ST MARYS REGIONAL HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ST MARYS REGIONAL HEALTH CENTER (EIN 41-1620386)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-12
IRS object ID: 201121329349302447
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T18:34:24-04:00	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	411620386	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Regional Health Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	2188475611	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1027 Washington Ave	AddressLine1
City	Detroit Lakes	City
State	MN	State
ZIP Code	56501	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	THOMAS THOMPSON	Name
Title	CEO	Title
Date Signed	2011-05-09	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	Thomas Thompson	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1027 Washington Ave	AddressLine1
City	Detroit Lakes	City
State	MN	State
ZIP Code	56501	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	66032451	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.trustedcareforlife.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1988	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	We are called to serve our community by providing exceptional health care for life.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	728	TotalNbrEmployees
Total Nbr Volunteers	193	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	82463	ContributionsGrantsPriorYear
Contributions Grants Current Year	85967	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	54052789	ProgramServiceRevenuePriorYear
Program Service Revenue CY	65184960	ProgramServiceRevenueCY
Investment Income Prior Year	-3080111	InvestmentIncomePriorYear
Investment Income Current Year	-678667	InvestmentIncomeCurrentYear
Other Revenue Prior Year	206759	OtherRevenuePriorYear
Other Revenue Current Year	386029	OtherRevenueCurrentYear
Total Revenue Prior Year	51261900	TotalRevenuePriorYear
Total Revenue Current Year	64978289	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	23696130	SalariesEtcPriorYear
Salaries Etc Current Year	37006953	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	29970769	OtherExpensePriorYear
Other Expenses Current Year	27677925	OtherExpensesCurrentYear
Total Expenses Prior Year	53666899	TotalExpensesPriorYear
Total Expenses Current Year	64684878	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2404999	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	293411	RevenuesLessExpensesCY
Total Assets BOY	79584970	TotalAssetsBOY
Total Assets EOY	98017385	TotalAssetsEOY
Total Liabilities BOY	52344517	TotalLiabilitiesBOY
Total Liabilities EOY	69103790	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	27240453	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	28913595	NetAssetsOrFundBalancesEOY
Mission Description	We are called to serve our community by providing exceptional health care for life.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	46720984	Expense
Grants	0	Grants
Revenue	57359086	Revenue
Description	See Schedule O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6026762	Expense
Grants	0	Grants
Revenue	6071022	Revenue
Description	See Schedule O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1498001	Expense
Grants	0	Grants
Revenue	1755102	Revenue
Description	See Schedule O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	54245747	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	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	19	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	728	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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	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	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RYAN HILL	NamePerson
Telephone Number	2188470852	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1027 WASHINGTON AVE	AddressLine1
City	Detroit Lakes	City
State	MN	State
ZIP Code	56501	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Thomas Thompson
CEO/Board Director	60.0	X	X	0	327868	85303
Cyndi Anderson
Board Vice Chair	5.0	X	X	0	0	0
Bruce Hein
Board Director	5.0	X		0	0	0
Rhoda Hooper
Board Director	5.0	X		0	0	0
Laurie Lewandowski
Board Director	5.0	X		0	1200	0
Kevin Mann
Board Director	5.0	X		0	0	0
Daniel McGinty
Board Director	60.0	X		0	594238	112597
Sister Pauline Micke
Board Director	5.0	X		0	0	0
Paul Nistler
Board Chair	5.0	X	X	0	0	0
Lois Solheim
Board Director	5.0	X		0	0	0
Sister Luella Wegscheid
Board Secretary	5.0	X	X	0	0	0
George Portilla MD
Board Director	40.0	X		0	570545	41174
Robert Koshnick MD
Board Director	40.0	X		0	139622	25284
Abigail Ring MD
Chief Medical Officer	60.0		X	0	195332	35842
Ryan Hill
Chief Financial Officer	60.0		X	103215	33917	13321
James Christensen MD
Senior Administrative Leader	40.0			0	360717	40174	X
Bradley Refsland MD
Senior Administrative Leader	40.0			0	154702	24896	X
Jean Evans
Senior Administrator	40.0			131425	0	9077		X
Richard Martin MD
Physician	40.0			235972	0	31425		X
Mark Lindquist MD
Physician	40.0			232563	0	29320		X
Carl Kaster MD
Physician	40.0			242521	0	14560		X
Wendy Stephens MD
Physician	40.0			147126	0	18816		X
Christy Brinkmann
Nursing Home Administrator	40.0			109824	0	26222			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1202646	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2378141	TotalReportableCompFrmRltdOrgs
Total Other Compensation	508011	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 (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Comstock Constructions Inc of MN
