INNOVIS HEALTH LLC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: INNOVIS HEALTH LLC (EIN 26-1175213)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-03
IRS object ID: 201321239349300837
Schema version: 2011v1.5
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 H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-03T16:50:48-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	261175213	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% KYLE DOROW	InCareOfName
Name Control	INNO	NameControl
Phone	7013643300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3000 32nd Ave S	AddressLine1
City	Fargo	City
State	ND	State
ZIP Code	58103	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Kyle Dorow	Name
Title	CFO	Title
Date Signed	2013-05-02	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Gregory Glasner MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3000 32nd Ave S	AddressLine1
City	Fargo	City
State	ND	State
ZIP Code	58103	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	273586245	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.essentiahealth.org	WebSite
Type Of Organization Other	X	TypeOfOrganizationOther
Type Of Org Other Description	LLC	TypeOfOrgOtherDescription
Year Formation	2007	YearFormation
State Legal Domicile	DE	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	7	NbrIndependentVotingMembers
Total Nbr Employees	2518	TotalNbrEmployees
Total Nbr Volunteers	132	TotalNbrVolunteers
Total Gross UBI	724826	TotalGrossUBI
Net Unrelated Business Txbl Income	251211	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	37133	ContributionsGrantsPriorYear
Contributions Grants Current Year	45813	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	259134360	ProgramServiceRevenuePriorYear
Program Service Revenue CY	270973139	ProgramServiceRevenueCY
Investment Income Prior Year	-2182423	InvestmentIncomePriorYear
Investment Income Current Year	-704791	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2381354	OtherRevenuePriorYear
Other Revenue Current Year	2545581	OtherRevenueCurrentYear
Total Revenue Prior Year	259370424	TotalRevenuePriorYear
Total Revenue Current Year	272859742	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	250000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	577502	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	144171719	SalariesEtcPriorYear
Salaries Etc Current Year	151490833	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	116214756	OtherExpensePriorYear
Other Expenses Current Year	133261017	OtherExpensesCurrentYear
Total Expenses Prior Year	260636475	TotalExpensesPriorYear
Total Expenses Current Year	285329352	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1266051	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-12469610	RevenuesLessExpensesCY
Total Assets BOY	206182462	TotalAssetsBOY
Total Assets EOY	220177623	TotalAssetsEOY
Total Liabilities BOY	201905639	TotalLiabilitiesBOY
Total Liabilities EOY	230886064	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4276823	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-10708441	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	205275235	Expense
Grants	577502	Grants
Revenue	271940699	Revenue
Description	See schedule O	Description
Total Program Service Expense	205275235	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	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	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	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	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	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	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	64	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2518	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	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	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	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	DE	StatesWhereCopyOfReturnIsFiled
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	KYLE DOROW	NamePerson
Telephone Number	7013643273	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1702 SOUTH UNIVERSITY DRIVE	AddressLine1
City	FARGO	City
State	ND	State
ZIP Code	58103	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Larry Leadbetter MD
Board Director THRU 10/11	40.0	X	203040	2725	36994
Thomas Mohs MD
Board Director	40.0	X	318509	3850	42070
Michael Sheldon MD
Board Director	60.0	X	298672	18850	40559
James Anderson
Board Chair	1.0	X	1500	15600	0	X
Neal Hessen
Board Director	1.0	X	1600	37750	0
Kevin Moug
Board Vice Chair	1.0	X	700	5600	0	X
Helen Keezer
Board Director	1.0	X	900	4600	0
Benjamin Felty MD
Board Director	60.0	X	147391	3850	27310
Joel Haugen MD
Board Director	60.0	X	293206	11350	39177
Laurie Lewandowski
Board Director	1.0	X	1300	3850	0
Robert Overmoe
Board Director	1.0	X	1200	2250	0
Sr Luella Wegscheid
Board Director THRU 10/11	1.0	X	0	0	0
Sr Beverly Horn
BOARD DIRECTOR	1.0	X	0	0	0
CURT NOYES
BOARD DIRECTOR	1.0	X	0	0	0
ROBERT WROBLEWSKI MD
BOARD DIRECTOR	60.0	X	350580	0	42003
Gregory Glasner MD
President & CMO	60.0		612656	0	96602	X
Kevin Pitzer
Chief Administrative Officer	60.0		484748	0	72246	X
Kyle Dorow
Chief Financial Officer	60.0		222509	0	58495	X
Ken Gilles
VP CIO	60.0		240009	0	68645		X
Peter Jacobson
VP Clinic Operations	60.0		268608	0	76569		X
Kristine Olson
VP Phy & Professional Srvcs	60.0		192423	0	42430		X
Michael Briggs MD
Clinical Services Chief	60.0		351040	0	39661		X
Timothy Mahoney MD
Clinical Services Chief	60.0		692234	0	40053		X
Sharon Connell-Rick
VP Human Resources	60.0		172874	0	43887		X
Richard Vetter MD
Clinical Services Chief	60.0		442726	0	47878		X
Daniel Smith MD
PHYSICIAN	40.0		1008252	0	40179			X
Jerome Sampson MD
PHYSICIAN	40.0		877400	0	38487			X
Aaron Wright MD
PHYSICIAN	40.0		869763	0	44003			X
Francis Cormier MD
PHYSICIAN	40.0		855881	0	41161			X
BRADFORD SELLAND MD
PHYSICIAN	30.0		1053435	0	38162			X
Todd Forkel
Senior VP Hospital Campus Ops	0.0		313167	0	39594				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10276323	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	110275	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1056165	TotalOtherCompensation
Number Individuals GT100 K	247	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Sodexo Inc Affiliates
4880 Paysphere Circle	CHICAGO	IL	60674	Cafeteria & Hskpg	821934
Mayo Collaborative Services
PO Box 9146	MINNEAPOLIS	MN	55480	Lab Testing	614687
Prosource Billing Inc
250 14th Ave E	SARTELL	MN	56377	Collection agency	521515
MEDQUIST TRANSCRIPTION
PO BOX 102467	ATLANTA	GA	30368	TRANSCRIPTION	692455
RUSSEL HERDER
315 E RIVER ROAD	BRAINERD	MN	56401	ADVERTISING	479205

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Related Organizations	45813	RelatedOrganizations
Total Contributions	45813	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	621110	270988073	270420218	567855
INVESTMENT IN PHARMACY	621400	190223	176999	13224
INVESTMENT IN DIALYSIS	621400	50159	50159
INVESTMENT IN MEDICAL OFFICE BUILDING	621400	-255316	-255316

