ST MARYS HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HOSPITAL INC (EIN 82-0226453)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201111319349301401
Schema version: 2009v1.7
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 H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T09:46:01-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	820226453	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Hospital & Clinics Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	2089623251	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 137	AddressLine1
City	Cottonwood	City
State	ID	State
ZIP Code	83522	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Lenne Bonner	Name
Title	CFO	Title
Date Signed	2011-05-03	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Colleen Meza	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 137	AddressLine1
City	Cottonwood	City
State	ID	State
ZIP Code	83522	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	18339824	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.SMH-CVHC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1957	YearFormation
State Legal Domicile	ID	StateLegalDomicile
Activity Or Mission Description	See schedule O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	257	TotalNbrEmployees
Total Nbr Volunteers	28	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	182965	ContributionsGrantsPriorYear
Contributions Grants Current Year	287841	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	17100905	ProgramServiceRevenuePriorYear
Program Service Revenue CY	17895899	ProgramServiceRevenueCY
Investment Income Prior Year	-303810	InvestmentIncomePriorYear
Investment Income Current Year	189954	InvestmentIncomeCurrentYear
Other Revenue Prior Year	60527	OtherRevenuePriorYear
Other Revenue Current Year	60341	OtherRevenueCurrentYear
Total Revenue Prior Year	17040587	TotalRevenuePriorYear
Total Revenue Current Year	18434035	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	10937650	SalariesEtcPriorYear
Salaries Etc Current Year	11142200	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	74482	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5970291	OtherExpensePriorYear
Other Expenses Current Year	6315360	OtherExpensesCurrentYear
Total Expenses Prior Year	16907941	TotalExpensesPriorYear
Total Expenses Current Year	17457560	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	132646	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	976475	RevenuesLessExpensesCY
Total Assets BOY	14345910	TotalAssetsBOY
Total Assets EOY	15458277	TotalAssetsEOY
Total Liabilities BOY	2231494	TotalLiabilitiesBOY
Total Liabilities EOY	2307585	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	12114416	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	13150692	NetAssetsOrFundBalancesEOY
Mission Description	See schedule O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	15059982	Expense
Grants	0	Grants
Revenue	17895899	Revenue
Description	See schedule O	Description
Total Program Service Expense	15059982	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	11	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	257	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	ID	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LENNE BONNER CFO	NamePerson
Telephone Number	2089623251	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	701 LEWISTON ST	AddressLine1
City	Cottonwood	City
State	ID	State
ZIP Code	83522	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Gordon Harman
Board Chair	1.0	X	X	0	0	0
Marjorie Kuchynka
Board Vice Chair	1.0	X	X	0	0	0
Marguerite McLaughlin
Board Secretary/Treasurer	1.0	X	X	0	0	0
Larry Coonts
Board Director	1.0	X		0	0	0
Maurice Masar
Board Director	1.0	X		0	0	0
Gary Rehder
Board Director	1.0	X		0	0	0
Dan Davis
Board Director	1.0	X		0	900	0
Sister Mary Rochefort
Board Director	1.0	X		0	0	0
Sister Barbara Jean Glodowski
Board Director	1.0	X		0	0	0
Bryan Higgins
Board Director	1.0	X		0	0	0
Lee Pippenger
Board Director	1.0	X		0	0	0
Michael Hedrix
Board Director	60.0	X		0	391526	77877
Andrew Gilbert MD
Board Director	40.0	X		273672	0	27959
Kelly McGrath MD
Board Director	40.0	X		0	152365	25020
Colleen Meza
Chief Executive Officer	40.0		X	0	309928	54784
Lenne Bonner
Chief Financial Officer	40.0		X	0	123218	25287
Andrew Jones MD
Physician	40.0			373301	0	21237	X
Ronald Sigler MD
Physician	40.0			270323	0	25596	X
Jermey Ostrander MD
Physician	40.0			222776	0	27878	X
Jack Casteel Bruner II MD
Physician	40.0			229524	0	27652	X
Alvin J Secrest III MD
Physician	40.0			240787	0	28162	X
Todd Nida
Chief Administrative Officer	40.0			104936	0	21944		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1715319	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	977937	TotalReportableCompFrmRltdOrgs
Total Other Compensation	363396	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Palouse Imaging Consultants
PO Box 9583	MOSCOW	ID	83843	Radiology Services	275288
DMS Imaging
PO Box 86	MINNEAPOLIS	MN	55486	Mobile Radiology Srv	169173
Gritman Medical Center
700 S Main St	MOSCOW	ID	83843	Radiology Services	168819
Quest Diagnostics
File No 91514	LOS ANGELES	CA	90071	Lab Services	118529

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Government Grants	178393	GovernmentGrants
All Other Contributions	109448	AllOtherContributions
Total Contributions	287841	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	HOSPITAL & CLINIC SERVICES	Description
Business Code	621110	BusinessCode
Total Revenue Column	17895899	TotalRevenueColumn
Related Or Exempt Function Income	17895899	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	17895899	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	95743	TotalRevenueColumn
Exclusion	$95,743	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2240	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2240	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2240	TotalRevenueColumn
Exclusion	$2,240	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	-94211	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	94211	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	94211	TotalRevenueColumn
Exclusion	$94,211	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	39874	$39,874
FITNESS DUES	713940	11860	$11,860
MEDICAL RECORD COPIES	561439	3788	$3,788

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2579	TotalRevenueColumn
Exclusion	$2,579	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	58101	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18434035	TotalRevenueColumn
Related Or Exempt Function Income	17895899	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$250,295	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	390727	Total
Program Services	282622	ProgramServices
Management And General	108105	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8619173	Total
Program Services	7817803	ProgramServices
Management And General	742458	ManagementAndGeneral
Fundraising	58912	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	373483	Total
Program Services	339075	ProgramServices
Management And General	31868	ManagementAndGeneral
Fundraising	2540	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1156925	Total
Program Services	1046708	ProgramServices
Management And General	102469	ManagementAndGeneral
Fundraising	7748	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	601892	Total
Program Services	543562	ProgramServices
Management And General	54377	ManagementAndGeneral
Fundraising	3953	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	748	Total
Management And General	748	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	17899	Total
Management And General	17899	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	1649	Total
Management And General	1649	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	23153	Total
