INNOVIS HEALTH LLC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: INNOVIS HEALTH LLC (EIN 26-1175213)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-12
IRS object ID: 201101329349302630
Schema version: 2009v1.7
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 D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T13:19:52-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	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)
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	Chief Financial Officer	Title
Date Signed	2011-04-29	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Kevin Pitzer	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	254521008	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.innovishealth.com	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 by providing exceptional and innovative healthcare through physician-led partnerships with our patients, coworkers, and communities.	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	2468	TotalNbrEmployees
Total Nbr Volunteers	75	TotalNbrVolunteers
Total Gross UBI	513088	TotalGrossUBI
Net Unrelated Business Txbl Income	326410	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	147592	ContributionsGrantsPriorYear
Contributions Grants Current Year	46385	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	152519940	ProgramServiceRevenuePriorYear
Program Service Revenue CY	251425096	ProgramServiceRevenueCY
Investment Income Prior Year	-4817568	InvestmentIncomePriorYear
Investment Income Current Year	-1718966	InvestmentIncomeCurrentYear
Other Revenue Prior Year	276636	OtherRevenuePriorYear
Other Revenue Current Year	2646881	OtherRevenueCurrentYear
Total Revenue Prior Year	148126600	TotalRevenuePriorYear
Total Revenue Current Year	252399396	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	51000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	74500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	94525687	SalariesEtcPriorYear
Salaries Etc Current Year	142752550	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	68370416	OtherExpensePriorYear
Other Expenses Current Year	108490000	OtherExpensesCurrentYear
Total Expenses Prior Year	162947103	TotalExpensesPriorYear
Total Expenses Current Year	251317050	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-14820503	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1082346	RevenuesLessExpensesCY
Total Assets BOY	212529691	TotalAssetsBOY
Total Assets EOY	211683320	TotalAssetsEOY
Total Liabilities BOY	197760149	TotalLiabilitiesBOY
Total Liabilities EOY	208006147	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	14769542	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3677173	NetAssetsOrFundBalancesEOY
Mission Description	We are called to make a healthy difference in people's lives by providing exceptional and innovative healthcare through physician-led partnerships with our patients, coworkers, and communities.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	192170388	Expense
Grants	74500	Grants
Revenue	252547377	Revenue
Description	See schedule O	Description
Total Program Service Expense	192170388	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	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	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	true	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	108	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2468	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
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	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

Form990 Part VII Section A Form990PartVIISectionA (30 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
Director	40.0	X	211094	0	36689
Thomas Mohs MD
Director	40.0	X	279730	0	44964
Abigail Ring MD
Director	60.0	X	195332	0	35842
Jerry Rogers MD
Director	40.0	X	156973	0	31540
Michael Sheldon MD
Director	40.0	X	327408	0	42245
James Anderson
Director	1.0	X	2100	0	0
Neal Hessen
Director	1.0	X	2100	19650	0
Daniel McGinty
Director	60.0	X	300	593938	112597
Kevin Moug
Board Vice Chair	1.0	X	1500	0	0	X
Gene Taylor
Director	1.0	X	2100	0	0
H Patrick Weir
Board Chair	1.0	X	2100	0	0	X
Helen Keezer
Director	1.0	X	1500	0	0
Gregory Glasner MD
President	60.0	X	713780	0	103779	X
Kevin Pitzer
Chief Administrative Officer	60.0		450107	0	119981	X
Dennis Fuhrman
Vice President/CFO	40.0		254985	0	13756	X
Kyle Dorow
Chief Financial Officer	40.0		16533	134835	24179	X
Ken Gilles
VP CIO	40.0		229912	0	42555		X
Peter Jacobson
VP Operations	50.0		193200	0	30539		X
Kris Olson
VP Mktg/Quality/Phy Srvcs	40.0		177104	0	28091		X
John Rieke
VP Operations	40.0		193922	0	16574		X
Michael Briggs MD
Chief Medical Officer	40.0		323949	0	38954		X
Timothy Mahoney MD
Chief Medical Officer	40.0		644044	0	51674		X
Marc Eichler MD
Neurosurgeon	40.0		1056454	0	32824			X
Francis Cormier MD
Orthopedic Surgeon	40.0		1038957	0	40174			X
Jerome Sampson MD
Radiologist	40.0		1022464	0	48066			X
Mehendra Gupta MD
Medical Oncology	40.0		1009472	0	45066			X
Daniel Smith MD
Surgeon	40.0		989475	0	40566			X
Larry Solberg
CEO	0.0		330115	0	7038				X
Keith Wahlund
VP Human Resources	0.0		175457	0	23586				X
Nancy Korth
VP Patient Care	40.0		107684	0	28525				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10109851	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	748423	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1039804	TotalOtherCompensation
Number Individuals GT100 K	232	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	1694295
Spheris
13552 Collection Center Drive	CHICAGO	IL	60693	Medical Transcrip	1481106
Mayo Collaborative Services
PO Box 9146	MINNEAPOLIS	MN	55480	Lab Testing	1225833
Onyx MD
PO Box 4715	GREENSBORO	NC	27404	Provider locums-surg	678659
Professional Building Services
PO Box 7365	FARGO	ND	58106	Housekeeping Service	600781

