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        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>538108</ReportableCompFromRelatedOrgs>
        <OtherCompensation>171169</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roger E Green</NamePerson>
        <Title>VP Strategy, Policy, Marketing-HECS</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>329824</ReportableCompFromRelatedOrgs>
        <OtherCompensation>149754</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott W Hinrichs</NamePerson>
        <Title>VP Spiritual Care - HE Care Sytem</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>265060</ReportableCompFromRelatedOrgs>
        <OtherCompensation>132093</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen J Kolar MD</NamePerson>
        <Title>Sr. VP &amp; CMO - HE Care System</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>490732</ReportableCompFromRelatedOrgs>
        <OtherCompensation>162139</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Milton P McClurkan Jr</NamePerson>
        <Title>VP &amp; CIO - HE Care System</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>246828</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23367</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael F Nass</NamePerson>
        <Title>VP &amp; CFO - HE Care System</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>260809</ReportableCompFromRelatedOrgs>
        <OtherCompensation>154280</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott L North</NamePerson>
        <Title>VP &amp; CEO - St. John's</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>442425</ReportableCompFromRelatedOrgs>
        <OtherCompensation>133249</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian Patty MD</NamePerson>
        <Title>VP &amp; CMIO - HE Care System</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>421854</ReportableCompFromRelatedOrgs>
        <OtherCompensation>225798</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Piatkowski MD</NamePerson>
        <Title>VP &amp; Executive Medical Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>292147</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>132685</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary F Pynn</NamePerson>
        <Title>VP &amp; Chief Nursing Officer-HECS</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>313647</ReportableCompFromRelatedOrgs>
        <OtherCompensation>125270</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Julie A Schmidt</NamePerson>
        <Title>Transformation Officer - HECS</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>423068</ReportableCompFromRelatedOrgs>
        <OtherCompensation>147776</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas A Schmitt</NamePerson>
        <Title>VP &amp; CEO - Woodwinds</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>298256</ReportableCompFromRelatedOrgs>
        <OtherCompensation>95471</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ann M Schrader</NamePerson>
        <Title>VP &amp; COO - HE Care System</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>707027</ReportableCompFromRelatedOrgs>
        <OtherCompensation>176098</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mindy A Smith</NamePerson>
        <Title>VP HE Clinics, Outpatient</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>448058</ReportableCompFromRelatedOrgs>
        <OtherCompensation>133312</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leslie R Stern</NamePerson>
        <Title>VP - Specialty Physicians - HECS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>212303</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>43947</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Virginia Sullivan</NamePerson>
        <Title>VP Human Resources - HECS</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>304439</ReportableCompFromRelatedOrgs>
        <OtherCompensation>66622</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Craig A Svendson MD</NamePerson>
        <Title>VP &amp; Chief Medical Quality</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>374716</ReportableCompFromRelatedOrgs>
        <OtherCompensation>157581</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Puneet S Cheema MD</NamePerson>
        <Title>Medical Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>1241043</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>105170</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Andrew J Portis MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>786198</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>69016</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>June A Kim MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>784864</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76105</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kevin P Mulvey MD</NamePerson>
        <Title>Medical Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>720861</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>88753</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>D Ross McBride MD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>671675</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76329</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4960129</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>8532007</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>3521922</TotalOtherCompensation>
      <NumberIndividualsGT100K>203</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>1</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Nuance Communications</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 2561</AddressLine1>
            <City>Carol Stream</City>
            <State>IL</State>
            <ZIPCode>601322561</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Transcription Services</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Focus Infomatics Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 7247-7343</AddressLine1>
            <City>Philadelphia</City>
            <State>PA</State>
            <ZIPCode>191707343</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Transcription Services</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Vista Staffing Solutions Inc</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>File 50834</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Alliance Recruiting Resources</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 4356 Dept 611</AddressLine1>
            <City>Houston</City>
