SMDC MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SMDC MEDICAL CENTER (EIN 41-1878730)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-04-30
IRS object ID: 201411209349300906
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-04-30T11:31:27-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	411878730	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SMDC Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% KEVIN BOREN	InCareOfName
Name Control	SMDC	NameControl
Phone	2187861421	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 EAST 2ND STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	DULUTH	City
State	MN	State
ZIP Code	55805	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KEVIN BOREN	Name
Title	CFO	Title
Date Signed	2014-04-21	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ESSENTIA HEALTH DULUTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	BARBARA WESSBERG	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	502 East 2nd Street	AddressLine1
City	DULUTH	City
State	MN	State
ZIP Code	55805	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	408354407	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.essentiahealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1933	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	We are called to make a healthy difference in people's lives.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2654	TotalNbrEmployees
Total Nbr Volunteers	144	TotalNbrVolunteers
Total Gross UBI	962707	TotalGrossUBI
Net Unrelated Business Txbl Income	259568	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	571825	ContributionsGrantsPriorYear
Contributions Grants Current Year	548336	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	368771098	ProgramServiceRevenuePriorYear
Program Service Revenue CY	401982679	ProgramServiceRevenueCY
Investment Income Prior Year	810809	InvestmentIncomePriorYear
Investment Income Current Year	2486936	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2663851	OtherRevenuePriorYear
Other Revenue Current Year	2916289	OtherRevenueCurrentYear
Total Revenue Prior Year	372817583	TotalRevenuePriorYear
Total Revenue Current Year	407934240	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	991322	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1557436	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	261227781	SalariesEtcPriorYear
Salaries Etc Current Year	282225730	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	100000	TotalFundrsngExpCurrentYear
Other Expense Prior Year	105341647	OtherExpensePriorYear
Other Expenses Current Year	124889187	OtherExpensesCurrentYear
Total Expenses Prior Year	367560750	TotalExpensesPriorYear
Total Expenses Current Year	408672353	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5256833	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-738113	RevenuesLessExpensesCY
Total Assets BOY	620962837	TotalAssetsBOY
Total Assets EOY	649503160	TotalAssetsEOY
Total Liabilities BOY	524817265	TotalLiabilitiesBOY
Total Liabilities EOY	545408685	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	96145572	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	104094475	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	335889523	Expense
Grants	1557436	Grants
Revenue	401982679	Revenue
Description	See schedule O	Description
Total Program Service Expense	335889523	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	true	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2654	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KEVIN BOREN	NamePerson
Telephone Number	2187861421	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	532 EAST 1ST STREET	AddressLine1
City	DULUTH	City
State	MN	State
ZIP Code	55805	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Sister Kathleen Hofer
Board Chair	1.4	12.6	X	X	0	0	0
Joseph Bianco MD
Board Director	1.4	58.6	X		0	279780	43532
David Gaddie
Board Treasurer	1.4	10.6	X	X	0	33600	0
Alan Hodnik
Board Director	1.4	8.6	X		0	0	0
Sherry Mattson
Board Director	1.4	8.6	X		0	10700	0
Sister Donna Shroeder
Board Director	1.4	8.6	X		0	0	0
Sister Sarah Smedman
Board Director	1.4	8.6	X		0	0	0
Susan Streitz MD
Board Director	1.4	58.6	X		0	309934	26923
Sister Mary Josephine Torborg
Board Director	1.4	8.6	X		0	0	0
Michael Van Scoy MD
Board Secretary	50.6	9.4	X	X	0	343740	51932
Chuck Walt
Board Director	1.4	8.6	X		0	7400	0
MELISSA NAJARIAN MD
BOARD DIRECTOR thru 4/13	51.6	8.4	X		0	461675	52386
DANIEL NIKCEVICH MD
BOARD DIRECTOR	1.4	58.6	X		591992	0	75433
DANIEL MARKHAM
BOARD DIRECTOR	1.4	8.6	X		0	0	0
BARBARA JOHNSON
CHIEF FINANCIAL OFFICER	1.4	58.6		X	377389	0	57391
BARBARA WESSBERG
ADMINISTRATOR	58.6	1.4		X	167145	0	25415
MICHAEL METCALF
EXECUTIVE VP CLINICAL OPS	1.4	58.6			456142	0	89937	X
ANN WATKINS
VP SURGICAL SERVICEs	1.4	58.6			214083	0	41857	X
CYNTHIA SORENSEN
VP MEDICAL SPECialties	60.0	0.0			210990	0	50674	X
MICHAEL MCAVOY
VP HOSPITAL OPERATIONS	1.4	58.6			223697	0	44344	X
TIMOTHY ZAGER MD
DULUTH CLINIC PRESIDENT	57.2	2.8			0	367094	75536	X
Scott Johnson MD
Clinical Chief	1.4	58.6			0	620507	56828	X
THERESA GUNNARSON MD
CLINICAL CHIEF	1.4	58.6			0	548929	57725	X
JUSTIN HILL MD
SECTION CHAIR	1.4	58.6			0	625147	47278	X
SANDRA MCCARTHY
CHIEF NURSING OFFICER	1.4	58.6			444530	0	54050	X
BRIAN KONOWALCHUK MD
CLINICAL CHIEF	1.4	58.6			0	429507	51943	X
JEFFREY LYON MD
CLINICAL CHIEF	1.4	58.6			0	295831	43856	X
VINCENT OHAJU MD
CLINICAL CHIEF	1.4	58.6			0	664210	52947	X
ANNE STEPHEN MD
CLINICAL CHIEF	1.4	58.6			0	258005	52298	X
HUGH RENIER MD
VP MEDICAL AFFAIRS	1.4	58.6			0	391904	78509	X
DIANE DAVIDSON
CHIEF HUMAN RESOURCE OFFICER	1.4	58.6			357764	0	65373		X
DANIEL MCGINTY
CHIEF ADMINISTRATION OFFICER	1.4	58.6			643756	0	102111		X
HARVEY ANDERSON
VICE PRESIDENT FACILITIES	60.0	0.0			214870	0	40673		X
RUTH MCCUTCHEON
DIRECTOR BEHAVIORAL HEALTH	60.0	0.0			180858	0	26051		X
ERIK JULSRUD
MANAGER MEDICAL PHYSICS	60.0	0.0			180564	0	35036		X
THOMAS PATNOE MD
President & CMO THRU 4/12	60.0	0.0			0	540808	92577			X
ROBERT NORMAN
CHIEF FINANCIAL OFFICER	0.0	60.0			0	545825	103540			X
ROCKLON CHAPIN
EVP HOSPITAL DIVISION	0.0	0.0			208413	0	4616			X
MARIBETH OLSON
CHIEF OPERATING OFFICER	0.0	0.0			0	114789	0			X
ALBERT DEIBELE MD
CLINICAL CHIEF	0.0	0.0			0	524744	55770			X
THOMAS KAISER MD
CLINICAL CHIEF	60.0	0.0			0	660400	48829			X
RICHARD SPEHAR
PHARMACY DIRECTOR	0.0	60.0			0	164813	-9620			X
BRAD DAVIS MD
SECTION CHAIR	1.4	58.6			0	486815	55059			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4472193	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	8686157	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1750809	TotalOtherCompensation
Number Individuals GT100 K	91	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Related Organizations	88299	RelatedOrganizations
Government Grants	421320	GovernmentGrants
All Other Contributions	38717	AllOtherContributions
Total Contributions	548336	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE	621110	398342740	397965534	377206
NURSING HOME REVENUE	623000	3639939	3639939

Field	Value	IRS element (for citing)
Total Program Service Revenue	401982679	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	759581	TotalRevenueColumn
Exclusion	$759,581	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	161554	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	161554	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	161554	TotalRevenueColumn
Exclusion	$161,554	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1723210	Securities
Other	82556	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	78411	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1723210	Securities
Other	4145	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1727355	TotalRevenueColumn
Exclusion	$1,727,355	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	960843	GrossSalesOfInventory
Cost Of Goods Sold	341756	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	619087	TotalRevenueColumn
Unrelated Business Revenue	500898	UnrelatedBusinessRevenue
Exclusion	$118,189	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
CAFETERIA REVENUE	722514	1963035	84603	$1,878,432
COFFEE CART REVENUE	900099	121941		$121,941
PARKING REVENUE	812930	36510		$36,510

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	14162	TotalRevenueColumn
Exclusion	$14,162	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2135648	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	407934240	TotalRevenueColumn
Related Or Exempt Function Income	401605473	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	962707	UnrelatedBusinessRevenue
Exclusion	$4,817,724	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1554436	Total
Program Services	1554436	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3000	Total
Program Services	3000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7589993	Total
Program Services	4890095	ProgramServices
Management And General	2699898	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	109509	Total
Program Services	45490	ProgramServices
Management And General	64019	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	221815765	Total
Program Services	188013591	ProgramServices
Management And General	33772666	ManagementAndGeneral
Fundraising	29508	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13312769	Total
Program Services	10259656	ProgramServices
Management And General	3053113	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	26465757	Total
Program Services	20623967	ProgramServices
Management And General	5841790	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12931937	Total
Program Services	10540761	ProgramServices
Management And General	2391176	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	493850	Total
Management And General	493850	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8993	Total
Management And General	8993	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	8812	Total
Management And General	8812	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	255251	Total
Management And General	255251	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	21501340	Total
Program Services	14312637	ProgramServices
Management And General	7188103	ManagementAndGeneral
Fundraising	600	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	697669	Total
Program Services	1997	ProgramServices
Management And General	695672	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11623748	Total
Program Services	5173727	ProgramServices
Management And General	6440005	ManagementAndGeneral
Fundraising	10016	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	12362425	Total
Program Services	571443	ProgramServices
Management And General	11790982	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7924673	Total
Program Services	165229	ProgramServices
Management And General	7759444	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1866386	Total
Program Services	1122277	ProgramServices
Management And General	742291	ManagementAndGeneral
Fundraising	1818	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	900495	Total
Program Services	356932	ProgramServices
Management And General	537906	ManagementAndGeneral
Fundraising	5657	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	-59498	Total
Management And General	-59498	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16547203	Total
Program Services	16491463	ProgramServices
Management And General	55740	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4413955	Total
Program Services	4413955	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	31076035	31076035
BAD DEBT EXPENSE	20523527	20523527
AFFILIATE SUPPORT FEE	18189448	5134881	13054567
UNRELATED BUSINESS TAX	238296	238296

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-23683421	Total
Program Services	376128	ProgramServices
Management And General	-24111950	ManagementAndGeneral
Fundraising	52401	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	408672353	Total
Program Services	335889523	ProgramServices
Management And General	72682830	ManagementAndGeneral
Fundraising	100000	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	71108	BOY
EOY	7444587	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	126550977	BOY
EOY	117512472	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	165366	BOY
EOY	78988	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49092716	BOY
EOY	57106251	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	488299	BOY
EOY	552541	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2877781	BOY
EOY	4599351	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3490050	BOY
EOY	6436042	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	210930231	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	132175109	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	68228609	BOY
EOY	78755122	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	35884529	BOY
EOY	41511961	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	334113402	BOY
EOY	335505845	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	620962837	BOY
EOY	649503160	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	46489451	BOY
EOY	59801757	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	225000	BOY
EOY	390000	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	15566	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1036848	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	7276139	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	478102814	BOY