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	28	NumberOfContractorsGT100K
All Other Contributions	46385	AllOtherContributions
Noncash Contributions	6147	NoncashContributions
Total Contributions	46385	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
HOSPITAL & CLINIC SERVICES	621110	251543715	251122282	421433
INVESTMENT IN PHARMACY	900099	341587	328363	13224
INVESTMENT IN DIALYSIS	900099	82665	82665
INVESTMENT IN MEDICAL OFFICE BUILDING	900099	-542871	-542871

Field	Value	IRS element (for citing)
Total Program Service Revenue	251425096	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	241807	TotalRevenueColumn
Exclusion	$241,807	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	226358	Real
Personal	78431	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	226358	Real
Personal	78431	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	304789	TotalRevenueColumn
Unrelated Business Revenue	78431	UnrelatedBusinessRevenue
Exclusion	$226,358	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	154692	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2115465	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-1960773	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1960773	TotalRevenueColumn
Exclusion	-$1,960,773	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	7108	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	6147	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	961	TotalRevenueColumn
Exclusion	$961	ExclusionAmount

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	732807	$732,807
AFFILIATE SHARED SERVICE REVENUE	900099	600000		600000
TAX REFUND	900099	522281		522281

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	486043	TotalRevenueColumn
Exclusion	$486,043	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2341131	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	252399396	TotalRevenueColumn
Related Or Exempt Function Income	252112720	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	513088	UnrelatedBusinessRevenue
Exclusion	-$272,797	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	67000	Total
Program Services	67000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	7500	Total
Program Services	7500	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5634355	Total
Program Services	1766705	ProgramServices
Management And General	3867650	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	115019961	Total
Program Services	88999796	ProgramServices
Management And General	26020165	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5468655	Total
Program Services	4612981	ProgramServices
Management And General	855674	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9998243	Total
Program Services	8622858	ProgramServices
Management And General	1375385	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6631336	Total
Program Services	5205727	ProgramServices
Management And General	1425609	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	209984	Total
Management And General	209984	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	166032	Total
Management And General	166032	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

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	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12711922	Total
Program Services	6699687	ProgramServices
Management And General	6012235	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	801212	Total
Program Services	5478	ProgramServices
Management And General	795734	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	42060688	Total
Program Services	41322977	ProgramServices
Management And General	737711	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	890054	Total
Program Services	48228	ProgramServices
Management And General	841826	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4652318	Total
Program Services	315920	ProgramServices
Management And General	4336398	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	477789	Total
Program Services	195450	ProgramServices
Management And General	282339	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	888848	Total
Program Services	633290	ProgramServices
Management And General	255558	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3686646	Total
Management And General	3686646	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10951163	Total
Program Services	10951163	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2887776	Total
Program Services	2887776	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	16628329	16628329
EQUIPMENT MAINTENANCE	5474783	2242820	3231963
AFFILIATE SERVICE SUPPORT FEE	2499996		2499996
LOSS ON REFINANCING	880176		880176
UBI TAX	115244		115244

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2507040	Total
Program Services	956703	ProgramServices
Management And General	1550337	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	251317050	Total
Program Services	192170388	ProgramServices
Management And General	59146662	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6828349	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	581799	BOY
EOY	20053839	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	35540592	BOY
EOY	39288583	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	25000	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1193501	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3423566	BOY
EOY	3665564	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	968448	BOY
EOY	1161187	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	161818062	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	24331113	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	148066151	BOY
EOY	137486949	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	499548	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2121252	BOY
EOY	990383	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1284979	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1293562	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	14999534	BOY
EOY	4740225	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	212529691	BOY
EOY	211683320	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27195108	BOY
EOY	34655297	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3088370	BOY
EOY	165687	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	148469832	BOY
EOY	152364636	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1792675	BOY
EOY	1882678	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	17214164	BOY
EOY	18937849	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	197760149	BOY
EOY	208006147	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14717454	BOY
EOY	3638052	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	52088	BOY
EOY	39121	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14769542	BOY
EOY	3677173	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	212529691	BOY
EOY	211683320	EOY

Field	Value	IRS element (for citing)
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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9717591	OtherCostOrOtherBasis
Book Value	9717591	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	103769574	OtherCostOrOtherBasis
Depreciation	9305583	Depreciation
Book Value	94463991	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1566173	OtherCostOrOtherBasis
Depreciation	106513	Depreciation
Book Value	1459660	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41462463	OtherCostOrOtherBasis
Depreciation	14662497	Depreciation
Book Value	26799966	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5302261	OtherCostOrOtherBasis
Depreciation	256520	Depreciation
Book Value	5045741	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	137486949	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
PAYABLES TO RELATED TAX-EXEMPT ORG	$108,523
NON CURRENT SWAP LIABILITY	$9,159,755
PARK RAPIDS AREA PAYABLE	$9,669,571

