2020-04-29T16:55:44-05:00 2019-06-30 420714325 RSM US LLP 227 W 1ST ST STE 700 DULUTH MN 558021926 990 2018-07-01 200360007 ESSENTIA HEALTH ESSE 2187868376 502 E 2ND ST DULUTH MN 55805 TRACI MORRIS CHIEF FINANCIAL OFFICER 2187868376 2020-04-29 1 MARY BETH SANTORI P00023783 2187275025 208.72.48.251 2020-04-29 16:55:37 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 11F6358DFCB4818DD2A3D3F03C3961CA8BBBD998 2018 2020-11-19 02:30:22Z DAVID HERMAN MD 502 E 2ND ST DULUTH MN 55805 398421978 0 X WWW.ESSENTIAHEALTH.ORG X 2003 MN WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. 13 12 1887 0 2421016 30660 82809 19928 175684961 176481882 9559891 15006353 3835202 2712470 189162863 194220633 28521 3290 0 0 136180546 143083794 0 0 0 43887461 39157280 180096528 182244364 9066335 11976269 396118323 419201264 219150832 220446635 176967491 198754629 X WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. 0 0 70012066 3290 176481882 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 DBA ESSENTIA HEALTH CENTRAL, 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, ESSENTIA HEALTH CENTRAL, 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, NORTH DAKOTA AND IDAHO. HEADQUARTERED IN DULUTH, MINNESOTA, ESSENTIA HEALTH COMBINES THE STRENGTHS AND TALENTS OF 14,500 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 15 HOSPITALS, OVER 70 CLINICS, SIX LONG-TERM CARE FACILITIES, THREE ASSISTED LIVING FACILITIES, THREE INDEPENDENT LIVING FACILITIES, SIX AMBULANCE SERVICES, 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, 2019, ESSENTIA HEALTH'S CONSOLIDATED TOTAL REVENUE WAS $2,168,187,000 AND CONSOLIDATED INCOME FROM OPERATIONS WAS $53,470,000. ESSENTIA HEALTH'S HOSPITALS HAVE A TOTAL OF 1,198 LICENSED BEDS WHICH PROVIDED OVER 189,000 HOSPITAL PATIENT DAYS AND OVER 679,000 OUTPATIENT VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2019. THE CLINICS HAD OVER 1.7 MILLION ENCOUNTERS DURING THE SAME TIME PERIOD. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, ESSENTIA HEALTH PROVIDED TOTAL COMMUNITY BENEFITS OF OVER $128 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. 70012066 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 751 0 1 1887 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X TRACI MORRIS 2187868376 502 E 2ND ST DULUTH MN 55805 DAVID GADDIE BOARD CHAIR 3.00 0.00 X X 45000 0 0 LINDA DUNHAM BOARD VICE CHAIR 3.00 0.00 X X 20000 0 0 DEAN AGER BOARD DIRECTOR 3.00 1.00 X 30000 0 0 JAMES ANDERSON BOARD DIRECTOR 3.00 4.00 X 39000 0 0 CHARLES ALBRECHT BOARD DIRECTOR 3.00 2.00 X 12450 0 0 ALAN HODNIK BOARD DIRECTOR 3.00 0.00 X 20000 0 0 SISTER KATHLEEN HOFER BOARD DIRECTOR 3.00 0.00 X 0 0 0 WALTER LEINO MD BOARD DIRECTOR 3.00 1.00 X 20000 0 0 KEVIN MOUG BOARD DIRECTOR 3.00 1.00 X 34500 0 0 SISTER BEVERLY RAWAY BOARD DIRECTOR 3.00 4.00 X 0 0 0 THOMAS RUSS MD BOARD