David Herman became CEO of this Duluth-based health care system—a nationally accredited accountable care organization—in January 2015. Like all leaders of health care systems, he’s dealing with the challenges of high costs and an uncertain insurance environment. In addition, the territory Essentia covers has a notably aging population, and many of its residents live far from clinics and hospitals. That could well require Essentia to offer more telehealth options and perhaps push for stronger broadband in these digitally underserved areas. Though founded in Duluth, Essentia has facilities in Wisconsin, North Dakota and Idaho—where there may well be more opportunities to expand.