EOY	476888375	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	524817265	BOY
EOY	545408685	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	96048806	BOY
EOY	104055679	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	62766	BOY
EOY	4796	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	34000	BOY
EOY	34000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	96145572	BOY
EOY	104094475	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	620962837	BOY
EOY	649503160	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-738113	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	480159	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8206857	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$8,812	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8812	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C, Part II-B	Identifier
Explanation	Essentia Health Duluth pays dues to certain organizations related to the industry which have lobbying expenses. The amount listed is the percentage of the dues paid that were used for lobbying.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	true	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34000	BeginningOfYearBalance
End Of Year Balance	34000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34000	BeginningOfYearBalance
End Of Year Balance	34000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34000	BeginningOfYearBalance
End Of Year Balance	34000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34000	BeginningOfYearBalance
End Of Year Balance	34000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34000	BeginningOfYearBalance
End Of Year Balance	34000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	519579	OtherCostOrOtherBasis
Book Value	519579	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	46408832	OtherCostOrOtherBasis
Depreciation	28310365	Depreciation
Book Value	18098467	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	519743	OtherCostOrOtherBasis
Depreciation	71519	Depreciation
Book Value	448224	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	154756683	OtherCostOrOtherBasis
Depreciation	102273466	Depreciation
Book Value	52483217	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8725395	OtherCostOrOtherBasis
Depreciation	1519760	Depreciation
Book Value	7205635	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	78755122	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	POOLED INVESTMENT FUND	Description
Book Value	41511961	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	41511961	TotalOfBookValueSecurities

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	RECEIVABLES TO TAX EXEMPT ORGS	Description
Book Value	335505845	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	335505845	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
PAYABLES TO RELATED TAX-EXEMPT ORGS	$469,592,393
DEFINED BENEFIT PENSION LIABILITY	$5,912,328
ASSET RETIREMENT OBLIGATION(FIN 47)	$430,644
UNCLAIMED PROPERTY	$8,088
PATIENT EMERGENCY FUND	$1,941
POST RETIREMENT BENEFIT NON PENSION	$942,981

Field	Value	IRS element (for citing)
Total Of Amounts	476888375	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule D, Part IV, Line 2B	Essentia Health Duluth acts as custodian for the funds of the nursing home residents. Nursing home resident trust funds totaled $15,566 at June 30, 2013.
Schedule D, Part V	Endowment Fund intended uses: The endowment fund is a permanently restricted fund used to establish the Miller Memorial Hospital.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures
Central America and the Caribbean	Send agents to seminar	19997
East Asia and the Pacific	Send agents to seminar	2562
North America	Send agents to seminar	5146

Field	Value	IRS element (for citing)
Subtotal Amount Spent	27705	SubtotalAmountSpent
Total Amount Spent	27705	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2568631	TotalCommunityBenefitExpense
Net Community Benefit Expense	2568631	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	66894873	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38496412	DirectOffsettingRevenue
Net Community Benefit Expense	28398461	NetCommunityBenefitExpense
Percent Of Total Expense	0.07320	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	69463504	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38496412	DirectOffsettingRevenue
Net Community Benefit Expense	30967092	NetCommunityBenefitExpense
Percent Of Total Expense	0.07980	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	253	PersonsServed
Total Community Benefit Expense	878104	TotalCommunityBenefitExpense
Net Community Benefit Expense	878104	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	288620	TotalCommunityBenefitExpense
Net Community Benefit Expense	288620	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	253	PersonsServed
Total Community Benefit Expense	1166724	TotalCommunityBenefitExpense
Net Community Benefit Expense	1166724	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	253	PersonsServed
Total Community Benefit Expense	70630228	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38496412	DirectOffsettingRevenue
Net Community Benefit Expense	32133816	NetCommunityBenefitExpense
Percent Of Total Expense	0.08280	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	25000	TotalCommunityBuildingExpense
Net Community Building Expense	25000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	20000	TotalCommunityBuildingExpense
Net Community Building Expense	20000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Total Community Building Expense	315250	TotalCommunityBuildingExpense
Net Community Building Expense	315250	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	697867	TotalCommunityBuildingExpense
Net Community Building Expense	697867	NetCommunityBuildingExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Total Community Building Expense	1058117	TotalCommunityBuildingExpense
Net Community Building Expense	1058117	NetCommunityBuildingExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$20,523,527	BadDebtExpenseAmount
Amount Attributable To	1600	AmountAttributableTo
Amount Reimbursed By Medicare	54630295	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	91243072	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-36612777	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er OtherErOther	Er24 HoursEr24Hours
ESSENTIA HEALTH DULUTH
1	502 EAST SECOND STREET	DULUTH	MN	55805	WWW.ESSENTIAHEALTH.ORG	X	X	X	X
ESSENTIA HEALTH VIRGINIA
2	901 9TH STREET NORTH	VIRGINIA	MN	55792	WWW.ESSENTIAHEALTH.ORG	X	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	OtherOther	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	Lowest Negotiated RatesLowestNegotiatedRates
ESSENTIA HEALTH DULUTH
1	true	X	X	X	X	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	false	false	true	true	150.	true	300.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	true	X	false	false
ESSENTIA HEALTH VIRGINIA
2	true	X	X	X	X	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	false	false	true	true	175.	true	250.	true	X			X		X		true	false							true	false		X	X	true		false	false	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	11	NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Essentia Health DULUTH CLINIC-3RD STREET
400 EAST 3RD STREET	Duluth	MN	55805	MULTI-SPECIALTY CLINIC
Essentia Health Duluth Clinic-1ST STREET
420 EAST 1ST STREET	Duluth	MN	55805	MULTI-SPECIALTY CLINIC
Essentia Health DULUTH Clinic-2ND STREET
402 EAST 2ND STREET	DULUTH	MN	55805	MULTI-SPECIALTY CLINIC
Essentia Health WEST DULUTH CLINIC
4212 GRAND AVENUE	Duluth	MN	55807	MULTI-SPECIALTY CLINIC
Essentia Health LAKEWALK CLINIC
1502 LONDON ROAD	Duluth	MN	55812	MULTI-SPECIALTY CLINIC
Essentia Health LAKESIDE CLINIC
4621 EAST SUPERIOR STREET	Duluth	MN	55804	MULTI-SPECIALTY CLINIC
Essentia Health HERMANTOWN Clinic
4855 WEST ARROWHEAD ROAD	HERMANTOWN	MN	55811	MULTI-SPECIALTY CLINIC
Essentia Health Proctor Clinic
211 South Boundary Ave	Proctor	MN	55810	MULTI-SPECIALTY CLINIC
ESSENTIA HEALTH VIRGINIA CARE CENTER
901 9TH STREET NORTH	VIRGINIA	MN	55792	SKILLED NURSING FACILITY
ESSENTIA HEALTH VIRGINIA CLINIC
1101 9TH STREET NORTH	VIRGINIA	MN	55792	MULTI-SPECIALTY CLINIC
ESSENTIA HEALTH VIRGINIA MEDICAL ARTS
CLINIC 901 9TH STREET NOR	VIRGINIA	MN	55792	OBGYN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule H, Part VI, Line 1	Provide the description required for Part I, lines 3c, 6a, 7g, 7, column (f), 7; Part II; Part III, lines 2, 3, 4, 8, 9b; Part V, lines 1j, 3, 4, 5a, 5c, 6i, 7, 10, 11, 12h, 14, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, 22: Part I, Line 3c In addition to the federal poverty guidelines, an asset threshold test is also applied. Assets, excluding equity in home of $100,000, must be below $10,000 for a household of up to 2 and $20,000 for a household of 3 or more. Assets include bank accounts, IRAs, second vehicles, recreational vehicles, and any additional real estate. If after application of discount from charity care the patient's remaining balance still exceeds the patient's annual household income, an additional discount of 50% will be applied to the patient's remaining balance. If the remaining balance after the charity care discount is between 50 and 100% of the patient's annual household income, an additional discount of 25% will be applied to the patient's remaining balance. Minnesota residents whose household income is less than $125,000 may also be eligible for the MN Uninsured Discount for hospital bills. Part I, Line 6a Essentia Health Duluth's community benefit information is consolidated into the Essentia Health community benefit information which is included in the Essentia Health annual report. The annual report is made available to the public at www.essentiahealth.org. Essentia Health, headquartered in Duluth, Minn., is an integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho and is Essentia Health Duluth's parent corporation. Part I, Line 7g Not Applicable. Part I, Line 7, Column (f) Bad debt expense that was subtracted from total expense to obtain the % of community benefit to total expense amounted to $20,523,527. Part I, Line 7 The cost to charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to calculate the costs for the following community benefits: Charity Care and Unreimbursed Medicaid. Actual costs were used for the remainder of the community benefits reported. Part II About half of the community building activities reported are physician recruitment expenses. The hospital facility is located in a federally-designated medically underserved area and as such includes physician recruitment as a community building activity per the recommendation of the Catholic Health Association Community Benefit Guide. The other half represents contributions to organizations that are performing community building activities. Examples include donations to a not-for-profit organization that provides low income home loans, the public school system, the local soup kitchen, the local food bank, and the United Way. Part III, Line 2 Discounts, charity care, and bad debt expense are accounted for as reductions to revenue. Bad debt expense on patient accounts would be identified as any balance on the account, less any previous payments and discounts, that has aged and is absent of any payments. If, during the collection process, it becomes known that the patient qualifies for charity care, the amounts included within bad debt expense would be reclassified to charity care. Part III, Line 3 Essentia Health Duluth engaged 3rd party to analyze the organization's bad debt for the year and identify patient accounts that would qualify for charity care. Once identified, those patient accounts were reclassified to the charity care allowance out of bad debt. Moving into the next fiscal year, ESSENTIA HEALTH DULUTH will be using a tool that identifies accounts that would qualify for charity care automatically and reclasses those accounts to charity care allowance. As a result, we estimate $0 of patient accounts written off to bad debt would qualify for charity care. Essentia Health Virginia: Essentia Health Virginia, LLC. applied a high-level, conservative analytic review by taking the ratio of charitable allowances to gross patient revenue and multiplying against bad debt expense to arrive at an approximation of charity care that resides in bad debt. Part III, Line 3 Essentia Health Duluth is a part of a larger organization, Essentia Health. Essentia Health and its member organizations incorporate the cost of bad debt as a community benefit. As a tax exempt hospital, we must provide the necessary services regardless of the patient's ability to pay for that care. In doing so, Essentia Health makes quality patient care available to all in our community, regardless of their economic means. Part III, Line 4 The page number of the audit that contains the footnote describing the organization's bad debt expense is page 12. Part III, Line 8 The methodology used in determining the reported Medicare Allowable Costs begins with the hospital's general ledger system. The costs are obtained from the general ledger and then adjusted and reported in accordance with Centers for Medicare Services (CMS) "cost finding" guidelines as published in their Provider Reimbursement Manual. Once the Medicare allowable costs are determined from the hospital's cost report, any costs attributed to subsidized health services, and Medical Education, are removed. Part III, Line 8 Essenita Health Duluth is a part of a larger organization, Essentia Health. Essentia Health and its member organizations incorporate the full value of the Medicare shortfall as a community benefit. The rationale for the organization's opinion is providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. Medicare, like Medicaid, does not pay the full cost of care and it is likely to get worse. Many Medicare beneficiaries are poor and are eligible for Medicaid in addition to Medicare. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community. Part III, Line 8 Each Essentia Health hospital is required to file a Medicare cost report 5 months after the close of their fiscal year. The cost report provides Medicare with information that is used to determine utilization and spending trends but also is used to set future payment rates for most Medicare services. If the interim payments paid to a hospital are higher or lower than the filed cost report allowable reimbursement there will be a settlement for that fiscal year. This can be due to changes in utilization or cost of providing services for Critical Access Hospitals (CAH) or differences between interim and final payment factors for Disproportionate Share, Bad Debts, or Indirect Medical Education for non-CAH hospitals. An estimate for these settlements is recorded at the close of the fiscal year. If the estimate varies from the final settlement received 6-7 months after the fiscal year ends then these amounts are recorded as prior year Medicare revenue. Part III, Line 9b The policies and procedures for internal and external collection practices take into account the extent to which the patient qualifies for the Community Care Program and financial assistance, a patient's good faith effort to apply for a governmental program or for financial assistance from ESSENTIA HEALTH DULUTH and the patient's good faith effort to comply with his/her payment agreements. Essentia Health Duluth offers extended payment plans to eligible patients and will not impose liens on primary residences. Essentia Health Duluth trains its outside debt collection agencies and attorneys about the Community Care Program and how a patient may obtain more information about the Community Care Program or submit an application for Community Care. Essentia Health Duluth requires its outside collection agencies and attorneys to refer patients who may be eligible for Community Care to Essentia Health Duluth. If a patient has submitted application for Community Care after an account has been referred for collection activity, Essentia Health Duluth and its outside debt collection agencies suspend all collection activity until the patient's Community Care application has been processed and Essentia Health Duluth has notified the patient of its decision.
Part VI, Line 1 cont	Part V, Line 1J The Community Health Needs Assessment also includes a Community Health Profile. The profile is based on data from the Behavioral Risk Factors Surveillance System and the University of Wisconsin Population Health Institute County Health Rankings. Part V, Line 3 Essentia Health Duluth: Three Community/Patient Focus Groups were held for community members to identify and prioritize their community health needs. In addition, persons were consulted at Town Hall Meetings, which are the first step in addressing each prioritized health need. During the Town Hall Meeting, intervention options for meeting the health need were presented, and participants identified an option for their community. Individuals from the following organizations attended the Town Hall Meeting (names and titles available upon request): Arrowhead Regional Development Commission, Denfeld High School, Community Health Board, Duluth Community Garden Program, Duluth Local Initiatives Support Corporation, Fair Food Access Campaign, Generations Health Care Initiatives, Healthy Duluth Area Coalition, Lake Superior College, Institute for a Sustainable Future, Lake Superior Community Health Center, Minnesota Department of Health, St. Louis County Public Health and Human Services, St. Luke's, University of Minnesota Duluth, Walgreens, Whole Foods Co-op, YMCA, and Zeppa Family Foundation. See the CHNA posted on the website listed in Part V, Line 5a for a list of organizations that were invited to, but did not attend the town hall meetings. Employees of the Minnesota Department of Health, St. Louis County Public Health and Human Services, and the Community Health Board (names and titles available upon request) attended the Town Hall Meeting and provided input on the intervention options for addressing the highest priority health need. A wide variety of individuals attended the Community/Patient Focus Groups, including those from medically underserved, low-income, and minority populations and populations with chronic disease needs. Furthermore, Community/Patient Focus Group participants were instructed to consider themselves as representatives of the community-at-large, which would include those previously-listed populations. While 92% of individuals in St. Louis County are Caucasian, data stratified by race/ethnicity were also presented at the Community/Patient Focus Groups. Essentia Health Virginia: A Community/Patient Focus Group was held for community members to identify and prioritize their community health needs. In addition persons were consulted at Town Hall Meetings, which are the first step in addressing each prioritized health need. During the Town Hall Meeting, intervention options for meeting the health need were presented, and participants selected the option best suited to their community. Individuals from the following organizations attended the Town Hall Meeting (names and titles available upon request): Arrowhead Economic Opportunity Agency, Community/Patient Focus Group, Hibbing High School, Home Town Focus, Mesabi Community College, Parkview Learning Center, and St. Louis County Public Health and Human Services Department. See the attached CHNA for a list of organizations that were invited to, but did not attend the town hall meetings. An employee of St. Louis County Public Health and Human Services (name and title available upon request) attended the Town Hall Meeting and provided input on the intervention options for addressing the highest priority health need. While St. Louis County is 36.5% rural according to the 2012 UWPHI County Health Rankings data, the majority of Essentia Health Virginia's northern St. Louis County service area is rural. Given the known health disparities of rural populations, all attendees of the community/Patient Focus Group and Town Hall Meetings are representatives and/or members of medically-underserved and low income populations, as well as populations with chronic disease needs. Community/Patient Focus Group participants were specifically instructed to consider themselves as representatives of the community-at-large. Participants at the Town Hall Meetings served more formal leadership or representative roles. The Arrowhead Economic Opportunity Agency is "established as a Community Action Program (CAP) for the northeast Minnesota counties of St. Louis, Lake, and Cook." In St. Louis County, 92.0% of individuals are Caucasian. However, as attendees at the Community/Patient Focus Group were instructed to act as representatives of the entire community, and data stratified by race/ethnicity were presented, health needs of minority populations were considered. Part V, Line 4 Essentia Health Duluth AND ESSENTIA HEALTH VIRGINIA ARE affiliated with Essentia Health. In the interest of efficiency, cost effectiveness, and alignment with Essentia Health population health strategies, the hospital facility's CHNA was conducted in a coordinated process with fourteen other Essentia Health hospital facilities. While still allowing for tailoring to each particular hospital facility, procedures were standardized across hospital facilities. The hospital facilities included in this coordinated process are: Essentia Health Ada in Ada, MN; Clearwater Valley Hospital and Clinics, Inc. in Orofino, ID; Essentia Health Deer River in Deer River, MN; Essentia Health Virginia in Virginia, MN; Essentia Health Holy Trinity Hospital in Graceville, MN; Essentia Health West in Fargo, ND; Minnesota Valley Health Center, Inc. in Le Sueur, MN; Essentia Health Northern Pines in Aurora, MN; Essentia Health Sandstone in Sandstone, MN; Essentia Health Duluth in Duluth, MN; Essentia Health St. Joseph's Medical Center in Brainerd, MN; Essentia Health St. Mary's Hospital-Superior in Superior, WI; St. Mary's Hospital, Inc. in Cottonwood, ID; Essentia Health St. Mary's Medical Center in Duluth, MN; and Essentia Health St. Mary's-Detroit Lakes in Detroit Lakes, MN. Since Essentia Health West joined the collaborative effort on February 1, 2013, not all aspects of the Essentia Health West CHNA are coordinated with those of the other hospital facilities. Essentia Health St. Mary's Medical Center did and will collaborate more closely with one of the Essentia Health hospital facilities in particular - Essentia Health Duluth in Duluth, MN - by holding joint Community/Patient Focus Groups, Town Hall Meetings, and Intervention Planning Meetings. Additional collaboration between the two hospital facilities will occur throughout intervention implementation as the hospital facilities will execute joint interventions for each priority health need. The hospital facility did not collaborate with any other hospital facility outside of the Essentia Health System. Part V, Line 5a Essentia Health Duluth: The CHNA is posted under the "Community Benefit/CHNA" tab on the hospital facility's homepage at http://www.essentiahealth.org/Duluth/FindaClinic/Essentia-HealthDuluth-Mil lerDwan-Building-41.aspx Essentia Health Virginia: The CHNA is posted under the "Community Benefit/CHNA" tab on the hospital facility's homepage at http://www.essentiahealth.org/EssentiaHealth-Virginia/FindaClinic/Essentia -HealthVirginia-206.aspx Part V, Line 5c Links to the report were emailed to the Minnesota Hospital Association (MHA) to catalog the assessments and make them available on their website to help members meet IRS requirements for wide dissemination of reports. The MHA will also analyze the assessments to identify common themes, issues and needs on a statewide and regional basis. Finally, the MHA will use the catalog as a vehicle for connecting hospitals with similar community needs with one another to explore joint implementation strategies, information sharing , or resources for making their community benefit activities as influential as possible. Part V, Line 6i This box was not checked, so not applicable. Part V, Line 7 Seven health needs were identified through the CHNA. Of those health needs, three were selected as the highest priority health needs that have/will be addressed over the next three years as a part of the hospital facility's implementation strategies. The hospital facility will not directly meet the four unprioritized health needs due to resource constraints. Rather than inadequately addressing all health needs, the hospital facility will focus resources, financial and otherwise, on their community's three prioritized health needs in order to foster success in meeting those health needs. Despite not directly meeting the unprioritized needs, interventions addressing the three prioritized health needs may partially address the unprioritized health needs that overlap with the prioritized health needs. If the unprioritized health needs remain in the next CHNA cycle, they may be directly addressed at that time. The four unprioritized health needs are as follows: Essentia Health Duluth: -Immunizations -Access to healthcare -Preventative care -Secondary prevention/screening Essent
Part VI, line 2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B: Essentia Health Duluth: In addition to the needs assessment, we assess community health needs through the programs we offer, requests we receive and staff involvement in their own communities. We collaborate with other community organizations such as the United Way, Community Health Care Boards and Community Health Plan Steering Committees and other local organizations in common efforts to address community health care needs. The Essentia Health Primary Care Patient and Family Advisory Council is another mechanism that is used to assess the community health care needs. The goals of the council include the following: 1. Strengthen communications among patients, families and care givers, and staff 2. Advocate for patient and family centered care 3. Foster accountability for a health care environment that is safe, accessible and supportive 4. Improve coordination of quality care 5. Provide input and feedback to Essentia leadership, physicians and staff 6. Facilitate a positive relationship between Essentia Health and the community. Essentia Health Virginia: In addition to the recently conducted Community Health Needs Assessment, Essentia Health Virginia participates in monthly mental health meetings including several local health care facilities as well as representatives of the county to discuss how mental health services across northern Minnesota can be improved upon. Essentia Health Virginia also assess the community's needs through programs offered, requests received, and staff involvement in the community.