DIRECTOR 3.00 37.00 X 30000 254805 24506 KIMBERLEY STOKES BOARD DIRECTOR 3.00 0.00 X 20000 0 0 SISTER CLARE MARIE TRETTEL BOARD DIRECTOR 3.00 1.00 X 0 0 0 LAURA BOEHLKE-BRAY MD BOARD DIRECTOR THRU 12/19 3.00 37.00 X 10000 208792 16283 JOEL HAUGEN MD BOARD DIRECTOR THRU 12/19 3.00 37.00 X 18375 301796 45229 DAVID HERMAN MD CHIEF EXECUTIVE OFFICER 58.00 2.00 X 1419889 0 249916 TRACI MORRIS CHIEF FINANCIAL OFFICER 60.00 0.00 X 508504 0 53263 BRADLEY BEARD CHIEF OPERATING OFFICER - EAST 3.00 57.00 X 0 251270 54590 DENNIS DASSENKO CHIEF INFORMATION OFFICER 60.00 0.00 X 603955 0 93908 DIANE DAVIDSON CHIEF HUMAN RESOURCE OFFICER 60.00 0.00 X 468853 0 94035 PATRICIA DELONG CHIEF NURSING OFFICER - CENTRAL 3.00 57.00 X 0 247539 25470 GREGORY GLASNER MD PRESIDENT - WEST 3.00 57.00 X 0 645561 106543 SHEILA HART SENIOR VP-INTEGRATED CARE 60.00 0.00 X 379210 0 82231 PETER HENRY MD CHIEF MEDICAL OFFICER 3.00 57.00 X 731302 0 100399 MICHAEL MAHONEY VICE PRESIDENT, PUBLIC POLICY 60.00 0.00 X 303482 0 50645 JODI MANSFIELD EXECUTIVE VICE PRESIDENT, COO 60.00 0.00 X 443206 0 1264 ADAM REES PRESIDENT - CENTRAL 3.00 57.00 X 0 449391 87773 TIMOTHY SAYLER CHIEF OPERATING OFFICER - WEST 3.00 57.00 X 0 541904 97634 ANNE STEPHEN MD CHIEF MEDICAL OFFICER - EAST 3.00 57.00 X 0 468772 101700 DEBORAH WELLE-POWELL CHIEF POPULATION HEALTH OFFICER 60.00 0.00 X 509357 0 84597 RICHARD VETTER MD CHIEF MEDICAL OFFICER - WEST 3.00 57.00 X 0 484198 83797 MARK HAYWARD SENIOR VP, OPERATIONS THRU 7/18 3.00 57.00 X 0 428947 86323 JEFFREY KORSMO EVP, OPS & ADMIN THRU 3/18 60.00 0.00 X 1045271 0 29162 TRACY MILAND CHIEF STRATEGY OFFICER THRU 3/18 60.00 0.00 X 358747 0 32424 DANIEL NIKCEVICH MD PRESIDENT - EAST THRU 7/18 3.00 57.00 X 0 913042 150296 TERESA O'TOOLE CHIEF LEGAL OFFICER THRU 3/19 60.00 0.00 X 862395 0 96410 KRISTI SCHMIDT CHIEF MKTG & COM OFF THRU 1/19 60.00 0.00 X 250770 0 23014 MICHAEL VAN SCOY MD PHYSICIAN LEADER 60.00 0.00 X 379358 0 54911 RAJESH PRABHU MD PHYSICIAN LEADER 60.00 0.00 X 334329 0 29092 MELANIE WILSON VIC PRESIDENT, REVENUE SERVICES 60.00 0.00 X 332600 0 27112 MICHAEL WHITCOMB MD PHYSICIAN LEADER 60.00 0.00 X 289252 0 44486 MARTIN SINCLAIR DEPUTY CHIEF LEGAL OFFICER 60.00 0.00 X 283144 0 32745 ROBERT NORMAN FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 565006 0 15930 STEVEN JORGENSEN FORMER CHIEF OPERATING OFFICER - EAST 0.00 0.00 X 0 708125 22380 JOHN SMYLIE FORMER CHIEF OPERATING OFFICER 0.00 0.00 X 109221 0 0 PATRICK TWOMEY MD FORMER CHIEF MEDICAL OFFICER 0.00 60.00 X 0 624273 57887 10477176 6528415 2155955 126 1 1 0 OLAF ANDERSON CONSTRUCTION PO BOX 2766 FARGO ND 58108 CONSTRUCTION SERVICES 8934792 LANDMARK DEVELOPMENT SERVICES 10 W MIFFLIN ST STE 400 MADISON WI 53703 DEVELOPMENT SERVICES 8634171 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN COVERAGE 7386732 