Field	Value	IRS element (for citing)
Total Program Service Revenue	270973139	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	25196	TotalRevenueColumn
Exclusion	$25,196	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	294862	Real
Personal	143747	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	294862	Real
Personal	143747	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	438609	TotalRevenueColumn
Unrelated Business Revenue	143747	UnrelatedBusinessRevenue
Exclusion	$294,862	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	-10709	Securities
Other	7225	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	726503	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-10709	Securities
Other	-719278	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-729987	TotalRevenueColumn
Exclusion	-$729,987	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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA & VENDING SALES	722210	822636	$822,636
AFFILIATE SHARED SERVICE REVENUE	900099	967560		967560
GIFT SHOP	900099	158688	$158,688

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	158088	TotalRevenueColumn
Exclusion	$158,088	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2106972	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	272859742	TotalRevenueColumn
Related Or Exempt Function Income	271359620	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	724826	UnrelatedBusinessRevenue
Exclusion	$729,483	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	577502	Total
Program Services	577502	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

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	6213042	Total
Program Services	2366975	ProgramServices
Management And General	3846067	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	120291244	Total
Program Services	94460606	ProgramServices
Management And General	25830638	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5802875	Total
Program Services	4767699	ProgramServices
Management And General	1035176	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11724875	Total
Program Services	6830412	ProgramServices
Management And General	4894463	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7458797	Total
Program Services	5164488	ProgramServices
Management And General	2294309	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	39740	Total
Management And General	39740	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	68669	Total
Management And General	68669	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	11138	Total
Management And General	11138	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	2537	Total
Management And General	2537	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	17753433	Total
Program Services	10821746	ProgramServices
Management And General	6931687	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1063316	Total
Program Services	2869	ProgramServices
Management And General	1060447	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7623096	Total
Program Services	5074098	ProgramServices
Management And General	2548998	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4099167	Total
Program Services	146986	ProgramServices
Management And General	3952181	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4630560	Total
Program Services	321975	ProgramServices
Management And General	4308585	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1315959	Total
Program Services	497073	ProgramServices
Management And General	818886	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	957514	Total
Program Services	604199	ProgramServices
Management And General	353315	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6662445	Total
Management And General	6662445	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14994520	Total
Program Services	14689555	ProgramServices
Management And General	304965	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3024336	Total
Program Services	3024336	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	39604240	39487148	117092
BAD DEBT EXPENSE	14887221	14887221
AFFILIATE SUPPORT FEE	13572157		13572157
UNRELATED BUSINESS TAX	88200	88200

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2862769	Total
Program Services	1462147	ProgramServices
Management And General	1400622	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	285329352	Total
Program Services	205275235	ProgramServices
Management And General	80054117	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	68484	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	11309021	BOY
EOY	2532176	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	37025532	BOY
EOY	53751458	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	94667	BOY
EOY	13334	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	2011292	BOY
EOY	3237812	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4233913	BOY
EOY	5797002	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1161199	BOY
EOY	716457	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	190595901	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	50936292	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	141011461	BOY
EOY	139659609	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	449853	BOY
EOY	450265	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2194269	BOY
EOY	2107619	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1113248	BOY
EOY	905499	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1244962	BOY
EOY	1196362	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4333045	BOY
EOY	9741546	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	206182462	BOY
EOY	220177623	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30791050	BOY
EOY	34827493	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	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	151865176	BOY
EOY	150620058	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	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	3310129	BOY
EOY	2613148	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	15939284	BOY
EOY	42825365	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	201905639	BOY
EOY	230886064	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4254328	BOY
EOY	-10730514	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22495	BOY
EOY	22073	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4276823	BOY
EOY	-10708441	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	206182462	BOY
EOY	220177623	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-12469610	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2515654	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

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	$11,138	OtherActivitiesAmount
Total Lobbying Expenditures IIB	11138	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C, Part II-B	Identifier
Explanation	Essentia Health West 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
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9426157	OtherCostOrOtherBasis
Book Value	9426157	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	109370404	OtherCostOrOtherBasis
Depreciation	17846162	Depreciation
Book Value	91524243	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1554509	OtherCostOrOtherBasis
Depreciation	180955	Depreciation
Book Value	1373554	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66665370	OtherCostOrOtherBasis
Depreciation	32421767	Depreciation
Book Value	34243603	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3579460	OtherCostOrOtherBasis
Depreciation	487409	Depreciation
Book Value	3092051	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	139659608	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PAYABLES TO RELATED TAX-EXEMPT ORGS	$25,085,301
NON CURRENT SWAP LIABILITY	$8,844,293
PARK RAPIDS AREA PAYABLE	$8,849,006
REAL ESTATE SPECIAL ASSESSMENT	$46,765

Field	Value	IRS element (for citing)
Total Of Amounts	42825365	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Schedule D, Part X	Identifier
Explanation	ASC 740 footnote: Essentia Health has adopted Accounting Standards Codification 740, Income Taxes (formerly known as FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Tax - an interpretation of FASB Statement No. 109, Accounting for Income Taxes). The adoption of this interpretation had no material impact on the consolidated financial statements and therefore, Essentia Health's consolidated financial statements for fiscal year ended June 30, 2012 no longer includes an ASC 740 footnote.	Explanation

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)
Persons Served	0	PersonsServed
Total Community Benefit Expense	2611075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2611075	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	22214217	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17308657	DirectOffsettingRevenue
Net Community Benefit Expense	4905560	NetCommunityBenefitExpense
Percent Of Total Expense	0.01810	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	24825292	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17308657	DirectOffsettingRevenue
Net Community Benefit Expense	7516635	NetCommunityBenefitExpense
Percent Of Total Expense	0.02780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	102	PersonsServed
Total Community Benefit Expense	84852	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	84852	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	102	PersonsServed
Total Community Benefit Expense	84852	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	84852	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	102	PersonsServed
Total Community Benefit Expense	24910144	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17308657	DirectOffsettingRevenue
Net Community Benefit Expense	7601487	NetCommunityBenefitExpense
Percent Of Total Expense	0.02810	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$14,887,221	BadDebtExpenseAmount
Amount Attributable To	146209	AmountAttributableTo
Amount Reimbursed By Medicare	51187566	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	62462277	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11274711	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

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Red River Valley
Dialysis Services	0.10000	0.20000	0.65000
Dakota Clinic Pharm
Retail Pharmacy	0.49000	0.00000	0.00000
Park Rapids Area
Clinic	0.50000	0.00000	0.00000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	3000 32nd Ave Southwest	AddressLine1
City	Fargo	City
State	ND	State
ZIP Code	58103	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	false	IncludesPublicityMeasures
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	15	NumberOfOtherFacilities