PO Box 396 1003 Progress Dr	FERGUS FALLS	MN	56538	Construction	2216628
SISU Medical Systems
5 W 1st St Ste 200	DULUTH	MN	55802	Software Support	613201
Frauenshuh Health Care Real Estate
7101 West 78th Street Suite 100	MINNEAPOLIS	MN	55439	Construction	452899
Medquist Transcriptions LTD
PO Box 29307	NEW YORK	NY	100879307	Transcription	292515
DMS
PO Box 8070	FARGO	ND	581098070	Diagnostic Imaging	287067

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
Related Organizations	5655	RelatedOrganizations
Government Grants	850	GovernmentGrants
All Other Contributions	79462	AllOtherContributions
Total Contributions	85967	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL/CLINIC SERVICES	621110	57358836	57358836
NURSING CENTER SERVICES	623000	6071022	6071022
ASSISTED & INDEPENDENT LIVING SERVICES	623000	1755102	1755102

Field	Value	IRS element (for citing)
Total Program Service Revenue	65184960	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	375495	TotalRevenueColumn
Exclusion	$375,495	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	5806	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	5806	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	5806	TotalRevenueColumn
Related Or Exempt Function Income	250	RelatedOrExemptFunctionIncome
Exclusion	$5,556	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	662818	Securities
Other	391344	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-662818	Securities
Other	-391344	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1054162	TotalRevenueColumn
Exclusion	-$1,054,162	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	722210	130414	$130,414
LIFELINE EMERGENCY ALARMS	621610	67910	$67,910
INFORMATION SYSTEMS REBATE	900099	76332	$76,332

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	105567	TotalRevenueColumn
Exclusion	$105,567	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	380223	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	64978289	TotalRevenueColumn
Related Or Exempt Function Income	65185210	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$292,888	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	141090	Total
Management And General	141090	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	29929144	Total
Program Services	25665655	ProgramServices
Management And General	4263489	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	824019	Total
Program Services	753071	ProgramServices
Management And General	70948	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2660345	Total
Program Services	2471130	ProgramServices
Management And General	189215	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3452355	Total
Program Services	2482087	ProgramServices
Management And General	970268	ManagementAndGeneral

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	25920	Total
Management And General	25920	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	24435	Total
Management And General	24435	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	2149	Total
Management And General	2149	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	107503	Total
Management And General	107503	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5198048	Total
Program Services	2701221	ProgramServices
Management And General	2496827	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	214193	Total
Program Services	210342	ProgramServices
Management And General	3851	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8894810	Total
Program Services	8552894	ProgramServices
Management And General	341916	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	750207	Total
Program Services	31113	ProgramServices
Management And General	719094	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1210108	Total
Program Services	701863	ProgramServices
Management And General	508245	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	98416	Total
Program Services	85218	ProgramServices
Management And General	13198	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	87594	Total
Program Services	61092	ProgramServices
Management And General	26502	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1181301	Total
Program Services	1181301	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3327876	Total
Program Services	3327876	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	865954	Total
Program Services	865954	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR UNCOLLECTIBLE AC	2913368	2913368
MINNESOTA CARE TAX	686187	686187
MEDICAL CARE SURCHARGE	585460	585460
REPAIRS AND MAINTENANCE	552891	545755	7136
DUES & FEES	254099	82097	172002

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	697406	Total
Program Services	342063	ProgramServices
Management And General	355343	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	64684878	Total
Program Services	54245747	ProgramServices
Management And General	10439131	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4676590	BOY
EOY	5313335	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3026120	BOY
EOY	2332860	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9915589	BOY
EOY	10323046	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	38000	BOY
EOY	16839	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1441316	BOY
EOY	1566140	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	151893	BOY
EOY	129753	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	73159193	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	26208974	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	43319931	BOY