Part VI, line 3	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's Financial Assistance policy: Essentia Health Duluth has financial assistance packets that contain information about their community care program as well as contact information on other federal and state government programs. These packets are distributed to patients once a financial need has been determined either through patient request or staff referrals. The Financial Assistance policy and application is available on the Essentia Health website at www.essentiahealth.org. Because financial assistance packets are given to patients when a need is determined, they may be given to the patient at any point (admission, discharge, during the billing process). Essentia Health Duluth has Patient Account Representatives on staff to assist patients in Medicaid and other assistance programs (including the charity care program) that may be available to them. Contact information for the Patient Account Representatives is available on the Essentia Health website and is also included on the back of the billing statements. All hospital staff has been trained to refer patients to the Patient Account Representatives. The Patient Account Representatives often assist patients with the application process, mailing and follow up. Essentia Health Virginia: When a patient notifies registration that they are uninsured, registration staff at Essentia Health Virginia initiates the process for their demographic information to be sent to an external vendor. The external vendor is a company that assists patients in the application process for all Minnesota Medical Assistance programs, as well as helping patients with new disabilities apply for Medical Assistance. They also offer coordination assistance when there is additional coverage available to a patient, such as auto insurance, Minnesota Crime Victims Reparations, Veterans Administration, contract health, and community care. Registration staff hospital-wide ask the patient to sign a consent form giving Essentia Health Virginia permission to send their basic demographic information to the external vendor. The signed consent forms are faxed to their office and scanned into each patient account. Once the external vendor receives the demographic information, they attempt to contact the patient via phone, field visit, and mail. They assist patients with the application process and contact them regularly throughout the process. They also contact Saint Louis County for updates on the application process as needed. When a patient is either approved or denied, notification is promptly sent to Essentia Health Virginia. If a patient is denied coverage, the external vendor refers patients back to Essentia Health Virginia to apply for the community care program. The Financial Assistance policy and application is available on the Essentia Health website at www.essentiahealth.org.
Part VI, line 4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: Essentia Health Duluth: Essentia Health Duluth is located in Duluth, MN. Essentia Health Duluth is a part of the larger Essentia Health system, which is defined in Part VI, line 6. Essentia Health Duluth operates 1 hospital and 8 clinics that serve the St. Louis County area. The overall community is classified as suburban and rural. Essentia Health Duluth covers a service region of approximately 465,000 people. The service region age distribution is 20.0% under the age of 18; 61.6% between the ages of 18 and 65; and 18.4% over the age of 65. The racial makeup of the service region is 91.2% Caucasian; 1.1% Black or African American; 0.6% Asian; 1.3% Hispanic; and 5.8% other, predominantly Native American. The gender split ratio is 49.9% women and 50.1% men. The average income for the service area is approximately $56,000. Approximately 9.2% of the population falls below the federal poverty guidelines. Essentia Health Duluth, along with Essentia Health is committed to serve patients regardless of their ability to pay. Approximately 1.6% net revenue dollars were from self pay patients. In addition, approximately 13.19% of their net revenue dollars were Medicaid recipients. As mentioned above, Essentia Health Duluth is part of a larger system, Essentia Health. Essentia Health staffs hospitals and clinics in federally-recognized underserved areas and supports the health of its communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into its smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. There are 13 other hospitals outside of the Essentia Health umbrella that service the community. Essentia Health Virginia: Essentia Health Virginia is located in Virginia, MN. Essentia Health Virginia is a part of the larger Essentia Health system, which is defined in Part VI, line 6. Essentia Health Virginia operates 1 hospital, 2 clinics and 1 skilled nursing facility that serve northern St. Louis County. The overall community is classified as rural. Essentia Health Virginia covers a service region of approximately 28,000 people. The service region age distribution is 19.3% under the age of 18; 60.3% between the ages of 18 and 65; and 20.4% over the age of 65. The racial makeup of the service region is 93.8% Caucasian; 0.7% Black or African American; 0.4% Asian; 0.9% Hispanic; and 4.2% other, predominantly Native American. The gender split ratio is 49.8% women and 50.2% men. The average income for the service area is approximately $52,000. Essentia Health Virginia, along with Essentia Health is committed to serve patients regardless of their ability to pay. 5.4% net revenue dollars were from self pay patients. In addition, approximately 10.3% of their net revenue dollars were Medicaid recipients. As mentioned above, Essentia Health Virginia is part of a larger system, Essentia Health. Essentia Health staffs hospitals and clinics in federally-recognized underserved areas and supports the health of its communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into its smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. There is 1 other hospital outside of the Essentia Health umbrella that services the community.
Part VI, line 5	Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting the health of the community: Essentia Health Duluth: Essentia Health Duluth's board of directors is composed of volunteer representatives from the communities it serves. Essentia Health Duluth has an open medical staff, so any qualified physician of the community is allowed to apply. All applicants that apply must meet the credentialing standards and be approved by our governing board in order to come and provide services in our system. In addition, the hospital facility provides on-site clinical experiences for medical students, nurses, therapists, technicians and other healthcare vocations. We reinvest in the organization by acquiring the latest state of the art equipment and by investing in programs that are needed in our community. Essentia Health Duluth provides support and education to the community. The hospital facility uses many volunteers to deliver a volume of services in order to enable staff to be more efficient in services provided. A variety of media are used to reach the public on seasonal or problem health conditions in the community. Essentia Health Duluth is active in the community and sponsors events that promote healthy lifestyles and health communities. ESSENTIA HEALTH VIRGINIA: Essentia Health Virginia's board of directors is composed of volunteer representatives from the communities it serves. Essentia Health Virginia has an open Medical Staff, so any qualified physician of the community is allowed to apply. All applicants that apply must meet the credentialing standards and be approved by the governing board. Annually the organization develops an operating and capital budget based upon the services it will deliver to meet the healthcare needs in the community. Any surplus would be applied against the prioritized needs to maintain existing programs and services or the development of new ones. Essentia Health Duluth AND ESSENTIA HEALTH VIRGINIA ARE a part of the Essentia Health East Region. Essentia Health East Region's consolidated community benefits are summarized below: Benefits for person living in poverty Charity care at cost $7,278,185 Cost-to-Charge Ratio Unreimbursed Medicaid $69,326,423 Cost-to-Charge Ratio Total Charity Care and Means-Tested Government Programs $76,604,608 Benefits for the broader community Community health improvement services and community benefit operations $2,188,291 Actual Costs Health professions education $2,202,988 Actual Costs Financial and in-kind contributions $288,620 Actual Costs Total Other Benefits $4,679,899 Community building activities $2,357,891 Actual Costs Unpaid cost of public programs, Medicare $83,076,337 Cost-to-Charge Ratio Other care provided without compensation (bad debt) $23,417,575 Cost-to-Charge Ratio Discounts offered to uninsured patients $1,860,659 Actual Costs Taxes and fees $2,665,992 Actual Costs Total Community Benefit $194,662,961 Essentia Health Duluth AND ESSENTIA HEALTH VIRGINIA ARE a part of a larger system Essentia Health. As a non-profit organization, Essentia Health is focused on reinvesting surplus revenues into medical training, programs and technology that improve patient care. We are also committed to eliminating geographic barriers to care. One of the most significant investments in 2013 was the development of Essentia Health's Accountable Care Organization and its accreditation by the National Committee for Quality Assurance (NCQA). A cornerstone of federal healthcare reform, ACOs are designed to improve care while reducing overall costs for patients and society as a whole. We also continue to replace and upgrade facilities and technology, like MRIs, CT scanners and surgery suites to ensure patients in rural communities have access to these services in their home communities. We are also investing in the development of medical homes, which are designed to improve health outcomes for patients, particularly those with chronic diseases. Much of this work is not fully reimbursed by state or federal programs. We also support the health of our communities through active research and clinical trials through the Essentia Institute of Rural Health. Various Essentia Health organizations contributed approximately $4.75 million in support to the Institute over the past year. The Institute conducts clinical, translational and health services research with a primary focus on the needs of rural Americans.