Other Facilities OtherFacilities (15 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Essentia Health 32nd Avenue Clinic
3000 32nd Avenue Southwest	Fargo	ND	58103	Multi-Specialty Clinic
Essentia Health Wahpeton Clinic
275 South 11th Street	Wahpeton	ND	58075	Licensed ASC Surgical Center and Primary Care Clinic
Essentia Health South University Clinic
1702 South University Drive	Fargo	ND	58103	Multi-Specialty Clinic
Essentia Health Casselton Clinic
5 9th Avenue North	Casselton	ND	58102	Primary Care Clinic
Essentia Health Hankinson Clinic
501 South Main	Hankinson	ND	58041	Primary Care Clinic
Essentia Health Jamestown CLINIC
401 3rd Street Southeast	Jamestown	ND	58401	Primary Care Clinic
Essentia Health Lisbon Clinic
819 Main Street	Lisbon	ND	58054	Primary Care Clinic
Essentia Health Medina Clinic
600 Water Street East	Medina	ND	58467	Primary Care Clinic
Essentia Health Menahga Clinic
212 Aspen Avenue Northeast	Menahga	ND	56464	Primary Care Clinic
Essentia Health Moorhead Clinic
420 Center Avenue	Moorhead	MN	56560	Primary Care Clinic
Essentia Helalth Park Rapids Clinic
705 Pleasant Rapids Clinic	Park Rapids	MN	56470	Primary Care Clinic
Essentia Health Valley City Clinic
132 4th Avenue Northeast	Valley City	ND	58072	Primary Care Clinic
Essentia Health Walker Clinic
Highway 371	Walker	MN	56484	Primary Care Clinic
Essentia Health West Acres Clinic
3902 13th Avenue South	Fargo	ND	58103	Primary Care Clinic
Essentia Health West Fargo Clinic
1401 13th Avenue East	West Fargo	ND	58078	Primary Care Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 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 4, 8, 9b; Part V, lines 1j, 3, 4, 5c, 6i, 7, 11h, 13g, 15e, 16e, 18c, 18d, 19d, 20, 21: Part I, line 3c For patients that meet the federal poverty guidelines thresholds, they will receive the appropriate charity care discount. For those that do not meet the federal poverty guideline thresholds, but have an excessive and catastrophic medical liability, the Catastrophic Community Benefit Financial Assistance Program will be applied. The Catastrophic Community Benefit Financial Assistance Program is designed for patients whose household income and assets may exceed the established traditional financial assistance guidelines, but have an excessive and catastrophic medical liability. Excessive and catastrophic medical liability is defined as a financial responsibility exceeding 30% of a family's gross income. Expense Qualification A. Multiply gross household family income by 30%. B. Determine allowable medical expenses. C. If (B) is greater than (A), than the expense qualification is met. Proceed to resource qualification. D. If (A) is greater than (B), patient is not eligible for Catastrophic Community Benefit Financial Assistance. Resource Qualification A. Subtract 30% of gross household family income from allowable medical expenses to determine excess medical expenses. B. Calculate available family assets by excluding from the asset values the following: 1. Primary residence 2. One motor vehicle 3. Retirement accounts 4. Other Assets - 1st $4000 family of one, $6000 for family of two, and $1500 for each additional family member. C. Compare the available family assets to the excess medical expense: 1. If assets are greater, the applicant is not eligible. 2. If assets are less, the applicant is eligible. Part I, line 6a Essentia Health West'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 via the website 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 West's parent corporation. Part 1, 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 $14,887,221. 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 - Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves: not applicable Part III, line 4 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 4 ESSENTIA HEALTH WEST is in the process of hiring a 3rd party to track bad debt accounts in order to presumptively quantify accounts within bad debt expense that would have qualified for financial assistance under ESSENTIA HEALTH WEST's financial assistance policy had the proper documentation been completed and filed. As that tracking was not in place during the fiscal year, ESSENTIA HEALTH WEST applied a high-level, conservative analytic review by taking the ratio of charitable allowances to gross patient revenue and multiplying with bad debt expense to arrive at an approximation of charity care that resides in bad debt. Part III, Line 4 Essentia Health West 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 (Excerpt from the parent company's audit) Accounts receivable are stated at net realizable value. The allowance for uncollectible accounts is based upon management's ongoing assessment of historical and expected net collections for each major payor source considering historical business and economic conditions, trends in healthcare coverage, and other collection indicators. For receivables associated with private-pay patients, Essentia records a significant provision for uncollectible accounts in the period of service on the basis of its historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. Part III, line 8 The costing methodology used in determining the Medicare Allowable Cost reported in the organization's Medicare Cost Report is to take total Medicare costs from the general ledger system and then follow the instructions provided by Centers for Medicare Services (CMS) to back off all costs not allowable. From the Medicare allowable costs, any costs attributable to subsidized health services and costs attributable to GME were subtracted, if applicable. Part III, line 8 Essentia Health West 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 At any stage of the patient experience, including collections, a determination may be made that the patient qualifies for Financial Assistance. All collection efforts must be suspended while a patient's Financial Assistance application is being considered and until the patient is notified regarding the determination of eligibility. Once eligibility (or lack of eligibility) is determined, amounts still owed by patients will be collected in the same manner as all other patient bills.
PART VI, LINE 1 CONT	PART V, LINE 11H NOT APPLICABLE PART V, LINE 13 Essentia Health West did not have language in their financial assistance policy stating how the policy was to be publicized as of year-end. Since year end, the policy has been revised to add language stating how the policy was to be publicized. Part VI, line 3 describes how Essentia Health West informed patients of the financial assistance policy. PART V, LINE 13G NOT APPLICABLE PART V, LINE 15E NOT APPLICABLE PART V, LINE 16E NOT APPLICABLE PART V, LINE 17E Not applicable. There were no checked boxes in Part V, Section B, Line 16. PART V, LINE 18C NOT APPLICABLE PART V, LINE 18D NOT APPLICABLE PART V, LINE 19D For patients known to qualify for the financial assistance program, discounts will be applied to billed amounts if the patient qualifies for discounted care and the billed amount will be fully discounted if the patient qualifies for free care. PART V, LINE 20 not applicable PART V, LINE 21 not applicable
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: We assess the community's needs through programs we offer, requests we receive, and staff involvement in their own communities. We collaborate with other community organizations such as The United Way and other local organizations, in common efforts to address community needs. For example, a local foundation researches and studies the educational needs for children around healthy lifestyles. The results of these studies are presented to Essentia Health West and, if a demonstrated need is identified, Essentia Health West then financially supports the initiatives that are suggested by the foundation in promoting these lifestyle program changes through diet and exercise and education in a program called Healthy Kids. Essentia Health West worked with two other organizations collaboratively in the fight against childhood obesity. Through financial donations from Essentia Health West, as well as staff time for educational seminars, both local organizations are able to continue to promote healthy lifestyle changes to help eliminate obesity in children through equipment purchases, education in the schools and after-school programs. Studies from the local organizations have shown that the support Essentia Health West provides helps in reducing local costs in our healthcare systems as well as increasing student achievement in the classroom. Essentia Health West also sponsors specific programs to help address children's health by financially supporting the Kids Program (a year-long program promoting physical activity) and the Youth Run at the annual Fargo Marathon. We also provide financial support to the United Way of Cass Clay based on their ongoing assessments of community needs, including (but not limited to) health-related issues in children and adults. It was also deemed that for a community our size, we should have an estimated 1,000 Automated External Defibrillators available in public areas. With the launch of our HeartSafe Fargo program, we are working to increase the awareness and maintenance of the current 248 while providing the opportunity for additional area businesses to become actively involved in the program. Training received for the device and all ages CPR can not only be used in a public environment, but in homes, schools, etc. so training of this program is an additional benefit to staff who participate.
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 West has brochures which include charity care information as well as the Financial Assistance application located in all emergency room, urgent care, clinic, and surgery waiting areas. They are also located in the financial counseling offices. During the patient intake process, a patient screening is completed. If it is determined that the patient would be in need of assistance, information about charity care as well as governmental financial assistance programs would be provided. Essentia Health West has financial counselors on staff who have had training through local county agencies and the state (both MN and ND) to assist patients in Medicaid, Medicare and other assistance programs (including the charity care program) that may be available to them. Annual visits to divisional locations are made by the supervisor of the financial counseling staff to educate staff. All hospital staff have been trained to refer patients to the financial counselor. The financial counselors often assist patients with the application process, mailing and follow up. The financial assistance information will be provided patients upon discharge if a financial counselor was used during the patient's stay. Finally, the billing statements indicate that financial assistance is available and lists the financial counselor's contact information.
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 West is located in Fargo, ND. Essentia Health West is a part of the larger Essentia Health system, which is defined in Part VI, line 6. Essentia Health West operates 1 hospital and 15 clinics that serve the communities of Fargo, ND and Moorhead, MN. They also serve the surrounding communities including Casselton, Hankinson, Jamestown, Lisbon, Medina, Valley City and Wahpeton in North Dakota and Detroit Lakes, Fosston, Frazee, Lake Park, Mahnomen, Menahga, Park Rapids and Walker in Minnesota. The overall community is classified as a combination of Suburban and Rural. Essentia Health West and its related clinics cover a service region of approximately 418,000 people. The service region age distribution is 15.8% under the age of 18; 61.6% between the ages of 18 and 65; and 22.6% over the age of 65. The racial makeup of the service region is 92.7% Caucasian; 1.1% Black or African American; 2.6% American Indian or Alaskan Native; 1.0% Asian; 1.8% two or more races; and 0.8% other. The gender split ratio is 49.9% women and 50.1% men. The average income for the service area is approximately $55,000. Approximately 6.9% of the population falls below the federal poverty guidelines. Essentia Health West, along with Essentia Health is committed to serve patients regardless of their ability to pay. 5.8% 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 West 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.
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: Many physicians, staff and senior administration of Essentia Health West serve on local boards/committees and donate their services free of charge or at a discounted rate. The Essentia Health West board is comprised of 6 Essentia Health West physicians, 2 members from outside the area and 5 volunteer local members of the community Essentia Health West serves. Essentia Health West 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. Any surplus funds at Essentia Health West have historically been re-directed back to our Capital Committee for allocation to pre-identified areas of need such as expansion and equipment needs. Examples of such projects include improved patient access to our Ophthalmology Dept, Neonatal Intensive Care Unit expansion, and the building of a new Medical/Surgical wing. Essentia Health West is active in community fundraising and sponsorship of events that promote healthy lifestyles and healthy communities. Surplus supplies are often donated to charities in need and different service lines are offered to the general public at no cost, i.e.: Tender Transitions, Diabetes Support Group, Gastric Bypass Support Groups. Essentia Health West is 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. Two of the most significant investments in 2012 were in the areas of telehealth and electronic medical records, technologies that link rural patients and physicians with medical specialists at Essentia's medical centers in Fargo, ND, and Duluth, MN. We also continue to replace and upgrade facilities and technology, like MRIs, CT scanners and ambulatory infusion centers 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, so Essentia Health assumes responsibility for medical home costs. 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 $5.5 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	ESSENTIA HEALTH WEST is part of Essentia Health, an integrated health system of 16 hospitals, 65 clinics and several long-term care 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 live-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, through 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 were using a fully-integrated EHR for patient care. Technology like the electronic health record and telehealth 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	Not applicable