EOY	46950219	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	696521	BOY
EOY	10576953	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	15577697	BOY
EOY	16839262	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	3094391	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	741313	BOY
EOY	874587	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	79584970	BOY
EOY	98017385	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2931310	BOY
EOY	4646899	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	33160723	BOY
EOY	45730928	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4215811	BOY
EOY	14253648	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	10312500	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1724173	BOY
EOY	4472315	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	52344517	BOY
EOY	69103790	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	27240453	BOY
EOY	28913595	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	27240453	BOY
EOY	28913595	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	79584970	BOY
EOY	98017385	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	false	FederalGrantAuditRequired

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	true	DirectContactLegislators
Direct Contact Legislators	$1,356	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$793	OtherActivitiesAmount
Total Lobbying Expenditures IIB	2149	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 11-B	Identifier
Explanation	Line 1g Thomas Thompson, St. Mary's Regional Health Center's CEO, traveled to Washington DC to meet with congressional leaders to seek their support of appropriation requests for autism, women's health, and rural clinics. Line 1i Member of Minnesota Hospital Association. A percentage of membership fees is related to lobbying expense.	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	4265276	OtherCostOrOtherBasis
Book Value	4265276	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	51702787	OtherCostOrOtherBasis
Depreciation	16351756	Depreciation
Book Value	35351031	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13193142	OtherCostOrOtherBasis
Depreciation	9527996	Depreciation
Book Value	3665146	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3997988	OtherCostOrOtherBasis
Depreciation	329222	Depreciation
Book Value	3668766	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	46950219	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	194916	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	POOLED INVESTMENT FUND	Description
Book Value	16644346	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	16839262	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
NON CURRENT SWAP LIABILITY	$1,802,718
ASSET RETIREMENT OBILIGATION	$265,365
PAYABLES TO RELATED TAX-EXEMPT ORG	$2,404,232

Field	Value	IRS element (for citing)
Total Of Amounts	4472315	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

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	150.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
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	217	PersonsServed
Total Community Benefit Expense	97289	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	97289	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14632617	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9414635	DirectOffsettingRevenue
Net Community Benefit Expense	5217982	NetCommunityBenefitExpense
Percent Of Total Expense	0.08080	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	217	PersonsServed
Total Community Benefit Expense	14729906	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9414635	DirectOffsettingRevenue
Net Community Benefit Expense	5315271	NetCommunityBenefitExpense
Percent Of Total Expense	0.08230	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	7964	PersonsServed
Total Community Benefit Expense	201275	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1030	DirectOffsettingRevenue
Net Community Benefit Expense	200245	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	19	PersonsServed
Total Community Benefit Expense	10485	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	10485	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1834	PersonsServed
Total Community Benefit Expense	65937	TotalCommunityBenefitExpense
Direct Offsetting Revenue	982	DirectOffsettingRevenue
Net Community Benefit Expense	64955	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	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	3	NumberOfActivitiesOrPrograms
Persons Served	21	PersonsServed
Total Community Benefit Expense	36205	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	36205	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	9838	PersonsServed
Total Community Benefit Expense	313902	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2012	DirectOffsettingRevenue
Net Community Benefit Expense	311890	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	10055	PersonsServed
Total Community Benefit Expense	15043808	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9416647	DirectOffsettingRevenue
Net Community Benefit Expense	5627161	NetCommunityBenefitExpense