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 MEDICAL BILLING SOFTWARE SUPPORT SERVICE 6802782 MAYO COLLABORATIVE SERVICES PO BOX 4100 ROCHESTER MN 55903 LAB SERVICES 6585552 156 8665 3623 7640 19928 SUPPORT REVENUE 541610 176481882 176481882 176481882 8054126 2231045 5823081 211153572 204061515 139830 7092057 -139830 6952227 6952227 SYSTEM ACCESS/USE REVENUE 900099 2420109 189971 2230138 SETTLEMENTS 900099 209616 209616 ATTORNEY RECORD REQUEST FEES 900099 69671 69671 13074 13074 2712470 194220633 176481882 2421016 15297807 3290 3290 8618438 1576853 7041585 104214013 46453804 57760209 4508454 2127270 2381184 18061405 7813436 10247969 7681484 3396889 4284595 497870 497870 410754 410754 290083 290083 1289583 1289583 16809336 2724047 14085289 743087 449707 293380 6447775 271858 6175917 2822056 1257943 1564113 847478 377767 469711 1319033 555849 763184 570921 199601 371320 1663884 1662073 1811 1183346 527481 655865 UNRELATED BUSINESS TAX 45087 45087 ASSET IMPAIRMENT LOSS 2445636 2445636 DUES 700315 296507 403808 SALES TAX 288117 3424 284693 782919 314267 468652 182244364 70012066 112232298 0 5497904 5911127 41808996 42948609 7956976 9205454 6232772 6301040 12316611 7546497 4713699 4770114 78492 0 192790137 209026007 55672658 53227022 81366689 87811891 396118323 419201264 95649010 96250933 400000 1904510 16414418 16424673 24250469 16989170 82436935 88877349 219150832 220446635 X 176967491 198754629 176967491 198754629 396118323 419201264 X 11976269 -1612928 11423797 X X 0 1 X 1 1 1 X X 4 INNOVIS HEALTH LLC 261175213 3 1 48155951 0 4 48155951 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 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 $20,080,891 TO BRAINERD LAKES INTEGRATED HEALTH SYSTEM, $3,593,282 TO CRITICAL ACCESS GROUP, AND $110,414,240 TO ST. MARY'S DULUTH CLINIC HEALTH SYSTEM FOR AN OVERALL TOTAL OF $182,244,364 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 MADE CONTRIBUTIONS TO UNRELATED ORGANIZATIONS THAT ALIGN WITH ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS' MISSIONS. THESE CONTRIBUTIONS CREATED A HEALTHY DIFFERENCE IN PEOPLES' LIVES BY PROVIDING RESOURCES TO FAMILIES IN NEED. ESSENTIA HEALTH ALSO 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 138588 0 1 290083 428671 0 PART II-B, LINE 1: ESSENTIA HEALTH EMPLOYS ONE FULL-TIME IN-HOUSE PUBLIC POLICY INDIVIDUAL AND DURING 2019 CONTRACTED WITH TWO CONSULTANT FIRMS TO MONITOR STATE LEGISLATIVE ACTIVITIES OF INTEREST, THREE CONSULTANT FIRMS TO MONITOR FEDERAL LEGISLATIVE ACTIVITIES OF INTEREST RELATED TO HEALTH AND HUMAN SERVICES ISSUES, AND ONE LEGAL FIRM TO PROVIDE LEGISLATIVE REPRESENTATION SERVICES. 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 HEALTH CARE REFORM 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 TELEMEDICINE MENTAL HEALTH/BEHAVIORAL HEALTH ISSUES 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. 