Part VI, Line 6	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served: Essentia Health Duluth AND ESSENTIA HEALTH VIRGINIA ARE part of Essentia Health, an integrated health system of 16 hospitals, 65 clinics, eight long-term care facilities, two assisted living facilities, four independent living facilities in four states: Minnesota, Wisconsin, North Dakota and Idaho. The health system serves a predominantly rural population whose median incomes generally fall below averages of the states where they live. The presence of our clinics and hospitals ensures that people with few economic resources don't have to drive an hour or more to receive basic (and in some cases life-saving) medical care. In addition to staffing hospitals and clinics in federally-recognized underserved areas, we support the health of our communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into our smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. Our size and integrated structure allow us to offer patients services often found only in larger urban settings. Services ranging from chemotherapy to congestive heart failure management and hospice are available to patients in many of the rural communities we serve. Essentia Health also supports the health of our rural communities through active research and clinical trials by the Essentia Institute of Rural Health. The Institute conducts clinical, translational and health services research with a primary focus on the needs of rural Americans. Essentia Health is also serving patients through the use of the Epic electronic health record (EHR). The vast majority of Essentia's hospitals and clinics are using a fully-integrated EHR for patient care. Technology like the electronic health record and Essentia's telehealth program allows health clinicians to share test results and consult with colleagues in real time across great distances. Medical information is no longer lost in the shuffle of paper records - an important consideration in a region where patients must often be transferred to a larger Essentia facility for complex surgeries or medical care. Essentia is also actively working with government agencies and insurers to develop innovative, cost-effective approaches to care that will improve health outcomes while reducing overall costs to patients and insurers. This innovation can be found in our use of remote home monitors for patients with congestive heart failure to a focus on using a team-based approach to helping patients manage chronic diseases. Essentia Health is committed to helping patients and their families lead active and fulfilling lives in the small and large communities where they live. We hope to become a model of health care delivery, particularly in rural areas, in the years to come.
PART VI, LINE 7	If applicable, identify all states with which the organization, or a related organization, files a community benefit report: Essentia Health Duluth files a community benefit report in Minnesota.
Part VI, Line 8	If applicable, for each hospital facility in a facility reporting group provide the description required for part v, section b, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 20d, 21, and 22: Not applicable.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (40 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
BOYS & GIRLS CLUB OF the Northland
PO BOX 16435	DULUTH	MN	55816	410969947	501(C)3	10000	Program Support
CHURCHES UNITED IN MINISTRY
102 W 2ND ST	DULUTH	MN	55802	411227969	501(C)3	27500	Program Support
COLLEGE OF ST SCHOLASTICA
1200 KENWOOD AVE	DULUTH	MN	55811	410698301	501(C)3	104000	Program Support
FIRST WITNESS Child Abuse RESOURCE CENTER
4 W 5TH ST	DULUTH	MN	55806	411737291	501(C)3	20500	PROGRAM SUPPORT
Duluth Public Schools
215 N First Ave	Duluth	MN	55802	416003776	501(C)3	20750	Program Support
KIDS CLOSET of Duluth
727 Central Avenue N	DULUTH	MN	55807	201878745	501(c)3	8000	Program Support
ROTARY CLUB OF SUPERIOR
39 NORTH 25TH ST	SUPERIOR	WI	54880	390579300	501(C)4	10000	Program Support
Gloria Dei Lutheran Church
326 11th Ave	Two Harbors	MN	55616	410786046	501(C)3	22000	Program Support
MEN AS PEACEMAKERS
205 W 2ND ST Suite 15	DULUTH	MN	55802	411841689	501(C)3	10250	Program Support
MILLER DWAN FOUNDATION
502 E 2ND ST	DULUTH	MN	55805	237396466	501(C)3	57500	Program Support
NORTHERN WATERS PARISH NURSE MINISTRY
3500 Tower Ave	SUPERIOR	WI	54880	392001278	501(C)3	6000	Program Support
NORTHLAND FOUNDATION
202 W SUPERIOR ST Ste 610	DULUTH	MN	55802	411554455	501(C)3	50000	Program Support
NORTHSHORE INLINE MARATHON
P O BOX 22	DULUTH	MN	55801	411871361	501(C)3	10000	Program Support
NORTHWOODS WOMEN INC
P O BOX 88	ASHLAND	WI	54806	391364912	501(C)3	8000	Program Support
PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT INC
32 E 1ST ST STE 200	DULUTH	MN	55802	411350021	501(C)3	20000	PROGRAM SUPPORT
Range Respite Project Inc
1309 20th St S	Virginia	MN	55792	411726790	501(C)3	7120	Program Support
SECOND HARVEST NORTHERN LAKES FOOD BANK
4503 AIRPARK BLVD	DULUTH	MN	55811	363479964	501(C)3	25000	Program Support
UNION GOSPEL MISSION
219 E First St	DULUTH	MN	55802	410724066	501(C)3	8000	Program Support
UNITED WAY OF GREATER DULUTH
424 W Superior St Ste 402	DULUTH	MN	55802	410857077	501(C)3	25000	Program Support
UNITED WAY OF NORTHEASTERN MINNESOTA
229 W LAKE ST	CHISHOLM	MN	55719	410908454	501(C)3	15250	Program Support
CAMEROON HEALTHCARE DEVELOPMENT PROGRAM
3417 RILEY RD	DULUTH	MN	55803	272513866	501(C)3	26650	Program Support
YOUTH FOR CHRIST USA INC
7670 S VAUGHN CT	ENGLEWOOD	CO	80112	362193619	501(c)(3)	15000	Program Support
CENTER AGAINST SEXUAL & DOMESTIC ABUSE INC
2231 CATLIN AVE	SUPERIOR	WI	54880	391478768	501(c)(3)	45000	Program Support
DAMIANO CENTER
206 W 4TH ST	DULUTH	MN	55806	411453521	501(c)(3)	130000	Program Support
LIFE HOUSE
102 W FIRST ST	DULUTH	MN	55802	411704840	501(c)(3)	50000	Program Support
ESSENTIA HEALTH FOUNDATION
502 E 2ND ST	DULUTH	MN	55805	271984704	501(c)(3)	160000	Program Support
JUST KIDS DENTAL
PO BOX 146	TWO HARBORS	MN	55616	272311353	501(c)(3)	45000	Program Support
DIOCESE OF DULUTH
2830 E 4TH STREET	DULUTH	MN	55812	410713916	501(C)3	14000	PROGRAM SUPPORT
REGENTS OF THE UNIVERSITY OF MINNESOTA
UNIVERSITY AVE SE SUITE 111	MINNEAPOLIS	MN	55414	416007513	501(C)3	76300	PROGRAM SUPPORT
VOLUNTEERS IN EDUCATION
PO BOX 65	SOUDAN	MN	55782	450578555	501(C)3	10000	PROGRAM SUPPORT
UNITED WAY OF SUPERIOR DOUGLAS COUNTY INC
1507 TOWER AVE SUITE 215	SUPERIOR	WI	54880	396084805	501(C)3	7500	PROGRAM SUPPORT
UNIVERSITY OF MINNESOTA DULUTH
1049 UNIVERSITY DRIVE	DULUTH	MN	55812	416007513	501(C)3	275250	PROGRAM SUPPORT
LAKE COUNTY AMBULANCE SERVICE
421 20TH AVE	TWO HARBORS	MN	55616	411893902	501(C)3	25000	PROGRAM SUPPORT
ONE ROOF COMMUNITY HOUSING
12 ESAT 4TH STREET	DULUTH	MN	55805	411678328	501(C)3	25000	PROGRAM SUPPORT
DULUTH LOCAL INITIATIVES SUPPORT CORP
202 W SUPERIOR STREET	DULUTH	MN	55802	133030229	501(C)3	35750	PROGRAM SUPPORT
DULUTH PLAYHOUSE
506 W MICHIGAN STREET	DULUTH	MN	55802	410694692	501(C)3	10000	PROGRAM SUPPORT
HARTLEY NATURE CENTER
3001 WOODLAND AVE	DULUTH	MN	55803	363507636	501(C)3	7500	PROGRAM SUPPORT
RECREATION AND FITNESS RESOURCES INC
PO BOX 1146	BAYFIELD	WI	54814	421706601	501(C)3	9507	PROGRAM SUPPORT
VISIT DULUTH
21 W SUPERIOR STREET SUITE 100	DULUTH	MN	55802	410226515	501(C)3	6667	PROGRAM SUPPORT
VINCENT OBIOMA OHAJU MEMORIAL FOUNDATION
130 W SUPERIOR STREET SUITE 926	DULUTH	MN	55802	582678884	501(C)3		MEDICAL MISSIONS	7633	COST	PHARMACY DRUGS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	39	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part I, Line 2	Identifier
Explanation	Essentia Health Duluth provides grant monies to organizations that demonstrate the mission or values of Essentia Health. The Board approves grant monies to community organizations that make a healthy difference in the Northland. The Board also approves grants for healthcare initiatives that make a positive difference in the lives of patients in the area it serves. The Board is provided an annual report of the use of funds. Grant recipients are required to provide a written report for grants over $5,000.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	true	InitialContractException
Rebuttable Presumption Procedure	true	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (34 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT NORMAN
CHIEF FINANCIAL OFFICER	0	421115	0	66529	0	58181	0	71277	0	32263	0	649365	0	54041
BARBARA JOHNSON
CHIEF FINANCIAL OFFICER	303431	0	46526	0	27432	0	50193	0	7198	0	434780	0	25094	0
ROCKLON CHAPIN
EVP HOSPITAL DIVISION	0	0	0	0	208413	0	0	0	4616	0	213029	0	14674	0
THOMAS PATNOE MD
President & CMO THRU 4/12	0	537506	0	0	0	3302	0	65270	0	27307	0	633385	0	0
MICHAEL METCALF
EXECUTIVE VP CLINICAL OPS	387434	0	61425	0	7283	0	62400	0	27537	0	546079	0	0	0
MARIBETH OLSON
CHIEF OPERATING OFFICER	0	0	0	0	0	114789	0	0	0	0	0	114789	0	8949
ANN WATKINS
VP SURGICAL SERVICEs	180199	0	14326	0	19558	0	22813	0	19044	0	255940	0	10727	0
CYNTHIA SORENSEN
VP MEDICAL SPECialties	185005	0	13707	0	12278	0	21828	0	28846	0	261664	0	10907	0
MICHAEL MCAVOY
VP HOSPITAL OPERATIONS	196777	0	15615	0	11305	0	24865	0	19479	0	268041	0	4794	0
ALBERT DEIBELE MD
CLINICAL CHIEF	0	523253	0	0	0	1491	0	25000	0	30770	0	580514	0	0
THOMAS KAISER MD
CLINICAL CHIEF	0	654061	0	0	0	6339	0	25000	0	23829	0	709229	0	0
TIMOTHY ZAGER MD
DULUTH CLINIC PRESIDENT	0	362148	0	0	0	4946	0	56000	0	19536	0	442630	0	0
DIANE DAVIDSON
CHIEF HUMAN RESOURCE OFFICER	279194	0	43787	0	34783	0	46482	0	18891	0	423137	0	30546	0
Scott Johnson MD
Clinical Chief	0	619043	0	0	0	1464	0	25000	0	31828	0	677335	0	0
Joseph Bianco MD
Board Director	0	279195	0	0	0	585	0	25000	0	18532	0	323312	0	0
Susan Streitz MD
Board Director	0	308591	0	0	0	1343	0	25000	0	1923	0	336857	0	0
Michael Van Scoy MD
Board Secretary	0	343185	0	0	0	555	0	25000	0	26932	0	395672	0	0
MELISSA NAJARIAN MD
BOARD DIRECTOR thru 4/13	0	460859	0	0	0	816	0	25000	0	27386	0	514061	0	0
DANIEL NIKCEVICH MD
BOARD DIRECTOR	589434	0	0	0	2558	0	48529	0	26904	0	667425	0	0	0
BARBARA WESSBERG