Percent Of Total Expense	0.08720	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)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	6964	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	6964	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	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)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	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	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	6964	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	6964	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,465,425	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	9890726	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	12352165	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2461439	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 (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
St Mary's Regional Health Center
1027 Washington Ave	Detroit Lakes	MN	56501	X	X	X
St Mary's Innovis Health-Detroit Lakes
125 Frazee Street E	Detroit Lakes	MN	56501				Clinic
St Mary's Innovis Health-Frazee Clinic
114 W Main Street	Frazee	MN	56544				Clinic
St Mary's Innovis Health-Lake Park
2049 2nd Street	Lake Park	MN	56554				Clinic
St Mary's Innovis Health-Mahnomen
117 N Main Street	Mahnomen	MN	56557				Clinic
Winchester On Washington
1051 Washington Ave	Detroit Lakes	MN	56501				Senior Living
St Mary's Innovis Health Nursing Center
1040 Lincoln Ave	Detroit Lakes	MN	56501				Nursing Home
Lincoln Park Senior Apartments
208 Oak Street	Detroit Lakes	MN	56501				Senior Living
Lincoln Park Assisted Living
208 Oak Street	Detroit Lakes	MN	56501				Assisted Living
St Mary's Innovis Health Home Health
114 Frazee Street E	Detroit Lakes	MN	56501				Home Health
St Mary's Innovis Health-Home Health
1005 1st Street	Lake Park	MN	56554				Home Health

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 Regional Health Center'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 Regional Health Center'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	There are no subsidized costs attributable to a physician clinic.	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 $2,913,368.	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 Regional Health Center 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. Part III, line 9b - 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.	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 Regional Health Center assesses community needs through a variety of methods. One is the United Way's community needs assessment. We have leaders within our organization who sit on the United Way's board of directors and who have input as to the composition of the survey. As an organization and as the community's largest employer, we promote the survey with our employees and encourage their participation. We also receive the final results of the survey and use that information in our planning process. There is a lot of cross pollination regarding our relationship with the United Way. We also hold focus groups with community members to assess the care they (or a family member) received while in our facility. From the comments received, we develop action plans to address their concerns. We have a very active community relations committee whose purpose is to develop educational programs for our community members. On average, we host over 12 programs each year. We routinely survey those in attendance to learn what other health care issues they are interested in learning about. From those comments, we plan our following year of educational opportunities.	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: St Mary's Regional Health Center has Financial Counselors who are available to patients with questions regarding payment of their medical bills. All staff have been trained to refer patients to the Financial Counselors and we have literature throughout the hospital and medical office buildings in regards to our Community Benefit Programs. Financial Counselors educate patients on different options of government programs; charity care; as well as referrals to public health for additional services that St Mary's Regional Health Center may not be able to provide.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: St. Mary's Regional Health Center is located in Detroit Lakes, MN. St. Mary's is a part of the larger Essentia Health System, which is defined in Part VI, Line 7. St. Mary's Regional Health Center consists of 1 hospital, 4 clinics, nursing center, home health, and assisted and independent living apartments. Defined as a rural community, St. Mary's Regional Health Center serves Becker County and has a presence in the cities of Detroit Lakes, Lake Park, Mahnomen, Frazee and Pelican Rapids. Becker County is the sixth poorest county in the State of Minnesota for children under age 5 living in poverty and eighth poorest for all children birth through 18 years of age. Under "normal circumstances" St. Mary's Regional Health Center sees many folks who have a need for assistance with their medical care costs. St. Mary's has an established fund designated to assist those who cannot afford their medical expenses. St. Mary's and its related clinics cover a population of over 29,000 people. The service region consists of an MUA (Medically Underserved Area) which is defined as an area having too few primary care providers, high infant mortality, high poverty and /or elderly population. Our service area is also designated as a Health Professional Shortage Area (HPSA) for mental health. HPSAs are defined as a county or service area having shortages of primary medical care, dental or mental health providers. The average income of the service area is slightly above $54,000. Approximately 8.8% of the