Management And General	23153	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1674332	Total
Program Services	1034459	ProgramServices
Management And General	639873	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	29851	Total
Program Services	1971	ProgramServices
Management And General	27811	ManagementAndGeneral
Fundraising	69	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2026712	Total
Program Services	1910864	ProgramServices
Management And General	115166	ManagementAndGeneral
Fundraising	682	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	224330	Total
Management And General	224330	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	346842	Total
Program Services	243301	ProgramServices
Management And General	103541	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	108345	Total
Program Services	70736	ProgramServices
Management And General	37281	ManagementAndGeneral
Fundraising	328	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	66199	Total
Program Services	59279	ProgramServices
Management And General	6670	ManagementAndGeneral
Fundraising	250	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	11673	Total
Program Services	3821	ProgramServices
Management And General	7852	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	557376	Total
Program Services	557376	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	252252	Total
Program Services	244854	ProgramServices
Management And General	7398	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	860338	860338
DUES & SUBSCRIPTIONS	78330	35131	43199
RECRUITMENT	35331	8082	27249

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	17457560	Total
Program Services	15059982	ProgramServices
Management And General	2323096	ManagementAndGeneral
Fundraising	74482	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	430	BOY
EOY	525	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2278875	BOY
EOY	873865	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	74836	BOY
EOY	73240	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3472013	BOY
EOY	3236349	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2000	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	422064	BOY
EOY	486064	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	41879	BOY
EOY	54488	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10933840	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	5754851	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4957616	BOY
EOY	5178989	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2796799	BOY
EOY	5099412	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	299398	BOY
EOY	455345	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	14345910	BOY
EOY	15458277	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1694012	BOY
EOY	2078224	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	524479	BOY
EOY	215611	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	13003	BOY
EOY	13750	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2231494	BOY
EOY	2307585	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12114416	BOY
EOY	13150692	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12114416	BOY
EOY	13150692	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14345910	BOY
EOY	15458277	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$1,649	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1649	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C, Part II-B	Identifier
Explanation	St. Mary's Hospital & Clinics, Inc. pays dues to certain organizations related to the industry which have lobbying expenses. The amount listed is the percent of dues paid that were used for lobbying.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	486895	OtherCostOrOtherBasis
Book Value	486895	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3854669	OtherCostOrOtherBasis
Depreciation	1562707	Depreciation
Book Value	2291962	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6330858	OtherCostOrOtherBasis
Depreciation	4191645	Depreciation
Book Value	2139213	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	261418	OtherCostOrOtherBasis
Depreciation	499	Depreciation
Book Value	260919	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5178989	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	POOLED INVESTMENT FUND	Description
Book Value	5099412	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	5099412	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	FIN 47 ASSET RETIREMENT OBLIGATION	Description
Amount	$13,750	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	13750	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Schedule D, Part X	Identifier
Explanation	FIN 48 Footnote: Essentia Health has adopted Accounting Standards Codification 740, Income Taxes (formerly known as FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Tax - an interpretation of FASB Statement No. 109, Accounting for Income Taxes). The adoption of this interpretation had no material impact on the consolidated financial statements and therefore, Essentia Health's consolidated financial statements for fiscal year ended June 30, 2010 no longer includes an ASC 740 footnote.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	165	PersonsServed
Total Community Benefit Expense	130857	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	130857	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	3880	PersonsServed
Total Community Benefit Expense	1886432	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1708280	DirectOffsettingRevenue
Net Community Benefit Expense	178152	NetCommunityBenefitExpense
Percent Of Total Expense	0.01070	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	4045	PersonsServed
Total Community Benefit Expense	2017289	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1708280	DirectOffsettingRevenue
Net Community Benefit Expense	309009	NetCommunityBenefitExpense
Percent Of Total Expense	0.01860	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	4281	PersonsServed
Total Community Benefit Expense	71383	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4476	DirectOffsettingRevenue
Net Community Benefit Expense	66907	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	94	PersonsServed
Total Community Benefit Expense	94981	TotalCommunityBenefitExpense
Direct Offsetting Revenue	500	DirectOffsettingRevenue
Net Community Benefit Expense	94481	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	3703	PersonsServed
Total Community Benefit Expense	34145	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	34145	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	8078	PersonsServed
Total Community Benefit Expense	200509	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4976	DirectOffsettingRevenue
Net Community Benefit Expense	195533	NetCommunityBenefitExpense
Percent Of Total Expense	0.01180	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	12123	PersonsServed
Total Community Benefit Expense	2217798	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1713256	DirectOffsettingRevenue
Net Community Benefit Expense	504542	NetCommunityBenefitExpense
Percent Of Total Expense	0.03040	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	238	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	238	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1230	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1230	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	1468	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1468	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$536,431	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	6691986	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6625729	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	66257	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Critical Access HospitalCriticalAccessHospital	Er24 HoursEr24Hours	OtherOther