            <State>TX</State>
            <ZIPCode>772104356</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Quality Transcription Inc</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8960 Springbrook Drive 110</AddressLine1>
            <City>Coon Rapids</City>
            <State>MN</State>
            <ZIPCode>55433</ZIPCode>
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      <TotalContributions>176677</TotalContributions>
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      <ProgramServiceRevenue>
        <Description>Patient Education/Semi</Description>
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        <Real>2500</Real>
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        <Real>1671</Real>
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        <Real>829</Real>
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        <TotalRevenueColumn>107756</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>69507</UnrelatedBusinessRevenue>
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        <ManagementAndGeneral>571228</ManagementAndGeneral>
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        <ProgramServices>533196</ProgramServices>
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        <ProgramServices>2235219</ProgramServices>
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        <Description>Minnesota Care Tax</Description>
        <Total>1227540</Total>
        <ProgramServices>1227540</ProgramServices>
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      <OtherExpenses>
        <Description>Customer Satisfaction S</Description>
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      <AllOtherExpenses>
        <Total>165329</Total>
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        <ManagementAndGeneral>29601</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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      </PledgesAndGrantsReceivable>
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      <OtherNotesLoansReceivableNet>
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      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>198615</BOY>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>16571037</BOY>
        <EOY>17876358</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>9157431</EOY>
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      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>395300</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>7307994</BOY>
        <EOY>9552731</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>9263043</BOY>
        <EOY>8323627</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>9263043</BOY>
        <EOY>8323627</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16571037</BOY>
        <EOY>17876358</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-23069192</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>22129776</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <MedicalResearchOrg170b1Aiii>X</MedicalResearchOrg170b1Aiii>
      <HospitalNameAndAddress>
        <Name>
          <BusinessNameLine1>HealthEast Bethesda Hospital</BusinessNameLine1>
        </Name>
        <City>St Paul</City>
        <State>MN</State>
      </HospitalNameAndAddress>
      <HospitalNameAndAddress>
        <Name>
          <BusinessNameLine1>HealthEast St John's Hospital</BusinessNameLine1>
        </Name>
        <City>Maplewood</City>
        <State>MN</State>
      </HospitalNameAndAddress>
      <HospitalNameAndAddress>
        <Name>
          <BusinessNameLine1>HealthEast St Joseph's Hospital</BusinessNameLine1>
        </Name>
        <City>St Paul</City>
        <State>MN</State>
      </HospitalNameAndAddress>
      <HospitalNameAndAddress>
        <Name>
          <BusinessNameLine1>HealthEast Woodwinds Hospital</BusinessNameLine1>
        </Name>
        <City>Woodbury</City>
        <State>MN</State>
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        <NamePerson>Craig A Svendson MD</NamePerson>
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        <NamePerson>Puneet S Cheema MD</NamePerson>
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        <NamePerson>Andrew J Portis MD</NamePerson>
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        <BonusFilingOrg>60000</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>June A Kim MD</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Kevin P Mulvey MD</NamePerson>
        <BaseCompensationFilingOrg>711518</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <NamePerson>D Ross McBride MD</NamePerson>
        <BaseCompensationFilingOrg>663146</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Rev. Scott Hinrichs, Vice President of Spiritual Care &amp; Mission for HealthEast Care System was paid $38,400 for housing allowance. This was treated as nontaxable compensation to Rev. Scott Hinrichs. Housing allowances are nontaxable compensation to ordained members of the clergy.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>The following individuals participated in or received payment from a supplemental nonqualified retirement plan. The amount listed is the amount paid to the individual and reported accordingly on their 2010 W-2 Form. The terms and conditions of this supplemental nonqualified retirement plan is a five year cliff vesting arrangement: Anne M. Pearson M.D. $9,156; Timothy H. Hanson $147,118; Robert D. Gill $44,945; Roger E. Green $26,774; Rev. Scott Hinrichs $20,377; Stephen J. Kolar M.D. $42,633; Scott North $37,550; John Piatkowski M.D. $1,162; Mary F. Pynn $25,175; Julie A. Schmidt $40,295; Ann M. Schrader $61,885; Mindy A. Smith $105,944; Virginia Sullivan $21,768 The following individuals were participants in the supplemental nonqualified retirement plan but did not receive any payment as they are not yet vested in the plan: Mary Arnold, Catherine J. Barr, Sara Criger, Michael F. Nass, Brian Patty, M.D., Thomas A. Schmitt, Leslie R. Stern, Craig A. Svendson M.D., Puneet Cheema M.D., Andrew Portis M.D., June Kim M.D., Kevin Mulvey M.D., D. Ross McBride M.D.