ADMINISTRATOR	154095	0	12206	0	844	0	19441	0	5974	0	192560	0	0	0
RICHARD SPEHAR
PHARMACY DIRECTOR	0	164110	0	0	0	703	0	-18314	0	8694	0	155193	0	0
THERESA GUNNARSON MD
CLINICAL CHIEF	0	548286	0	0	0	643	0	25000	0	32725	0	606654	0	0
JUSTIN HILL MD
SECTION CHAIR	0	624553	0	0	0	594	0	25000	0	22278	0	672425	0	0
BRAD DAVIS MD
SECTION CHAIR	0	485958	0	0	0	857	0	25000	0	30059	0	541874	0	0
DANIEL MCGINTY
CHIEF ADMINISTRATION OFFICER	396801	0	91977	0	154978	0	65921	0	36190	0	745867	0	87283	0
HARVEY ANDERSON
VICE PRESIDENT FACILITIES	186822	0	14029	0	14019	0	22039	0	18634	0	255543	0	10167	0
RUTH MCCUTCHEON
DIRECTOR BEHAVIORAL HEALTH	169495	0	10237	0	1126	0	16741	0	9310	0	206909	0	0	0
ERIK JULSRUD
MANAGER MEDICAL PHYSICS	180402	0	0	0	162	0	9356	0	25680	0	215600	0	0	0
SANDRA MCCARTHY
CHIEF NURSING OFFICER	409405	0	9384	0	25741	0	42921	0	11129	0	498580	0	0	0
BRIAN KONOWALCHUK MD
CLINICAL CHIEF	0	429198	0	0	0	309	0	20000	0	31943	0	481450	0	0
JEFFREY LYON MD
CLINICAL CHIEF	0	294903	0	0	0	928	0	25000	0	18856	0	339687	0	0
VINCENT OHAJU MD
CLINICAL CHIEF	0	662587	0	0	0	1623	0	25000	0	27947	0	717157	0	0
ANNE STEPHEN MD
CLINICAL CHIEF	0	257766	0	0	0	239	0	25000	0	27298	0	310303	0	0
HUGH RENIER MD
VP MEDICAL AFFAIRS	0	301779	0	24229	0	65896	0	49228	0	29281	0	470413	0	31364

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule J, Part I Line 1	Benefits provided: During tax year 2012, as new employees relocating from other areas, highest compensated employee, Daniel McGinty, and key employee, Sandra McCarthy, each received a housing allowance. This benefit was treated as taxable compensation to these individuals. DDuring tax year 2012, charter travel was used on occasion by two board directors, three key employees, two former officers, and one former key employee for travel between Essentia Health's Corporate office in Duluth, MN and Essentia Health's supported organizations. Many of Essentia Health's supported organizations are located in rural areas which do not have direct commercial flights available. Charter travel ensures efficient use of Essentia Health's board directors' and employees' time. The use of charter travel is not treated as taxable compensation to these individuals as all travel was business related.
Schedule J, Part I, Line 3	Establishing CEO's compensation: Essentia Health Duluth relied on Essentia Health's, supporting organization of Essentia Health Duluth, methods for establishing Essentia Health Duluth's ADMINISTRATOR'S compensation: a compensation committee, independent compensation consultant, compensation survey or study, and approval by the board or compensation committee.
Schedule J, Part I, Line 4A	Severance payment: Former key employee, Maribeth Olson, a former employee of related organization Essentia Health St. Mary's Medical Center, received payment totaling $105,840 in tax year 2012 related to her termination. The termination terms are from May 7, 2011 until May 7, 2012. Ms. Olson will receive pay totaling $302,031 related to her termination. Former key employee, Rocklon Chapin received payment totaling $194,400 in tax year 2012 related to his termination. The termination terms are from January 31, 2011 until July 31, 2012. Mr. Chapin will receive pay totaling $501,019 & benefits totaling $10,009 related to his termination. All other individuals listed as Formers in Form 990, Part VII, Section A, Line 1a remain employed within Essentia Health and its subsidiaries and are not receiving a termination payment.
SCHEDULE J, PART I, LINE 4B	Supplemental nonqualified retirement plan: Essentia Health's nonqualified retirement plan is offered to designated Essentia Health executives. There is a minimum two year vesting date or automatically 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: ROBERT NORMAN $54,041 DANIEL MCGINTY $87,283 ANN WATKINS $10,727 CYNTHIA SORENSEN $10,907 MARIBETH OLSON $8,949 HUGH RENIER, MD $31,364 ROCKLON CHAPIN $14,674 MICHAEL MCAVOY $4,794 DIANE DAVIDSON $30,546 Harvey Anderson $10,167 BARBARA JOHNSON $25,094 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: ROBERT NORMAN $45,627 DANIEL MCGINTY $40,921 ANN WATKINS $2,811 CYNTHIA SORENSEN $1,015 HUGH RENIER, MD $24,228 MICHAEL MCAVOY $3,063 DIANE DAVIDSON $21,482 BARBARA JOHNSON $25,193 BARBARA WESSBERG $2,397 TIMOTHY ZAGER, MD $31,000 THOMAS PATNOE, MD $40,270 SANDRA MCCARTHY $42,921 DANIEL NIKCEVICH, MD $23,529 MICHAEL METCALF $37,400 Harvey Anderson $1,719
SCHEDULE J, PART I, LINE 8	Initial contract exception: Essentia Health East President/Chief Medical Officer, Daniel Nikcevich, received compensation during the year under an initial employment agreement subject to the initial contract exception. Through the Executive Compensation Committee of Essentia Health's board of directors, this compensation arrangement was reviewed and approved by independent persons using comparability data and deliberations and decisions were documented.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Sheri Mattson	NamePerson

Field	Value	IRS element (for citing)
Relationship	Related to Sherry Mattson	Relationship
Amount Of Transaction	42684	AmountOfTransaction
Description Of Transaction	See Part V	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L, Part IV, Column D	Identifier
Explanation	Description of transaction: Compensation of family member of board member	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part III, Line 4	Program service accomplishments: SMDC Medical Center dba Essentia Health Duluth is organized and operated exclusively for charitable, scientific, and educational purposes. In furtherance of its purposes, Essentia Health Duluth provides health care services in Minnesota through its 154 bed hospital and 8 clinics. The hospital offers a broad range of inpatient and outpatient services for its patients, including medical surgical care, behavioral health, rehabilitation, orthopedics, neuroscience, digestive health, family and pediatrics services, and heart and vascular services. In accordance with the Federal Emergency Medical Treatment and Active Labor Act, any person who presents at the hospital seeking treatment of an emergency medical condition is given a medical screening and necessary stabilizing treatment regardless of the person's ability to pay. In addition to the hospital and clinics, Essentia Health Duluth also operates pharmacies, optical centers, infusion therapy centers, outpatient surgery centers, and a cancer center. Beyond its clinical services, Essentia Health Duluth also offers educational programs for the community, such as parenting classes and child safety programs such as bicycle helmet fitting, bicycle safety, and pedestrian safety. Essentia Health Duluth also participates in continuing education programs for health care professionals. Essentia Health Duluth employs over 2,200 full time equivalents. The hospital provided for over 27,500 hospital patient days and over 29,500 outpatient visits during the fiscal year ended June 30, 2013. The clinics had over 468,000 encounters during the same time period. Essentia Health Duluth provided over $2,486,000 in charity care as well as an additional $26,563,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2013. Further community benefits provided during the fiscal year include cash and in-kind donations of over $288,000 and continuing education programs for health care professionals of over $861,000. Effective January 1, 2013, Essentia Health Duluth became the sole member of Essentia Health Virginia LLC. Essentia Health Virginia LLC is organized exclusively for charitable, scientific, and educational purposes. In furtherance of its purposes, Essentia Health Virginia LLC provides health care services in Minnesota through its 83 bed hospital, 90 bed skilled nursing facility, and effective May 1, 2013, a provider based clinic. The hospital offers a broad range of inpatient and outpatient services for its patients, including medical surgical care, rehabilitation, orthopedics, diabetes care, sleep lab, family and pediatric services, and heart and vascular services. In accordance with the Federal Emergency Medical Treatment and Active Labor Act, any person who presents at the hospital seeking treatment of an emergency medical condition is given a medical screening and necessary stabilizing treatment regardless of the person's ability to pay. The clinic offers a broad range of outpatient services for its patients, including family practice, obstetrics and gynecology, cancer center, orthopedics, digestive health, family, pediatrics services, weight management, and heart and vascular services. Essentia Health Virginia LLC employs over 220 full time equivalents. The hospital provided for over 3,500 patient days and over 6,000 emergency visits during the fiscal year ended June 30, 2013. The clinic had over 12,600 encounters during the same time period and the skilled nursing facility provided over 15,000 resident days. Essentia Health Virginia LLC provided over $82,000 in charity care as well as an additional $1,835,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2013. Further community benefits provided during the fiscal year include continuing education programs for health care professionals of over $16,000.
Form 990, Part V, LINE 1A	1099 Reporting: Vendor payments and Form 1099's were processed through Essentia Health on behalf of certain legal entities comprising Essentia Health system.
Form 990, Part VI, SECTION A, LINE 4	During the fiscal year ended June 30, 2013, the Bylaws of Essentia Health Duluth were amended. The amendments removed the special board reserved powers.
Form 990, Part VI, LINE 6	Members of Organization: MEMBER, ESSENTIA HEALTH EAST, MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY AS DESCRIBED IN SCHEDULE O PART VI LINE 7A. MEMBERS, ESSENTIA HEALTH AND ESSENTIA HEALTH EAST, HAVE RESERVED POWERS WITH RESPECT TO ESSENTIA HEALTH DULUTH AS DESCRIBED IN SCHEDULE O PART VI LINE 7B.
Form 990, Part VI, Line 7A	Members with right to elect governing body: ESSENTIA HEALTH EAST appointS and removeS ESSENTIA HEALTH DULUTH's governing body.