St Mary's Hospital & Clinics Inc
PO Box 137 701 Lewiston St	Cottonwood	ID	83522	X	X	X	X
Cottonwood Medical Center
PO Box 137 701 Lewiston Street	Cottonwood	ID	835220137					Provider Base Clinic
Kamiah Medical Center
518 Oak Street	Kamiah	ID	83536					Provider Base Clinic
Craigmont Medical Center
320 N Division	Craigmont	ID	83523					Provider Base Clinic
Nez Perce Medical Clinic
501 Oak	Nez Perce	ID	83543					Provider Base Clinic
Grangeville Physical Therapy Clinic
617 W North	Grangeville	ID	83530					Physical Therapy Clinic
Cottonwood Physical Therapy Clinic
701 Lewiston Street	Cottonwood	ID	83522					Physical Therapy Clinic
Kamiah Physical Therapy
619 4th Street	Kamiah	ID	83536					Phiysical Therapy Clinic
St Mary's Hospital Home Health
701 Lewiston Street	Cottonwood	ID	83522					Home Health - FY2010 only in Service through 11/27/09.

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	The organization uses federal poverty guidelines.	IncomeBasedCriteria
Annual Community Benefit Expln	St. Mary's Hospital of Cottonwood's community benefit information is consolidated into the Essentia Health community benefit information which is included in the Essentia Health annual report. The annual report is made available to the public via the website at www.essentiahealth.org. Essentia Health, headquartered in Duluth, Minn., is an integrated health system serving patients in Minnesota, Wisconsin, North Dakota and Idaho and is St. Mary's Hospital of Cottonwood's parent corporation.	AnnualCommunityBenefitExpln
Costing Method Used	The cost to charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to calculate the costs for the following community benefits: Charity Care and Unreimbursed Medicaid. Actual costs were used for the remainder of the community benefits reported.	CostingMethodUsed
Subsidized Health Services Expln	Not Applicable.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Bad debt expense that was subtracted from total expense to obtain the % of community benefit to total expense amounted to $860,388.	PercentOfTotalExpenseExpln
Bad Debt Footnote	The costing methodology used to report bad debt expense at cost was the cost to charge ratio from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The rationale for using the Cost-to-Charge ratio is that it is the most efficient way to calculate bad debt at cost. We believe this method materially represents the cost of bad debt.Discounts and charity care are accounted for as reductions to revenue where bad debts are accounted for as operating expenses. Bad debt expense on patient accounts would be identified as any balance on the account, less any previous payments and discounts, that has aged and is absent of any payments. If, during the collection process, it becomes known that the patient qualifies for charity care, the amounts included within bad debt expense would be reclassified to charity care (reduction of revenue). Because this is our practice, we believe there is no known charity care within bad debt expense. (Excerpt from the parent company's audit) The provision for uncollectible accounts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of this review are then used to make any modifications to the provision for uncollectible accounts. After satisfaction of amounts due from insurance, Essentia Health follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Essentia.	BadDebtFootnote
Shortfall As Community Benefit	The costing methodology used in determining the Medicare Allowable Cost reported in the organization's Medicare Cost Report is to take total Medicare costs from the general ledger system and then follow the instructions provided by Centers for Medicare Services (CMS) to back off all costs not allowable. From the Medicare allowable costs, any costs attributable to subsidized health services and costs attributable to GME were subtracted, if applicable. St. Mary's Hospital of Cottonwood is a part of a larger organization, Essentia Health. Essentia Health and its member organizations incorporate the full value of the Medicare shortfall as a community benefit. The rationale for the organization's opinion is similar to the rationale used by the American Hospital Association. Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. Medicare, like Medicaid, does not pay the full cost of care and it is likely to get worse. Many Medicare beneficiaries are poor and are eligible for Medicaid in addition to Medicare. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community.	ShortfallAsCommunityBenefit
Debt Collection Policy	At any stage of the patient experience, including collections, a determination may be made that the patient qualifies for Charity Care. All collection efforts must be suspended while a patient's Charity Care application is being considered and until the patient is notified regarding the determination of eligibility. The Charity Care Program policy will govern the handling of that patient's balance.	DebtCollectionPolicy
Number Of Facility Type Expln	Not applicable.	NumberOfFacilityTypeExpln
Needs Assessment	Describe how the organization assesses the health care needs of the communities it serves: St. Mary's Hospital is overseen by a volunteer board of directors consisting of representatives of its service area. These directors bring community health needs to the table. In addition, service usage patterns are monitored by administrators, doctors are consulted for needed care improvements in monthly medical staff meetings, and an organization-wide quality council monitors quality improvement data regularly. St. Mary's Hospital also participated in a county-wide assessment of health care impacts performed by Oklahoma State University, with funding from the Federal Office of Rural Health Policy. This assessment includes a gap analysis of community health care needs.	NeedsAssessment
