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        <BusinessNameLine1>Essentia Health Foundation</BusinessNameLine1>
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      <InCareOfName>% JULIE THEDENS</InCareOfName>
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      <Phone>2187861619</Phone>
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        <State>MN</State>
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    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Peter Person MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>898669</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>305760</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>235460</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>714204</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>37011</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>2191104</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>231933</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steve Yorde</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>175830</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>33901</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1109</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>26959</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>26993</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>264792</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 3</Identifier>
        <Explanation>Establishing CDO's compensation: Essentia Health Foundation relied on Essentia Health East's, related organization of Essentia Health Foundation, methods for establishing Essentia Health Foundation's Chief Development Officer's compensation: a compensation committee, compensation survey or study, and approval by the board or compensation committee. Schedule J, Part I, Line 4a All individuals listed as former in Form 990, Part VII, Section A, Line 1a remain employed within Essentia Health and its subsidiaries and are not receiving a termination payment.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4b</Identifier>
        <Explanation>Supplemental nonqualified retirement plan: Amounts related to participating in a supplemental nonqualified retirement plan are reported in Schedule J, Part II, Column C, and amounts related to receiving payment from a supplemental nonqualified retirement plan are reported in Schedule J, Part II, Column B (iii). The following individuals listed in Form 990, Part VII, Section A, Line 1a received payment from a supplemental nonqualified retirement plan during the year: Peter Person, MD (Essentia Health East) $231,933 Steve Yorde (Essentia Health East) $0 Gregory Glasner, MD (Essentia Health West) $0 Kyle Dorow (Essentia Health West) $0 Essentia Health East's nonqualified retirement plan is offered to designated Essentia Health East's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health East's general assets. Essentia Health West's nonqualified retirement plan is offered to designated Essentia Health West's executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from Essentia Health West's general assets.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>5</NumberOfContributions>
        <NoncashContribsRptdF990>400</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>cost or selling</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>2552</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>cost or selling</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <CarsAndOtherVehicles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>6500</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>cost or selling</MethodOfDeterminingRevenues>
      </CarsAndOtherVehicles>
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>8</NumberOfContributions>
        <NoncashContribsRptdF990>2440</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>cost or selling</MethodOfDeterminingRevenues>
      </Collectibles>
      <FoodInventory />
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>7611</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>cost or selling</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Auction items</Description>
        <NumberOfContributions>124</NumberOfContributions>
        <NoncashContribsRptdF990>32429</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>cost or selling</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>1</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Form 990, Column B</Identifier>
        <Explanation>Number of contributions: Essentia Health Foundation is reporting the number of contributions. Form 990, Column D Method: Cost or selling price of donated property.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Fomr 990, Part III, Line 4</Identifier>
        <Explanation>Program service accomplishments: On July 1, 2011, the ECHC Foundation and SMDC Foundation merged into the Essentia Health Foundation. Essentia Health Foundation 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 certain Essentia Health Supported Organizations, and of the tax-exempt entities identified as supported organizations in their respective articles of incorporation. Essentia Health Foundation facilitates charitable fundraising for and on behalf of certain Essentia Health Supported Organizations. Fundraising is conducted for a wide range of charitable needs of each supported organization including patient care initiatives, capital improvements, equipment and supplies, community education and outreach, research, and employee assistance. The organizations Essentia Health Foundation supports provide health care services to the general public as Supported Organizations of Essentia Health. Essentia Health supports regional leaders in the development and advancement of business, clinical and financial models for the delivery of high-quality and cost-effective health care. The regional leaders provide integrated health care delivery through their physician group practices, ambulatory and outpatient centers, acute care hospitals and community, rural and critical access hospitals. The organizations Essentia Health supports (the "Supported Organizations") include 16 hospitals and more than 60 clinics in Minnesota, Wisconsin, North Dakota, and Idaho with several located in rural areas that have limited access to other healthcare options. These hospitals and clinics employ over 10,200 full time equivalents. The hospitals have a total of 1,098 licensed beds which provided over 177,000 hospital patient days and over 502,000 outpatient visits during the fiscal year ended June 30, 2012. The clinics had over 1.7 million encounters during the same time period. During the fiscal year ended June 30, 2012, Essentia Health's Supported Organizations provided total community benefits of over $94.7 million which included costs of providing charity care, costs in excess of Medicaid payments, Medicaid surcharge, MinnesotaCare tax, community services, subsidized health services, education, research, and cash and in-kind donations. Form 990, Part V, Line 7d Form 8282: Essentia Health Foundation has subsequently filed Form 8282. Form 990, Part VI, Section A, Line 4 Form 990 Significant Changes: Effective July 1, 2011, the Articles and Bylaws of Essentia Health Foundation were amended. The amendments revised the Associate Foundations supported by Essentia Health Foundation. Essentia Health also became the sole member of Essentia Health Foundation and has reserved powers over Essentia Health Foundation as described in Part VI, Line 7b. In addition, the amendments modified the number and composition of Essentia Health Foundation's governing body to include at least one Director from each of the three regions representing the Supporting Organizations, at least two but no more than ten at large voting Directors, and an officer of Essentia Health.