1203956 153798 1050158 11077655 7392699 3684956 35000 35000 4770114 571238 F POOLED INVESTMENT FUNDS 208454769 F 209026007 INVESTMENT IN BENEDICTINE HEALTH SYSTEM 53227022 C 53227022 DEFERRED DEBT FINANCING COSTS - LINE OF CREDIT 29504 DEFERRED COMPENSATION FUND 83060751 REINSURANCE RECEIVABLE 3985450 DEFERRED TAX ASSET 736186 87811891 NON CURRENT SWAP LIABILITY 311395 BENEFIT PLAN LIABILITY 83060751 PAYABLES TO RELATED ORGS 5401561 UNCLAIMED PROPERTY 103642 88877349 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 124392978 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES SELF INDEMNITY 15939600 NORTH AMERICA 0 0 SEND AGENTS TO SEMINAR 4277 0 0 0 0 0 0 140336855 0 140336855 1 0 1 0 0 0 X X 1 1 X X X X 1 1 0 0 0 0 0 0 1 1 THOMAS RUSS MD BOARD DIRECTOR 30000 250995 0 0 0 3810 0 13561 0 10945 30000 279311 0 0 LAURA BOEHLKE-BRAY MD BOARD DIRECTOR THRU 12/19 10000 207911 0 0 0 881 0 15048 0 1235 10000 225075 0 0 JOEL HAUGEN MD BOARD DIRECTOR THRU 12/19 18375 299615 0 0 0 2181 0 22000 0 23229 18375 347025 0 0 DAVID HERMAN MD CHIEF EXECUTIVE OFFICER 1183542 0 224683 0 11664 0 245075 0 4841 0 1669805 0 0 0 TRACI MORRIS CHIEF FINANCIAL OFFICER 453282 0 46542 0 8680 0 50228 0 3035 0 561767 0 0 0 BRADLEY BEARD CHIEF OPERATING OFFICER - EAST 0 208354 0 20000 0 22916 0 43259 0 11331 0 305860 0 0 DENNIS DASSENKO CHIEF INFORMATION OFFICER 376235 0 69575 0 158145 0 70244 0 23664 0 697863 0 100237 0 DIANE DAVIDSON CHIEF HUMAN RESOURCE OFFICER 362127 0 66276 0 40450 0 67657 0 26378 0 562888 0 31756 0 PATRICIA DELONG CHIEF NURSING OFFICER - CENTRAL 0 227165 0 18925 0 1449 0 12214 0 13256 0 273009 0 0 GREGORY GLASNER MD PRESIDENT - WEST 0 496973 0 80061 0 68527 0 76477 0 30066 0 752104 0 49414 SHEILA HART SENIOR VP-INTEGRATED CARE 279437 0 51696 0 48077 0 54545 0 27686 0 461441 0 39619 0 PETER HENRY MD CHIEF MEDICAL OFFICER 441541 0 104098 0 185663 0 74712 0 25687 0 831701 0 125872 0 MICHAEL MAHONEY VICE PRESIDENT, PUBLIC POLICY 243063 0 33411 0 27008 0 30813 0 19832 0 354127 0 7596 0 JODI MANSFIELD EXECUTIVE VICE PRESIDENT, COO 396640 0 0 0 46566 0 0 0 1264 0 444470 0 0 0 ADAM REES PRESIDENT - CENTRAL 0 328290 0 78279 0 42822 0 59131 0 28642 0 537164 0 30574 TIMOTHY SAYLER CHIEF OPERATING OFFICER - WEST 0 399166 0 67169 0 75569 0 67689 0 29945 0 639538 0 66223 ANNE STEPHEN MD CHIEF MEDICAL OFFICER - EAST 0 399951 0 62732 0 6089 0 67689 0 34011 0 570472 0 0 DEBORAH WELLE-POWELL CHIEF POPULATION HEALTH OFFICER 416172 0 83523 0 9662 0 69468 0 15129 0 593954 0 0 0 RICHARD VETTER MD CHIEF MEDICAL OFFICER - WEST 0 479872 0 0 0 4326 0 54393 0 29404 0 567995 0 0 MARK HAYWARD SENIOR VP, OPERATIONS THRU 7/18 0 375844 0 48459 0 4644 0 52134 0 34189 0 515270 0 0 JEFFREY KORSMO EVP, OPS & ADMIN THRU 3/18 192666 0 0 0 852605 0 15818 0 13344 0 1074433 0 188397 0 TRACY MILAND CHIEF STRATEGY OFFICER