2011-05-12T13:19:52-05:00 2010-06-30 990 2009-07-01 261175213 Innovis Health LLC INNO 7013643300 3000 32nd Ave S Fargo ND 58103 Kyle Dorow 2011-04-29 2009 2016-02-24 21:20:13Z Kevin Pitzer 3000 32nd Ave S Fargo ND 58103 254521008 false X www.innovishealth.com X LLC 2007 DE 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. 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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. true true X true X true X true true true false true true 2049006 0 2049006 0.00870 27371423 19631417 7740006 0.03300 0 0 0 0.00000 29420429 19631417 9789012 0.04170 24 4609 64178 600 63578 0.00030 1 35 50 0 50 0.00000 0 0 0 0.00000 0 0 0 0.00000 11 1000 22451 0 22451 0.00010 36 5644 86679 600 86079 0.00040 36 5644 29507108 19632017 9875091 0.04210 1 2000 0 2000 0.00000 1 330 0 330 0.00000 4 896 25825 0 25825 0.00010 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 6 896 28155 0 28155 0.00010 true 7177327 0 39543513 57343544 -17800031 X true true 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 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 The organization uses federal poverty guidelines. 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. 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. Not Applicable. Bad debt expense that was subtracted from total expense to obtain the % of community benefit to total expense amounted to $16,628,329. 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. 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. 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. Not applicable. 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. 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. 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. 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. 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. 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. true 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 3 0 Scholarships 15 7500 Schedule I, Part I, Line 2 Procedures for monitoring grants: Innovis Health's management reviews the grant activity by reviewing and documenting each expenditure request and approving the expense. X true true X X X X X true true false false false false false false false 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 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. 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 62448178 0 0 0 2362985 0 60085193 2008 false false false true 27898317 0 0 0 1375120 0 26523197 true false false true 22369703 0 0 0 0 0 0 true false false true 4826948 0 0 0 0 0 0 true false false true 62226886 0 0 1370412 713185 0 0 true false false true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true 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 Kyle Dorow employment incentive X 25000 25000 false true true 25000 Kathleen Mahoney Related to Dr. Mahoney 25178 Employee of Innovis Health false Software assests to related 501c3 org 2010-06-30 7609346 Net book value 200360007 Essentia Health 502 E 2nd St Duluth MN 55805 501(C)(3) false false false false Schedule N, Part II, Line 1 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. 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 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 PMC-Gateway Imaging LLC 109 Court Ave S Sandstone MN 55072 261634764 Imaging Services MN NA NONE 0 0 0 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 Buckingham Sq 720 W Bay Rd PO 69 Grand Cayman Cayman Islands CJ KY1-1102 000000000 Insurance CJ NA Foreign Corp 0 0 0.00000 false false false false false false true false true true true true false false true true true true 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