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <Explanation>Members of Organization: Essentia Health is the sole member of Essentia Health Foundation and 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 Essentia Health Foundation as described in Schedule O Part VI Line 7b. O Part VI Line 7a. Essentia Health has reserved powers with respect to Essentia Health Foundation as described in Schedule O Part VI Line 7b.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <Explanation>Member with right to elect governing body: According to its Bylaws, Essentia Health shall appoint and remove Essentia Health Foundation's governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <Explanation>Members with right to approve governing body decision: Essentia Health Foundation 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, Section A, Line 8b Committees: There are no committees with authority to act on behalf of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11a</Identifier>
        <Explanation>Form 990 Review process: The 2011 Form 990 including all schedules was reviewed by Essentia Health Foundation's management and governing body on April 24th, 2013 prior to filing with the Internal Revenue Service. Each current director of the governing body received a final copy of the 2011 Form 990. Essentia Health Foundation's Finance Manager and Accountant led the review of the form and schedules and any questions were discussed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <Explanation>Monitoring and enforcing Conflict of Interest policy: Interested persons annually disclose relationships which might lead to a conflict of interest by completing a conflict of interest disclosure form. Interested persons include any person in a position to exercise substantial influence over the organization. It includes but is not limited to any director, officer, management, employee, or committee member of Essentia Health or any of its affiliates. Essentia is responsible for the annual distribution of conflict of interest forms and review of disclosures for the governing bodies of Essentia and Essentia Operating Members and for senior management employees of Essentia. Transactions with parties with whom a conflict of interest exists may be undertaken only if all of the following are observed: the conflict of interest is fully disclosed; the interested person with the conflict of interest doesn't participate in the approval of such transactions; if practical or appropriate, a competitive bid or comparable valuation is obtained; and the board or committee of the board has determined that the transaction is in the best interest of the organization. Disclosure by any interested person other than a board or committee member should be made to the Chief Executive Officer (or if she/he is the one with the conflict, then to the board chair), who will bring the matter to the attention of the board or an appropriate committee of the board. Disclosure involving board or committee members should be made to the board chair (or if she/he is the one with the conflict, then to the board vice chair), who will bring these matters to the board or an appropriate committee of the board. The board or committee of the board will determine whether a conflict exists and if so, whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia or its affiliate(s). The decision of the board or a duly constituted committee of the board on these matters will be at its sole discretion, and its concern must be the welfare of Essentia and its affiliate(s) and the advancement of its purposes. The decision of the board is final. If the board determines a conflict does not exist, the interested person may proceed with the transaction; however, he/she will not be eligible to vote on related issues should they arise. If the board determines a conflict does exist, the interested person will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15 A</Identifier>
        <Explanation>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, tax-exempt status and with the Executive Compensation Committee Charter. The Executive Compensation Committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing &amp; modifying, as appropriate, reasonable compensation &amp; benefits for Essentia's Chief Executive Officer and his direct reports. The Executive Compensation Committee engages qualified independent compensation advisors to provide objective &amp; impartial comparative data &amp; to express opinions on total compensation reasonableness. The Executive Compensation Committee may request its independent advisors to: monitor comparability data &amp; marketplace trends; make appropriate recommendations regarding salary ranges; &amp; periodically review the market competitiveness of Essentia executive compensation packages. Prior to establishing or adjusting executive compensation, the Executive Compensation Committee will obtain &amp; 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 &amp; the date approved; the Executive Compensation Committee members present during the review, discussion &amp; approval of the proposed compensation &amp; those who voted on the proposed compensation; identification of the comparability data obtained &amp; relied upon by the Executive Compensation Committee &amp; how the data was obtained; any actions by a member of the Executive Compensation Committee having a conflict of interest; &amp; documentation of the basis for the determination. The Essentia Health Executive Compensation committee determines policy (establishes peer group, determines competitive ranking and establishes positioning of total compensation dependent upon performance) for all executives at the Vice President level or above. The Executive Compensation Committee of the Essentia Health East board of directors is