Form 990, Part VI, Line 7B	MEMBER WITH RIGHT TO APPROVE GOVERNING BODY DECISION: ESSENTIA HEALTH DULUTH is a subsidiary of Essentia Health, whose Board of Directors has reserved powers with respect to this corporation and its subsidiaries, and all of the other direct and indirect subsidiaries of Essentia Health (collectively, the "System"). Essentia Health's reserved powers are as follows: Strategic and Business Plans. Authority to create, and to approve, the System's strategic and business plans. Mission. Authority to create, and to approve, the mission, purpose and vision statements for all entities in the System by the affirmative vote of at least 67% of the Essentia Health board of directors. Debt. Approval of the incurrence of debt by, and the creation of all mortgages, liens, security interests, or other encumbrances on the assets of, all entities in the System in excess of the single or annual aggregate dollar limits prescribed in writing by the Essentia Health board of directors, and the authority to cause all entities in the System to participate in System borrowing. Governing Instruments. Authority to cause, and to approve, amendments of the articles of incorporation and bylaws of all entities in the System. Mergers and Acquisitions. Authority to cause, and to approve, all mergers, consolidations, and dissolutions of all entities in the System. Affiliations and Joint Ventures. Authority to cause, and to approve, all affiliations, joint ventures and other alliances with third parties of all entities in the System. Transfer of Assets Within the System. Authority to transfer assets, including cash, between and among entities within the System; provided, however, that Essentia Health shall not have authority to require any entity in the System to transfer assets (a) that would cause such entity to be in default of its covenants or obligations under any bond or other financing documents; (b) from the Catholic entities to the secular entities or from the secular entities to the Catholic entities in a manner or to an extent that would cause the Catholic entities to be in violation of the Ethical and Religious Directives for Catholic Health Care Services (ERDs) in the judgment of the local ordinary; or (c) such that money generated by services at secular facilities within the System by procedures that are contrary to the ERDs would be used at the Catholic entities or money generated by Catholic entities would be used in the providing of services contrary to the ERDs at secular facilities within the System. Transfer of Assets Outside the System. Authority to cause, and to approve, the sale, lease or other transfer of assets of all entities in the System to parties outside of the System when the asset's value exceeds the single or annual aggregate dollar limits prescribed in writing by the Essentia Health board of directors. Services. Authority to cause, and to approve, the addition of new services and service locations and the discontinuance of services and service locations within all entities in the System. Budgets. Approval of capital and operating budgets of all entities in the System. Professional Services. Selection of the general legal counsel and external auditors of all entities in the System. Approval of Parent Boards. Approval of the election and removal, with or without cause, of 100% of the CAG and SMDC boards of directors (who shall be elected by the methods set forth in the CAG and SMDC governing documents, respectively, subject to Essentias approval). Acquisitions. Authority to cause, and to approve, all acquisitions by and formations of entities in the System. Marketing. Authority to implement System-wide marketing and promotional activities. Compliance Plans. Authority to create, and to approve, corporate compliance, safety and risk management plans for entities within the System. Quality Plan. Authority to create, and to approve, the System's quality plan. Non-Budgeted Purchases. Approval of non-budgeted capital purchases and leases in excess of the single or annual aggregate dollar limits prescribed in writing by Essentia Health for entities within the System. Human Resources. Authority to create human resource policies and procedures within the System. Reserved Powers. Authority to create additional Essentia Health reserved powers by the affirmative vote of at least 80% of the Essentia Health board of directors (excluding the Essentia Health CEO); provided, however, that any additional Essentia Health reserved powers shall not contravene or hinder the reserved powers of Benedictine Sisters Benevolent Association.
Form 990, Part VI, Line 7B CONTINUED	Essentia Health East also has certain reserved powers over all East facilities within Essentia Health. Essentia Health East's reserved powers are as follows: Quality, Safety and Service. Authority to recommend quality and safety initiatives and to review and execute approved quality and safety plans for the East Region. Mission, Vision and Values. Authority to create a mission and a vision that support the mission and vision of Essentia Health; responsibility to oversee the mission performance, including charity care, of all facilities within the East Region; responsibility to adopt the values of Essentia Health. Operating and Financial Performance. Responsibility to oversee the operating and financial performance of the East Region. Development of Budgets, Strategic Plans and Strategy Map. Authority to develop and recommend, based on Essentia Health targets, capital and operating budgets for the East Region and its facilities; authority to recommend, within the Essentia Health context, regional and local strategic plans for the East Region; authority to develop East Region governance strategy map and balanced scorecard within Essentia Health's system strategy to meet system goals. Execution of Approved Budgets and Strategic Plans. Responsibility to execute the approved capital and operating budgets and strategic and business plans for the East Region. Non-budgeted Expenditures. Authority to approve non budgeted capital purchases and leases for East Region facilities within dollar limits defined by Essentia Health. Accreditation and Licensure. Responsibility to oversee accreditation and licensure compliance for the facilities of the East Region. Affiliations, Acquisitions and Joint Ventures. Authority to recommend proposed affiliations, acquisitions, joint ventures and other alliances; responsibility to oversee negotiation and implementation of approved acquisitions and operation of all approved affiliations, joint ventures and other alliances with third parties within the East Region. Appointment of Directors. Authority to appoint or elect directors of the Direct Subsidiaries, and to remove such directors, with or without cause. President. Authority to advise the CEO of Essentia Health regarding the appointment, removal and periodic evaluation of the President of SMDC. Satisfaction. Responsibility to execute, evaluate and oversee patient, family and customer satisfaction with respect to services provided within the East Region and to ensure established goals are met. Job Satisfaction. Responsibility to oversee job satisfaction and staff morale within the East Region facilities. Human Resources. Responsibility to oversee implementation of Essentia Health human resource policies and procedures throughout the East Region. Compliance. Responsibility to execute the approved Essentia Health corporate compliance and risk management plans for the East Region. Credentialing. Responsibility to perform medical staff credentialing for the East Region facilities. Nominations. Authority to nominate persons for appointment to the SMDC Board of Directors by Benedictine Sisters Benevolent Association and Essentia Health. Amendments. Authority to suggest proposed amendments to the Articles of Incorporation and Bylaws of this corporation, the Direct Subsidiaries, and any subsidiaries thereof. Compensation Plans. Responsibility to review and approve compensation of East Region executives and physicians for reasonableness and consistency with the law and Essentia Health's compensation philosophy. President/Chief Medical Officer. By action of the President of this corporation, authority to appoint and remove, with or without cause, the President/Chief Medical Officer of any of the Direct Subsidiaries. Public Policy. Responsibility to support Essentia Health public policy and advocacy plans. Marketing. Responsibility to coordinate regional marketing and promotional activities consistent with Essentia Health marketing plans. Philanthropy. Responsibility to coordinate philanthropy within the East Region consistent with Essentia Health foundation policies. Professional Services. Responsibility to oversee East Region management's cooperation with external auditors and general legal counsel selected by Essentia Health and coordination of legal services through the Essentia Health Office of General Counsel. Catholic Facilities. Responsibility to oversee implementation of BSBA-approved methods, policies and procedures pertaining to adherence by the East Region Catholic facilities with the Ethical and Religious Directives for Catholic Health Care Services and use of religious symbols, distinguishing elements and prayers. Projects Involving Real Estate. Authority to recommend facility development projects, subject to the approval of Essentia Health; responsibility to oversee execution of approved development projects according to Essentia Health policies.
Form 990, Part VI, Line 11A	Form 990 review process: The 2012 Form 990 including all schedules was reviewed by Essentia Health Duluth's management and governing body on MARCH 5, 2014 prior to filing with the Internal Revenue Service. Each current director of the governing body received a copy of the 2012 Form 990. Essentia Health Duluth's Chief Financial Officer led the review of the form and schedules and any questions were discussed.
Form 990, Part VI, 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'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 fiscal 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 or not 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, Pat VI, Line 12 POLICY APPLIES TO DISREGARDED ENTITY, Essentia Health Virginia, LLC.
Form 990, Part VI, LINE 13	POLICY APPLIES TO DISREGARDED ENTITY, Essentia Health Virginia, LLC.
FORM 990, PART VI, LINE 14	POLICY DOES NOT APPLY TO DISREGARDED ENTITY, Essentia Health Virginia, LLC. Essentia Health VIRGINIA, LLC HAS SUBSEQUENTLY ADOPTED A written document retention & destruction plan.
Form 990, Pat VI, Line 15	POLICY APPLIES TO DISREGARDED ENTITY, Essentia Health Virginia, LLC. Form 990, Part VI, Line 15 A&B PROCESS FOR DETERMINING COMPENSATION: The 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 DULUTH'S ADMINISTRATOR, CHIEF FINANCIAL OFFICER, EVP CLINICAL OPERATIONS, VP SURGICAL SERVICES, VP MEDICAL SPECIALTIES, VP HOSPITAL OPERATIONS, CHIEF NURSING OFFICER, AND VP MEDICAL AFFAIRS WAS 2012.
FORM 990, PART VI, LINE 19	Availability of governing documents, conflict of interest policy, and financial statements to the public: ESSENTIA HEALTH DULUTH makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. ESSENTIA HEALTH DULUTH is part of Essentia Health's consolidated financial statements which are included in Essentia Health's annual report posted on Essentia Health's web site.
FORM 990, PART IX, LINE 24E	Essentia Health Duluth allocates out certain revenue and expenses to Essentia Health St. Mary's Medical Center, The Duluth Clinic, Ltd, Essentia Health Polinsky Medical Rehabilitation Center, and Essentia Health St. Mary's Hospital-Superior, related organizations. Net affiliate revenue and expense allocation of ($33,998,495) includes the following: GRANTS ($41), PROGRAM SERVICE REVENUE $20,137, INVESTMENT INCOME $376,989, REALIZED GAIN $926,352, MISCELLANEOUS REVENUE ($703,837), CONTRIBUTIONS ($791,173), COMPENSATION ($18,465,230), PAYROLL TAXES ($1,100,243), PENSION PLAN CONTRIBUTIONS ($1,053,224), ACCOUNTING FEES ($1,330), LEGAL FEES ($279,411), INVESTMENT MANAGEMENT FEES ($144,577), INTEREST $3,469,649, OTHER PURCHASED SERVICES ($3,371,810) ADVERTISING ($403,573), CONFERENCE/CONVENTIONS/MEETINGS ($285,187), DEPRECIATION & AMORTIZATION $896,951, INFORMATION TECHNOLOGY ($6,103,517), MEDICAL SUPPLIES $49,171, OCCUPANCY $168,572, OFFICE EXPENSES ($2,960,121), TRAVEL ($315,573), UNRELATED BUSINESS INCOME TAXES ($137,545), GAIN/LOSS ON REFINANCING $69,666, OTHER EXPENSES ($280,984), AND OTHER EMPLOYEE BENEFITS ($3,578,609).