Patient Education Assistance	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy: The booklet, Financial Information for our Patients and other printed materials on Charity Care are made widely available to the public in the admitting, billing and patient/family reception areas. Reference to the program is also contained in the hospital admissions packet. The Financial Counselor visits uninsured or underinsured patients or their family during their stay, whenever possible, to discuss financial arrangements. Charity Care applications, Medicaid applications, and County forms are distributed at that time. Follow up calls are made after discharge to finalize arrangements. This information is provided to anyone requesting it, whether they request it in person, by mail, or by phone. Signs indicating the availability of charity care are posted in the ER area, the inpatient family waiting room, business office and admitting area. The signs provide a phone number and contact information. All staff with public and patient contact, including but not restricted to billing and emergency staff will refer patients to the Financial Counselor for detailed explanations of the Charity Care program and to acquire forms. The Financial Counselor can then do the appropriate follow up. Based on the information gathered by the Financial Arrangement worksheet, the Financial Counselor will determine whether the account should be directed to a bank loan, Medicaid, County Social Services, or Charity Care. The patient will then complete the Determination Form and forward to the Business Office Manager for approval.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: St. Mary's Hospital of Cottonwood is located in Cottonwood, ID. St. Mary's is a part of the larger Essentia Health System, which is defined in Part VI, Line 7. St. Mary's Hospital of Cottonwood consists of 1 hospital (25 beds) and 7 clinics that service Idaho, Lewis and Clearwater counties covering 2,400 square miles. The overall community is classified as a rural community. St. Mary's and its related clinics cover a population of close to 16,000 people. The service region consists of a large percentage of individuals over 65. Lewis county has 18% of its population consisting of individuals over 65. Idaho county has 19% and Clearwater county has 21% which are all well above the national average of 12.5%. According to US Census Bureau Fast Facts estimate for 2005-2009 the average family income of the service area is slightly above $38,000 only 62% of the national median family income of $62,363. Median age is 47.0 compared to the national median age of 36.5 with 52% men to 48% women. According to Health Resources and Services Administration's (HRSA's) Community Health Status Indicator Clearwater County age distribution is as follows: Under age 19 21.3%, age 19-64 58.9%, age 65-84 17.1% and age 85+ 2.7%. Race/Ethnicity White 93.6%, Black 0.2%, American Indian 3.8%, Asian/Pacific Islander 0.5% and Hispanic origin 1.9%. Approximately 18.7% of the population falls below federal poverty guidelines. Idaho County had one of the highest increases in unemployment rates in Idaho in 2010. St. Mary's Hospital of Cottonwood, along with the rest of Essentia Health, is committed to serve patients regardless of their ability to pay. 5.3% of patients seen by St. Mary's or their corresponding clinics were uninsured patients. In addition, approximately 11.5% of their patients were Medicaid recipients. A large portion of the population lacks medical insurance. In Idaho County, 16.5% of the population is uninsured; in Clearwater County, the rate jumps to 20.5%. As mentioned above, St. Mary's Hospital of Cottonwood is part of a larger system, Essentia Health. Essentia Health staffs hospitals and clinics in federally-recognized underserved areas and supports the health of its communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into its smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. There are no other hospitals outside of the Essentia Health umbrella that service the community.	CommunityInformation
Community Building Activities	Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves: Workforce Development is provided through our Student Nurse Training Program. This program is offered to local college nursing students. They participate in a job shadow program with our certified staff at no charge to the student. We also support one of our staff members to attend Chamber Meetings to assist in the economic development of our community.	CommunityBuildingActivities
Other Information	Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting the health of the community: St. Mary's Hospital's board of directors is composed of volunteer representatives from the communities it serves. In addition, the hospital serves as a clinical practice site for many students in x-ray technology, nursing, physician assistant, nurse practitioner, and medical residency programs. This is especially important because Idaho has one of the lowest physician per capita rates in the nation. Recently St. Mary's Hospital has expanded its use of telehealth services to improve patient care. These types of services are extremely important for expanding access to health care in rural America. It takes close to 12 hours to drive from the northern part of our state to the southern border. Add to that river canyons, mountains and treacherous roads and you'll have a better understanding of the challenge of commuting to receive health care specialty services. The closest large urban centers are either three or five hours away. Having specialists 'see' our patients and consult with our physicians using teleconferencing and our Remote Presence (RP-7) robots allows us to access cardiologists, hospitalists, adult and child psychiatrists, surgical specialists, ED specialists and soon, a dermatologist. In our rural area we don't have the patient base necessary to establish full time specialty care. However, we have the same types of illnesses and injuries that people have in larger cities. Using technology to bring those specialists to our area so people can receive their healthcare locally is vital to providing a fuller range of medical care to our patients.	OtherInformation
Affiliated Health Care System	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served: St. Mary's Hospital of Cottonwood is part of Essentia Health, an integrated health system of 17 hospitals, over 60 clinics and several long-term care facilities in four states: Minnesota, Wisconsin, North Dakota and Idaho. The health system serves a predominantly rural population whose median incomes generally fall below averages of the states where they live. The presence of our clinics and hospitals ensures that people with few economic resources don't have to drive an hour or more to receive basic (and in some cases live-saving) medical care. In addition to staffing hospitals and clinics in federally-recognized underserved areas, we support the health of our communities through an active outreach program that brings specialists like oncologists, cardiologists, neurologists and others into our smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. Our size and integrated structure allow us to offer patients services often found only in larger urban settings. Services ranging from chemotherapy and cancer clinical trials to congestive heart failure management and hospice are available to patients