ESSENTIA HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ESSENTIA HEALTH (EIN 20-0360007)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-04-05
IRS object ID: 201710959349300326
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-04-05T11:35:22-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 W 1st St Ste 700	AddressLine1Txt
City	duluth	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	558021926	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	200360007	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Essentia Health	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ESSE	BusinessNameControlTxt
Phone	2187868376	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 E 2nd St	AddressLine1Txt
City	Duluth	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55805	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Robert Norman	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2187868376	PhoneNum
Signature	2017-03-30	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mary Beth Santori	PreparerPersonNm
PTIN	P00023783	PTIN
Phone	2187275025	PhoneNum
Preparation	2017-03-23	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID HERMAN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 E 2nd St	AddressLine1Txt
City	Duluth	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55805	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$153,995,307	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.essentiahealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2003	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	We are called to make a healthy difference in people's lives.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1595	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	-$1,801,095	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,868,715	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$164,656	PYContributionsGrantsAmt
CY Contributions Grants	$585,160	CYContributionsGrantsAmt
PY Program Service Revenue	$135,049,295	PYProgramServiceRevenueAmt
CY Program Service Revenue	$148,936,887	CYProgramServiceRevenueAmt
PY Investment Income	$5,403,539	PYInvestmentIncomeAmt
CY Investment Income	-$5,252,371	CYInvestmentIncomeAmt
PY Other Revenue	$1,320,296	PYOtherRevenueAmt
CY Other Revenue	$3,840,591	CYOtherRevenueAmt
PY Total Revenue	$141,937,786	PYTotalRevenueAmt
CY Total Revenue	$148,110,267	CYTotalRevenueAmt
PY Grants And Similar Paid	$122,334	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$126,085	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$102,930,917	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,011,986	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,311,982	PYOtherExpensesAmt
CY Other Expenses	$35,000,041	CYOtherExpensesAmt
PY Total Expenses	$132,365,233	PYTotalExpensesAmt
CY Total Expenses	$152,138,112	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,572,553	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,027,845	CYRevenuesLessExpensesAmt
Total Assets BOY	$295,250,892	TotalAssetsBOYAmt
Total Assets EOY	$300,148,119	TotalAssetsEOYAmt
Total Liabilities BOY	$187,847,740	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$184,425,974	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$107,403,152	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$115,722,145	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	We are called to make a healthy difference in people's lives.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$57,116,014	ExpenseAmt
Grant	$126,085	GrantAmt
Revenue	$148,936,887	RevenueAmt
Desc	Essentia Health is organized and shall be operated exclusively for charitable, educational, scientific and religious purposes exclusively for the benefit of, to perform the functions of, or to carry out the purposes of Critical Access Group, a Minnesota nonprofit corporation, Brainerd Lakes Integrated Health System dba Essentia Health Central, a Minnesota nonprofit corporation, St. Mary's Duluth Clinic Health System dba Essentia Health East, a Minnesota nonprofit corporation, and Innovis Health, LLC dba Essentia Health West, a Delaware limited liability company and in support of Critical Access Group, Essentia Health Central, Essentia Health East, and Essentia Health West and each of the tax-exempt entities identified as supported organizations in their articles of incorporation all of which are organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986.Essentia Health, headquartered in Duluth, Minnesota, is a fully integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho. Essentia Health combines the strengths and talents of nearly 14,000 employees, including more than 1,800 physicians and advanced practitioners, who serve its patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes several Catholic facilities, is guided by the values of quality, hospitality, respect, justice, stewardship and teamwork. Essentia Health delivers on its promise to be "Here With You" in 15 hospitals, over 60 clinics, seven long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services, a rehabilitation center, and one research institute. Essentia Health provides services predominantly in rural communities and is committed to eliminating geographic barriers to care. Many of Essentia Health's hospitals and clinics are located in communities that are federally recognized as being medically underserved. Essentia Health is accredited as an Accountable Care Organization by the National Committee for Quality Assurance. The legal entities comprising Essentia Health file separate Form 990's. At fiscal year ended June 30, 2016, Essentia Health's consolidated total revenue was $1,955,565,000 and consolidated income from operations was $59,467,000.Essentia Health's hospitals have a total of 1,210 licensed beds which provided over 184,000 hospital patient days and over 620,000 outpatient visits during the fiscal year ended June 30, 2016. The clinics had over 1.6 million encounters during the same time period.During the fiscal year ended June 30, 2016, Essentia Health system provided total community benefits of over $131 million which included costs of providing charity care, costs in excess of Medicaid payments, Medicaid surcharge, MinnesotaCare tax, community services, health profession education, research, and cash and in-kind contributions.	Desc
Total Program Service Expenses	$57,116,014	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	939	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1595	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROBERT NORMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2187863178	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	502 E 2nd St	AddressLine1Txt
City	Duluth	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55805	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Richard Blair
Board Chair	6.00	1.00	Yes (X)	Yes (X)	$45,000	$0	$0
James Anderson
Board Vice Chair	3.00	4.00	Yes (X)	Yes (X)	$29,460	$0	$0
Sister Kathleen Hofer
Board Secretary	3.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
Dean Ager
Board Director	4.00	0.00	Yes (X)		$30,000	$0	$0
Laura Boehlke-Bray MD
Board Director	4.00	56.00	Yes (X)		$30,000	$212,191	$19,182
Lori Collard
Board Director	3.00	1.00	Yes (X)		$20,000	$0	$0
Linda Dunham
Board Director	3.00	0.00	Yes (X)		$0	$0	$0
David Gaddie
Board Director	3.00	0.00	Yes (X)		$30,000	$0	$0
Joel Haugen MD
Board Director	3.00	37.00	Yes (X)		$24,500	$312,228	$41,736
Neal Hessen
Board Director	3.00	2.00	Yes (X)		$32,000	$0	$0
Alan Hodnik
Board Director	3.00	6.00	Yes (X)		$0	$0	$0
Walter Leino MD
Board Director	3.00	0.00	Yes (X)		$27,500	$0	$0
Sister Beverly Raway
Board Director	3.00	0.00	Yes (X)		$0	$0	$0
Thomas Russ MD
Board Director	3.00	37.00	Yes (X)		$20,000	$325,344	$33,487
James Seitz
Board Director	4.00	0.00	Yes (X)		$30,000	$0	$0
Sister Clare Marie Trettel
Board Director	4.00	0.00	Yes (X)		$0	$0	$0
Sister Lois Eckes
Board Director thru 8/15	3.00	0.00	Yes (X)		$0	$0	$0
David Herman MD
Chief Executive Officer	60.00	0.00		Yes (X)	$1,532,937	$0	$213,557
Robert Norman
Chief Financial Officer	59.00	1.00		Yes (X)	$751,292	$0	$101,844
Teresa O'Toole
CAO & CLO	60.00	0.00			$738,703	$0	$88,251	Yes (X)
John Smylie
Chief Operating Officer	60.00	0.00			$924,873	$0	$87,875	Yes (X)
Patrick Twomey MD
Chief Medical Officer	57.00	3.00			$681,144	$0	$107,294	Yes (X)
Dennis Dassenko
Chief Information Officer	60.00	0.00			$481,892	$0	$73,922	Yes (X)
Diane Davidson
Chief Human Resource Officer	60.00	0.00			$462,518	$0	$72,885	Yes (X)
Kristi Schmidt
Chief Marketing & Comm. Officer	60.00	0.00			$233,158	$0	$22,139	Yes (X)
Gregory Glasner MD
President & CMO, EH West	3.00	57.00			$0	$665,389	$92,716	Yes (X)
Peter Henry MD
Chief Medical Officer, EH Central	3.00	57.00			$0	$487,924	$77,838	Yes (X)
Steven Jorgensen
Chief Operating Officer, EH East	3.00	57.00			$0	$679,159	$102,627	Yes (X)
Daniel Nikcevich MD
President, EH East	3.00	57.00			$0	$958,298	$137,873	Yes (X)
Adam Rees
President, EH Central	3.00	57.00			$0	$466,812	$75,580	Yes (X)
Timothy Sayler
Chief Operating Officer, EH West	3.00	57.00			$0	$581,490	$90,019	Yes (X)
Richard Ziegler
Executive Director, EIRH	3.00	57.00			$0	$366,476	$85,823	Yes (X)
Michael Mahoney
Vice President, Public Policy	60.00	0.00			$306,343	$0	$45,642	Yes (X)
Thomas Wiig MD
Chief Med Informatics Officer	60.00	0.00			$331,035	$0	$40,898		Yes (X)
Ken Gilles
VP CIO	60.00	0.00			$307,647	$0	$41,636		Yes (X)
Thomas Crook
VP Treasury	60.00	0.00			$260,930	$0	$30,307		Yes (X)
Sheila Hart
SVP Integrated Care Delivery	60.00	0.00			$253,053	$0	$35,298		Yes (X)
Martin Sinclair
Deputy Chief Legal Officer	60.00	0.00			$254,012	$0	$26,840		Yes (X)