FORM 990, PART XI, LINE 9	Other Changes in Net Assets: The total amount of other changes in net assets includes: Change in discount on City of Virginia Payable $4,111,296 Essentia Health Virginia Gain on affiliation $226,689 NET ASSET TRANSFER WITH RELATED ORGANIZATION; REALLOCATED BALANCE SHEET ITEM TRANSFERRED TO ALIGN WITH ORGANIZATIONAL STRUCTURE $3,046,304 NET ASSET TRANSFERS WITH RELATED ORGANIZATIONS; REALLOCATED INCOME STATEMENT ITEMS TRANSFERRED TO ALIGN WITH ORGANIZATIONAL STRUCTURE ($1,762,947) Uncollectible Pledges ($62,766) Pension and other post retirement liability $2,473,174 Prior Year Reversal of Grant Expense $175,000 Other Changes in Net Assets $107 Total $3,206,857
FORM 990, PART XII, LINE 3	Consolidated A-133: ESSENTIA HEALTH DULUTH, 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

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Essentia Health Virginia LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1101 9th St N	AddressLine1
City	Virginia	City
State	MN	State
ZIP Code	55792	ZIPCode

Field	Value	IRS element (for citing)
EIN	460909870	EIN
Primary Activities	Clinic/Hosp	PrimaryActivities
Legal Domicile State	DE	LegalDomicileState
Total Income	1185399	TotalIncome
EOY Assets	28128938	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
BRAINERD LAKES INTEGRATED HEALTH SYSTEM
2024 S 6TH ST	BRAINERD	MN	56401	371532145	SUPPORT ORG	MN	501(c)(3)	11 Type II	Essentia	true
BRAINERD MEDICAL CENTER INC
2024 S 6TH ST	BRAINERD	MN	56401	371532148	CLINIC	MN	501(c)(3)	3	BLIHS	true
BRIDGES MEDICAL CENTER
201 9TH ST W	ADA	MN	56510	200479568	CLINIC/HOSP	MN	501(c)(3)	3	Innovis	true
CLEARWATER VALLEY HOSPITAL & CLINICS INC
301 CEDAR	OROFINO	ID	83544	820497771	CLINIC/HOSP	ID	501(c)(3)	3	CAG	true
DL SURGERY CENTER (thru 73112)
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	263837203	ASC	MN	501(c)(3)	3	CAG	true
Critical Access Group
503 E 3RD ST SUITE 400	DULUTH	MN	55805	261219624	SUPPORT ORG	MN	501(c)(3)	11 Type II	ESSENTIA	true
FIRST CARE MEDICAL SERVICES
900 HILLIGOSS BLVD SE	FOSSTON	MN	56542	410706143	CLINIC/HOSP	MN	501(c)(3)	3	Innovis	true
MINNESOTA VALLEY HEALTH CENTER
621 S 4TH ST	LE SUEUR	MN	56058	410837659	HOSPITAL/NURS	MN	501(c)(3)	3	CAG	true
ST J0SEPHS MEDICAL CENTER
523 N 3RD ST	BRAINERD	MN	56401	410695602	Clinic/Hosp	MN	501(c)(3)	3	BLIHS	true
ST MARYS EMS
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	411805811	EMERG Srvcs	MN	501(c)(3)	9	SMRHC	true
ST MARYS HOSPITAL INC
P O BOX 137	COTTONWOOD	ID	83522	820226453	CLINIC/HOSP	ID	501(c)(3)	3	CAG	true
ST MARYS INNOVIS HEALTH
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	262861321	CLINIC	MN	501(c)(3)	3	Innovis	true
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	411620386	CLINIC/HOSP	MN	501(c)(3)	3	Innovis	true
ESSENTIA HEALTH
502 E 2ND ST	DULUTH	MN	55805	200360007	SUPPORT ORG	MN	501(c)(3)	11TypeIIIFI	NA	false
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E 2ND ST	DULUTH	MN	55805	271291124	RESEARCH	MN	501(c)(3)	4	ESSENTIA	true
INNOVIS HEALTH LLC
3000 32nd Avenue	FARGO	ND	58103	261175213	CLINIC/HOSP	DE	501(c)(3)	3	ESSENTIA	true
Essentia HEALTH FOUNDATION
502 E 2ND ST	DULUTH	MN	55805	271984704	FOUNDATION	MN	501(c)(3)	7	Essentia	true
MIDWEST MEDICAL EQUIP AND SUPPLY INC
4418 HAINES ROAD	DULUTH	MN	55811	471674021	MEDical EQUIP	MN	501(c)(3)	9	SMMC	true
PINE MEDICAL CENTER
109 COURT AVE S	SANDSTONE	MN	55072	411884597	Hospital/Nurs	MN	501(c)(3)	3	SMDCHS	true
POLINSKY MEDICAL REHABILITATION CENTER
530 E 2ND ST	DULUTH	MN	55805	410691275	CLINIC	MN	501(c)(3)	3	SMMC	true
ST MARYS DULUTH CLINIC HEALTH SYSTEM
407 E 3RD ST	DULUTH	MN	55805	411836633	Support Org	MN	501(c)(3)	11 Type II	ESSENTIA	true
ST MARYS HOSPITAL OF SUPERIOR
3500 TOWER AVE	SUPERIOR	WI	54880	411811073	CLINIC/HOSP	WI	501(c)(3)	3	SMMC	true
ST MARYS MEDICAL CENTER
407 E 3RD ST	DULUTH	MN	55805	410695604	HOSPITAL	MN	501(c)(3)	3	SMDCHS	true
THE DULUTH CLINIC LTD
400 E 3RD ST	DULUTH	MN	55805	410883623	CLINIC	MN	501(c)(3)	3	SMDCHS	true
Northern Pines Medical Center
5211 Hwy 110 Aurora	Aurora	MN	55705	410841441	Hospital/Nurs	MN	501(c)(3)	3	SMDCHS	true
Graceville Health Center
115 West Second St	Graceville	MN	56240	410726173	Clinic/Hosp	MN	501(c)(3)	3	Innovis	true
DEER RIVER HEALTHCARE CENTER INC
115 10TH AVE NE	DEER RIVER	MN	56636	410844574	HOSPITAL/NURS	MN	501(c)(3)	3	SMDCHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	PMC-Gateway Imaging LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	109 Court Ave S	AddressLine1
City	Sandstone	City
State	MN	State
ZIP Code	55072	ZIPCode

Field	Value	IRS element (for citing)
EIN	261634764	EIN
Primary Activity	Imaging Servi	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeType
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Code V	$0	CodeVAmount
Percentage Ownership	0.00000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
ESSENTIA HLTH INS SERVICES SPC LTD
94 Solaris Ave PO Box 69	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1102	000000000	INSURANCE	CJ	NA	FOREIGN CORP	0	0	0.00000	true
East Range Clinics Ltd
					410909915	Clinics		NA	C Corp	0	0	0.00000	true	910 6th Ave N	Virginia	MN	55792	MN

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (38 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BRAINERD MEDICAL CENETER INC
Q	60180	Actual costs
ESSENTIA HEALTH
M	18189447	Actual costs
ESSENTIA HEALTH
P	20660714	Actual costs
ESSENTIA HEALTH
Q	8572851	Actual costs
ESSENTIA HEALTH
R	3046304	Actual costs
ESSENTIA HEALTH
S	320299	Actual costs
DEER RIVER HEALTHCARE CENTER
Q	858601	Actual costs
ESSENTIA INSTITUTE OF RURAL HEALTH
P	103041	Actual costs
ESSENTIA INSTITUTE OF RURAL HEALTH
Q	733327	Actual costs
FIRST CARE MEDICAL SERVICES
Q	804591	Actual costs
ESSENTIA HEALTH FOUNDATION
B	160000	Actual costs
ESSENTIA HEALTH FOUNDATION
C	87899	Actual costs
INNOVIS HEALTH LLC
O	65161	Actual costs
INNOVIS HEALTH LLC
P	92477	Actual costs
INNOVIS HEALTH LLC
Q	3317192	Actual costs
MIDWEST MEDICAL EQUIPMENT & SUPPLY INC
Q	312551	Actual costs
NORTHERN PINES MEDICAL CENTER
Q	952264	Actual costs
PINE MEDICAL CENTER
N	81667	Actual costs
PINE MEDICAL CENTER
P	349022	Actual costs
PINE MEDICAL CENTER
Q	1328295	Actual costs
POLINSKY MEDICAL REHABILITATION CENTER
Q	1939682	Actual costs
ST JOSEPH'S MEDICAL CENTER
O	1374080	Actual costs
ST JOSEPH'S MEDICAL CENTER
P	111114	Actual costs
ST JOSEPH'S MEDICAL CENTER
Q	1901042	Actual costs
ST MARY'S HOSPITAL - SUPERIOR
P	87356	Actual costs
ST MARY'S HOSPITAL - SUPERIOR
Q	5494039	Actual costs
ST MARY'S MEDICAL CENTER
O	341234	Actual costs
ST MARY'S MEDICAL CENTER
P	30078465	Actual costs
ST MARY'S MEDICAL CENTER
Q	42356668	Actual costs
ST MARY'S REGIONAL HEALTH CENTER
Q	782323	Actual costs
THE DULUTH CLINIC LTD
J	1123494	Actual costs
THE DULUTH CLINIC LTD
K	139465	Actual costs
THE DULUTH CLINIC LTD
P	4463661	Actual costs
THE DULUTH CLINIC LTD
Q	25495381	Actual costs
THE DULUTH CLINIC LTD
R	52007	Actual costs
VIRGINIA REGIONAL MEDICAL CENTER
J	224771	Actual costs
VIRGINIA REGIONAL MEDICAL CENTER
P	7064489	Actual costs
VIRGINIA REGIONAL MEDICAL CENTER
Q	763505	Actual costs

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE R, PART II, COLUMN (A)	Identifier
Explanation	Name: 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 & Supply Inc.; Essentia Health Medical Equipment and 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 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	Explanation