in many of the rural communities we serve. Essentia Health also supports the health of our communities through active research and clinical trials, through the Essentia Institute of Rural Health. The Institute conducts clinical, translational and health services research with a primary focus on the needs of rural Americans. Essentia Health is also serving patients through the aggressive implementation of the Epic electronic health record (EHR). Already in use in a number of Essentia Health's rural clinics and some hospitals, a fully-integrated EHR is scheduled to connect patients across the Essentia service region by 2012. A common electronic health record allows health professionals to share test results and consult with colleagues in real time across great distances. Medical information is no longer lost in the shuffle of paper records - an important consideration in a region where patients must often be transferred to a larger Essentia facility for complex surgeries or medical care. Essentia is also actively working with government agencies and insurers to develop innovative, cost-effective approaches to care that will improve health outcomes while reducing overall costs to patients and insurers. This innovation can be found in our use of remote home monitors for patients with congestive heart failure to a focus on using a team-based approach to helping patients manage chronic diseases. Essentia Health is committed to helping patients and their families lead active and fulfilling lives in the small and large communities where they live. We hope to become a model of health care delivery, particularly in rural areas, in the years to come.	AffiliatedHealthCareSystem
Reports Filed With States	ID	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael Hedrix
0	249449	0	64155	0	77922	0	38285	0	39592	0	469403	0	76489
Colleen Meza
0	197041	0	50256	0	62631	0	47083	0	7701	0	364712	0	62297
Todd Nida
104936	0	0	0	0	0	5184	0	16760	0	126880	0	0	0
Andrew Jones MD
263027	0	110274	0	0	0	10133	0	11104	0	394538	0	0	0
Ronald Sigler MD
216585	0	53738	0	0	0	9478	0	16118	0	295919	0	0	0
Jermey Ostrander MD
176099	0	46677	0	0	0	10733	0	17145	0	250654	0	0	0
Jack Casteel Bruner II MD
193916	0	35608	0	0	0	11236	0	16416	0	257176	0	0	0
Alvin J Secrest III MD
197069	0	43718	0	0	0	11746	0	16416	0	268949	0	0	0
Andrew Gilbert MD
188970	0	84702	0	0	0	11543	0	16416	0	301631	0	0	0
Kelly McGrath MD
0	143596	0	8769	0	0	0	7283	0	17737	0	177385	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

Schedule J, Part I, Line 3

Methods used to establish CEO's compensation: St. Mary's Hospital & Clinics, Inc. relied on ECHC's, supporting organization of St. Mary's Hospital & Clinics, Inc., methods for establishing St. Mary's Hospital & Clinics, Inc.'s CEO's compensation: a compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee.

Schedule J, Part I Line 4b

Supplemental nonqualified retirement plan: The following individuals listed in Form 990, Part VII, Section A, Line 1a received payment from a supplemental nonqualified retirement plan during the year: Colleen Meza (ECHC) $62,297 Michael Hedrix (ECHC) $76,489 ECHC's nonqualified retirement plan is offered to ECHC executives. There is a minimum two year vesting date, benefits are subject to income taxes upon vesting, and benefits are payable from ECHC's general assets.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Kimberly Harman	NamePerson

Field	Value	IRS element (for citing)
Relationship	Related to Gary Rehder	Relationship
Amount Of Transaction	60980	AmountOfTransaction
Description Of Transaction	Employee of SMH	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part I, Line 1	Organization's mission or most significant activities: St. Mary's Hospital & Clinics, Inc. is a health and human service organization entrusted with the furtherance of the health care mission of the Sisters of St. Scholastica Priory. The hospital and clinics, therefore, are committed to witness God's love for all people, with special concern for the poor and powerless. This mission is accomplished by the provision of competent, compassionate health and wellness services in an environment which enhances human worth.
Form 990, Part III, Line 1	Organization's mission: St. Mary's Hospital & Clinics, Inc. is a health and human service organization entrusted with the furtherance of the health care mission of the Sisters of St. Scholastica Priory. The hospital and clinics, therefore, are committed to witness God's love for all people, with special concern for the poor and powerless. This mission is accomplished by the provision of competent, compassionate health and wellness services in an environment which enhances human worth.
Form 990, Part III, Line 4	Program service accomplishments: St. Mary's Hospital & Clinics, Inc. is created and organized exclusively for charitable, religious, educational and scientific purposes. St. Mary's Hospital & Clinics, Inc. is created and organized to own, maintain, operate & conduct, directly or indirectly, and to assist & coordinate activities of facilities for health care, education, care for the aged and social services in accordance with the charitable works tradition of the Roman Catholic Church. In keeping with this specific purpose, all works shall be carried out in accordance with the charism of the Benedictine Sisters Benevolent Association, a Minnesota nonprofit corporation. In keeping with its mission, St. Mary's is committed to serve all members of its communities by providing free care and/or subsidized care, care for the persons covered by governmental programs at below cost, and providing health activities and programs to support the community. During fiscal year 2010, St. Mary's had 1,113 admissions involving 3,718 hospital patient days and 42,359 outpatient visits in the hospital, emergency room, and clinics. Charity care is provided through many reduced price services and free programs offered throughout the year based upon activities and services which St. Mary's believes will serve a bona fide need. These include health fairs, immunizations clinics, health education classes, rural education training, and wellness programs. St. Mary's provided nearly $131,000 in charity care as well as an additional $178,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2010. Further community benefits provided during the fiscal year include education and workforce development of over $94,000, community services of over $68,000, and cash and in-kind donations of over $34,000.
Form 990, Part VI, Line 2	Family relationship: Lenne Bonner, current officer, and Bryan Higgins, current director, have a family relationship.