Peter Person MD
Former Chief Executive Officer	0.00	0.00			$1,495,571	$0	$1,119,779			Yes (X)
Michael Metcalf
Former EVP Clinical Operations	0.00	0.00			$0	$431,435	$17,950			Yes (X)
Thomas Patnoe MD
Former President & CMO, EH East	0.00	40.00			$0	$360,041	$55,136			Yes (X)
Kevin Pitzer
Former CAO, EH West	0.00	0.00			$0	$283,751	$0			Yes (X)
Thomas Prusak
Former President, EH Central	0.00	0.00			$924,682	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,258,250	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,130,538	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,938,134	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	101	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Boldt Company
2525 N Roemer Rd	Appleton	WI	54911	Construction Services	$24,643,324
Epic Systems Corporation
1979 Milky Way	Verona	WI	53593	Software Support Services	$6,700,763
Weatherby Locums Inc
PO Box 972633	Dallas	TX	753972633	Locum Services	$6,202,644
Max Gray Construction Inc
2501 5th Ave W	Hibbing	MN	55746	Construction Services	$4,826,322
Evolving Solutions Inc
3989 County Rd 116	Hamel	MN	55340	Data Storage & Disaster Relief	$4,569,285

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	138	CntrctRcvdGreaterThan100KCnt
Related Organizations	$60,365	RelatedOrganizationsAmt
Government Grants	$306,766	GovernmentGrantsAmt
All Other Contributions	$218,029	AllOtherContributionsAmt
Total Contributions	$585,160	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Support Revenue	Desc
Business	541610	BusinessCd
Total Revenue Column	$148,936,887	TotalRevenueColumnAmt
Related Or Exempt Func Income	$148,936,887	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$148,936,887	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$631,669	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,848,425	UnrelatedBusinessRevenueAmt
Exclusion	$2,480,094	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,835,557	SecuritiesAmt
Other	$49,483	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$5,835,557	SecuritiesAmt
Other	-$48,483	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,884,040	TotalRevenueColumnAmt
Exclusion	-$5,884,040	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
System Access/Use Revenue	900099	$3,661,360	$47,330	$3,614,030
Gain on Extinguishment of Debt	900099	$71,714		$71,714
Unclaimed Property	900099	$58,812		$58,812

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,705	TotalRevenueColumnAmt
Exclusion	$48,705	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,840,591	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148,110,267	TotalRevenueColumnAmt
Related Or Exempt Func Income	$148,936,887	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$1,801,095	UnrelatedBusinessRevenueAmt
Exclusion	$389,315	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$126,085	TotalAmt
Program Services	$126,085	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,002,416	TotalAmt
Program Services	$161,960	ProgramServicesAmt
Management And General	$7,840,456	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$961,597	TotalAmt
Management And General	$961,597	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$84,164,680	TotalAmt
Program Services	$38,809,880	ProgramServicesAmt
Management And General	$45,354,800	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,158,919	TotalAmt
Program Services	$1,829,352	ProgramServicesAmt
Management And General	$1,329,567	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,508,246	TotalAmt
Program Services	$5,576,309	ProgramServicesAmt
Management And General	$8,931,937	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,216,128	TotalAmt
Program Services	$2,796,486	ProgramServicesAmt
Management And General	$3,419,642	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$339,481	TotalAmt
Management And General	$339,481	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$754,221	TotalAmt
Management And General	$754,221	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$177,367	TotalAmt
Program Services	$2,940	ProgramServicesAmt
Management And General	$174,427	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$816,598	TotalAmt
Management And General	$816,598	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,920,584	TotalAmt
Program Services	$4,307,666	ProgramServicesAmt
Management And General	$14,612,918	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,082,608	TotalAmt
Program Services	$801,269	ProgramServicesAmt
Management And General	$281,339	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,050,037	TotalAmt
Program Services	$493,805	ProgramServicesAmt
Management And General	$3,556,232	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,784,191	TotalAmt
Program Services	$379,942	ProgramServicesAmt
Management And General	$1,404,249	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$34,090	TotalAmt
Program Services	$13,260	ProgramServicesAmt
Management And General	$20,830	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,926,959	TotalAmt
Program Services	$891,611	ProgramServicesAmt
Management And General	$1,035,348	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$729,476	TotalAmt
Program Services	$299,067	ProgramServicesAmt
Management And General	$430,409	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,511,222	TotalAmt
Management And General	$1,511,222	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$643,783	TotalAmt
Program Services	$82,712	ProgramServicesAmt
Management And General	$561,071	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
Unrelated Business Tax	-$21,942	-$21,942
Program Cost	$516,773	$516,773
Asset Impairment Loss	$438,139	$438,139
Dues	$426,446	$286,620	$139,826

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$870,008	TotalAmt
Program Services	$403,844	ProgramServicesAmt
Management And General	$466,164	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$152,138,112	TotalAmt
Program Services	$57,116,014	ProgramServicesAmt
Management And General	$95,022,098	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,609,289	BOYAmt
EOY	$4,001,440	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$44,980,062	BOYAmt
EOY	$54,576,050	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,942,323	BOYAmt
EOY	$8,011,613	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,891,871	BOYAmt
EOY	$2,704,852	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$9,418,975	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,729,746	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,013,371	BOYAmt
EOY	$2,689,229	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$172,484	BOYAmt
EOY	$114,399	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$115,069,859	BOYAmt
EOY	$106,979,847	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$58,532,818	BOYAmt
EOY	$58,094,679	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$61,038,815	BOYAmt
EOY	$62,976,010	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$295,250,892	BOYAmt
EOY	$300,148,119	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,654,605	BOYAmt
EOY	$93,246,564	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$363,765	BOYAmt
EOY	$12,453	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,894,314	BOYAmt
EOY	$17,565,772	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$31,802,328	BOYAmt
EOY	$16,125,883	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,132,728	BOYAmt
EOY	$57,475,302	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$187,847,740	BOYAmt
EOY	$184,425,974	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$107,403,152	BOYAmt
EOY	$115,722,145	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$107,403,152	BOYAmt
EOY	$115,722,145	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$295,250,892	BOYAmt
EOY	$300,148,119	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,027,845	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,214,130	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$15,560,968	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Innovis Health LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	261175213	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$40,775,174	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$40,775,174	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	Yes (1)	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (1)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (1)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (1)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (1)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (1)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (1)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART I, LINE 11G:	SUPPORTED ORGANIZATIONS: ESSENTIA HEALTH ALSO SUPPORTS THREE 509(A)(3) ENTITIES WHO ARE LISTED IN ESSENTIA HEALTH'S GOVERNING DOCUMENTS: BRAINERD LAKES INTEGRATED HEALTH SYSTEM (EIN: 37-1532145), CRITICAL ACCESS GROUP (EIN: 26-1219624), AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM (EIN: 41-1836633). ESSENTIA HEALTH PROVIDED MONETARY SUPPORT IN THE AMOUNTS OF $28,073,087, $5,681,082, AND $161,586,941, TO BRAINERD LAKES INTEGRATED HEALTH SYSTEM, CRITICAL ACCESS GROUP, AND ST. MARY'S DULUTH CLINIC HEALTH SYSTEM, RESPECTIVELY FOR A TOTAL OF $152,138,112 IN MONETARY SUPPORT. ESSENTIA HEALTH ALSO SUPPORTS THE TAX-EXEMPT SUBSIDIARIES OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS, SUBSTANTIALLY ALL OF WHICH ARE PUBLICLY SUPPORTED ENTITIES UNDER IRC SECTION 509(A).
SCHEDULE A, Part I, Line 11G, Column V:	Amount of Support: THE AMOUNT OF SUPPORT INCLUDES ESSENTIA HEALTH'S FUNCTIONAL EXPENSES WHICH ARE INCURRED FOR THE BENEFIT OF ESSENTIA HEALTH'S SUPPORTED ORGANIZATIONS.