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Essentia Health Foundation
502 E 2nd St	Duluth	MN	55805	271984704	501(c)(3)	375400	Program Support
AMERICAN GOLD GYMNASTICS
2001 17th Ave S	FARGO	ND	58103	450333196	501(C)(3)	40000	Program Support
MARCH OF DIMES-NORTH DAKOTA CHAPTER
1330 PAGE DRIVE SUITE 102	FARGO	ND	58103	450341138	501(C)(3)	15000	Program Support
FARGO MARATHON
405 W MAIN AVE	WEST FARGO	ND	58078	432043293	501(C)(3)	10000	Program Support
AMERICAN DIABETES ASSOCIATION
1701 N BEAUREGARD ST	ALEXANDRIA	VA	22311	131623888	501(c)(3)	10000	Program Support
CHAMBER OF COMMERCE-FARGO MOORHEAD
PO BOX 2443	FARGO	ND	581082443	450448041	501(c)(3)	7500	Program Support
AMERICAN HEART ASSOCIATION
208 S LASALLE ST	CHICAGO	IL	60604	135613797	501(c)(3)	6000	Program Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part I, Line 2	Identifier
Explanation	Procedures for monitoring grants: Essentia Health West management reviews the grant activity by reviewing and documenting each expenditure request and approving the expense.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	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	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