Form 990, Part VI, Line 4	Changes to organizational documents: During fiscal year ended June 30, 2010, St. Mary's Hospital & Clinics, Inc.'s bylaws were amended as follows: the conflict of interest and confidentiality provisions were revised, and the restriction for St. Mary's Hospital & Clinics, Inc. employees and contracted individuals to serve as voting board directors was removed.
Form 990, Part VI, Line 6	Members of organization: ECHC may elect one or more members of the governing body as described in Schedule O Part VI Line 7a. Essentia Health and Benedictine Sisters Benevolent Association have reserved powers with respect to St. Mary's Hospital & Clinics, Inc. as described in Schedule O Part VI Line 7b.
Form 990, Part VI, Line 7a	Member with right to elect governing body: According to its Bylaws, ECHC shall appoint and remove St. Mary's Hospital & Clinic's governing body.
Form 990, Part VI, Line 7b	Members with right to approve governing body decisions: St. Mary's Hospital & Clinics, Inc. 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. The Benedictine Sisters Benevolent Association ("BSBA") also has certain reserved powers over all Catholic facilities within Essentia Health. BSBA's reserved powers are as follows: Subject to any approvals that are required under applicable canon law and the prior written notice to ECHC required by Section 2.10 of the Amended and Restated Affiliation Agreement by and among Benedictine Sisters Benevolent Association, Essentia Health, ECHC, and St. Mary's Duluth Clinic Health System dated as of December 21, 2007 (the "Affiliation Agreement"), and to Essentia Health as required by Section 2.11 thereof, Benedictine Sisters Benevolent Association shall have the following powers which shall be exercised by action of the Benedictine Sisters Benevolent Association board of directors unless otherwise provided with respect to all ecclesiastical goods and Catholic facilities and entities within the System (as defined in the Affiliation Agreement, as amended): Mission. Authority to approve the mission, purpose and vision statements for Catholic facilities and entities within the System. Adherence to Ethical Religious Directives (ERDs). Authority to approve the methods, policies and procedures pertaining to the adherence of Catholic facilities and entities within the System to the ERDs, and to require the use of religious symbols, distinguishing elements and prayers. Official Catholic Directory. Authority to request 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 in the System if such goods involved in a specific transaction approved by Essentia Health pursuant to Section 2.8(g) or 2.8(h) of 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. Amendments. Authority to approve any amendments to the Articles of Incorporation or Bylaws of this corporation that would alter the number of Benedictine Sisters of St. Scholastica Monastery of Duluth or Benedictine Sisters Benevolent Association board of director members serving as members of this corporation's board of directors; authority to approve any amendments to the Articles of Incorporation or Bylaws of the Supported Organizations, as well as the Catholic ECHC and SMDC Subsidiaries (as defined in the Affiliation Agreement), which could materially affect such entity's identity as a Catholic institution, including without limitation any amendment that would alter the number of Benedictine Sisters of St. Scholastica Monastery of Duluth or Benedictine Sisters Benevolent Association board of director members serving as members of such entity's board of directors; and authority to cause Essentia Health to make amendments to the Articles of Incorporation or Bylaws of the Supported Organizations, as well as the Catholic ECHC and SMDC Subsidiaries, which amendments Benedictine Sisters Benevolent Association in good faith are necessary to preserve such entity's identity as a Catholic institution. Mission Effectiveness. Authority to approve annual plans and evaluations relating to mission effectiveness and chaplaincy for the Catholic facilities and entities within the System. Mergers and Dissolution. Subject to the approval of the Benedictine Sisters of St. Scholastica Monastery of Duluth, authority to approve a proposed merger, consolidation, liquidation, dissolution, or the disposition of all or substantially all the assets.
Form 990, Part VI, Line 11a	Form 990 review process: The 2009 Form 990 including all schedules was reviewed by St. Mary's Hospital & Clinics, Inc.'s management and governing body on Tuesday, April 26th, 2011 prior to filing with the Internal Revenue Service. Each current director of the governing body received a copy of the 2009 Form 990. St. Mary's Hospital & Clinics, Inc.'s Chief Financial Officer led the review of the form and schedules and any questions were discussed.
Form 990, Part VI, Line 12c	Practices for monitoring and enforcing Conflict of Interest policy: Interested persons shall annually disclose relationships which might lead to a conflict of interest by completing a conflict of interest disclosure form. Interested persons include any person in a position to exercise substantial influence over the organization. It includes but is not limited to any director, officer, management, employee, or committee member of Essentia Health or any of its affiliates. Essentia shall be responsible for the annual distribution of conflict of interest forms and review of disclosures for the governing bodies of Essentia and Essentia Operating Members and for senior management employees of Essentia. Transactions with parties with whom a conflict of interest exists may be undertaken only if all of the following are observed: the conflict of interest is fully disclosed; the interested person with the conflict of interest doesn't participate in the approval of such transactions; if practical or appropriate, a competitive bid or comparable valuation is obtained; and the board or committee of the board has determined that the transaction is in the best interest of the organization. Disclosure by any interested person other than a board or committee member should be made to the Chief Executive Officer (or if she/he is the one with the conflict, then to the board chair), who shall bring the matter to the attention of the board or an appropriate committee of the board. Disclosure involving board or committee members shall be made to the board chair (or if she/he is the one with the conflict, then to the board vice chair), who shall bring these matters to the board or an appropriate committee of the board. The board or committee of the board shall determine whether a conflict exists and if so, whether the contemplated transaction may be authorized as just, fair, and reasonable to Essentia or its affiliate(s). The decision of the board or a duly constituted committee of the board on these matters will be at its sole discretion, and its concern must be the welfare of Essentia and its affiliate(s) and the advancement of its purposes. The decision of the board is final. If the board determines a conflict does not exist, the interested person may proceed with the transaction; however, he/she will not be eligible to vote on related issues should they arise. If the board determines a conflict does exist, the interested person will be notified of the decision regarding whether the contemplated transaction will be authorized as just, fair, and reasonable.