Part IV, Section A, Line 2:	Determination of Status of Supported Organizations: Three of Essentia Health's supported organizations (Brainerd lakes Integrated Health System, Critical Access Group, and St. Mary's Duluth Clinic Health System) are Type II supporting organizations under IRC Section 509(a)(3). Brainerd lakes Integrated Health System, Critical Access Group, and St. Mary's Duluth Clinic Health System support tax-exempt organizations organized under IRC Section 509(a)(1) or 509(a)(2).
Part IV, Section A, Line 6:	Support to Other Organizations: Essentia Health made three contributions to unrelated organizations that align with Essentia Health's supported organizations' missions. These contributions created a healthy difference in peoples' lives by helping to provide resources to families in need. Essentia Health also supports the tax-exempt subsidiaries of Essentia Health's supported organizations by providing various services and monetary support.
Part IV, Section D, Line 3:	Supported Organizations' Voice and Direction: There are multiple directors that serve on Essentia Health's board of directors, as well as, on Essentia Health's supported organizations' board of directors. In addition, the officers and other key employees of Essentia Health and its supported organizations maintain close and continuous working relationships by sitting on the same leadership committees and teams. First at the supported organization level and then at the supporting organization level, Essentia Health's investments and use of income and assets are discussed and approved resulting in Essentia Health's supported organizations having a significant voice in directing the activities of Essentia Health.
Part IV, Section E, Line 3a:	Power to Appoint or Elect Directors: Essentia Health approves the election of its supported organizations' board of directors and may remove, with or without cause, these same directors at any time.
Part IV, Section E, Line 3b:	Direction Over the Policies, Programs, and Activities of the Supported Organizations: As the parent of its supported organizations, Essentia Health has various financial, operational, and advisory powers, known as reserved powers, with respect to its supported organizations and their subsidiaries creating a substantial degree of direction over the policies, programs, and activities of Essentia Health's supported organizations. Essentia Health establishes and oversees various policies and programs including policies related to but not limited to administration, human resources, finance, compliance, information services, patient relations/risk management, safety, revenue services, Essentia Health medical group, physician/provider services, research and education, and the Essentia Health Foundation. Essentia Health has the following authority over its supported organizations and their subsidiaries: create and approve strategic business plans; create and approve the mission, purpose and vision statements; create and approve amendments of the articles of incorporation and bylaws and/or certificates of formation and operating agreements; and create and approve the addition of new services and service locations and the discontinuance of services and service locations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$139,576	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$177,367	OtherActivitiesAmt
Total Lobbying Expenditures	$316,943	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITY EXPLANATION: Essentia Health employs one full-time in-house public policy individual and during 2016 contracted with two consultant firms to monitor state legislative activities of interest, three consultant firms to monitor federal legislative activities of interest related to Health and Human Services issues, and one legal firm to provide legislative representation services. Essentia Health's public policy activities occur on a multi state and national level. Essentia Health public policy activities included in person, telephonic, electronic communication and information relay with legislators and staff, administrative officials, government agencies and departments on both the state and federal levels. The primary issues of interest and concern include: Critical Access Hospital designation Physician and Hospital Services Reimbursement Medicare and Medicaid Reimbursement Policies Disproportionate Share Hospital Funding Sole Community Hospital Status and Funding Graduate Medical Education/Indirect Medical Education Funding Health Information Technology Funding and Privacy Issues Cybersecurity State and Federal Health Care Reform State and Federal Shared Savings Demonstration Projects Medicare Reimbursement for Rehab Facilities Medicare 340B Prescription Drug Discount Program Multi-State Nurse Licensure Compact Multi-State Advanced Practice Registered Nurse Licensure Compact Multi-State Physician Licensure Compact Multi-State Physical Therapy Compact Mandated Nurse Staffing Quotas Electronic Medical Record Interoperability/Health Information Technology Medicare Recovery Audit Contractor Audits (RAC) Health Information Exchange Medical Education and Research Costs (MERC) State Children's Health Insurance Program Workforce Development Issues Public Health Initiatives Community Benefits Workers Compensation System Tax Exempt Status Constitutional Ballot Questions Impacting Public Bond Financing Environmental Protection & Solid Waste Advanced Care Planning Telemedicine Mental Health Issues Essentia Health also pays dues to certain organizations related to the industry which have lobbying expenses. The amount included in the total is the percentage of the dues paid that were used for lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,880	OtherCostOrOtherBasisAmt
Depreciation	$3,566	DepreciationAmt
Book Value	$7,314	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,292,878	OtherCostOrOtherBasisAmt
Depreciation	$6,726,180	DepreciationAmt
Book Value	$2,566,698	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,217	OtherCostOrOtherBasisAmt
Book Value	$115,217	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,689,229	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$203,965	BookValueAmt
Method Valuation	F	MethodValuationCd

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Pooled Investment Funds	Desc
Book Value	$106,775,882	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$106,979,847	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investment in Benedictine Health System	Desc
Book Value	$58,094,679	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$58,094,679	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Deferred Debt Financing Costs	$933,044
Deferred Compensation Fund	$56,559,161
Receivables from Related Orgs	$259,864
Reinsurance Receivable	$5,223,941

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$62,976,010	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Non Current Swap Liability	$916,140
Benefit Plan Liability	$56,559,162

Field	Value	IRS element (for citing)
Total Liability	$57,475,302	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	Investments	$162,176,475
Central America and the Caribbean	Program Services	$14,183,142	Self Indemnity
North America	Send Agents to Seminar	$5,955

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$176,365,572	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$176,365,572	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
St Joseph's Medical Center
523 N 3rd St	Brainerd	MN	56401	410695602	501(c)(3)	$41,609	Program Support