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
Larry Leadbetter MD
200353	2725	2549	0	138	0	16669	0	20325	0	240034	2725	0	0
Thomas Mohs MD
314555	3850	3864	0	90	0	21761	0	20309	0	360579	3850	0	0
Michael Sheldon MD
294733	18850	3849	0	90	0	21334	0	19225	0	339231	18850	0	0
Gregory Glasner MD
544870	0	64264	0	3522	0	71162	0	25440	0	709258	0	0	0
Kevin Pitzer
361792	0	118227	0	4729	0	69786	0	2460	0	556994	0	0	0
Kyle Dorow
179567	0	29399	0	13543	0	40485	0	18010	0	281004	0	0	0
Ken Gilles
203894	0	33613	0	2502	0	45464	0	23181	0	308654	0	0	0
Peter Jacobson
219110	0	46933	0	2565	0	46538	0	30031		345177	0	0	0
Kristine Olson
166518	0	25126	0	779	0	28204	0	14226	0	234853	0	0	0
Michael Briggs MD
323481	0	27163	0	396	0	22678	0	16983	0	390701	0	0	0
Timothy Mahoney MD
660667	0	31171	0	396	0	22678	0	17375	0	732287	0	0	0
Benjamin Felty MD
137343	3850	10000	0	48	0	12165	0	15145	0	174701	3850	0	0
Joel Haugen MD
270888	11350	22060	0	258	0	21235	0	17942	0	332383	11350	0	0
Todd Forkel
242619	0	46933	0	23615	0	20428	0	19166	0	352761	0	0	0
Sharon Connell-Rick
148143	0	24000	0	731	0	31213	0	12674	0	216761	0	0	0
Richard Vetter MD
414654	0	27982	0	90	0	22678	0	25200	0	490604	0	0	0
Daniel Smith MD
992857	0	15257	0	138	0	22678	0	17501	0	1048431	0	0	0
Jerome Sampson MD
866103	0	10901	0	396	0	22678	0	15809	0	915887	0	0	0
Aaron Wright MD
859124	0	10585	0	54	0	22678	0	21325	0	913766	0	0	0
Francis Cormier MD
855743	0	0	0	138	0	22678	0	18483	0	897042	0	0	0
ROBERT WROBLEWSKI MD
346091	0	4435	0	54	0	22678	0	19325	0	392583	0	0	0
BRADFORD SELLAND MD
1034753	0	8743	0	9939	0	22678	0	15484	0	1091597	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

Schedule J, Part I, Line 1a

Benefits provided: During tax year 2011, as new employees relocating from other areas, current officer, Kyle Dorow, and former key employee, Todd Forkel, each received a housing allowance. This benefit was treated as taxable compensation to these individuals. Schedule J, Part I, Line 3 Establishing CEO's compensation: Essentia Health West relied on Essentia Health's, supporting organization of Essentia Health West, methods for establishing Essentia Health West's President's compensation: a compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee.

Schedule J, Part I, Line 4b

Supplemental nonqualified retirement plan: Amounts related to participating in a supplemental nonqualified retirement plan are reported in Schedule J, Part II, Column C, and amounts related to receiving payment from a supplemental nonqualified retirement plan are reported in Schedule J, Part II, Column B (iii). The following individuals listed in Form 990, Part VII, Section A, Line 1a participated in a supplemental nonqualified retirement plan during the year. None of these individuals received payment during the year. Ken Gilles (Essentia Health West) $0 Gregory Glasner, MD (Essentia Health West) $0 Peter Jacobson (Essentia Health West) $0 Kevin Pitzer (Essentia Health West) $0 Kyle Dorow (Essentia Health West) $0 Kristine Olson (Essentia Health West) $0 Sharon Connell-Rick (Essentia Health West) $0 Todd Forkel (Essentia Health West) $0 Essentia Health West's nonqualified retirement plan is offered to designated Essentia Health West's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health West's general assets.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CASS COUNTY NORTH DAKOTA
456002205	148047AT0	2008-05-02	62448178	2008D BONDS (See Sch O)	false	false	false
MN AGRICULTURAL AND ECONOMIC DEVELOPMENT BOARD
416007162	604920Z43	2008-05-02	42909274	2008E BONDS (See Sch O)	false	false	false
CASS COUNTY NORTH DAKOTA
456002205	148047AU7	2010-02-25	59573111	2008A REOFFERED BONDS (See Sch O)	false	false	false
WI HEALTH AND EDUCATION FACILITIES AUTHORITY
391337855	97710BSD5	2010-02-25	12854722	2008B REOFFERED BONDS (See Sch O)	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
62448178	882145	1480840	60085193	0	2008	false	false	true	true
27898317	744111	631009	26523197	0	2008	true	false	true	true
22369703	0	0	0	22369703	2010	true	false	true	true
4826948	0	0	0	4826948	2010	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	See Schedule O	Identifier
Return Reference	0	ReturnReference

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MN AGRICULTURAL ADN ECONOMIC DEVELOPMENT BOARD
416007162	6049202H0	2010-02-25	165717405	2008C REOFFERED BONDS (See Sch O)	false	false	false
MN AGRICULTURAL AND ECONOMIC DEVELOPMENT BOARD
416007162	6049202M9	2010-06-25	109535000	2010 BONDS (See Sch O)	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1503723	0	62226886	0	0	0	713185	0	0	0	61513701	0	2010	true	false	true	true
156233	0	3012859	0	0	0	12859	0	0	3000000	0	0	2011	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	0.00000	0.00000	0.00000	true
false	false	false	false	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	true	false	false	0	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	See Schedule O	Identifier
Return Reference	0	ReturnReference