Field	Value	IRS element (for citing)
Total Of Amounts	18937849	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Schedule D, Part X	Identifier
Explanation	FIN 48 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, 2010 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)
Total Community Benefit Expense	2049006	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2049006	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27371423	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19631417	DirectOffsettingRevenue
Net Community Benefit Expense	7740006	NetCommunityBenefitExpense
Percent Of Total Expense	0.03300	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
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)
Total Community Benefit Expense	29420429	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19631417	DirectOffsettingRevenue
Net Community Benefit Expense	9789012	NetCommunityBenefitExpense
Percent Of Total Expense	0.04170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	4609	PersonsServed
Total Community Benefit Expense	64178	TotalCommunityBenefitExpense
Direct Offsetting Revenue	600	DirectOffsettingRevenue
Net Community Benefit Expense	63578	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	35	PersonsServed
Total Community Benefit Expense	50	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	50	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
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)
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)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	1000	PersonsServed
Total Community Benefit Expense	22451	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	22451	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Persons Served	5644	PersonsServed
Total Community Benefit Expense	86679	TotalCommunityBenefitExpense
Direct Offsetting Revenue	600	DirectOffsettingRevenue
Net Community Benefit Expense	86079	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Persons Served	5644	PersonsServed
Total Community Benefit Expense	29507108	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19632017	DirectOffsettingRevenue
Net Community Benefit Expense	9875091	NetCommunityBenefitExpense
Percent Of Total Expense	0.04210	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	2000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	330	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	330	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	896	PersonsServed
Total Community Building Expense	25825	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	25825	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
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)
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)
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)
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)
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)
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)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	896	PersonsServed
Total Community Building Expense	28155	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	28155	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,177,327	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	39543513	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	57343544	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17800031	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 Hth
Clinic	0.50000	0.00000	0.00000