authorized to fulfill the board's responsibility regarding executive compensation consistent with Essentia Health East's mission, values and tax-exempt status. It is bound by and relies upon the policy set by the Executive Compensation Committee of Essentia's board of directors. Annually, the Executive Compensation Committee of Essentia Health East's board of directors meets to review information presented by the Essentia Health East President and Chief Administrative Officer concerning the performance of the system and senior executives of Essentia Health East and to approve executive incentives based on system results and supporting documentation for all members covered by the Essentia Health East incentive compensation program and report such findings to the Executive Compensation Committee of Essentia's Board of Directors. The year this process was last undertaken for Essentia Health Foundation's Chief Development Officer was 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <Explanation>Availability of governing documents, conflict of interest policy, &amp; financial statements to the public: Essentia Health Foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Essentia Health Foundation 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII, Line 1a, Column B</Identifier>
        <Explanation>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: Richard Blair: approximately 4 hours Peter Person, MD is employed by Essentia Health Duluth as Essentia Health's Chief Executive Officer. 100% of his time is spent furthering the purpose of Essentia Health and related organizations. Daniel Fuchs is employed by Essentia Health St. Mary's Medical Center. 100% of his time is spent furthering the purpose of Essentia Health East and related organizations. Gregory Glasner, MD is employed by Essentia Health. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations. Kyle Dorow is employed by Essentia Health West. 100% of his time is spent furthering the purpose of Essentia Health West and related organizations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 5</Identifier>
        <Explanation>Other Changes in Net Assets: The total amount of other changes in net assets includes: Net Asset Transfer From Related Organizations in relation to merger: $20,932,048 Net Change in Unrealized Gain/(Loss) on Trading Securities ($722,748) Other net asset adjustments ($14,289) Adjustment for Change In Value of Charitable Remainder Trust ($262) Net Change in Unrealized Gains/(Losses) on Other-Than-Trading Securities ($183)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Schedule B, Part II, column d</Identifier>
        <Explanation>Date received: The ostomy supplies were received 7/1/11 - 6/30/12.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Brainerd Lakes Integrated Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2024 S 6th St</AddressLine1>
          <City>Brainerd</City>
          <State>MN</State>
          <ZIPCode>56401</ZIPCode>
        </AddressUS>
        <EIN>371532145</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 II</PublicCharityStatus>
        <DirectControllingEntityName>
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        <AddressUS>
          <AddressLine1>2024 S 6th St</AddressLine1>
          <City>Brainerd</City>
          <State>MN</State>
          <ZIPCode>56401</ZIPCode>
        </AddressUS>
        <EIN>371532148</EIN>
        <PrimaryActivities>Clinic</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BLIHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>Bridges Medical Center</BusinessNameLine1>
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          <AddressLine1>201 9th St W</AddressLine1>
          <City>Ada</City>
          <State>MN</State>
          <ZIPCode>56510</ZIPCode>
        </AddressUS>
        <EIN>200479568</EIN>
        <PrimaryActivities>Clinic/Hosp</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Innovis</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>Clearwater Valley Hospital &amp; Clinics INC</BusinessNameLine1>
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          <AddressLine1>301 Cedar</AddressLine1>
          <City>Orofino</City>
          <State>ID</State>
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        <EIN>820497771</EIN>
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          <City>Jerome</City>
          <State>ID</State>
          <ZIPCode>83338</ZIPCode>
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        <EIN>202773717</EIN>
        <PrimaryActivities>Emerg SRvcs</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
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          <AddressLine1>1027 Washington Ave</AddressLine1>
          <City>Detroit Lakes</City>
          <State>MN</State>
          <ZIPCode>56501</ZIPCode>
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        <EIN>263837203</EIN>
        <PrimaryActivities>ASC</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CAG</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>Critical Access Group</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>503 E 3rd St Ste 400</AddressLine1>
          <City>Duluth</City>
          <State>MN</State>
          <ZIPCode>55805</ZIPCode>
        </AddressUS>
        <EIN>261219624</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 II</PublicCharityStatus>
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        </DirectControllingEntityName>
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        <AddressUS>
          <AddressLine1>900 Hilligross Blvd SE</AddressLine1>
          <City>Fosston</City>
          <State>MN</State>
          <ZIPCode>56542</ZIPCode>
        </AddressUS>
        <EIN>410706143</EIN>
        <PrimaryActivities>Clinic/Hosp</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Innovis</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>Minnesota Valley Health Center Inc</BusinessNameLine1>
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          <AddressLine1>621 S 4th St</AddressLine1>
          <City>Le Sueur</City>
          <State>MN</State>
          <ZIPCode>56058</ZIPCode>
        </AddressUS>
        <EIN>410837659</EIN>
        <PrimaryActivities>Hospital/NURS</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
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          <BusinessNameLine1>CAG</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>StBenedicts Fam Med Ctr thru 10111</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>709 N Lincoln</AddressLine1>
          <City>Jerome</City>
          <State>ID</State>
          <ZIPCode>83338</ZIPCode>
        </AddressUS>
        <EIN>820227163</EIN>
        <PrimaryActivities>Clinic/Hosp</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CAG</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>523 N 3rd St</AddressLine1>