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Benjamin Felty
employment incentive	X	$15,000	5000	false	true	true
Kyle Dorow
employment incentive	X	$25,000	8334	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	13334	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Kathleen Mahoney
Related to Dr. Mahoney	22105	Employee of Essentia West	false
West Fargo Medical Property LLC
See Schedule L Part V	266400	Leased Property	false
DMS Health Technologies
See Schedule L Part V	632422	Independent Contractor	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L, Part IV, line 2, Column b	Identifier
Explanation	Relationship: Greg Glasner, MD, current officer, owns more than 5% of West Fargo Medical Property, LLC. Schedule L, Part IV, line 3, Column b Kevin Moug, Essentia Health West Board Director, is an officer of DMS Health Technologies.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part III, Line 4	Program service accomplishments: Innovis Health dba Essentia Health West is organized and operated exclusively for charitable, scientific, and educational purposes. In furtherance of its purposes, Essentia Health West provides health care services in Minnesota and North Dakota through its 104 bed hospital and 15 clinics. The hospital offers a broad range of inpatient and outpatient services for its patients, including critical care, medical surgical care, pediatric services, neonatal intensive care, and maternity care. The hospital's emergency department is open 24 hours per day and is designed as a Level II Trauma Center. 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 West also operates pharmacies, optical centers, infusion therapy centers, outpatient surgery centers, and a cancer center. Beyond its clinical services, Essentia Health West 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 West also participates in continuing education programs for health care professionals. Essentia Health West employs over 1,600 full time equivalents. The hospital provided for over 30,000 hospital patient days during the fiscal year ended June 30, 2012. The clinic had over 492,000 encounters during the same time period. Essentia Health West provided over $2,600,000 in charity care as well as an additional $4,900,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2012. Further community benefits provided during the fiscal year include community services of over $84,000.
Form 990, Part V, LINE 1A	1099 Reporting: Beginning in 2011, vendor payments and Form 1099's were processed through Essentia Health on behalf of certain supported organizations.
Form 990, Part VI, Line 6	Members of Organization: Essentia Health may elect one or more members of the governing body as described in Schedule O Part VI Line 7a. Essentia Health and Benedictine Sisters Benevolent Association have reserved powers with respect to Essentia Health West as described in Schedule O Part VI Line 7b.
Form 990, Part VI, Line 7a	Member with right to elect governing body: According to its Bylaws, Essentia Health shall appoint and remove Essentia Health West's governing body.
Form 990, Part VI, Line 7b	Members with right to approve governing body decision: Essentia Health West 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 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 Ethical and Religious Directives for Catholic Health Care Services would be used at the Catholic entities or money generated by Catholic entities would be used in the providing of services contrary to the Ethical and Religious Directives for Catholic Health Care Services 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. 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. The Benedictine Sisters Benevolent Association ("BSBA") also has certain reserved powers over all Catholic facilities within Essentia Health. BSBA's reserved powers are as follows: Mission. Authority to approve the mission, purpose and vision statements for Catholic facilities and entities within the System. Adherence to Ethical Religious Directives (ERDs). Authority to approve the methods, policies and procedures pertaining to the adherence of Catholic facilities and entities within the System to the ERDs, and to require the use of religious symbols, distinguishing elements and prayers. Official Catholic Directory. Authority to request the listing of qualified entities and facilities within the System in The Official Catholic Directory, subject to the approval of applicable Catholic authorities. Catholic Health Association. Authority to require Catholic facilities and entities within the System to join the membership of the Catholic Health Association of the United States. Alienation of Stable Patrimony or Ecclesiastical Goods. Authority to approve alienation of either stable patrimony or other ecclesiastical goods in the System if such goods involved in a specific transaction approved by Essentia Health pursuant to Section 2.8(g) or 2.8(h) of the Affiliation Agreement have a dollar value equal to or greater than 70% of the amount established from time to time that requires approval from the Holy See. Amendments. Authority to approve any amendments to the Articles of Incorporation or Bylaws of this corporation that would alter the number of Benedictine Sisters of St. Scholastica Monastery of Duluth or Benedictine Sisters Benevolent Association board of director members serving as members of this corporation's board of directors; authority to approve any amendments to the Articles of Incorporation or Bylaws of the Supported Organizations, as well as the Catholic Subsidiaries (as defined in the Affiliation Agreement), which could materially affect such entity's identity as a Catholic institution, including without limitation any amendment that would alter the number of Benedictine Sisters of St. Scholastica Monastery of Duluth or Benedictine Sisters Benevolent Association board of director members serving as members of such entity's board of directors; and authority to cause Essentia Health to make amendments to the Articles of Incorporation or Bylaws of the Supported Organizations, as well as the Catholic Subsidiaries, which amendments Benedictine Sisters Benevolent Association in good faith are necessary to preserve such entity's identity as a Catholic institution. Mission Effectiveness. Authority to approve annual plans and evaluations relating to mission effectiveness and chaplaincy for the Catholic facilities and entities within the System. Mergers and Dissolution. Subject to the approval of the Benedictine Sisters of St. Scholastica Monastery of Duluth, authority to approve a proposed merger, consolidation, liquidation, dissolution, or the disposition of all or substantially all the assets.
Form 990, Part VI, Line 11a	Form 990 Review process: The 2011 Form 990 including all schedules was reviewed by Essentia Health West'S MANAGEMENT AND GOVERNING BODY on FEBRUARY 26, 2013 prior to filing with the Internal Revenue Service. Each current director of the governing body received a final copy of the 2011 Form 990. Essentia Health West'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: Interested persons annually disclose relationships which might lead to a conflict of interest by completing a conflict of interest disclosure form. Interested persons include any person in a position to exercise substantial influence over the organization. It includes but is not limited to any director, officer, management, employee, or committee member of Essentia Health or any of its affiliates. Essentia is responsible for the annual distribution of conflict of interest forms and review of disclosures for the governing bodies of Essentia and Essentia Operating Members and for senior management employees of Essentia. Transactions with parties with whom a conflict of interest exists may be undertaken only if all of the following are observed: the conflict of interest is fully disclosed; the interested person with the conflict of interest doesn't participate in the approval of such transactions; if practical or appropriate, a competitive bid or comparable valuation is obtained; and the board or committee of the board has determined that the transaction is in the best interest of the organization. Disclosure by any interested person other than a board or committee member should be made to the Chief Executive Officer (or if she/he is the one with the conflict, then to the board chair), who will bring the matter to the attention of the board or an appropriate committee of the board. Disclosure involving board or committee members should be made to the board chair (or if she/he is the one with the conflict, then to the board vice chair), who will bring these matters to the board or an appropriate committee of the board. The board or committee of the board will determine whether a conflict exists and if so, whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia or its affiliate(s). The decision of the board or a duly constituted committee of the board on these matters will be at its sole discretion, and its concern must be the welfare of Essentia and its affiliate(s) and the advancement of its purposes. The decision of the board is final. If the board determines a conflict does not exist, the interested person may proceed with the transaction; however, he/she will not be eligible to vote on related issues should they arise. If the board determines a conflict does exist, the interested person will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.
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 Essentia's Chief Executive Officer and his direct reports. 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 West's President and Chief Administrative Officer was 2010. The compensation of other Essentia Health West senior leadership is recommended by the President and Chief Administrative Officer of Essentia Health West Region and approved by the Executive Committee of the Essentia Health West Region Board of Directors. The annual compensation review process begins with an industry compensation survey completed by an external consulting group retained by the Essentia Health Board of Directors and coordinated by Essentia's Corporate Human Resources Department. The consultant's report encompasses: current compensation trends, significant market factors, regional/national salary surveys and the consultant's recommended changes to compensation levels and compensation plan methodology. Based on this data, the Chief Executive Officer of Essentia Health will make a recommendation of compensation adjustments for the Essentia Corporate Leadership Team, which includes the West Region President and Chief Administrative Officer, to the Essentia Health Compensation Committee, who will then act on these recommendations. A similar process is followed at Essentia Health West Region, the West Region President and Chief Administrative Officer recommending compensation adjustments to the Executive Committee of the Essentia Health West Board of Directors, who will then act on these recommendations. The year this process was last undertaken for Essentia Health West's Chief Financial Officer and Vice Presidents was 2012. The compensation of Essentia Health West physician leadership, including appointed Chief and Chair positions, is reviewed and approved by the West Region Board of Director's Executive Committee. The annual compensation review includes review and approval of the prior fiscal year's physician and provider compensation plan reconciliation summary, review and approval of the recommended current fiscal year's physician and provider compensation plan rates, adjustments and plan methodology. Compensation plan rates for the fiscal year are recommended by the West Region Physician and Provider Compensation Committee based on its review of multiple market surveys, regional competitive factors, and the annual budget process. The year this process was last undertaken Essentia Health West physician leadership was 2012.