population falls below federal poverty guidelines. St. Mary's Regional Health Center, along with the rest of Essentia Health, is committed to serve patients regardless of their ability to pay. 14.5% of patients seen by St. Mary's or their corresponding facilities were uninsured patients. In addition, almost 26% of their patients were Medicaid recipients. As mentioned above, St. Mary's Regional Health Center 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 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: Essentia Health St. Mary's (EHSM) Lactation Program - The Lactation Program includes education for MDs and nurses from both medical systems in our community; inpatient and outpatient lactation support; development of policies and protocols that support early initiation of breastfeeding; development of lactation friendly spaces throughout the EHSM facilities to serve patients, employees, and community visitors. We are offering prenatal lactation classes to the public.	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 Regional Health Center's board of directors is composed of volunteer representatives from the community it serves. St. Mary's Regional Health Center has an open Medical Staff, so any qualified physician of the community is allowed to apply. All applicants that apply must meet the credentialing standards and be approved by our governing board in order to come and provide services in our system. We participate in an annual Blood screening drive at the facility, and also take that service out to certain large businesses in town. We provide for numerous community education events through our speaker's bureau on various health topics. We reinvest in the organization by acquiring the latest state of the art equipment and by investing in programs that are needed in our community including same-day walk-in clinic, Hospitalist program, chemotherapy, a new Urology service, mental health services, and a pain clinic service. St. Mary's Regional Health Center community health improvement services provide support and education in the community. Some examples are: Breastfeeding support group facilitation/planning, childbirth education classes, health fair, infant massage, nursing student clinicals and student interns. In addition, we support a community kid's summer bike ride. We partner with our local community center and encourage exercise thru biking by inviting kids to bike a designated path/distance. Our funding of this keeps the cost minimal for those participating. We also partner with the local community center to provide a diabetes camp for teens. The camp not only provides fun and education for teens, it also educates parents on their child's diabetes. This past year, we participated in a Women's Expo where we offered a bone scan for free to participants. If the results warranted, attendees were encouraged to follow up with their primary care provider for further testing. St. Mary's Regional Health Center is part of a larger system, Essentia Health. As a non-profit organization, Essentia Health is focused on reinvesting surplus revenues into programs and technology that improve patient care. One of the most significant investments has been in the area of electronic health records, which are being rolled out across the health system's network of hospitals and clinics. The majority of Essentia hospitals and clinics will be linked via one central EHR by the end of 2011, thanks in part to significant investments made in 2010. We also continue to replace and upgrade technology, ranging from CT scanners to robotic surgery devices that ensure patients in our predominantly rural communities have access to these needed services in their home communities. We are also investing in the development of medical homes, which are designed to improve health outcomes for patients, particularly those with chronic diseases. Much of this work is currently not reimbursed by state or federal programs, so Essentia Health assumes responsibility for medical home costs. Essentia also supports the health of our communities through active research and clinical trials through the Essentia Institute of Rural Health. Various Essentia Health organizations contributed almost $1.5 million in support to the Institute over the past year. The Institute conducts clinical, translational and health services research with a primary focus on the needs of rural Americans.	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 Regional Health Center 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	MN	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 (13 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
Abigail Ring MD
0	186757	0	7184	0	1391	0	17596	0	18246	0	231174	0	0
Thomas Thompson
0	284004	0	43120	0	744	0	49771	0	35532	0	413171	0	0
Daniel McGinty
0	367261	0	131156	0	95821	0	72695	0	39902	0	706835	0	94753
Ryan Hill
103215	33917	0	0	0	0	6280	1696	5345	0	114840	35613	0	0
James Christensen MD
0	301616	0	57808	0	1293	0	22694	0	17480	0	400891	0	0
George Portilla MD
0	489387	0	79745	0	1413	0	22694	0	18480	0	611719	0	0
Bradley Refsland MD
0	126643	0	26508	0	1551	0	8366	0	16530	0	179598	0	0
Richard Martin MD
235972	0	0	0	0	0	14560	0	16865	0	267397	0	0	0
Mark Lindquist MD
232563	0	0	0	0	0	14196	0	15124	0	261883	0	0	0
Carl Kaster MD
242521	0	0	0		0	13102	0	1458	0	257081	0	0	0
Wendy Stephens MD
147126	0	0	0	0	0	7987	0	10829	0	165942	0	0	0
Robert Koshnick MD
0	80192	0	58971	0	459	0	9138	0	16146	0	164906	0	0
Christy Brinkmann