Form990 Schedule H Part V Form990ScheduleHPartV (17 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Innovis Health LLC
3000 32nd Ave SW	Fargo	ND	58103	X	X	X	Multi-Specialty Clinic
Innovis Health LLC - Day Surgery
275 South 11th Street	Wahpeton	ND	58075				Licensed ASC Surgical Center
Innovis Health
1702 South University Drive	Fargo	ND	58103				Multi-Specialty Clinic
Innovis Health - Casselton
5 9th Avenue North	Casselton	ND	58102				Primary Care Clinic
Innovis Health - Fosston
102 Sather Drive	Fosston	MN	56542				Primary Care Clinic
Innovis Health - Hankinson
501 South Main	Hankinson	ND	58041				Primary Care Clinic
Innovis Health - Jamestown
401 3rd Street SE	Jamestown	ND	58401				Primary Care Clinic
Innovis Health - Libson
819 Main Street	Lisbon	ND	58054				Primary Care Clinic
Innovis Health - Medina
600 Water Street East	Medina	ND	58467				Primary Care Clinic
Innovis Health - Menahga
212 Aspen Ave NE	Menahga	MN	56464				Primary Care Clinic
Innovis Health - Moorhead
420 Center Avenue	Moorhead	MN	56560				Primary Care Clinic
Innovis Health - Park Rapids
705 Pleasant Avenue	Park Rapids	MN	56470				Primary Care Clinic
Innovis Health - Valley City
132 4th Ave NE	Valley City	ND	58072				Primary Care Clinic
Innovis Health - Wahpeton
275 South 11th Street	Wahpeton	ND	58075				Primary Care Clinic
Innovis Health - Walker
Highway 371	Walker	MN	56484				Primary Care Clinic
Innovis Health - West Acres
3902 13th Avenue South	Fargo	ND	58103				Primary Care Clinic
Innovis Health - West Fargo
1401 13th Avenue East	West Fargo	ND	58078				Primary Care Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	The organization uses federal poverty guidelines.	IncomeBasedCriteria
Annual Community Benefit Expln	Innovis Health'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 Innovis Health's parent corporation.	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Not Applicable.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Bad debt expense that was subtracted from total expense to obtain the % of community benefit to total expense amounted to $16,628,329.	PercentOfTotalExpenseExpln
Bad Debt Footnote	The costing methodology used to report bad debt expense at cost was the cost to charge ratio from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The rationale for using the Cost-to-Charge ratio is that it is the most efficient way to calculate bad debt at cost. We believe this method materially represents the cost of bad debt. Discounts and charity care are accounted for as reductions to revenue where bad debts are accounted for as operating expenses. 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 (reduction of revenue). Because this is our practice, we believe there is no known charity care within bad debt expense. (Excerpt from the parent company's audit) The provision for uncollectible accounts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of this review are then used to make any modifications to the provision for uncollectible accounts. After satisfaction of amounts due from insurance, Essentia Health follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Essentia.	BadDebtFootnote
Shortfall As Community Benefit	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. Innovis Health 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 similar to the rationale used by the American Hospital Association. 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 9b - At any stage of the patient experience, including collections, a determination may be made that the patient qualifies for Charity Care. All collection efforts must be suspended while a patient's Charity Care application is being considered and until the patient is notified regarding the determination of eligibility. The Charity Care Program policy will govern the handling of that patient's balance.	ShortfallAsCommunityBenefit
Debt Collection Policy	At any stage of the patient experience, including collections, a determination may be made that the patient qualifies for Charity Care. All collection efforts must be suspended while a patient's Charity Care application is being considered and until the patient is notified regarding the determination of eligibility. The Charity Care Program policy will govern the handling of that patient's balance.	DebtCollectionPolicy
Number Of Facility Type Expln	Not applicable.	NumberOfFacilityTypeExpln
Needs Assessment	Describe how the organization assesses the health care needs of the communities it serves: 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 Dakota Medical Foundation (DMF), The United Way, TNT Fitness, Go Far Events and the FM Chamber, in common efforts to address community needs. For example, Dakota Medical Foundation researches and studies the educational needs for children around healthy lifestyles. The results of these studies are presented to Innovis and, if a demonstrated need is identified, Innovis then financially supports the initiatives that are suggested by DMF in promoting these lifestyle program changes through diet and exercise and education in a program called Healthy Kids. Go Far Events and TNT Fitness are other organizations that Innovis has worked with collaboratively in the fight against childhood obesity. Through financial donations from Innovis, as well as staff time for educational seminars, both Go Far Events and TNT Fitness 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. TNT studies have shown that the support Innovis provides helps in reducing local costs in our healthcare systems as well as increasing student achievement in the classroom. Innovis also sponsors specific programs through Go Far Events to help address children's health by financially supporting the Go Far 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.	NeedsAssessment