          <City>Brainerd</City>
          <State>MN</State>
          <ZIPCode>56401</ZIPCode>
        </AddressUS>
        <EIN>410695602</EIN>
        <PrimaryActivities>Clinic/Hosp</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BLIHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>St Mary's EMS</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1027 Washington Ave</AddressLine1>
          <City>Detroit Lakes</City>
          <State>MN</State>
          <ZIPCode>56501</ZIPCode>
        </AddressUS>
        <EIN>411805811</EIN>
        <PrimaryActivities>Emerg SRvcs</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMRHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Mary's Hospital &amp; Clinics Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 137</AddressLine1>
          <City>Cottonwood</City>
          <State>ID</State>
          <ZIPCode>83522</ZIPCode>
        </AddressUS>
        <EIN>820226453</EIN>
        <PrimaryActivities>Clinic/Hosp</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CAG</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Mary's Innovis Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1027 Washington Ave</AddressLine1>
          <City>Detroit Lakes</City>
          <State>MN</State>
          <ZIPCode>56501</ZIPCode>
        </AddressUS>
        <EIN>262861321</EIN>
        <PrimaryActivities>Clinic</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Innovis</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Mary's Regional Health Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1027 Washington Ave</AddressLine1>
          <City>Detroit Lakes</City>
          <State>MN</State>
          <ZIPCode>56501</ZIPCode>
        </AddressUS>
        <EIN>411620386</EIN>
        <PrimaryActivities>Clinic/Hosp</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Innovis</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Essentia Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>502 E 2nd St</AddressLine1>
          <City>Duluth</City>
          <State>MN</State>
          <ZIPCode>55805</ZIPCode>
        </AddressUS>
        <EIN>200360007</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Essentia Institute of Rural Health</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>502 E 2nd St</AddressLine1>
          <City>Duluth</City>
          <State>MN</State>
          <ZIPCode>55805</ZIPCode>
        </AddressUS>
        <EIN>271291124</EIN>
        <PrimaryActivities>Research</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
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          <BusinessNameLine1>Essentia</BusinessNameLine1>
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          <City>Duluth</City>
          <State>MN</State>
          <ZIPCode>55811</ZIPCode>
        </AddressUS>
        <EIN>411674021</EIN>
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          <State>MN</State>
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          <State>MN</State>
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        <EIN>411811073</EIN>
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          <ZIPCode>55805</ZIPCode>
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          <City>Duluth</City>
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          <ZIPCode>55805</ZIPCode>
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          <City>Fargo</City>
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        <EIN>261175213</EIN>
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          <ZIPCode>55072</ZIPCode>
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        <EIN>261634764</EIN>
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        <DirectControllingEntityName>
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          <State>MN</State>
          <ZIPCode>55792</ZIPCode>
        </AddressUS>
        <EIN>410909915</EIN>
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        <LegalDomicileState>MN</LegalDomicileState>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>Essentia Health Insurance Services SPC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>Buckingham Sq 720 W Bay Rd PO 69</AddressLine1>
          <City>Grand Cayman</City>
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          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
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        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Foreign Corp</TypeOfEntity>
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        <PercentageOwnership>0.00000</PercentageOwnership>
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      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
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      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
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      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>The Duluth Clinic Ltd</BusinessNameLine1>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>SMDC Medical Center</BusinessNameLine1>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>St Mary's Regional Health Center</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's Regional Health Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's Regional Health Center</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>actual costs</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>Form 990, Schedule R, Part II, Column (a)</Identifier>
        <Explanation>Name: In 2011, many Essentia entities adopted a doing business as name as part of a system-wide rebranding strategy using the Essentia brand. Legal Name; Doing Business As Name Brainerd Lakes Integrated Health System; Essentia Health Central Brainerd Medical Center, Inc.; Essentia Health Brainerd Specialty Clinic Bridges Medical Center; Essentia Health Ada First Care Medical Services; Essentia Health Fosston Graceville Health Center; Essentia Health Holy Trinity Hospital Innovis Health, LLC; Essentia Health West Midwest Medical Equipment &amp; Supply Inc.; Essentia Health Medical Equipment and Supplies Northern Pines Medical Center; Essentia Health Northern Pines Pine Medical Center; Essentia Health Sandstone Polinsky Medical Rehabilitation Center; Essentia Health Polinsky Medical Rehabilitation Center SMDC Medical Center; Essentia Health Duluth St. Joseph's Medical Center; Essentia Health St. Joseph's Medical Center St. Mary's Duluth Clinic Health System; Essentia Health East St. Mary's Hospital of Superior; Essentia Health St. Mary's Hospital-Superior St. Mary's Medical Center; Essentia Health St. Mary's Medical Center St. Mary's Regional Health Center; Essentia Health St. Mary's-Detroit Lakes</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>