The Duluth Clinic Ltd
400 E 3rd St	Duluth	MN	55805	410883623	501(c)(3)	$21,219	Program Support
Innovis Health LLC
3000 32nd Ave S	Fargo	ND	58103	261175213	501(c)(3)	$21,219	Program Support
SMDC Medical Center
502 E 2nd St	Duluth	MN	55805	411878730	501(c)(3)	$21,188	Program Support
Deer River Healthcare Center Inc
115 10th Ave NE	Deer River	MN	56636	410844574	501(c)(3)	$12,600	Program Support
Essentia Health Foundation
502 E 2nd St	Duluth	MN	55805	271984704	501(c)(3)	$5,250	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING GRANTS: Essentia Health's management reviews the grant activity by reviewing and documenting each expenditure request and approving the expense.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (1)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laura Boehlke-Bray MD
Board Director	$30,000	$210,698	$0	$822	$0	$671	$0	$16,720	$0	$2,462	$30,000	$231,373	$0	$0
Joel Haugen MD
Board Director	$24,500	$308,304	$0	$1,932	$0	$1,992	$0	$21,200	$0	$20,536	$24,500	$353,964	$0	$0
Thomas Russ MD
Board Director	$20,000	$322,364	$0	$1,214	$0	$1,766	$0	$21,200	$0	$12,287	$20,000	$358,831	$0	$0
David Herman MD
Chief Executive Officer	$1,024,219	$0	$459,975	$0	$48,743	$0	$209,479	$0	$4,078	$0	$1,746,494	$0	$0	$0
Robert Norman
Chief Financial Officer	$487,234	$0	$210,130	$0	$53,928	$0	$78,667	$0	$23,177	$0	$853,136	$0	$50,008	$0
Teresa O'Toole
CAO & CLO	$476,072	$0	$204,034	$0	$58,597	$0	$74,702	$0	$13,549	$0	$826,954	$0	$47,972	$0
John Smylie
Chief Operating Officer	$640,077	$0	$277,149	$0	$7,647	$0	$64,025	$0	$23,850	$0	$1,012,748	$0	$0	$0
Patrick Twomey MD
Chief Medical Officer	$473,913	$0	$203,381	$0	$3,850	$0	$74,690	$0	$32,604	$0	$788,438	$0	$0	$0
Dennis Dassenko
Chief Information Officer	$332,242	$0	$142,411	$0	$7,239	$0	$53,315	$0	$20,607	$0	$555,814	$0	$0	$0
Diane Davidson
Chief Human Resource Officer	$316,971	$0	$138,304	$0	$7,243	$0	$49,685	$0	$23,200	$0	$535,403	$0	$0	$0
Kristi Schmidt
Chief Marketing & Comm. Officer	$191,613	$0	$40,631	$0	$914	$0	$20,399	$0	$1,740	$0	$255,297	$0	$0	$0
Gregory Glasner MD
President & CMO, EH West	$0	$470,808	$0	$191,115	$0	$3,466	$0	$66,302	$0	$26,414	$0	$758,105	$0	$0
Peter Henry MD
Chief Medical Officer, EH Central	$0	$339,547	$0	$141,247	$0	$7,130	$0	$51,774	$0	$26,064	$0	$565,762	$0	$0
Steven Jorgensen
Chief Operating Officer, EH East	$0	$482,372	$0	$190,038	$0	$6,749	$0	$72,720	$0	$29,907	$0	$781,786	$0	$0
Daniel Nikcevich MD
President, EH East	$0	$679,697	$0	$274,419	$0	$4,182	$0	$107,088	$0	$30,785	$0	$1,096,171	$0	$0
Adam Rees
President, EH Central	$0	$320,931	$0	$141,256	$0	$4,625	$0	$50,936	$0	$24,644	$0	$542,392	$0	$0
Timothy Sayler
Chief Operating Officer, EH West	$0	$400,635	$0	$175,015	$0	$5,840	$0	$63,648	$0	$26,371	$0	$671,509	$0	$0
Richard Ziegler
Executive Director, EIRH	$0	$355,921	$0	$0	$0	$10,555	$0	$56,030	$0	$29,793	$0	$452,299	$0	$0
Michael Mahoney
Vice President, Public Policy	$236,130	$0	$69,029	$0	$1,184	$0	$28,195	$0	$17,447	$0	$351,985	$0	$0	$0
Thomas Wiig MD
Chief Med Informatics Officer	$327,180	$0	$0	$0	$3,855	$0	$21,200	$0	$19,698	$0	$371,933	$0	$0	$0
Ken Gilles
VP CIO	$203,249	$0	$49,714	$0	$54,684	$0	$20,041	$0	$21,595	$0	$349,283	$0	$0	$0
Thomas Crook
VP Treasury	$200,634	$0	$43,035	$0	$17,261	$0	$18,205	$0	$12,102	$0	$291,237	$0	$12,790	$0
Sheila Hart
SVP Integrated Care Delivery	$210,658	$0	$40,942	$0	$1,453	$0	$12,416	$0	$22,882	$0	$288,351	$0	$0	$0
Martin Sinclair
Deputy Chief Legal Officer	$207,113	$0	$44,052	$0	$2,847	$0	$24,346	$0	$2,494	$0	$280,852	$0	$0	$0
Peter Person MD
Former Chief Executive Officer	$567,277	$0	$469,067	$0	$459,227	$0	$1,108,448	$0	$11,331	$0	$2,615,350	$0	$162,266	$0
Michael Metcalf
Former EVP Clinical Operations	$0	$0	$0	$0	$0	$431,435	$0	$0	$0	$17,950	$0	$449,385	$0	$31,310
Thomas Patnoe MD
Former President & CMO, EH East	$0	$355,012	$0	$2,481	$0	$2,548	$0	$21,200	$0	$33,936	$0	$415,177	$0	$0
Kevin Pitzer
Former CAO, EH West	$0	$0	$0	$0	$0	$283,751	$0	$0	$0	$0	$0	$283,751	$0	$202,863
Thomas Prusak
Former President, EH Central	$0	$0	$0	$0	$924,682	$0	$0	$0	$0	$0	$924,682	$0	$361,446	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Benefits provided: DURING CALENDAR YEAR 2015, CHARTER TRAVEL WAS USED BY TWO OFFICERS, ONE HIGHEST COMPENSATED EMPLOYEE, AND FIVE KEY EMPLOYEES FOR TRAVEL BETWEEN ESSENTIA HEALTH'S OFFICE IN DULUTH, MN AND OTHER ORGANIZATIONS. THE USE OF CHARTER TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS AS ALL TRAVEL WAS BUSINESS RELATED. During tax year 2015, as a new employee relocating from another area, chief executive officer, David Herman, MD, received a housing allowance and reimbursement for personal services related to his prior home. These benefits were treated as taxable compensation to him.
Part I, Lines 4a-b	SEVERANCE PAYMENT: Former key employee, Michael Metcalf, received payment totaling $405,000 in calendar year 2015 related to his termination. The termination terms are from October 10, 2014 to April 9, 2016. Mr. Metcalf will receive pay totaling $585,000 & benefits totaling $62,026 related to his termination. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: Essentia Health's nonqualified retirement plan is offered to designated Essentia Health executives. There is a minimum two year vesting date, or vesting is automatic upon reaching retirement age, death, disability or involuntary termination without cause. Benefits are subject to income taxes upon vesting and payable from Essentia Health's general assets. Reported as Other Reportable Compensation in Schedule J, Part II, Column B (iii), the following individuals listed in Form 990, Part VII, Section A, Line 1a received payment of the vested benefit from the supplemental nonqualified retirement plan during the year: Robert Norman $50,008 Teresa O'Toole $47,972 Thomas Crook $12,790 Peter Person, MD $451,556 Michael Metcalf $31,310 Kevin Pitzer $283,751 Thomas Prusak $924,682 Reported as Retirement and Other Deferred Compensation in Schedule J, Part II, Column C, Essentia Health made contributions, subject to the vesting terms, during the year into the supplemental nonqualified retirement plan on behalf of the following individuals listed in Form 990, Part VII, Section A, Line 1a: David Herman, MD $209,479 Robert Norman $57,467 Teresa O'Toole $53,727 John Smylie $42,825 Patrick Twomey, MD $53,490 Dennis Dassenko $32,115 Diane Davidson $29,589 Kristi Schmidt $4,019 Gregory Glasner, MD $49,414 Peter Henry, MD $30,574 Steven Jorgensen $51,520 Daniel Nikcevich, MD $85,888 Adam Rees $30,574 Timothy Sayler $42,448 Richard Ziegler $34,830 Michael Mahoney $7,596 Martin Sinclair $4,359 Peter Person, MD $72,874
Part I, Line 8	Initial contract exception: Essentia Health's Senior VP of Integrated Care Delivery, Sheila Hart, received compensation during the year under an initial employment agreement subject to the initial contract exception. Through an authorized body of the organization, this compensation arrangement was reviewed and approved by independent persons using comparability data and the basis for determination was documented. Essentia Health's Chief Executive Officer, David Herman, MD, received compensation during the year under an initial employment agreement subject to the initial contract exception. Through the Essentia Health Executive Compensation Committee, this compensation arrangement was reviewed and approved by independent persons using comparability data and deliberations and decisions were documented.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Cass County ND
A	456002205	148047AU7	2010-02-25	$59,573,111	SRS 2008A REOFF (SEE PART VI)	0	0	0