Patient Education Assistance	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 charity care policy: Innovis Health has brochures which include charity care information as well as the charity care 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. Innovis Health 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.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: Innovis Health is located in Fargo, North Dakota. Innovis Health is a part of the larger Essentia Health System which is defined in Part VI, Line 7. Innovis consists of 1 hospital and 16 clinics that service the greater Fargo, ND and Moorhead, MN region. ND communities and surrounding areas included in this area are: Fargo; Casselton; Hankinson; Jamestown; Lisbon, Medina; Valley City and Wahpeton. MN communities and surrounding areas included are: Moorhead; Detroit Lakes; Fosston; Frazee; Lake Park; Mahnomen; Menahga; Park Rapids and Walker. The overall community is classified as a combination of suburban and rural communities. Innovis Health and its related clinics cover a population of over 540,000 people. The service region is most densely populated in the Fargo-Moorhead region and then scattered across the rural counties/cities mentioned above. Demographically, the population has a wide age distribution and a male to female ratio of close to 1. There is a low percentage of ethnic diversity overall, although there are some pockets throughout the coverage area with a high Native American population. The average income of the service area is slightly above $55,000. Approximately 7.4% of the population falls below federal poverty guidelines. Innovis Health, along with the rest of Essentia Health, is committed to serve patients regardless of their ability to pay. 3.3% of patients seen by Innovis Health or their corresponding clinics were uninsured patients. In addition, slightly fewer than 12% of their patients were Medicaid recipients. As mentioned above, Innovis Health 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.	CommunityInformation
Community Building Activities	Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves: Innovis works with various groups in the area to promote child helmet, bike and car seat safety, farm safety, and flood fighting efforts. In addition, there are numerous non profits under the umbrella of the United Way that Innovis and our employees can designate their donations to directly. The United Way Campaign keeps those funds local and utilizes criteria, based on healthy living/communities, for those non profits to even be considered under the United Way umbrella. Two examples of community building activities that Innovis sponsors is Tender Transitions and Safe Kids Coalition. Tender Transitions is a program offered to all new mothers in the Red River Valley region (regardless of their healthcare affiliation) that educates them on the importance of breastfeeding. Birthing Center Lactation Consultants and Registered Nurses are available to offer the continued support and answer any questions that new mothers may have. Safe Kids Fargo/Moorhead's mission is to reduce and prevent accidental injuries to children by creating and supporting child safe communities through educating families and children, providing safety devices, and advocating for public policy change. Safe Kids Fargo/Moorhead consists of health care providers, law enforcement, public health, and other private and public organizations committed to preventing accidental injuries in children ages birth to 14 years old. Innovis provides education in the following areas of injury prevention for the children in Cass (ND) and Clay (MN) counties: Child Passenger/Motor Vehicle Safety; Wheeled Sports (bike, scooter, in-line skating, skateboarding); Playground Safety; Infant Equipment; Home Safety; Fall Prevention; Fire and Burn Prevention; Water Safety. We also serve as an active sponsor for numerous local/regional non-profits that hold national recognition for events that they put on locally. These affiliations include the American Heart Association, American Diabetes Association, American Cancer Society, and the Arthritis Foundation. Examples of events that we sponsor include the American Heartwalk, Heartball, the Stepout Walk and the Jingle Bell Run. To assist in benefitting their fundraising efforts, we promote both internal and external events, have staff participation, and offer internal fundraising campaigns.	CommunityBuildingActivities
Other Information	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 Innovis Health serve on local boards/committees and donate their services free of charge or at a discounted rate. The Innovis board is comprised of 6 Innovis physicians, 2 members from outside the area and 5 volunteer local member of the community Innovis serves. Innovis Health 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 Innovis Health 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. Innovis 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. Innovis Health is part of a larger system, Essentia Health. As a non-profit organization, Essentia Health is focused on reinvesting surplus revenues into programs and technology that improve patient care. One of the most significant investments has been in the area of electronic health records, which are being rolled out across the health system's network of hospitals and clinics. The majority of Essentia hospitals and clinics will be linked via one central EHR by the end of 2011, thanks in part to significant investments made in 2010. We also continue to replace and upgrade technology, ranging from CT scanners to robotic surgery devices that ensure patients in our predominantly rural communities have access to these needed 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 currently not reimbursed by state or federal programs, so Essentia Health assumes responsibility for medical home costs. Essentia also supports the health of our communities through active research and clinical trials through the Essentia Institute of Rural Health. Various Essentia Health organizations contributed almost $1.5 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.	OtherInformation
Affiliated Health Care System	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served: Innovis Health is part of Essentia Health, an integrated health system of 17 hospitals, over 60 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 and cancer clinical trials 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 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 aggressive implementation of the Epic electronic health record (EHR). Already in use in a number of Essentia Health's rural clinics and some hospitals, a fully-integrated EHR is scheduled to connect patients across the Essentia service region by 2012. A common electronic health record allows health professionals 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.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
North Dakota State University
1340 Administration Ave	Fargo	ND	58102	456002439	501(C)(3)	22000	Graduate Program
United Way of Cass-Clay
PO Box 1609	Fargo	ND	581071609	410810008	501(c)(3)	25000	Matching Contrib
Fargo Marathon-Go Far Kids
PO Box 2623	Fargo	ND	581082623	432043293	501(c)(3)	20000	Sponsor Youth Fun