THRU 3/18 58457 0 0 0 300290 0 0 0 32424 0 391171 0 0 0 DANIEL NIKCEVICH MD PRESIDENT - EAST THRU 7/18 0 684101 0 115893 0 113048 0 115285 0 35011 0 1063338 0 85888 TERESA O'TOOLE CHIEF LEGAL OFFICER THRU 3/19 488966 0 97777 0 275652 0 81402 0 15008 0 958805 0 166809 0 KRISTI SCHMIDT CHIEF MKTG & COM OFF THRU 1/19 221593 0 20273 0 8904 0 20981 0 2033 0 273784 0 4019 0 MICHAEL VAN SCOY MD PHYSICIAN LEADER 377439 0 0 0 1919 0 22132 0 32779 0 434269 0 0 0 RAJESH PRABHU MD PHYSICIAN LEADER 333657 0 0 0 672 0 22000 0 7092 0 363421 0 0 0 MELANIE WILSON VIC PRESIDENT, REVENUE SERVICES 284969 0 29109 0 18522 0 0 0 27112 0 359712 0 0 0 MICHAEL WHITCOMB MD PHYSICIAN LEADER 287391 0 0 0 1861 0 21923 0 22563 0 333738 0 0 0 MARTIN SINCLAIR DEPUTY CHIEF LEGAL OFFICER 246019 0 24515 0 12610 0 29730 0 3015 0 315889 0 4359 0 ROBERT NORMAN FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 565006 0 0 0 15930 0 580936 0 0 0 STEVEN JORGENSEN FORMER CHIEF OPERATING OFFICER - EAS 0 32780 0 0 0 675345 0 1907 0 20473 0 730505 0 71338 JOHN SMYLIE FORMER CHIEF OPERATING OFFICER 0 0 0 0 109221 0 0 0 0 0 109221 0 0 0 PATRICK TWOMEY MD FORMER CHIEF MEDICAL OFFICER 0 556525 0 0 0 67748 0 22118 0 35769 0 682160 0 53490 PART I, LINE 1A BENEFITS PROVIDED: DURING CALENDAR YEAR 2018, CHARTER TRAVEL WAS USED BY FOUR BOARD DIRECTORS, TWO OFFICERS, AND FIVE KEY EMPLOYEES 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 TAX YEAR 2018, AS NEW EMPLOYEES RELOCATING FROM ANOTHER AREA, KEY EMPLOYEES JODI MANSFIELD AND TRACY MILAND RECEIVED HOUSING ALLOWANCES. THESE BENEFITS WERE TREATED AS TAXABLE COMPENSATION TO BOTH INDIVIDUALS. PART I, LINES 4A-B SEVERANCE PAYMENT: KEY EMPLOYEE, JEFFREY KORSMO, RECEIVED PAYMENT TOTALING $659,088 IN CALENDAR YEAR 2018 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM MARCH 5, 2018 TO SEPTEMBER 5, 2019. MR. KORSMO WILL RECEIVE PAY TOTALING $1,285,222 & BENEFITS TOTALING $15,611 RELATED TO HIS TERMINATION. KEY EMPLOYEE, TRACY MILAND, RECEIVED PAYMENT TOTALING $275,713 IN CALENDAR YEAR 2018 RELATED TO HER TERMINATION. THE TERMINATION TERMS ARE FROM MARCH 5, 2018 TO SEPTEMBER 5, 2019. MS. MILAND WILL RECEIVE PAY TOTALING $514,488 & BENEFITS TOTALING $38,144 RELATED TO HER TERMINATION. FORMER OFFICER, ROBERT NORMAN, RECEIVED PAYMENT TOTALING $569,858 IN CALENDAR YEAR 2018 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE FROM NOVEMBER 1, 2017 TO MAY 1, 2019. MR. NORMAN WILL RECEIVE PAY TOTALING $854,786 & BENEFITS TOTALING $20,120 RELATED TO HIS TERMINATION. FORMER KEY EMPLOYEE, STEVEN JORGENSEN, RECEIVED PAYMENT TOTALING $425,818 IN CALENDAR YEAR 2018 RELATED TO HIS TERMINATION. THE TERMINATION TERMS WERE FROM JANUARY 19, 2018 TO DECEMBER 19, 2018. MR. JORGENSEN RECEIVED PAY TOTALING $425,818 & BENEFITS TOTALING $23,907 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 2018. 