WI Health & Edu Fac Auth
B	391337855	97710BSD5	2010-02-25	$12,854,722	SRS 2008B REOFF (SEE PART VI)	0	0	0
MN Ag & Econ Devel Brd
C	416007162	6049202H0	2010-02-25	$165,717,405	SRS 2008C REOFF (SEE PART VI)	0	0	0
MN Ag & Econ Devel Brd
D	416007162	000000000	2014-07-29	$29,480,000	SRS 2014-MN BONDS (SEE PART VI)	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt
A	$3,872,252	$3,872,252	2010	Yes (1)	Yes (1)	Yes (1)
B	$835,557	$835,557	2010	Yes (1)	Yes (1)	Yes (1)
C	$10,771,632	$10,648,178	2010	Yes (1)	Yes (1)	Yes (1)	$1,832,350	$123,454
D	$4,173,741	$547,644	2015	Yes (1)	0	Yes (1)	$156,441	$26,020	$3,600,077

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K	ADDITIONAL INFORMATION/COMMENTS RELATING TO THE REPORTING OF LIABILITIES BY RELATED ORGANIZATIONS: ESSENTIA HEALTH HAS AN OBLIGATED GROUP CREATED UNDER THE MASTER INDENTURE WHICH IS COMPOSED OF THE FOLLOWING MEMBERS: ESSENTIA HEALTH, CRITICAL ACCESS GROUP, ESSENTIA HEALTH EAST, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION CENTER, ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR, ESSENTIA HEALTH BRAINERD SPECIALTY CLINIC, ESSENTIA HEALTH CENTRAL, ST. MARY'S INNOVIS HEALTH, THE DULUTH CLINIC, LTD. AND ESSENTIA HEALTH WEST (THE "OBLIGATED GROUP MEMBERS OR THE "MEMBERS OF THE OBLIGATED GROUP"). THE MEMBERS OF THE OBLIGATED GROUP ARE JOINTLY AND SEVERALLY OBLIGATED ON ALL INDEBTEDNESS EVIDENCED OR SECURED BY NOTES ISSUED UNDER THE MASTER INDENTURE. THE SERIES 2008A REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER INDENTURE. ESSENTIA HEALTH IS THE CONDUIT BORROWER OF THE SERIES 2008A REOFFERED BONDS AND HAS RECORDED A PORTION OF THE BOND LIABILITY ON ITS BALANCE SHEET. THE OBLIGATED GROUP MEMBERS, ESSENTIA HEALTH WEST, THE DULUTH CLINIC, LTD., AND ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ARE INDIRECT BENEFICIARIES OF THE SERIES 2008A REOFFERED BORROWING AND HAVE RECORDED THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE SERIES 2008B REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER INDENTURE. THE OBLIGATED GROUP MEMBERS: THE DULUTH CLINIC, LTD., ESSENTIA HEALTH AND ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR ARE THE CONDUIT BORROWERS OF THE SERIES 2008B REOFFERED BONDS. THE CONDUIT BORROWERS, THE DULUTH CLINIC, LTD. AND ESSENTIA HEALTH, HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE OBLIGATED GROUP MEMBERS, ESSENTIA HEALTH WEST AND ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ARE INDIRECT BENEFICIARIES OF A PORTION OF THE SERIES 2008B REOFFERED BORROWING AND HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE SERIES 2008C REOFFERED BONDS ARE SECURED BY NOTES ISSUED UNDER THE MASTER INDENTURE. THE OBLIGATED GROUP MEMBERS: ESSENTIA HEALTH EAST, ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, THE DULUTH CLINIC, LTD., ESSENTIA HEALTH, AND ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, INC. ARE THE CONDUIT BORROWERS OF THE SERIES 2008C REOFFERED BONDS. THE CONDUIT BORROWERS, ESSENTIA HEALTH ST. MARY'S-DETROIT LAKES, ESSENTIA HEALTH, AND THE DULUTH CLINIC, LTD., HAVE RECORDED A PORTION OF THE BOND LIABILITY ON THEIR BALANCE SHEETS WHICH ARE CONSOLIDATED WITH ESSENTIA HEALTH. THE OBLIGATED GROUP MEMBER, ESSENTIA HEALTH WEST IS AN INDIRECT BENEFICIARY OF A PORTION OF THE SERIES 2008C REOFFERED BORROWING AND HAS RECORDED A PORTION OF THE BOND LIABILITY ON ITS BALANCE SHEET WHICH IS CONSOLIDATED WITH ESSENTIA HEALTH. The Series 2014-MN bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: Essentia Health, Essentia Health East, Essentia Health Central, Essentia Health Brainerd Specialty Clinic, Essentia Health St. Joseph's Medical Center, and Essentia Health St. Mary's-Detroit Lakes are the conduit borrowers of the Series 2014-MN bonds. The conduit borrowers, Essentia Health, Essentia Health St. Mary's-Detroit Lakes, and Essentia Health St. Joseph's Medical Center, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health.
SCHEDULE K, PART 1, COLUMN (F)	DESCRIPTION OF PURPOSE: SERIES 2008A REOFFERED: REOFFER SERIES 2008 A-1 AND A-2 BONDS ISSUED MARCH 4, 2008 TO REFINANCE A PORTION OF THE ACQUISITION OF CERTAIN ASSETS OF ESSENTIA HEALTH WEST IN CONNECTION WITH THE AFFILIATION OF ESSENTIA HEALTH WITH ESSENTIA HEALTH WEST. SERIES 2008B REOFFERED: REOFFER SERIES 2008 B-1 BONDS ISSUED MARCH 4, 2008 TO REFUND SERIES 1999B BONDS ISSUED MAY 18, 1999 FOR CONSTRUCTION PROJECTS AND EQUIPMENT PURCHASES IN SUPERIOR, WI AND VARIOUS DULUTH CLINIC LOCATIONS IN NORTHWESTERN WISCONSIN. SERIES 2008C REOFFERED: REOFFER SERIES 2008 C-5 AND 2008 C-4A BONDS ISSUED MARCH 4, 2008 TO REFUND SERIES 2004 BONDS ISSUED MARCH 19, 2004 FOR VARIOUS ACQUISITIONS, CONSTRUCTION PROJECTS, CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES IN DULUTH, BRAINERD, AND DETROIT LAKES, MN AND REFUND SERIES 1999A BONDS ISSUED MAY 18, 1999 FOR VARIOUS ACQUISITIONS, CONSTRUCTION PROJECTS, CAPITAL IMPROVEMENTS AND EQUIPMENT PURCHASES IN BRAINERD, DETROIT LAKES AND DULUTH, MN AND VARIOUS DULUTH CLINIC SITES IN NORTHERN MINNESOTA. SERIES 2014-MN BONDS: Refinance prior note used for capital improvements to skilled nursing facility located in Detroit Lakes, MN and various construction projects and equipment purchases in Baxter, Frazee, and Pelican Rapids, MN and finance capital expenditures to replace the chiller unit for Essentia Health Virginia, renovate approximately 118,000 square-feet of clinic space for Essentia Health Brainerd Specialty Clinic, remodel and equip existing clinic space in Emily, MN for Essentia Health St. Joseph's Medical Center, and expand and remodel the imaging area in the emergency room of Essentia Health St. Mary's-Detroit Lakes' hospital.
SCHEDULE K, PART II, LINE 3	ISSUE PRICE: THE SERIES 2008A REOFFERED, SERIES 2008B REOFFERED, SERIES 2008C REOFFERED, AND SERIES 2014-MN BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. THE ISSUE PRICE LISTED IN ESSENTIA HEALTH'S SCHEDULE K, PART I, COLUMN (E) REPRESENTS THE ESSENTIA HEALTH OBLIGATED GROUP'S TOTAL BORROWING. IN ADDITION, THE SERIES 2014-MN BONDS TOTAL PROCEEDS ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINES 3 THROUGH 12	PROCEEDS: SERIES 2008A REOFFERED, SERIES 2008B REOFFERED, SERIES 2008C REOFFERED, AND SERIES 2014-MN BONDS WERE ISSUED BY THE ESSENTIA HEALTH OBLIGATED GROUP. A PORTION OF THE SERIES 2008A REOFFERED, SERIES 2008B REOFFERED, 2008C REOFFERED, AND SERIES 2014-MN BONDS BORROWINGS WERE ALLOCATED TO ESSENTIA HEALTH, AN ESSENTIA HEALTH OBLIGATED GROUP MEMBER. THE PROCEEDS LISTED IN ESSENTIA HEALTH'S SCHEDULE K, PART II, LINES 3 THROUGH 12 REPRESENT ESSENTIA HEALTH'S ALLOCATED PORTION OF THE PROCEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A:	1099 REPORTING: CERTAIN VENDOR PAYMENTS AND FORM 1099'S WERE PROCESSED THROUGH ESSENTIA HEALTH ON BEHALF OF CERTAIN LEGAL ENTITIES COMPRISING ESSENTIA HEALTH SYSTEM.
Form 990, Part V, Line 1c:	NO GAMING (GAMBLING) WINNINGS.
Form 990, Part VI, Section A, line 4	Significant Changes to Governing Documents: During the fiscal year ended June 30, 2016, the Bylaws of Essentia Health were amended to specify that the Board Secretary and Treasurer positions be filled by Essentia Health's Chief Legal Officer and Chief Financial Officer, respectively, with no term limitation. Additionally, the Benedictine Sisters Benevolent Association revised their reserved powers creating a Sponsor Council and now delegates some of the powers to the Council for all of the Catholic facilities of Essentia Health; Essentia Health's bylaws were consequentially amended to reflect that change.