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Scholarships	TypeOfGrant
Number Of Recipients	15	NumberOfRecipients
Amount Of Cash Grant	7500	AmountOfCashGrant

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: Innovis Health's 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	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 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
196936	0	12865	0	1293	0	17209	0	19480	0	247783	0	0	0
Thomas Mohs MD
238021	0	40366	0	1343	0	21092	0	23872	0	324694	0	0	0
Abigail Ring MD
186757	0	7184	0	1391	0	17596	0	18246	0	231174	0	0	0
Jerry Rogers MD
135830	0	19592	0	1551	0	13283	0	18257	0	188513	0	0	0
Michael Sheldon MD
249384	0	76711	0	1313	0	21973	0	20272	0	369653	0	0	0
Daniel McGinty
300	366961	0	131156	0	95821	0	72695	0	39902	300	706535	0	94753
Gregory Glasner MD
407826	0	298904	0	7050	0	80842	0	22937	0	817559	0	0	0
Kevin Pitzer
355972	0	90565	0	3570	0	99312	0	20669	0	570088	0	0	0
Dennis Fuhrman
129540	0	29025	0	96420	0	0	0	13756	0	268741	0	0	0
Kyle Dorow
12499	134835	1531	0	2503	0	0	0	1384	22795	17917	157630	0	0
Ken Gilles
197455	0	31000	0	1457	0	21726	0	20829	0	272467	0	0	0
Peter Jacobson
165928	0	25815	0	1457	0	7077	0	23462	0	223739	0	0	0
Kris Olson
153045	0	23251	0	808	0	15440	0	12651	0	205195	0	0	0
Nancy Korth
106325	0	0	0	1359	0	15152	0	13373	0	136209	0	0	0
John Rieke
168200	0	17337	0	8385	0	0	0	16574	0	210496	0	0	0
Michael Briggs MD
271036	0	51500	0	1413	0	22694	0	16260	0	362903	0	0	0
Timothy Mahoney MD
419401	0	223092	0	1551	0	22694	0	28980	0	695718	0	0	0
Marc Eichler MD
1038288	0	16921	0	1245	0	15344	0	17480	0	1089278	0	0	0
Francis Cormier MD
1037664	0	0	0	1293	0	22694	0	17480	0	1079131	0	0	0
Jerome Sampson MD
564632	0	456321	0	1511	0	22694	0	25372	0	1070530	0	0	0
Mehendra Gupta MD
804554	0	203605	0	1313	0	22694	0	22372	0	1054538	0	0	0
Daniel Smith MD
749816	0	238268	0	1391	0	22694	0	17872	0	1030041	0	0	0
Larry Solberg
0	0	0	0	330115	0	0	0	7038	0	337153	0	0	0
Keith Wahlund
7767	0	15200	0	152490	0	2051	0	21535	0	199043	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule J, Part I, Line 1a	Benefits provided: During tax year 2009, as new employees relocating from other areas, current officer, Kyle Dorow, and current key employee, John Reike, each received a housing allowance. This benefit was treated as taxable compensation to these individuals.
Schedule J, Part I Line 4a	Severance payment: Former officer, Larry Solberg, received payment totaling $330,115 in tax year 2009 related to his termination. The termination terms are from January 17, 2008 until July 17, 2009. Mr. Solberg will receive pay totaling $864,061 & benefits totaling $18,890 related to his termination. Former officer, Dennis Fuhrman, received payment totaling $89,308 in tax year 2009 related to his termination. The termination terms are from August 15, 2009 until February 15, 2011. Mr. Fuhrman will receive pay totaling $387,000 & benefits totaling $8,202 related to his termination. Former key employee, Keith Wahlund, received payment totaling $146,154 in tax year 2009 related to his termination. The termination terms are from January 2, 2009 until June 30, 2010. Mr. Wahlund will receive pay totaling $228,000 & benefits totaling $8,361 related to his termination.
Schedule J, Part I, Line 4b	The following individuals listed in Form 990, Part VII, Section A, Line 1a received payment from a supplemental nonqualified retirement plan during the year: Gregory Glasner, MD (Innovis Health, LLC) $0 Daniel McGinty (ECHC) $94,753 Kevin Pitzer (Innovis Health, LLC) $0 ECHC's nonqualified retirement plan is offered to ECHC executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from ECHC's general assets. Innovis Health, LLC's nonqualified retirement plan is offered to designated Innovis Health's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Innovis Health, LLC's general assets.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
Cass County North Dakota
456002205	148047AT0	2008-05-02	62448178	Series 2008 D Bonds	false	false
MN Agricultural and Economic Development Board
416007162	604920Z43	2008-05-02	42909274	Series 2008 E Bonds	false	false
Cass County North Dakota
456002205	148047AU7	2010-02-25	59573111	Series 2008 A Reoffered Bonds	false	false
WI Health and Education Facilities Authority
391337855	97710BSD5	2010-02-25	12854722	Series 2008 B Reoffered Bonds	false	false
MN Agricultural and Economic Development Board
416007162	6049202H0	2010-02-25	165717405	Series 2008 C Reoffered Bonds	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
62448178	0	2362985	60085193	2008	false	false	false	true
27898317	0	1375120	26523197		true	false	false	true
22369703	0	0	0		true	false	false	true
4826948	0	0	0		true	false	false	true
62226886	1370412	713185	0		true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (5 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
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	Kyle Dorow	NamePerson
Purpose Of Loan	employment incentive	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$25,000	OriginalPrincipalAmount
Balance Due	25000	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	25000	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Kathleen Mahoney	NamePerson