Form 990, Part VI, Line 15 A	Process for determining CEO's compensation: As an employee of ECHC, St. Mary's Hospital & Clinics, Inc.'s CEO's compensation is reviewed and approved by the ECHC Compensation Committee. The purpose of the ECHC Compensation Committee (the "Committee") is to determine the reasonableness of and approve the compensation of ECHC executives consistent with the ECHC and Essentia Health compensation philosophy. The philosophy is to insure that the organization is able to attract, retain and motivate employees as well as provide the opportunity for adjustments to compensation based upon performance. The Committee will consist of members of the ECHC Board of Directors who are not ECHC employees. The compensation review will include all benefits paid to the ECHC executives. The ECHC executives to be reviewed will include all senior/executive vice presidents, all vice presidents, all directors and all ECHC facility administrators/CEOs. The ECHC CEO and CFO compensation will be reviewed and approved by the Essentia Health Board of Directors Compensation Committee. The Committee will meet at least annually to determine the reasonableness of executive compensation as proposed by ECHC management consistent with the ECHC compensation philosophy and to approve the proposed compensation. ECHC management (HR) will (i) monitor trends in the marketplace on an annual basis and, when appropriate, make recommendations to the Committee regarding overall salary range adjustments prior to the annual budgeting process; and (ii) review the market competitiveness of all ECHC executive positions at least once every two years. Prior to making its determination, the Committee will obtain and rely upon appropriate data as to comparability. ECHC will contract with an outside third party to conduct market pricing analysis for the ECHC executives as well as salary range development. The Committee will adequately document the basis for its determination concurrently with making that determination. The Committee minutes shall include: A. The terms of the approved compensation and the date approved; B. The Committee members present during the review, discussion and approval of the proposed compensation and those who voted on the proposed compensation; C. Identification of the comparability data obtained and relied upon by the Committee and how the data was obtained; D. Any actions by a Committee member having a conflict of interest; and E. Documentation of the basis for the determination before the later of the next meeting of the ECHC Board of Directors or sixty (60) days after the final actions of the Committee are taken. The ECHC Board of Directors shall approve the minutes as reasonable, accurate and complete within a reasonable time thereafter The year this process was last undertaken for St. Mary's Hospital & Clinics, Inc.'s CEO was 2009.
Form 990, Part VI, Line 19	Availability of governing documents, conflict of interest policy, and financial statements to the public: St. Mary's Hospital & Clinics, Inc. makes its governing documents, conflict of interest policy, and financial statements available to the public. St. Mary's Hospital & Clinics, Inc.'s governing documents, conflict of interest policy, and financial statements are available to the public upon request. St. Mary's Hospital & Clinics, Inc. 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 VII Section A, Line 1a, Column B	Hours devoted to related organizations: The following individuals listed in Form 990, Part VII, Section A, Line 1a also devoted time each week to related organizations: Gordon Harman: approximately 1 hour Marjorie Kuchynka: approximately 1 hour Marguerite McLaughlin: approximately 1 hour Maurice Masar: approximately 1 hour Larry Coonts: approximately 1 hour Gary Rehder: approximately 1 hour Dan Davis: approximately 6 hours Sister Mary Rochefort: approximately 11 hours Sister Barbara Jean Glodowski: approximately 2 hours Bryan Higgins: approximately 1 hour Lee Pippenger: approximately 1 hour Michael Hedrix is employed as ECHC's Senior Vice President of Operations. 100% of his time is spent furthering the purpose of ECHC organizations and all related organizations. Kelly McGrath, MD is employed by Clearwater Valley Hospital and Clinics, Inc. 100% of his time is spent furthering the purpose of Clearwater Valley Hospital and Clinics, Inc. and St. Mary's Hospital & Clinics, Inc. Colleen Meza is employed by ECHC as Clearwater Valley Hospital and Clinics, Inc.'s and St. Mary's Hospital & Clinics, Inc.'s Chief Executive Officer. 100% of her time is spent furthering the purpose of Clearwater Valley Hospital and Clinics, Inc. and St. Mary's Hospital & Clinics, Inc. Lenne Bonner is employed by Clearwater Valley Hospital and Clinics, Inc. as Clearwater Valley Hospital and Clinics, Inc.'s and St. Mary's Hospital & Clinics, Inc.'s Chief Financial Officer. 100% of her time is spent furthering the purpose of Clearwater Valley Hospital and Clinics, Inc. and St. Mary's Hospital & Clinics, Inc.
Form 990, Part XI, Line 3	Consolidated A-133: St. Mary's Hospital & Clinics, Inc., as part of Essentia Health's consolidated financial statements, was required and underwent a consolidated audit set forth in the Single Audit Act and OMB Circular A-133. The consolidated audit is reviewed by the Essentia Health Audit Committee.