Form 990, Part VI, Section A, line 7b	MEMBER WITH RIGHT TO APPROVE GOVERNING BODY DECISIONS: THE BENEDICTINE SISTERS BENEVOLENT ASSOCIATION ("BSBA") HAS CERTAIN RESERVED POWERS OVER ESSENTIA HEALTH'S CATHOLIC FACILITIES. BSBA'S RESERVED POWERS ARE AS FOLLOWS: MISSION. AUTHORITY TO APPROVE THE MISSION AND PURPOSE STATEMENTS FOR CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM. ADHERENCE TO ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES (ERDS). AUTHORITY TO APPROVE THE METHODS, POLICIES AND PROCEDURES PERTAINING TO THE ADHERENCE OF CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM TO THE ERDS. OFFICIAL CATHOLIC DIRECTORY. AUTHORITY TO OVERSEE THE LISTING OF QUALIFIED ENTITIES AND FACILITIES WITHIN THE SYSTEM IN THE OFFICIAL CATHOLIC DIRECTORY, SUBJECT TO THE APPROVAL OF APPLICABLE CATHOLIC AUTHORITIES. CATHOLIC HEALTH ASSOCIATION. AUTHORITY TO REQUIRE CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM TO JOIN THE MEMBERSHIP OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES. ALIENATION OF STABLE PATRIMONY OR ECCLESIASTICAL GOODS. AUTHORITY TO APPROVE ALIENATION OF EITHER STABLE PATRIMONY OR OTHER ECCLESIASTICAL GOODS WITHIN THE SYSTEM IF SUCH GOODS INVOLVED IN A SPECIFIC TRANSACTION APPROVED BY ESSENTIA HEALTH PURSUANT TO THE AFFILIATION AGREEMENT, HAVE A DOLLAR VALUE EQUAL TO OR GREATER THAN 70% OF THE AMOUNT ESTABLISHED FROM TIME TO TIME THAT REQUIRES APPROVAL FROM THE HOLY SEE; PROVIDED, HOWEVER, THAT IT IS THE INTENT OF THE PARTIES THAT THIS PROVISION NOT BE APPLIED TO RESTRICT OR TO IMPEDE ESSENTIA HEALTH FROM ACTING AND MAKING DECISIONS ON BEHALF OF THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS BUT BE APPLIED TO PREVENT THE TRANSFER OF SUBSTANTIAL ASSETS OF CATHOLIC ENTITIES WITHIN THE SYSTEM TO SUPPORT THE SECULAR ENTITIES WITHIN THE SYSTEM WITHOUT THE PRIOR APPROVAL OF BSBA. MISSION EFFECTIVENESS. AUTHORITY TO APPROVE ANNUAL PLANS AND EVALUATIONS RELATING TO MISSION EFFECTIVENESS AND CHAPLAINCY FOR CATHOLIC FACILITIES AND ENTITIES WITHIN THE SYSTEM, INCLUDING THE USE OF RELIGIOUS SYMBOLS AND PRAYERS. AMENDMENTS. AUTHORITY TO APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF ESSENTIA HEALTH, ESSENTIA HEALTH EAST (SMDC), ESSENTIA HEALTH CENTRAL (BLIHS), ESSENTIA HEALTH WEST (INNOVIS) OR CRITICAL ACCESS GROUP (CAG) THAT WOULD ALTER THE NUMBER OF DULUTH BENEDICTINES OR BSBA BOARD OF DIRECTOR MEMBERS OR OTHER APPOINTEES OF THE DULUTH BENEDICTINES SERVING AS MEMBERS OF SUCH ENTITY'S BOARD OF DIRECTORS; AUTHORITY TO APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE CATHOLIC CAG SUBSIDIARIES, THE CATHOLIC SMDC SUBSIDIARIES, THE CATHOLIC BLIHS SUBSIDIARIES OR THE CATHOLIC SUBSIDIARIES OF INNOVIS, WHICH COULD MATERIALLY AFFECT SUCH ENTITY'S IDENTITY AS A CATHOLIC INSTITUTION, INCLUDING WITHOUT LIMITATION ANY AMENDMENT THAT WOULD ALTER THE NUMBER OF DULUTH BENEDICTINES OR BSBA BOARD OF DIRECTOR MEMBERS OR OTHER APPOINTEES OF THE DULUTH BENEDICTINES SERVING AS MEMBERS OF SUCH ENTITY'S BOARD OF DIRECTORS; AND AUTHORITY TO CAUSE ESSENTIA HEALTH TO MAKE AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE CATHOLIC SUBSIDIARIES OF ESSENTIA HEALTH'S DIRECT SUBSIDIARIES, WHICH AMENDMENTS BSBA DETERMINES IN GOOD FAITH ARE NECESSARY TO PRESERVE SUCH ENTITY'S IDENTITY AS A CATHOLIC INSTITUTION. MERGERS AND DISSOLUTION. SUBJECT TO THE APPROVAL OF THE DULUTH BENEDICTINES, AUTHORITY TO APPROVE A PROPOSED MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF ST. MARY'S MEDICAL CENTER (SMMC) AND ST. JOSEPH'S MEDICAL CENTER (SJMC) OR THE DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF SMMC AND SJMC. BSBA SPONSORSHIP. AUTHORITY TO ESTABLISH, ACCEPT, TRANSFER OR TERMINATE BSBA SPONSORSHIP OR CO-SPONSORSHIP OF A HEALTHCARE FACILITY. *RESERVED POWER CURRENTLY DELEGATED TO THE SPONSORSHIP COUNCIL. NOTE: SOME OF THE RESERVED POWERS OF THE BSBA BOARD LISTED ABOVE MAY ALSO BE RESERVED TO THE BENEDICTINE SISTERS OF ST. SCHOLASTICA MONASTERY OF DULUTH (THE "CHAPTER OR "DULUTH BENEDICTINES"). PRIOR TO THESE MATTERS GOING TO THE CHAPTER, ORDINARILY THEY WILL BE CONSIDERED AND ACTED UPON BY THE BSBA BOARD. THE FOLLOWING ACTIONS OF THE BSBA BOARD ARE SUBJECT TO APPROVAL BY THE CHAPTER: 1. APPROVE MERGERS, CONSOLIDATIONS, LIQUIDATIONS, OR DISSOLUTIONS INVOLVING SMMC OR SJMC. 2. APPROVE THE ACQUISITION OR DISPOSITION OF REAL ESTATE OWNED BY BSBA. 3. APPROVE DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, ASSETS OF SMMC OR SJMC. 4. APPROVE INDEBTEDNESS THAT WILL BE GUARANTEED BY BSBA.
Form 990, Part VI, Section B, line 11	FORM 990 REVIEW PROCESS: THE 2015 FORM 990, INCLUDING ALL SCHEDULES, WAS REVIEWED BY ESSENTIA HEALTH'S MANAGEMENT AND GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH CURRENT DIRECTOR OF THE GOVERNING BODY RECEIVED A COPY OF THE 2015 FORM 990. ESSENTIA HEALTH'S CHIEF FINANCIAL OFFICER LED THE REVIEW OF THE FORM AND SCHEDULES AND ANY QUESTIONS WERE DISCUSSED.
Form 990, Part VI, Section B, line 12c	Monitoring and enforcing Conflict of Interest policy: Essentia Health's comprehensive conflict of interest program prevents, detects and resolves actual conflicts of interests or the actual or potential appearance of such. Fiduciaries, defined as an Essentia Health board member/trustee, officer, board committee member, senior management employee, or any others considered to be in a position of influence, are covered under Essentia Health's conflict of interest program. Upon initial appointment, each fiduciary must complete an initial conflict of interest statement and disclosure questionnaire. At the conclusion of each calendar year, each fiduciary must complete an annual conflict of interest statement and disclosure questionnaire. As needed, a fiduciary will update his/her most recently completed questionnaire each time the fiduciary becomes aware of a financial interest, a potential conflict, or change to any information that the fiduciary previously reported. Essentia Health's Chief Compliance Officer will collect the questionnaires and evaluate the disclosures. If a fiduciary has a potential conflict of interest, the Chief Compliance Officer or designee may request additional information from the fiduciary, the management team, and others. During the evaluation process, the Chief Compliance Officer may also consult with Essentia Health's Board and Audit Committee Chairs, senior management, legal department, or appropriate representatives from Essentia Health. The Chief Compliance Officer reports to the Essentia Health Audit Committee and the Essentia Health Board of Directors any actual or potential conflicts of interest disclosed by the fiduciary, along with recommended actions. The Essentia Health Board of Directors (or designee) will then determine whether to approve the situation or to implement special controls to manage the potential conflict of interest. The Chief Compliance Officer will then officially notify the fiduciary in writing of the board's decision. The decision of whether or not the disclosure constitutes a conflict will be at the Essentia Health Board of Director's (or designee) sole discretion, and its concern must be the welfare of Essentia Health and its affiliate(s) and the advancement of its purposes. When the Essentia Health Board of Directors (or designee) considers a Fiduciary's disclosure as a Conflict of Interest, special controls will be identified to manage, eliminate or reduce the likelihood and/or appearance of a conflict arising. Controls may include, but are not limited to: A. If the conflict involves an on-going matter or relationship, the Fiduciary must not participate in Board, Board committee or management discussions related to the conflict and must recuse themselves and if appropriate, withdraw, from any Board meeting or portion thereof where the matter is being discussed and during the vote on the potential Conflict of Interest. The Fiduciary may answer questions at the Board's or the Board Committee's request. B. If the conflict involves a specific transaction or decision, the Fiduciary will fully disclose their interest and all related material facts. The Board or committee of the Board will determine whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia Health or its affiliate(s). If the Board determines a conflict does not exist, the Fiduciary may proceed with the transaction; however, he or she will not be eligible to vote on related issues should they arise. If the Board determines a conflict does exist, the Fiduciary will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.