Form 990, Part VI, Line 19	Availability of governing documents, conflict of interest policy, & financial statements to the public: Essentia Health West makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Essentia Health West 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 VII, Line 1a, Column B	Hours devoted to related organizations: The following individuals listed in Form 990, Part VII, Section A, Line 1a also devoted time each week to related organizations: James Anderson: approximately 9 hour Neal Hessen: approximately 17 hours Laurie Lewandowski: approximately 7 hours Robert Overmoe: approximately 1 hour Sister Luella Weascheid: approximately 7 hours Sister Beverly Horn: approximately 3 hours Gregory Glasner, MD is employed by Essentia Health West as the Essentia Health West's President and Chief Medical Officer. 100% of his time is spent furthering the purpose of Essentia Health and related organizations. Kevin Pitzer is employed by Essentia Health West as Essentia Health West's Chief Administrative Officer. 100% of his time is spent furthering the purpose of Essentia Health and related organizations. Peter Jacobson is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations. Richard Vetter, MD is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations. Michael Sheldon, MD is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations. Joel Haugen, MD is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations.
Form 990, Part XI, Line 5	Other Changes in Net Assets: The total amount of other changes in net assets includes: Other Net Asset adjustments: ($2,025) Unrealized Gain / (Loss) on Non Trading Securities and Swaps: ($2,513,629)
Schedule K	Additional information/comments relating to the reporting of liabilities by related organizations: Essentia Health has an Obligated Group created under the Master Indenture which is composed of the following Members: Essentia Health, Critical Access Group, Essentia Health East, Essentia Health St. Joseph's Medical Center, Essentia Health St. Mary's-Detroit Lakes, Essentia Health St. Mary's Medical Center, Essentia Health Duluth, Essentia Health Polinsky Medical Rehabilitation Center, Essentia Health St. Mary's Hospital-Superior, Essentia Health Brainerd Specialty Clinic, Essentia Health Central, St. Mary's Innovis Health, The Duluth Clinic, Ltd. and Essentia Health West (the "Obligated Group Members" or the "Members of the Obligated Group"). The Members of the Obligated Group are jointly and severally obligated on all indebtedness evidenced or secured by Notes issued under the Master Indenture. The Series 2008D bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd. and Essentia Health are the conduit borrowers of the Series 2008D bonds. The Obligated Group Member, Essentia Health West, is an indirect beneficiary of the Series 2008D borrowing and has recorded the bond liability on its balance sheet which is consolidated with Essentia Health. The Series 2008E bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: Essentia Health East, The Duluth Clinic, Ltd., Essentia Health, Essentia Health St. Mary's Medical Center and Essentia Health Duluth are the conduit borrowers of the Series 2008E bonds. The conduit borrower, The Duluth Clinic, Ltd., has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Obligated Group Member, Essentia Health West, is an indirect beneficiary of a portion of the Series 2008E borrowing and has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Series 2008A reoffered bonds are secured by Notes issued under the Master Indenture. Essentia Health is the conduit borrower of the Series 2008A reoffered bonds and has recorded a portion of the bond liability on its balance sheet. The Obligated Group Members, Essentia Health West, The Duluth Clinic, Ltd., and Essentia Health St. Mary's-Detroit Lakes, are indirect beneficiaries of the Series 2008A reoffered borrowing and have recorded the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2008B reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health and Essentia Health St. Mary's Hospital-Superior are the conduit borrowers of the Series 2008B reoffered bonds. The conduit borrowers, The Duluth Clinic, Ltd. and Essentia Health, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, Essentia Health West and Essentia Health St. Mary's-Detroit Lakes, are indirect beneficiaries of a portion of the Series 2008B reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2008C reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: Essentia Health East, Essentia Health St. Joseph's Medical Center, Essentia Health St. Mary's-Detroit Lakes, The Duluth Clinic, Ltd., Essentia Health, and Essentia Health St. Mary's Medical Center, Inc. are the conduit borrowers of the Series 2008C reoffered bonds. The conduit borrowers, Essentia Health St. Mary's-Detroit Lakes, Essentia Health, and The Duluth Clinic, Ltd., have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Member, Essentia Health West is an indirect beneficiary of a portion of the Series 2008C reoffered borrowing and has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Series 2010 bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health, Essentia Health St. Joseph's Medical Center, Essentia Health East, Essentia Health St. Mary's Medical Center and Essentia Health St. Mary's-Detroit Lakes are the conduit borrowers of the Series 2010 bonds. The conduit borrowers, The Duluth Clinic, Ltd., Essentia Health, Essentia Health St. Joseph's Medical Center, and Essentia Health St. Mary's-Detroit Lakes, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Member, Essentia Health West is an indirect beneficiary of a portion of the Series 2010 borrowing and has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. SCHEDULE K, Part 1, Column (f) Description of purpose: Series 2008D: Refinance a portion of the acquisition of certain assets of Essentia Health West in connection with the affiliation of Essentia Health and Essentia Health West. SERIES 2008E: Refinance Series 1997 bonds issued December 18, 1997 to finance equipment purchases in Duluth, MN. Series 2008A Reoffered: Reoffer Series 2008 A-1 and A-2 bonds issued March 4, 2008 to refinance a portion of the acquisition of certain assets of Essentia Health West in connection with the affiliation of Essentia Health with Essentia Health West. Series 2008B Reoffered: Reoffer Series 2008 B-1 bonds issued March 4, 2008 to refund Series 1999B bonds issued May 18, 1999 for construction projects and equipment purchases in Superior, WI and various Duluth Clinic locations in northwestern Wisconsin. Series 2008C Reoffered: Reoffer Series 2008 C-5 and 2008 C-4A bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and refund Series 1999A bonds issued May 18, 1999 for various acquisitions, construction projects, capital improvements and equipment purchases in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. Series 2010: Refund Series 1993C and 1993E bonds issued January 15, 1993 and refund Series 2008 C-3 and 2008 C-4B bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and various Duluth Clinic sites in northern Minnesota and finance various construction projects, capital improvements and equipment purchased in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. SCHEDULE K, Part II, Line 3 Issue Price: Series 2008D, SERIES 2008E, Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 were issued by the Essentia Health Obligated Group. The issue price listed in Essentia Health West's Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing. SCHEDULE K, Part II, Lines 3 through 12 Proceeds: Series 2008D, SERIES 2008E, Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 were issued by the Essentia Health Obligated Group. A portion of the Series 2008D, SERIES 2008E, Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 borrowing were allocated to Essentia Health West, an Essentia Health Obligated Group Member. The proceeds listed in Essentia Health West's Schedule K Part II Lines 3 through 12 represent Essentia Health West's allocated portion of the proceeds. SCHEDULE K, PART V Procedures to undertake corrective action: Written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program have been subsequently adopted.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 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 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
Divine Medical Services thru 10111
709 N Lincoln	Jerome	ID	83338	202773717	Emerg SRvcs	ID	501(c)(3)	3	SBFMC	true
DL Surgery Center
1027 Washington Ave	Detroit Lakes	MN	56501	263837203	ASC	MN	501(c)(3)	3	CAG	true
Critical Access Group
503 E 3rd St Ste 400	Duluth	MN	55805	261219624	SUPPORT ORG	MN	501(c)(3)	11 II	Essentia	true
First Care Medical Services
900 Hilligross Blvd SE	Fosston	MN	56542	410706143	Clinic/Hosp	MN	501(c)(3)	3	Innovis	true
Minnesota Valley Health Center Inc
621 S 4th St	Le Sueur	MN	56058	410837659	Hospital/NURS	MN	501(c)(3)	3	CAG	true
StBenedicts Fam Med Ctr thru 10111
709 N Lincoln	Jerome	ID	83338	820227163	Clinic/Hosp	ID	501(c)(3)	3	CAG	true
St Joseph's Medical Center
523 N 3rd St	Brainerd	MN	56401	410695602	Clinic/Hosp	MN	501(c)(3)	3	BLIHS	true
St Mary's EMS
1027 Washington Ave	Detroit Lakes	MN	56501	411805811	Emerg Svcs	MN	501(c)(3)	9	SMRHC	true
St Mary's Hospital & Clinics Inc
PO Box 137	Cottonwood	ID	83522	820226453	Clinic/Hosp	ID	501(c)(3)	3	CAG	true
St Mary's Innovis Health
1027 Washington Ave	Detroit Lakes	MN	56501	262861321	Clinic	MN	501(c)(3)	3	Innovis	true
St Mary's 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)	11 III-FI	NA	false
Essentia Institute of Rural Health
502 E 2nd St	Duluth	MN	55805	271291124	Research	MN	501(c)(3)	4	Essentia	true
Essentia Health Foundation
502 E 2nd St	Duluth	MN	55805	271984704	Foundation	MN	501(c)(3)	7	Essentia	true
Midwest Medical Equipment & Supply Inc
4418 Haines Rd	Duluth	MN	55811	411674021	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
SMDC Medical Center
502 E 2nd St	Duluth	MN	55805	411878730	Clinic/Hosp	MN	501(c)(3)	3	SMDCHS	true
St Mary's Duluth Clinic Health System
407 E 3rd St	Duluth	MN	55805	411836633	SUPPORT ORG	MN	501(c)(3)	11 II	Essentia	true
St Mary's Hospital of Superior
3500 Tower Ave	Superior	WI	54880	411811073	Clinic/Hosp	WI	501(c)(3)	3	SMMC	true
St Mary's 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	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