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>HEALTHEAST MANAGEMENT INCENTIVE PROGRAM DESCRIPTION: For Patient Care Executives, Operation Executives and Senior Directors For Clinic Managers, Directors and System/Group Directors Summary Description and Goals: The Management Incentive Program provides lump sum financial awards based on system-wide, business unit and/or department financial and quality measures. The primary goal of the Program is to focus the manager on meeting key objectives related to the business while managing their operation(s) or function(s) effectively and efficiently to improve overall financial performance for the HealthEast organization. Annual goals, specifically tied to productivity and quality indicators, will be set for the fiscal year and an incentive paid out annually if key goals and measures are achieved. Goals are weighted based on strategic importance. Specific objectives of the Program are as follows: * Strengthen performance of HealthEast * Align goals of management with HealthEast's mission, values and strategic direction * Achieve "line of sight" by combining system-wide, business unit and/or department financial and quality performance objectives * Provide competitive levels of incentive opportunity to help attract and retain the best talent * Promote objectivity and fairness through rigorous goal setting and performance measurement * Provide feedback on performance relative to goals throughout the plan year to strengthen the link between individual performance and HealthEast's system-wide results Qualifications for Funding and Paying Awards: Before HealthEast can authorize payment of any awards, it must meet the following qualifications: * Financial - HealthEast must have sufficient net income for the fiscal year to cover the cost of any awards. * Accreditation - All HealthEast business units must maintain a level of quality and performance that results in, and maintains, accreditation by Joint Commission (JCAHO) and equivalent licensing boards * Approval -The HealthEast Board of Directors has final approval of all incentive program payouts. In addition, each participant must meet the following individual qualifications to be eligible to receive an award: * Performance - Participant must be performing at an acceptable level in order to be eligible for a payout. * Performance Management - Each participant must have completed performance appraisals for all direct reports with review dates on, or before, August 31 of the fiscal year for which the Program is in effect. * Mandatory Education - Each participant must have completed his/her annual calendar year Mandatory Education training. Award Determination Procedures: The awards are based on a percentage of the participant's salary. The Annual awards range from 0% to 24% of the participant's salary for Patient Care Executives, Operation Executives and Senior Directors. The Annual awards range from 0% to 12% of the participant's salary for Clinic Managers, Directors and System/Group Directors. The award is calculated according to the incentive opportunity assigned to each position, the level of performance achieved on each goal and the weight assigned to each goal.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Form 990, Part VII, Section A, Line 5: Milton P. McClurkan, Jr. received compensation for the professional services rendered to this organization from Innovative Consulting Group, an unrelated organization.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Explanation for number reported in Box 3 of Form 1096:</Identifier>
        <ReturnReference>Form 990, Part V, Line 1a</ReturnReference>
        <Explanation>Cash disbursements are centralized through the parent organization. Therefore the parent organization, HealthEast Care System, makes the payment and files the related Form 1099's and Form 1096 instead of HealthEast Medical Research Institute.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The sole member of HealthEast Medical Research Institute is HealthEast Care System, a 501(c)(3) tax-exempt, non-profit organization. The member organization does not elect the members of the Board of Directors because it is a self-electing board. The member organization does not approve any decisions of the board. The member of the organization receives the organziations net assets upon dissolution.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Form 990 is sent electronically to all members of the Board of Directors prior to the filing of the Form 990 and prior to the board meeting in which it will be reviewed. The Director of Tax attends the board meeting to discuss the Form 990 with the members of the Board and answer any questions from the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>HealthEast monitors proposed or ongoing transactions for conflicts of interest through the procedures set forth in its Conflicts of Interest Policy (the Policy). The Policy covers HealthEast's Directors, Officers and members of a Committee with Board-delegated powers. A Director, Officer or members of a Committee with Board-delegated powers who has a direct or indirect financial interest, is an interested person under the terms of the Policy. If a person is an interested person with respect to any entity in the HealthEast Care System he or she is an interested person with respect to all entities in the HealthEast Care System. Pursuant to the terms of the Policy, in connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts relating to his or her financial interest to the Directors or members of Committees with Board-delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person must leave the Board (or Committee) meeting while the financial interest is discussed and voted upon. The remaining Board (or Committee) members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or Committee meeting regarding the proposed transaction or arrangement, but after such presentation, the interested person shall leave the meeting during the discussion of, and the vote on, the proposed transaction or arrangement that results in the conflict of interest.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Chair of the Board of Directors engages an external consulting firm to review the compensation of the organization's CEO, Senior Vice Presidents and Vice Presidents annually and was last completed in November 2010. The process includes the external consulting firm evaluating current base salaries and total cash and benefits compared to comparable positions within the comparator group. The external firm presents its findings to the Executive Committee of the Board and indicates any recommendations for change. The Executive Committee of the Board approves the salaries. The consulting firm issues a reasonable compensation letter to the Board of Directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Articles of Incorporation for this organization are made available to the public through the Secretary of State Office. The orgnaizations conflict of interest policy and other governing documents are not made available to the public. The financial statements for this organization are made available to the public through the Attorney General's Office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Average hours worked per week devoted to related organizations:</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Column B</ReturnReference>