Form 990, Part VI, Section B, line 15	PROCESS FOR DETERMINING COMPENSATION: The Executive Compensation Committee of Essentia Health's board of directors is authorized to fulfill the board's responsibilities regarding executive compensation consistent with Essentia's mission, values and tax-exempt status, and the Executive Compensation Committee's Charter. The Executive Compensation Committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing and modifying, as appropriate, reasonable compensation and benefits for designated Essentia executives who are officers or key employees of Essentia or any of its affiliates which may be paid by related organizations. The Executive Compensation Committee engages qualified independent compensation advisors to provide objective and impartial comparative data and to express opinions on total compensation reasonableness. The Executive Compensation Committee may request its independent advisors to: monitor comparability data and marketplace trends; make appropriate recommendations regarding salary ranges; and periodically review the market competitiveness of Essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the Executive Compensation Committee will obtain and rely upon appropriate data as to comparability of the proposed compensation or adjustments. The Executive Compensation Committee will adequately document the basis for its determination concurrently with making those determinations. The Executive Compensation Committee minutes will include: the terms of the approved compensation and the date approved; the Executive Compensation Committee members present during the review, discussion and approval of the proposed compensation and those who voted on the proposed compensation; identification of the comparability data obtained and relied upon by the Executive Compensation Committee and how the data was obtained; any actions by a member of the Executive Compensation Committee having a conflict of interest; and documentation of the basis for the determination. The year this process was last undertaken for Essentia Health's Chief Executive Officer, Chief Financial Officer, Chief Administrative Officer/Chief Legal Officer, Chief Medical Officer, Chief Information Officer, Chief Human Resource Officer, Chief Marketing and Communications Officer, and Vice President of Public Policy; Essentia Health West's President/Chief Medical Officer and Chief Operating Officer; Essentia Health Central's President and Chief Medical Officer; Essentia Health East's President and Chief Operating Officer; and Essentia Institute of Rural Health's Executive Director was 2016. The year this process was last undertaken for Essentia Health's Chief Operating Officer was 2015.
Form 990, Part VI, Section C, line 19	Availability of governing documents, conflict of interest policy, & financial statements to the public: Governing documents, conflict of interest policy, and financial statements are made available to the public upon request for the same period of disclosure as set forth in section 6104(d). The organization is part of Essentia Health's consolidated financial statements which are included in Essentia Health's annual report posted on Essentia Health's web site.
Form 990, Part IX, line 11g	Purchased Services: Program service expenses 2,130,541. Management and general expenses 8,968,861. Fundraising expenses 0. Total expenses 11,099,402. Patient Loan Program Fees: Program service expenses 0. Management and general expenses 2,360,157. Fundraising expenses 0. Total expenses 2,360,157. Temp Agency fees: Program service expenses 2,038,446. Management and general expenses 84,741. Fundraising expenses 0. Total expenses 2,123,187. Consultant Fees: Program service expenses 134,810. Management and general expenses 1,798,851. Fundraising expenses 0. Total expenses 1,933,661. Collection Agency Fees: Program service expenses 0. Management and general expenses 1,458,404. Fundraising expenses 0. Total expenses 1,458,404. Contract Service Maintenance: Program service expenses 3,869. Management and general expenses 3,816. Fundraising expenses 0. Total expenses 7,685. Intercompany Services: Program service expenses 0. Management and general expenses -61,912. Fundraising expenses 0. Total expenses -61,912.
Form 990, Part XI, line 9:	NET ASSET TRANSFERS WITH RELATED ORGS 13,711,831. BOOK/TAX DIFFERENCE RELATED TO PARTNERSHIP INVESTMENTS 1,849,137.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Brainerd Lakes Integrated Health System
2024 S 6th St	Brainerd	MN	56401	371532145	Supporting org	MN	501(c)(3)	Line 11b, II	Essentia Health	Yes (1)
Brainerd Medical Center Inc
2024 S 6th St	Brainerd	MN	56401	371532148	Clinic	MN	501(c)(3)	Line 3	Brainerd Lakes Integrated Health System	Yes (1)
Bridges Medical Center
503 E 3rd St Ste 400	Duluth	MN	55805	200479568	Hospital/Clinic	MN	501(c)(3)	Line 3	Innovis Health LLC	Yes (1)
Clearwater Valley Hospital and Clinics Inc
301 Cedar	Orofino	ID	83544	820497771	Hospital/Clinic	ID	501(c)(3)	Line 3	Critical Access Group	Yes (1)
Critical Access Group
503 E 3rd St Ste 400	Duluth	MN	55805	261219624	Supporting org	MN	501(c)(3)	Line 11b, II	Essentia Health	Yes (1)
Deer River Healthcare Center Inc
115 10th Ave NE	Deer River	MN	56636	410844574	Hospital/Clinic/Skilled Nursing Facility	MN	501(c)(3)	Line 3	St Mary's Duluth Clinic Health System	Yes (1)
Essentia Health Foundation
502 E 2nd St	Duluth	MN	55805	271984704	Foundation	MN	501(c)(3)	Line 7	Essentia Health	Yes (1)
Essentia Institute of Rural Health
502 E 2nd St	Duluth	MN	55805	271291124	Research	MN	501(c)(3)	Line 4	The Duluth Clinic Ltd	Yes (1)
First Care Medical Services
900 Hilligoss Blvd SE	Fosston	MN	56542	410706143	Hospital/Clinic/Skilled Nursing Facility	MN	501(c)(3)	Line 3	Innovis Health LLC	Yes (1)
Graceville Health Center
115 West Second St	Graceville	MN	56240	410726173	Hospital/Clinic/Skilled Nursing Facility	MN	501(c)(3)	Line 3	Innovis Health LLC	Yes (1)
Innovis Health LLC
3000 32nd Ave S	Fargo	ND	58103	261175213	Hospital/Clinic	DE	501(c)(3)	Line 3	Essentia Health	Yes (1)
Midwest Medical Equipment and Supplies Inc
4418 Haines Rd	Duluth	MN	55811	411674021	Medical Equipment	MN	501(c)(3)	Line 9	St Mary's Medical Center	Yes (1)
Northern Pines Medical Center
5211 Hwy 110	Aurora	MN	55705	410841441	Hospital/Clinic/Skilled Nursing Facility	MN	501(c)(3)	Line 3	St Mary's Duluth Clinic Health System	Yes (1)
Pine Medical Center
109 Court Ave S	Sandstone	MN	55072	411884597	Hospital/Skilled Nursing Facility	MN	501(c)(3)	Line 3	St Mary's Duluth Clinic Health System	Yes (1)
Polinsky Medical Rehabilitation Center
530 E 2nd St	Duluth	MN	55805	410691275	Rehabilitation services	MN	501(c)(3)	Line 3	St Mary's Medical Center	Yes (1)
SMDC Medical Center
502 E 2nd St	Duluth	MN	55805	411878730	Hospital/Clinic	MN	501(c)(3)	Line 3	St Mary's Duluth Clinic Health System	Yes (1)
St Joseph's Medical Center