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 ServiCES	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	NONE	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 Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
East Range Clinics Ltd
910 6th Ave N	Virginia	MN	55792	410909915	Clinics	MN	NA	C corp	0	0	0.00000
Essentia Health Insurance Services SPC
				000000000	Insurance		NA	Foreign Corp	0	0	0.00000	Buckingham Sq 720 W Bay Rd PO 69	Grand Cayman	Cayman Islands	CJ	KY1-1102	CJ

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	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	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 (24 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
STMARY'S REGIONAL HEALTH CENTER
P	14742457	Actual costs
STMARY'S REGIONAL HEALTH CENTER
K	163733	Actual costs
STMARY'S REGIONAL HEALTH CENTER
I	253780	Actual costs
STMARY'S REGIONAL HEALTH CENTER
J	98400	Actual costs
FIRST CARE MEDICAL SERVICES
p	2745669	Actual costs
GRACEVILLE HEALTH CENTER
P	819540	Actual costs
BRIDGES MEDICAL CENTER
P	304662	Actual costs
SMDC MEDICAL CENTER
O	4239362	actual costs
ESSENTIA HEALTH FOUNDATION
B	370000	Actual costs
ESSENTIA HEALTH FOUNDATION
P	315908	actual costs
ESSENTIA HEALTH
P	24955250	actual costs
ESSENTIA HEALTH
O	5016829	actual costs
ESSENTIA HEALTH
L	12291960	actual costs
ESSENTIA HEALTH
R	494144	actual costs
ESSENTIA HEALTH
N	3011503	actual costs
ESSENTIA INSTITUTE OF RURAL HEALTH
Q	1280197	actual costs
SMDC MEDICAL CENTER
P	1228964	actual costs
SMDC MEDICAL CENTER
N	119886	actual costs
STMARY'S MEDICAL CENTER
O	237779	actual costs
The DULUTH CLINIC Ltd
O	53405	actual costs
The DULUTH CLINIC Ltd
N	411790	actual costs
STJOSEPH'S MEDICAL CENTER
P	130508	actual costs
BRAINERD MEDICAL CENTER Inc
O	105975	actual costs
St Mary's Medical Center
p	69781	actual costs

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	FORM 990, SCHEDULE R, PART II, COLUMN (A)	Identifier
Explanation	Name: In 2011, many Essentia entities adopted a doing business as name as part of a system-wide rebranding strategy using the Essentia brand. 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 First Care Medical Services; Essentia Health Fosston Graceville Health Center; Essentia Health Holy Trinity Hospital 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. 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