99824	0	10000	0	0	0	19626	0	6596	0	136046	0	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 Regional Health Center relied on ECHC's, supporting organization of St. Mary's Regional Health Center, methods for establishing St. Mary's Regional Health Center'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: Daniel McGinty (ECHC) $94,753 Thomas Thompson (ECHC) $0 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
Cass County North Dakota
456002205	148047AU7	2010-02-25	59573111	Series 2008 A Reoffered	false	false
WI Health and Education Facilities Authority
391337855	97710BSD5	2010-02-25	12854722	Series 2008 B Reoffered	false	false
Minnesota Agricultural and Economic Development Bd
416007162	6049202HO	2010-02-25	165717405	Series 2008 C Reoffered	false	false
Minnesota Agricultural and Economic Development Bd
416007162	6049202M9	2010-06-25	109535000	Series 2010 Bonds	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4438197	0	0	0	true	false	false	true
957677	0	0	0	true	false	false	true
12345946	271893	141497	0	true	false	false	true
25331034	9886095	105939	3245905	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	false	false	false	false	false
false	true	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Rosemary McGuire	NamePerson

Field	Value	IRS element (for citing)
Relationship	Related to Dr. Refsland	Relationship
Amount Of Transaction	94463	AmountOfTransaction
Description Of Transaction	Employee of SMRHC	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part III, Line 4	Program service accomplishments: St Mary's Regional Health Center is created & organized exclusively for charitable, religious, education & scientific purposes. St Mary's Regional Health Center is created & organized to own, maintain, operate & conduct, directly or indirectly, & to assist & coordinate activities of facilities for health care, education, care for the aged & 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. St Mary's Regional Health Center employs over 400 full time equivalents. St Mary's Regional Health Center provided over $97,000 in charity care as well as an additional $5,200,000 of costs incurred in excess of Medicaid payments received and over $400,000 in discounts to uninsured patients during the fiscal year ended June 30, 2010. Further community benefits provided during the fiscal year include community services of over $207,000, subsidized health services of over $64,000, education and workforce development of over $10,000, and cash & in-kind donations of over $36,000.
Form 990, Part III, Line 4a	Program service accomplishments: St Mary's Regional Health Center's hospital is a modern facility licensed for 87 beds. The hospital features a 12-bed women's unit with four birthing rooms, three operating rooms, 24 hour CRNA services, x-ray, CT, mobile MRI, & lab. The hospital provided for over 6,000 hospital patient days during the fiscal year ended June 30, 2010. St Mary's Regional Health Center's is certified as a Level III Trauma Hospital meeting the high standards of clinical equipment & staff training. St. Mary's Regional Health Center provides multi-specialty Clinic services to a wide array of patients in four different communities in Detroit Lakes, MN. Clinic services include Primary Care, Obstetrics, Orthopedics, Podiatry, General Surgery, Geriatrics, and Psychology. The clinic had over 57,000 encounters during the fiscal year ended June 30, 2010. The service area for St. Mary's Regional Health Center includes Becker County, which is one of the poorest counties in MN. The patients served by St. Mary's Regional Health Center include a large indigent population that is culturally and financially diverse.
Form 990, Part III, Line 4b	Program service accomplishments: St Mary's Nursing Center provides a loving atmosphere where all residents are treated with the utmost dignity by a specialized team of physicians, nurses, therapists, social workers, & chaplains. The Memory Care Program promotes a calm & therapeutic environment tailored to meet the unique needs of individuals & their families dealing with progressive dementia. Resident days were over 28,000 during the fiscal year ended June 30, 2010.
Form 990, Part III, Line 4c	Program service accomplishments: St Mary's Regional Health Center's assisted living offers independent living with assistance & senior housing offers independent living unless assistance is requested. The secure apartments provide a modern, comfortable living environment supported by services & amenities to offer seniors choices to enhance their health & quality of life.
Form 990, Part VI, Line 2	Business relationship: Laurie Lewandowski, current director, & Paul Nistler, current director, have a business relationship in SJE-Rhombus.
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 Regional Health Center 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 Regional Health Center's governing body.
Form 990, Part VI, Line 7b	Members with right to approve governing body decision: St. Mary's Regional Health Center 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 Innovis Health's management and Executive Committee on Monday, April 11th, 2011 and St. Mary's Innovis Health's governing body, Monday, May 9th, 2011 prior to filing with the Internal Revenue Service. St Mary's Regional Health Center's Chief Financial Officer led the review of the form and schedules and any questions were discussed. Each current director of the governing body received a copy of the 2009 Form 990.