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: TRACI MORRIS $6,475 DENNIS DASSENKO $149,393 DIANE DAVIDSON $31,756 GREGORY GLASNER, MD $61,251 SHEILA HART $41,463 PETER HENRY, MD $175,188 MICHAEL MAHONEY $9,728 ADAM REES $37,792 TIMOTHY SAYLER $66,223 JEFFREY KORSMO $190,380 TRACY MILAND $16,070 DANIEL NIKCEVICH, MD $105,386 TERESA O'TOOLE $264,146 KRISTI SCHMIDT $7,180 MARTIN SINCLAIR $6,961 STEVEN JORGENSEN $212,848 JOHN SMYLIE $109,221 PATRICK TWOMEY, MD $66,326 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 $210,879 TRACI MORRIS $27,605 BRADLEY BEARD $43,259 DENNIS DASSENKO $44,383 DIANE DAVIDSON $43,374 GREGORY GLASNER, MD $58,146 SHEILA HART $29,485 PETER HENRY, MD $52,508 MICHAEL MAHONEY $9,167 ADAM REES $34,028 TIMOTHY SAYLER $45,240 ANNE STEPHEN, MD $45,240 DEBORAH WELLE-POWELL $47,256 RICHARD VETTER, MD $32,385 MARK HAYWARD $29,942 DANIEL NIKCEVICH, MD $92,195 TERESA O'TOOLE $59,075 KRISTI SCHMIDT $2,942 MARTIN SINCLAIR $8,491 PART I, LINE 8 INITIAL CONTRACT EXCEPTION: ESSENTIA HEALTH'S CHIEF FINANCIAL OFFICER, TRACI MORRIS, 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 AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. ESSENTIA HEALTH'S EXECUTIVE VICE PRESIDENT, COO, JODI MANSFIELD, 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 AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. ESSENTIA HEALTH'S CHIEF STRATEGY OFFICER, TRACY MILAND, 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 AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. ESSENTIA HEALTH'S VICE PRESIDENT OF REVENUE SERVICES, MELANIE WILSON, 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 AND DELIBERATIONS AND DECISIONS WERE DOCUMENTED. A CASS COUNTY ND 456002205 148047AU7 2010-02-25 59573111 SRS 2008A REOFF (SEE PART VI) 0 0 0 B WI HEALTH & EDU FAC AUTH 391337855 97710BSD5 2010-02-25 12854722 SRS 2008B REOFF (SEE PART VI) 0 0 0 C MN AG & ECON DEVEL BRD 416007162 6049202H0 2010-02-25 165717405 SRS 2008C REOFF (SEE PART VI) 0 0 0 D DULUTH ECONOMIC DEVELOPMENT AUTHORITY 900848286 26444CHF2 2018-11-01 704253406 SERIES 2018A (SEE PART VI) 0 0 0 A 3872252 3872252 2010 1 0 1 1 B 835557 835557 2010 1 0 1 1 C 2398175 10771632 123454 10648178 2010 1 0 1 1 D 3776805 32652 3744153 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 C 0 0 1 0 0 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 0 1 0 0 1 SEE PART VI 3.400000000000 1 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: DULUTH ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2019 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, ESSENTIA HEALTH CENTRAL, 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 2008A REOFFERED: THE SERIES 2008A REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. ESSENTIA HEALTH IS THE CONDUIT BORROWER OF THE SERIES 2008A REOFFERED BONDS AND HAS RECORDED A PORTION