CENTER INC
Q	$916,029	ACTUAL COSTS
BRIDGES MEDICAL CENTER
L	$738,812	ACTUAL COSTS
BRIDGES MEDICAL CENTER
Q	$638,850	ACTUAL COSTS
BRIDGES MEDICAL CENTER
R	$120,000	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
L	$2,780,719	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
Q	$2,002,168	ACTUAL COSTS
DEER RIVER HEALTHCARE CENTER INC
R	$340,000	ACTUAL COSTS
ESSENTIA HEALTH FOUNDATION
Q	$150,188	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
F	$40,000,000	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
Q	$9,207,132	ACTUAL COSTS
ESSENTIA HEALTH INSURANCE SERVICES SPC
R	$15,134,543	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
L	$871,720	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
Q	$1,927,023	ACTUAL COSTS
ESSENTIA HEALTH MOOSE LAKE
R	$130,000	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
L	$600,000	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
Q	$958,332	ACTUAL COSTS
ESSENTIA INSTITUTE OF RURAL HEALTH
R	$140,000	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
L	$2,282,518	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
Q	$1,721,181	ACTUAL COSTS
FIRST CARE MEDICAL SERVICES
S	$680,000	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
L	$863,308	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
Q	$919,700	ACTUAL COSTS
GRACEVILLE HEALTH CENTER
R	$130,000	ACTUAL COSTS
INNOVIS HEALTH LLC
L	$29,369,435	ACTUAL COSTS
INNOVIS HEALTH LLC
Q	$24,111,244	ACTUAL COSTS
INNOVIS HEALTH LLC
S	$3,603,014	ACTUAL COSTS
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
L	$1,134,558	ACTUAL COSTS
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
Q	$704,215	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
L	$1,377,969	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
Q	$1,108,661	ACTUAL COSTS
NORTHERN PINES MEDICAL CENTER
R	$250,000	ACTUAL COSTS
PINE MEDICAL CENTER
L	$1,339,301	ACTUAL COSTS
PINE MEDICAL CENTER
Q	$1,052,932	ACTUAL COSTS
PINE MEDICAL CENTER
R	$1,140,000	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
L	$884,010	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
Q	$1,221,666	ACTUAL COSTS
POLINSKY MEDICAL REHABILITATION CENTER
R	$140,000	ACTUAL COSTS
SMDC MEDICAL CENTER
L	$41,930,793	ACTUAL COSTS
SMDC MEDICAL CENTER
Q	$41,748,769	ACTUAL COSTS
SMDC MEDICAL CENTER
R	$8,450,000	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
L	$17,017,917	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
Q	$12,479,261	ACTUAL COSTS
ST JOSEPH'S MEDICAL CENTER
R	$3,095,470	ACTUAL COSTS
ST MARY'S EMS
L	$852,252	ACTUAL COSTS
ST MARY'S EMS
Q	$679,178	ACTUAL COSTS
ST MARY'S EMS
R	$80,000	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
L	$5,108,784	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
Q	$4,711,796	ACTUAL COSTS
ST MARY'S HOSPITAL OF SUPERIOR
S	$9,129,161	ACTUAL COSTS
ST MARY'S INNOVIS HEALTH
L	$297,376	ACTUAL COSTS
ST MARY'S INNOVIS HEALTH
Q	$107,260	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
L	$34,504,057	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
Q	$30,466,271	ACTUAL COSTS
ST MARY'S MEDICAL CENTER
R	$5,394,387	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
L	$10,696,412	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
Q	$9,712,065	ACTUAL COSTS
ST MARY'S REGIONAL HEALTH CENTER
R	$1,730,000	ACTUAL COSTS
THE DULUTH CLINIC LTD
L	$10,331,085	ACTUAL COSTS
THE DULUTH CLINIC LTD
Q	$5,698,788	ACTUAL COSTS
THE DULUTH CLINIC LTD
R	$1,210,000	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