Schedule R, Part V, Column C	Method used to determine value of services, cash, and other assets: The methods used to determine the amounts in Schedule R, Part V, Column C were: Reimbursement of actual costs Fee based upon expected costs

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
Brainerd Lakes Integreated Health System
2024 S 6th St	Brainerd	MN	56401	371532145	Supporting	MN	501(c)(3)	11 II	ECHC
Brainerd Medical Center Inc
2024 S 6th St	Brainerd	MN	56401	371532148	Clinic	MN	501(c)(3)	3	BLIHS
Bridges Medical Center
201 9th St W	Ada	MN	56510	200479568	Clinic/Hosp	MN	501(c)(3)	3	ECHC
Clearwater Valley Hospital & Clinics Inc
301 Cedar	Orofino	ID	83544	820497771	Clinic/Hosp	ID	501(c)(3)	3	ECHC
Divine Medical Services
709 N Lincoln	Jerome	ID	83338	202773717	Emergency Srv	ID	501(c)(3)	3	SBFMC
DL Surgery Center
1027 Washington Ave	Detroit Lakes	MN	56501	263837203	ASC	MN	501(c)(3)	3	ECHC
ECHC Foundation
502 E 2nd St	Duluth	MN	55805	263359418	Foundation	MN	501(c)(3)	11 I	ECHC
ECHC
503 E 3rd St Ste 400	Duluth	MN	55805	261219624	Supporting	MN	501(c)(3)	11 II	Essentia
St Benedict's Family Medical Center
709 N Lincoln	Jerome	ID	83338	820227163	Clinic/Hosp	ID	501(c)(3)	3	ECHC
St Joseph's Medical Center
523 N 3rd St	Brainerd	MN	56401	410695602	Hospital	MN	501(c)(3)	3	BLIHS
St Mary's EMS
1027 Washington Ave	Detroit Lakes	MN	56501	411805811	Emergency Srv	MN	501(c)(3)	9	SMRHC
St Mary's Innovis Health
1027 Washington Ave	Detroit Lakes	MN	56501	262861321	Clinic	MN	501(c)(3)	3	ECHC
St Mary's Regional Health Center
1027 Washington Ave	Detroit Lakes	MN	56501	411620386	Clinic/Hosp	MN	501(c)(3)	3	ECHC
Essentia Health
502 E 2nd St	Duluth	MN	55805	200360007	Supporting	MN	501(c)(3)	11 III		N/A
Innovis Health LLC
1702 S University Dr	Fargo	ND	58103	261175213	Clinic/Hosp	DE	501(c)(3)	3	Essentia
Midwest Medical Equipment & Supply Inc
4418 Haines Rd	Duluth	MN	55811	411674021	Medical Equip	MN	501(c)(3)	9	SMDC
SMDC Medical Center
502 E 2nd St	Duluth	MN	55811	411878730	Clinic/Hosp	MN	501(c)(3)	3	SMDC
Pine Medical Center
109 Court Ave S	Sandstone	MN	55072	411884597	Clinic/Hosp	MN	501(c)(3)	3	SMDC
Polinsky Medical Rehabilitation Center
530 E 2nd St	Duluth	MN	55805	410691275	Clinic/Hosp	MN	501(c)(3)	3	SMMC
St Mary's Duluth Clinic Foundation
400 E 3rd St	Duluth	NM	55805	412016979	Foundation	MN	501(c)(3)	7	SMDC
St Mary's Duluth Clinic Health System
407 E 3rd St	Duluth	MN	55805	411836633	Clinic/Hosp	MN	501(c)(3)	3	Essentia
St Mary's Hospital of Superior
3500 Tower Ave	Superior	WI	54880	411811073	Clinic/Hosp	WI	501(c)(3)	3	SMMC
St Mary's Medical Center
407 E 3rd St	Duluth	MN	55805	410695604	Clinic/Hosp	MN	501(c)(3)	3	SMDC
The Duluth Clinic Ltd
400 E 3rd St	Duluth	MN	55805	410883623	Clinic/Hosp	MN	501(c)(3)	3	SMDC
First Care Medical Services
900 Hilligross Blvd SE	Fosston	MN	56542	410706143	Clinic/Hosp	MN	501(c)(3)	3	ECHC
Minnesota Valley Health Center
621 S 4th St	LeSueur	MN	56058	410837659	Hospital/NH	MN	501(c)(3)	3	ECHC
Essentia Institute of Rural Health
502 E 2nd St	Duluth	MN	55805	271291124	Research	MN	501(c)(3)	4	Essentia
Innovis Health Foundation
502 E 2nd St	Duluth	MN	55805	271984704	Foundation	MN	501(c)(3)	7	Innovis

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	PMC-Gateway Imaging LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	109 Court Ave S	AddressLine1
City	Sandstone	City
State	MN	State
ZIP Code	55072	ZIPCode

Field	Value	IRS element (for citing)
EIN	261634764	EIN
Primary Activity	Imaging Services	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	NONE	PredominantIncomeType
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Code V	$0	CodeVAmount

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
Essentia Health Insurance Services SPC
Buckingham Sq 720 W Bay Rd PO 69	Grand Cayman	Cayman Islands	CJ	KY1-1102	000000000	Insurance	CJ	NA	Foreign Corp	0	0	0.00000
East Range Clinics LTD
					410909915	Clinics		NA	C	0	0	0.00000	910 6th Ave N	Virginia	MN	55792	MN

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Clearwater Valley Hospital and Clinics Inc
n	1122531
Clearwater Valley Hospital and Clinics Inc
o	542675
Clearwater Valley Hospital and Clinics Inc
p	685008
ECHC
o	993408
ECHC
l	380063
Essentia Health
o	487226