OF THE BOND LIABILITY ON ITS BALANCE SHEET. THE OBLIGATED GROUP MEMBERS, ESSENTIA HEALTH WEST, THE DULUTH CLINIC, LTD., AND ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ARE INDIRECT BENEFICIARIES OF THE SERIES 2008A REOFFERED BORROWING AND HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2008B REOFFERED: THE SERIES 2008B REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: THE DULUTH CLINIC, LTD., ESSENTIA HEALTH AND ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR ARE THE CONDUIT BORROWERS OF THE SERIES 2008B REOFFERED BONDS. THE CONDUIT BORROWERS, THE DULUTH CLINIC, LTD. AND ESSENTIA HEALTH, HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE OBLIGATED GROUP MEMBERS, ESSENTIA HEALTH WEST AND ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ARE INDIRECT BENEFICIARIES OF A PORTION OF THE SERIES 2008B REOFFERED BORROWING AND HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. SERIES 2008C REOFFERED: THE SERIES 2008C REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER TRUST INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH EAST, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH, AND ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER ARE THE CONDUIT BORROWERS OF THE SERIES 2008C REOFFERED BONDS. THE CONDUIT BORROWERS, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH, AND THE DULUTH CLINIC, LTD., HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE OBLIGATED GROUP MEMBER, ESSENTIA HEALTH WEST IS AN INDIRECT BENEFICIARY OF A PORTION OF THE SERIES 2008C REOFFERED BORROWING AND HAS RECORDED A PORTION OF THE BOND LIABILITY ON ITS BALANCE SHEET WHICH IS CONSOLIDATED WITH ESSENTIA HEALTH. 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 CENTRAL, 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. SCHEDULE K, PART I, COLUMN (F): DESCRIPTION OF PURPOSE: SERIES 2008A REOFFERED: REOFFER SERIES 2008 A-1 AND A-2 BONDS 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 2008B REOFFERED: REOFFER SERIES 2008 B-1 BONDS 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 2008C REOFFERED: REOFFER SERIES 2008 C-5 AND 2008 C-4A BONDS 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 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. SCHEDULE K, PART II, LINE 3 ISSUE PRICE: THE SERIES 2008A REOFFERED, SERIES 2008B REOFFERED, SERIES 2008C REOFFERED, AND SERIES 2018A 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 2008A REOFFERED, SERIES 2008B REOFFERED, SERIES 2008C REOFFERED, AND SERIES 2018A BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. A PORTION OF THE SERIES 2008A REOFFERED, 2008B REOFFERED, 2008C REOFFERED AND 2018A 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 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 2018 FORM 990, INCLUDING ALL SCHEDULES, WAS REVIEWED BY ESSENTIA HEALTH'S MANAGEMENT AND EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH CURRENT DIRECTOR OF THE GOVERNING BODY RECEIVED A COPY OF THE 2018 FORM 990. ESSENTIA HEALTH'S FINANCE LEADER REVIEWED THE FORM AND SCHEDULES AND ANY QUESTIONS WERE DISCUSSED. 