523 N 3rd St	Brainerd	MN	56401	410695602	Hospital/Clinic	MN	501(c)(3)	Line 3	Brainerd Lakes Integrated Health System	Yes (1)
ST Mary's Duluth Clinic Health System
407 E 3rd St	Duluth	MN	55805	411836633	Supporting org	MN	501(c)(3)	Line 11b, II	Essentia Health	Yes (1)
St Mary's EMS
1027 Washington Ave	Detroit Lakes	MN	56501	411805811	Emergency services	MN	501(c)(3)	Line 9	St Mary's Regional Health Center	Yes (1)
St Mary's Hospital of Superior
3500 Tower Ave	Superior	WI	54880	411811073	Hospital/Clinic	MN	501(c)(3)	Line 3	St Mary's Medical Center	Yes (1)
St Mary's Hospital Inc
PO Box 137	Cottonwood	ID	83522	820226453	Hospital/Clinic	ID	501(c)(3)	Line 3	Critical Access Group	Yes (1)
St Mary's Innovis Health
1027 Washington Ave	Detroit Lakes	MN	56501	262861321	Pharmacy	MN	501(c)(3)	Line 3	Innovis Health LLC	Yes (1)
St Mary's Medical Center
407 E 3rd St	Duluth	MN	55805	410695604	Hospital	MN	501(c)(3)	Line 3	St Mary's Duluth Clinic Health System	Yes (1)
St Mary's Regional Health Center
1027 Washington Ave	Detroit Lakes	MN	56501	411620386	Hospital/Clinic/Skilled Nursing Facility	MN	501(c)(3)	Line 3	Innovis Health LLC	Yes (1)
The Duluth Clinic Ltd
400 E 3rd St	Duluth	MN	55805	410883623	Clinic	MN	501(c)(3)	Line 3	St Mary's Duluth Clinic Health System	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PMC-Gateway Imaging LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	109 Court Ave S	AddressLine1Txt
City	Sandstone	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55072	ZIPCd

Field	Value	IRS element (for citing)
EIN	261634764	EIN
Primary Activities	Imaging Services	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
East Range Clinics Ltd (thru 11615)
910 6th Ave N	Virginia	MN	55792	410909915	Clinics	MN	N/A	C	Yes (1)
Essentia Health Insurance Services SPC Ltd
				000000000	Self Indemnity		N/A	C	Yes (1)	PO Box 1159	Grand Cayman	CJ	CJ	-$2,793,864	$33,071,006	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (67 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Bridges Medical Center
L	$420,695	Actual Costs
Bridges Medical Center
P	$52,598	Actual Costs
Bridges Medical Center
Q	$124,711	Actual Costs
BRAINERD MEDICAL CENTER INC
L	$1,295,610	Actual Costs
BRAINERD MEDICAL CENTER INC
P	$259,386	Actual Costs
BRAINERD MEDICAL CENTER INC
Q	$254,643	Actual Costs
CRITICAL ACCESS GROUP
L	$500,000	Actual Costs
CRITICAL ACCESS GROUP
Q	$163,045	Actual Costs
CLEARWATER VALLEY HOSPITAL & CLINICS INC
Q	$399,465	Actual Costs
CLEARWATER VALLEY HOSPITAL & CLINICS INC
R	$204,504	Actual Costs
THE DULUTH CLINIC LTD
L	$12,070,935	Actual Costs
THE DULUTH CLINIC LTD
P	$372,085	Actual Costs
THE DULUTH CLINIC LTD
Q	$1,624,851	Actual Costs
THE DULUTH CLINIC LTD
R	$4,328,173	Actual Costs
DEER RIVER HEALTHCARE CENTER INC
L	$2,056,190	Actual Costs
DEER RIVER HEALTHCARE CENTER INC
P	$183,103	Actual Costs
DEER RIVER HEALTHCARE CENTER INC
Q	$553,859	Actual Costs
ESSENTIA HEALTH FOUNDATION
C	$60,365	Actual Costs
ESSENTIA HEALTH FOUNDATION
P	$100,986	Actual Costs
ESSENTIA HEALTH INSURANCE SERVICES SPC
Q	$17,326,006	Actual Costs
ESSENTIA HEALTH INSURANCE SERVICES SPC
R	$14,183,142	Actual Costs
ESSENTIA INSTITUTE OF RURAL HEALTH
L	$360,000	Actual Costs
ESSENTIA INSTITUTE OF RURAL HEALTH
P	$58,592	Actual Costs
ESSENTIA INSTITUTE OF RURAL HEALTH
Q	$100,200	Actual Costs
FIRST CARE MEDICAL SERVICES
L	$1,458,558	Actual Costs
FIRST CARE MEDICAL SERVICES
P	$107,647	Actual Costs
FIRST CARE MEDICAL SERVICES
Q	$422,233	Actual Costs
GRACEVILLE HEALTH CENTER
L	$407,636	Actual Costs
GRACEVILLE HEALTH CENTER
Q	$152,475	Actual Costs
INNOVIS HEALTH LLC
L	$24,161,861	Actual Costs
INNOVIS HEALTH LLC
P	$2,337,296	Actual Costs
INNOVIS HEALTH LLC
Q	$7,860,813	Actual Costs
INNOVIS HEALTH LLC
R	$11,191,195	Actual Costs
INNOVIS HEALTH LLC
S	$146,848	Actual Costs
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
L	$417,954	Actual Costs
MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC
Q	$105,437	Actual Costs
NORTHERN PINES MEDICAL CENTER
L	$1,256,464	Actual Costs
NORTHERN PINES MEDICAL CENTER
P	$55,799	Actual Costs
NORTHERN PINES MEDICAL CENTER
Q	$225,074	Actual Costs
PINE MEDICAL CENTER
L	$1,379,275	Actual Costs
PINE MEDICAL CENTER
P	$134,677	Actual Costs
PINE MEDICAL CENTER
Q	$301,919	Actual Costs
POLINSKY MEDICAL REHABILITATION CENTER
L	$755,243	Actual Costs
POLINSKY MEDICAL REHABILITATION CENTER
P	$58,065	Actual Costs
POLINSKY MEDICAL REHABILITATION CENTER
Q	$256,355	Actual Costs
ST JOSEPH'S MEDICAL CENTER
L	$11,736,492	Actual Costs
ST JOSEPH'S MEDICAL CENTER
P	$956,884	Actual Costs
ST JOSEPH'S MEDICAL CENTER
Q	$2,795,887	Actual Costs
ST JOSEPH'S MEDICAL CENTER
S	$2,022,439	Actual Costs
SMDC MEDICAL CENTER
L	$39,576,182	Actual Costs
SMDC MEDICAL CENTER
P	$6,737,621	Actual Costs
SMDC MEDICAL CENTER
Q	$21,336,015	Actual Costs
SMDC MEDICAL CENTER
S	$207,281	Actual Costs
ST MARY'S EMS
Q	$77,352	Actual Costs
ST MARY'S HOSPITAL INC
Q	$453,742	Actual Costs
ST MARY'S HOSPITAL INC
R	$204,504	Actual Costs
ST MARY'S HOSPITAL OF SUPERIOR
L	$2,421,415	Actual Costs
ST MARY'S HOSPITAL OF SUPERIOR
P	$176,036	Actual Costs
ST MARY'S HOSPITAL OF SUPERIOR
Q	$630,883	Actual Costs
ST MARY'S HOSPITAL OF SUPERIOR
S	$8,000,000	Actual Costs
ST MARY'S MEDICAL CENTER
L	$25,911,879	Actual Costs
ST MARY'S MEDICAL CENTER
P	$1,819,252	Actual Costs
ST MARY'S MEDICAL CENTER
Q	$8,180,978	Actual Costs
ST MARY'S MEDICAL CENTER
S	$132,628	Actual Costs
ST MARY'S REGIONAL HEALTH CENTER
L	$6,032,835	Actual Costs
ST MARY'S REGIONAL HEALTH CENTER
P	$446,259	Actual Costs
ST MARY'S REGIONAL HEALTH CENTER
Q	$2,182,026	Actual Costs

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part II Column (a)	FormAndLineReferenceDesc
Explanation	The following Essentia Health entities have a doing business as name: Legal Name; Doing Business As Name Brainerd Lakes Integrated Health System; Essentia Health Central Brainerd Medical Center, Inc.; Essentia Health Brainerd Specialty Clinic Bridges Medical Center; Essentia Health Ada Deer River Healthcare Center, Inc.; Essentia Health Deer River First Care Medical Services; Essentia Health Fosston Graceville Health Center; Essentia Health Holy Trinity Hospital Innovis Health, LLC; Essentia Health West Midwest Medical Equipment and Supplies, Inc.; Essentia Health Medical Equipment & Supplies Northern Pines Medical Center; Essentia Health Northern Pines Pine Medical Center; Essentia Health Sandstone Polinsky Medical Rehabilitation Center; Essentia Health Polinsky Medical Rehabilitation Center SMDC Medical Center; Essentia Health Duluth St. Joseph's Medical Center; Essentia Health St. Joseph's Medical Center St. Mary's Duluth Clinic Health System; Essentia Health East St. Mary's EMS; Essentia Health St. Mary's Emergency Medical Services-Detroit Lakes St. Mary's Hospital of Superior; Essentia Health St. Mary's Hospital-Superior St. Mary's Medical Center; Essentia Health St. Mary's Medical Center St. Mary's Regional Health Center; Essentia Health St. Mary's-Detroit Lakes	ExplanationTxt