Field	Value	IRS element (for citing)
Relationship	Related to Dr. Mahoney	Relationship
Amount Of Transaction	25178	AmountOfTransaction
Description Of Transaction	Employee of Innovis Health	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Table		LiquidationTable

Disposition Table DispositionTable

Field	Value	IRS element (for citing)
Description Of Asset	Software assests to related 501c3 org	DescriptionOfAsset
Date Of Distribution	2010-06-30	DateOfDistribution
FMV Of Asset	7609346	FMVOfAsset
Method Of FMV Determination	Net book value	MethodOfFMVDetermination
EIN	200360007	EIN
Name Person	Essentia Health	NamePerson

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	502 E 2nd St	AddressLine1
City	Duluth	City
State	MN	State
ZIP Code	55805	ZIPCode

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSection

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2
Employee Of Successor2	false	EmployeeOfSuccessor2
Owner Of Successor2	false	OwnerOfSuccessor2
Receive Compensation2	false	ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

Field	Value	IRS element (for citing)
Identifier	Schedule N, Part II, Line 1	Identifier
Explanation	Description of assets transferred: In 2010, Essentia Health determined it would be moving to a common electronic health record platform. As a result, the software assets anticipated to be replaced upon implementation of this new platform were identified by Innovis Health, LLC, an Essentia Health supported organization, and transferred to Essentia Health. The remaining useful lives of these assets were adjusted to coincide with the planned migration to the new platform.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part III, Line 4	Program service accomplishments: Innovis Health is organized and operated exclusively for charitable, scientific, and educational purposes. In furtherance of its purposes, Innovis provides health care services in Minnesota and North Dakota through its 104 bed hospital and 16 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, Innovis also operates pharmacies, optical centers, infusion therapy centers, outpatient surgery centers, and a cancer center. Beyond its clinical services, Innovis 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. Innovis also participates in continuing education programs for health care professionals. Innovis employs over 1,600 full time equivalents. The hospital provided for over 28,000 hospital patient days and over 180,000 outpatient visits during the fiscal year ended June 30, 2010. The clinic had over 550,000 encounters during the same time period. Innovis provided over $2,000,000 in charity care as well as an additional $7,700,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2010. Further community benefits provided during the fiscal year include community services of over $90,000 and cash & in-kind donations of over $20,000.
Form 990, Part VI, Line 6	Member 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 has reserved powers with respect to Innovis Health, LLC 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 Operating Agreement, Essentia Health shall elect Innovis Health, LLC's board of managers.
Form 990, Part VI, Line 7b	Member with right to approve governing body decision: Innovis Health, LLC 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.
Form 990, Part VI, Line 11a	Form 990 review process: The 2009 Form 990 including all schedules was reviewed by Innovis Health's management and the West Region governing body on Tuesday, April 5th, 2011 prior to filing with the Internal Revenue Service. Innovis Health's Chief Financial Officer led the review of the form and schedules and any questions were discussed. Each current director of the governing body received a copy of the 2009 Form 990.
Form 990, Part VI, Line 12c	Monitoring and enforcing Conflict of Interest policy: Interested persons shall 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 shall be 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 shall bring the matter to the attention of the board or an appropriate committee of the board. Disclosure involving board or committee members shall be made to the board chair (or if she/he is the one with the conflict, then to the board vice chair), who shall bring these matters to the board or an appropriate committee of the board. The board or committee of the board shall 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: Innovis Health's President and Chief Administrative Officer's compensation is reviewed and approved by The Executive Compensation Committee of Essentia Health. 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 & tax-exempt status, & 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 & modifying, as appropriate, reasonable compensation & benefits for Essentia's Executives. The Executive Compensation Committee engages qualified independent compensation advisors to provide objective & impartial comparative data & to express opinions on total compensation reasonableness. The Executive Compensation Committee may request its independent advisors to: monitor comparability data & marketplace trends; make appropriate recommendations regarding salary ranges; & periodically review the market competitiveness of Essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the Executive Compensation Committee will obtain & 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 shall include: the terms of the approved compensation & the date approved; the Executive Compensation Committee members present during the review, discussion & approval of the proposed compensation & those who voted on the proposed compensation; identification of the comparability data obtained & relied upon by the Executive Compensation Committee & how the data was obtained; any actions by a member of the Executive Compensation Committee having a conflict of interest; & documentation of the basis for the determination. The year this process was last undertaken for Innovis Health's President and Chief Administrative Officer was 2008. The compensation of other Innovis Health senior leadership is recommended by the President and CAO of Innovis Health and approved by the Executive Committee of the Innovis Health 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. 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 CEO of Essentia Health will make recommendation of compensation adjustments to the Executive Committee who will then act on these recommendations. A similar process is followed at Innovis Health, with the senior dyad of the President and CAO recommending compensation adjustments to the Executive Committee of the Innovis Health Board of Directors who will then act on these recommendations. The year this process was last undertaken for Innovis Health's senior leadership was 2009.
Form 990, Part VI, Line 19	Availability of governing documents, conflict of interest policy, and financial statements to the public: Innovis Health, LLC makes its governing documents, conflict of interest policy, and financial statements available to the public. Innovis Health, LLC's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Innovis Health, LLC 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.
Part VII, Section A, 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 1 hour Neal Hessen: approximately 15 hours Abigail Ring, MD is employed by Innovis Health, LLC as St. Mary's Innovis Health's Chief Medical Officer. 100% of her time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. Daniel McGinty is employed as ECHC's Chief Executive Officer. 100% of his time is spent furthering the purpose of ECHC and all related organizations. Francis Cormier, MD is employed by Innovis Health, LLC as St. Mary's Innovis Health's Orthopedic Surgeon. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations.
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, ECHC, St. Mary's Duluth Clinic Health System, St. Joseph's Medical Center, St. Mary's Regional Health Center, St. Mary's Medical Center, Inc., SMDC Medical Center, formerly known as Miller-Dwan Medical Center, Inc., Nat G. Polinsky Memorial Rehabilitation Center, Inc., St. Mary's Hospital of Superior, Brainerd Medical Center, Inc., Brainerd Lakes Integrated Health System, St. Mary's Innovis Health, The Duluth Clinic, Ltd. and Innovis Health, LLC (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, Innovis Health, LLC, 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: St. Mary's Duluth Clinic Health System, The Duluth Clinic, Ltd., Essentia Health, St. Mary's Medical Center, Inc. and SMDC Medical Center 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, Innovis Health, LLC, 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. The Obligated Group Members, ECHC, Innovis Health, LLC, The Duluth Clinic, Ltd., and St. Mary's Regional Health Center, 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 St. Mary's Hospital of Superior are the conduit borrowers of the Series 2008B reoffered 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 Members, ECHC, Innovis Health, LLC, and St. Mary's Regional Health Center, 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: St. Mary's Duluth Clinic Health System, St. Joseph's Medical Center, St. Mary's Regional Health Center, The Duluth Clinic, Ltd., Essentia Health, and St. Mary's Medical Center, Inc. are the conduit borrowers of the Series 2008C reoffered bonds. The conduit borrowers, St. Mary's Regional Health Center 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 Members, ECHC and Innovis Health, LLC, are indirect beneficiaries of a portion of the Series 2008C reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are 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, St. Joseph's Medical Center, St. Mary's Duluth Clinic Health System, St. Mary's Medical Center, Inc. and St. Mary's Regional Health Center are the conduit borrowers of the Series 2010 bonds. The conduit borrowers, The Duluth Clinic, Ltd., Essentia Health, St. Joseph's Medical Center, and St. Mary's Regional Health Center, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, ECHC and Innovis Health, LLC, are indirect beneficiaries of a portion of the Series 2010 borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health.
Schedule K, Part I, Column (e)	Issue price: Series 2008E, Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 bonds were issued by the Essentia Health Obligated Group. The issue price listed in Innovis Health's Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing.
Schedule K, Part I, Column (f)	Description of purpose: Series 2008D: Refinance a portion of the acquisition of certain assets of Innovis Health in connection with the affiliation of Essentia Health and Innovis Health. Series 2008E: Refinance Series 1997 bonds issued December 18, 1997 to finance equipment purchases in Duluth, MN. Series 2008A Reoffered: Refund Series 2008 A-1 and A-2 bonds issued March 4, 2008 to refinance a portion of the acquisition of certain assets of Innovis Health in connection with the affiliation of Essentia Health with Innovis Health. Series 2008B Reoffered: Refund 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: Refund 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, Lines 1 through 7	Proceeds: Series 2008E, Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 bonds were issued by the Essentia Health Obligated Group. A portion of the Series 2008E, Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 borrowing were allocated to Innovis Health, an Essentia Health Obligated Group Member. The proceeds listed in Innovis Health's Schedule K Part II Lines 2 through 7 represent Innovis Health's allocated portion of the proceeds.
Schedule K, Part II, Line 5	Identify portions of the amount entered relating to issuance costs and credit enhancement fees: Sereies 2008D: Of the total amount reported in Part II Line 5, $882,145 represents the amount of proceeds used to pay bond issuance costs and $1,480,840 represents the amount used to pay fees for credit enhancement. Series 2008E: Of the total amount reported in Part II Line 5, $744,111 represents the amount of proceeds used to pay bond issuance costs and $631,009 represents the amount used to pay fees for credit enhancement. Series 2008C Reoffered: The total amount reported in Part II Line 5 represents the amount of proceeds used to pay bond issuance costs. Series 2010: The total amount reported in Part II Line 5 represents the amount of proceeds used to pay bond issuance costs.
Schedule K, Part II, Line 8	Year of substantial completion: N/A
Schedule K, Part III, Line 3c	Routinely engage bond counsel to review management, service contracts, or research agreements: None
Schedule R, Part V, Column C	Method used to determine value of services, cash, and other assets: The methods used to determine the amounts in Schedule R Part V Column C were: Reimbursement of actual costs Fee based upon expected costs Actual amounts transferred