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, CHIEF INFORMATION OFFICER, CHIEF HUMAN RESOURCE OFFICER, SENIOR VICE PRESIDENT OF INTEGRATED CARE DELIVERY, CHIEF MEDICAL OFFICER, VICE PRESIDENT OF PUBLIC POLICY, EXECUTIVE VICE PRESIDENT, COO, CHIEF POPULATION HEALTH OFFICER, CHIEF STRATEGY OFFICER, AND CHIEF LEGAL OFFICER; ESSENTIA HEALTH EAST'S CHIEF OPERATING OFFICER AND CHIEF MEDICAL OFFICER; ESSENTIA HEALTH CENTRAL'S PRESIDENT AND CHIEF NURSING OFFICER; AND ESSENTIA HEALTH WEST'S PRESIDENT, CHIEF OPERATING OFFICER, AND CHIEF MEDICAL OFFICER WAS 2019. THE YEAR THIS PROCESS WAS LAST UNDERTAKEN FOR ESSENTIA HEALTH'S CHIEF MARKETING AND COMMUNICATIONS OFFICER AND ESSENTIA HEALTH EAST'S PRESIDENT WAS 2018. 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: NET ASSET TRANSFERS WITH RELATED ORGS 13,654,842. BOOK/TAX DIFFERENCE RELATED TO PARTNERSHIP INVESTMENTS -2,231,045. 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. BRAINERD LAKES INTEGRATED HEALTH SYSTEM 2024 S 6TH ST BRAINERD MN 56401 371532145 SUPPORTING ORG MN 501(C)(3) LINE 12B, II ESSENTIA HEALTH 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 1 BRIDGES MEDICAL CENTER 201 9TH ST W ADA MN 56510 200479568 HOSPITAL/CLINIC MN 501(C)(3) LINE 3 INNOVIS HEALTH LLC 1 CLEARWATER VALLEY HOSPITAL AND CLINICS INC 301 CEDAR OROFINO ID 83544 820497771 HOSPITAL/CLINIC ID 501(C)(3) LINE 3 CRITICAL ACCESS GROUP 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 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 1 ESSENTIA HEALTH FOUNDATION 502 E 2ND ST DULUTH MN 55805 271984704 FOUNDATION MN 501(C)(3) LINE 7 ESSENTIA HEALTH 1 ESSENTIA INSTITUTE OF RURAL HEALTH 502 E 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HOSPITAL INC Q 327053 ACTUAL COSTS ST MARY'S INNOVIS HEALTH L 293387 ACTUAL COSTS ST MARY'S INNOVIS HEALTH Q 109265 ACTUAL COSTS ST MARY'S MEDICAL CENTER L 33698404 ACTUAL COSTS ST MARY'S MEDICAL CENTER Q 30618507 ACTUAL COSTS ST MARY'S MEDICAL CENTER R 29337400 ACTUAL COSTS ST MARY'S REGIONAL HEALTH CENTER L 9864965 ACTUAL COSTS ST MARY'S REGIONAL HEALTH CENTER Q 8310586 ACTUAL COSTS ST MARY'S REGIONAL HEALTH CENTER R 1400000 ACTUAL COSTS THE DULUTH CLINIC LTD L 11478495 ACTUAL COSTS THE DULUTH CLINIC LTD Q 6162324 ACTUAL COSTS SCHEDULE R, PART II, COLUMN (A) THE FOLLOWING ESSENTIA HEALTH ENTITIES HAVE A DOING BUSINESS AS NAME: LEGAL NAME; DOING BUSINESS AS NAME BRAINERD LAKES INTEGRATED HEALTH SYSTEM; ESSENTIA HEALTH CENTRAL 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 ST. MARY'S EMERGENCY MEDICAL SERVICES-DETROIT LAKES 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