        <Explanation>Individuals listed on Form 990, Part VII, Section A, Column A worked the following average hours per week for a realted organization: Larry Ainsworth 2 hours, Dianne Arnold 2 hours, Diane Berthel 2 hours, Patrick Donovan 2 hours, Albert Eggert 2 hours, John Finnegan, Jr. M.D. 2 hours, Joan Grzywinski 2 hours, Fred Harris Jr. 4 hours, Roland Hayes 4 hours, Anne M. Pearson M.D. 2 hours, Leonard Randolph M.D. 2 hours, Sister Marie Seiter 2 hours, David Taylor 2 hours, Jone Tiffany 2 hours, Laure Waschbusch M.D. 2 hours, James Wiltz 2 hours, Timothy Hanson 40 hours, Mary Arnold 40 hours, Catherine Barr 40 hours, Sara Criger 40 hours, Brandon Cullinan, M.D. 40 hours, Shirley Germann 40 hours, Robert Gill 40 hours, Roger Green 40 hours, Scott Hinrichs 40 hours, Stephen Kolar 40 hours, Milton McClurkan Jr. 40 hours, Michael Nass 40 hours, Scott North 40 hours, Brian Patty M.D. 40 hours, John Piatkowski M.D. 0 hours, Mary Pynn 40 hours, Julie Schmidt 40 hours, Thomas Schmitt 40 hours, Ann Schrader 40 hours, Mindy Smith 40 hours, Leslie Stern 0 hours, Virginia Sullivan 40 hours, Craig Svendson M.D. 40 hours, Puneet Cheema M.D. 0 hours, Andrew Portis M.D. 0 hours, June Kim M.D. 0 hours, Kevin Mulvey M.D. 0 hours, D. Ross McBride M.D. 0 Hours</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Average hours worked per week:</Identifier>
        <ReturnReference>Form 990, Part VII, Section A, Column B</ReturnReference>
        <Explanation>This organization is a subsidiary of HealthEast Care System, a 501(c)(3), tax-exempt, non-profit organization. The Board of Directors for this organization is the same as the Board of Directors for HealthEast. All hours worked as a member of the Board of Directors are reported on the Form 990 for the parent organization, HealthEast Care System. Therefore, we have reported 0.00 hours worked by each member of the Board of Directors on this organization's return.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Contribution from Parent Organization 22,124,162. Donated Assets 5,614. Total to Form 990, Part XI, Line 5: 22,129,776.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Were financial statements audited by independent accountant:</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2</ReturnReference>
        <Explanation>HealthEast Medical Research Institute is part of HealthEast Care System and its various subsidiaries. Therefore, this organization's financial statements were only audited on a consolidated basis by an independent auditor as oppossed to separate audits.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>D &amp; T Facility Management Company</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
        </AddressUS>
        <EIN>411928275</EIN>
        <PrimaryActivities>Diagnostic Medical Services</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
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          <BusinessNameLine1>HealthEast Woodwinds Hospital</BusinessNameLine1>
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          <BusinessNameLine1>HealthEast Professional Services</BusinessNameLine1>
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          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
        </AddressUS>
        <EIN>261226617</EIN>
        <PrimaryActivities>Physician services provided to related tax-exempt hospitals.</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>HealthEast St John's Hospital</BusinessNameLine1>
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          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
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          <BusinessNameLine1>HealthEast St Joseph's Hospital</BusinessNameLine1>
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          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
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        <EIN>410693880</EIN>
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          <BusinessNameLine1>HealthEast Woodwinds Hospital</BusinessNameLine1>
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          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
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          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
        </AddressUS>
        <EIN>363517697</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Maplewood Professional Building Limited Partnership</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1655 Beam Avenue</AddressLine1>
          <City>Maplewood</City>
          <State>MN</State>
          <ZIPCode>55109</ZIPCode>
        </AddressUS>
        <EIN>411431847</EIN>
        <PrimaryActivity>Rental Real Estate</PrimaryActivity>
        <LegalDomicileState>MN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>HealthEast Surgery Center-Maplewood LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1655 Beam Avenue</AddressLine1>
          <City>Maplewood</City>
          <State>MN</State>
          <ZIPCode>55109</ZIPCode>
        </AddressUS>
        <EIN>203349887</EIN>
        <PrimaryActivity>Outpatient Surgery Center</PrimaryActivity>
        <LegalDomicileState>MN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>East Metro Insurance LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>62 Forum Lane 3rd Floor Camana Ba</AddressLine1>
          <City>Grand Cayman</City>
          <Country>CJ</Country>
          <PostalCode>KY1-1203</PostalCode>
        </AddressForeign>
        <EIN>980417513</EIN>
        <PrimaryActivity>Captive Insurance Organization</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>HealthEast Diversified Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 64624</AddressLine1>
          <City>St Paul</City>
          <State>MN</State>
          <ZIPCode>55164</ZIPCode>
        </AddressUS>
        <EIN>411388583</EIN>
        <PrimaryActivity>Reference Lab, Retail Pharmacies, Rental Real Estate</PrimaryActivity>
        <LegalDomicileState>MN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>