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
Brainerd Lakes Integrated Health System
2024 S 6th St	Brainerd	MN	56401	371532145	Supporting Or	MN	501(c)(3)	11 II	ECHC
Brainerd Medical Center Inc
2024 S 6th St	Brainerd	MN	56401	371532148	Clinic	MN	501(c)(3)	3	BLIHS
Bridges Medical Center
201 9th St W	Ada	MN	56510	200479568	Clinic/Hosp	MN	501(c)(3)	3	ECHC
Clearwater Valley Hospital and Clinics
301 Cedar	Orofino	ID	83544	820497771	Clinic/Hosp	ID	501(c)(3)	3	ECHC
Divine Medical Services
709 N Lincoln	Jerome	ID	83338	202773717	Emerg Svcs	ID	501(c)(3)	3	SBFMC
DL Surgery Center
1027 Washington Ave	Detroit Lakes	MN	56501	263837203	Amb Surgical	MN	501(c)(3)	3	ECHC
ECHC Foundation
502 E 2nd St	Duluth	MN	55805	263359418	Foundation	MN	501(c)(3)	11 I	ECHC
ECHC
503 E 3rd St Ste 400	Duluth	MN	55805	261219624	Supporting Or	MN	501(c)(3)	11 II	Essentia
First Care Medical Services
900 Hilligross Blvd SE	Fosston	MN	56542	410706143	Clinic/Hosp	MN	501(c)(3)	3	ECHC
Minnesota Valley Health Center Inc
621 S 4th St	LeSueur	MN	56058	410837659	Hospital/NH	MN	501(c)(3)	3	ECHC
St Benedict's Family Medical Center
709 N Lincoln	Jerome	ID	83338	820227163	Clinic/Hosp	ID	501(c)(3)	3	ECHC
St Joseph's Medical Center
523 N 3rd St	Brainerd	MN	56401	410695602	Hospital	MN	501(c)(3)	3	BLIHS
St Mary's EMS
1027 Washington Ave	Detroit Lakes	MN	56501	411805811	Emerg Svcs	MN	501(c)(3)	9	SMRHC
St Mary's Hospital & Clinics Inc
PO Box 137	Cottonwood	ID	83522	820226453	Clinic/Hosp	ID	501(c)(3)	3	ECHC
St Mary's Innovis Health
1027 Washington Ave	Detroit Lakes	MN	56501	262861321	Clinic	MN	501(c)(3)	3	ECHC
St Mary's Regional Health Center
1027 Washington Ave	Detroit Lakes	MN	56501	411620386	Clinic/Hosp	MN	501(c)(3)	3	ECHC
Essentia Health
502 E 2nd St	Duluth	MN	55805	200360007	Supporting Or	MN	501(c)(3)	11 III-FI	NA
Essentia Institute of Rural Health
502 E 2nd St	Duluth	MN	55805	271291124	Research	MN	501(c)(3)	4	Essentia
Innovis Health Foundation
502 E 2nd St	Duluth	MN	55805	271984704	Foundation	MN	501(c)(3)	7	Innovis
Midwest Medical Equipment & Supply Inc
4418 Haines Rd	Duluth	MN	55811	411674021	Med Equip	MN	501(c)(3)	9	SMDC
Pine Medical Center
109 Court Ave S	Sandstone	MN	55072	411884597	Clinic/Hosp	MN	501(c)(3)	3	SMDC
Polinsky Medical Rehabilitation Center
530 E 2nd St	Duluth	MN	55805	410691275	Clinic/Hosp	MN	501(c)(3)	3	SMMC
SMDC Medical Center
502 E 2nd St	Duluth	MN	55805	411878730	Clinic/Hosp	MN	501(c)(3)	3	SMDC
St Mary's Duluth Clinic Foundation
400 E 3rd St	Duluth	MN	55805	412016979	Foundation	MN	501(c)(3)	7	SMDC
St Mary's Duluth Clinic Health System
407 E 3rd St	Duluth	MN	55805	411836633	Clinic/Hosp	MN	501(c)(3)	3	Essentia
St Mary's Hospital of Superior
3500 Tower Ave	Superior	WI	54880	411811073	Clinic/Hosp	WI	501(c)(3)	3	SMMC
St Mary's Medical Center
407 E 3rd St	Duluth	MN	55805	410695604	Clinic/Hosp	MN	501(c)(3)	3	SMDC
The Duluth Clinic Ltd
400 E 3rd St	Duluth	MN	55805	410883623	Clinic/Hosp	MN	501(c)(3)	3	SMDC

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

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	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	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	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	true	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	false	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 (13 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
St Mary's Innovis Health
p	10480760
St Mary's Innovis Health
i	184810
St Mary's Innovis Health
j	60600
First Care Medical Services
o	117758
St Mary's Regional Health Center
k	169049
SMDC Medical Center
l	50546
ECHC
o	5361505
Essentia Health
o	4761081
Essentia Health
l	2499996
Essentia Health
g	244783
Essentia Health
q	946918
Essentia Health
r	8957788
First Care Medical Services
p	421291