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 & B	Process for determining compensation: As an employee of ECHC, St. Mary's Regional Health Center's CEO's compensation is reviewed and approved by the ECHC's 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 ensure 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 Regional Health Center's CEO was 2009. As an employee of Innovis Health, LLC, St. Mary's Regional Health Center's Chief Medical Officer's and Senior Administrative Leaders' compensation is reviewed and approved by the Innovis Health, LLC Executive Committee. The Executive Committee reviews and approves the compensation plan annually. The annual compensation plan review includes a review of comparative market surveys, recommended compensation plan design and methodologies for the fiscal year, and the total compensation budget. The year this process was last undertaken for St. Mary's Regional Health Center's Chief Medical Officer and Senior Administrative Leaders 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 Regional Health Center makes its governing documents, conflict of interest policy, and financial statements available to the public. St Mary's Regional Health Center's governing documents, conflict of interest policy, and financial statements are available to the public upon request. St. Mary's Regional Health Center 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: Paul Nistler: approximately 2 hours Cyndi Anderson: approximately 7 hours Laurie Lewandowski: approximately 6 hours Bruce Hein: approximately 1 hour Sister Luella Wegscheid: approximately 2 hours Sister Pauline Micke: approximately 6 hours Lois Solheim: approximately 1 hour Rhoda Hooper: approximately 2 hours George Portilla, MD is employed by Innovis Health, LLC. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. Robert Koshnick, MD is employed by Innovis Health, LLC. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. Daniel McGinty is employed as ECHC's Chief Executive Officer. 100% of his time is spent furthering the purpose of ECHC and all related organizations. Thomas Thompson is employed by ECHC as St. Mary's Innovis Health's Chief Executive Officer. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. Abigail Ring, MD is employed by Innovis Health, LLC as St. Mary's Innovis Health's Chief Medical Officer. 100% of her time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. Ryan Hill is employed by St. Mary's Regional Health Center as St. Mary's Innovis Health's Chief Financial Officer. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. James Christensen, MD is employed by Innovis Health, LLC as one of St. Mary's Regional Health Center's Senior Administrative Leaders. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations. Bradley Refsland MD is employed by Innovis Health, LLC as one of St. Mary's Regional Health Center's Senior Administrative Leaders. 100% of his time is spent furthering the purpose of St. Mary's Innovis Health and its' related organizations.
Schedule K, Part I	Additional information/coments relating to the reporting of liabilities by related organizations: Essentia Health has an Obligated Group created under the Master Indenture which is composed of the following Members: Essentia Health, ECHC, St. Mary's Duluth Clinic Health System, St. Joseph's Medical Center, St. Mary's Regional Health Center, St. Mary's Medical Center, Inc., SMDC Medical Center, formerly known as Miller-Dwan Medical Center, Inc., Nat G. Polinsky Memorial Rehabilitation Center, Inc., St. Mary's Hospital of Superior, Brainerd Medical Center, Inc., Brainerd Lakes Integrated Health System, St. Mary's Innovis Health, The Duluth Clinic, Ltd. and Innovis Health, LLC (the "Obligated Group Members" or the "Members of the Obligated Group"). The Members of the Obligated Group are jointly and severally obligated on all indebtedness evidenced or secured by Notes issued under the Master Indenture. The Series 2008A reoffered bonds are secured by Notes issued under the Master Indenture. Essentia Health is the conduit borrower of the Series 2008A reoffered bonds. The Obligated Group Members, ECHC, Innovis Health, LLC, The Duluth Clinic, Ltd., and St. Mary's Regional Health Center, are indirect beneficiaries of the Series 2008A reoffered borrowing and have recorded the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2008B reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health and St. Mary's Hospital of Superior are the conduit borrowers of the Series 2008B reoffered bonds. The conduit borrower, The Duluth Clinic, Ltd., has recorded a portion of the bond liability on its balance sheet which is consolidated with Essentia Health. The Obligated Group Members, ECHC, Innovis Health, LLC, and St. Mary's Regional Health Center, are indirect beneficiaries of a portion of the Series 2008B reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2008C reoffered bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: St. Mary's Duluth Clinic Health System, St. Joseph's Medical Center, St. Mary's Regional Health Center, The Duluth Clinic, Ltd., Essentia Health, and St. Mary's Medical Center, Inc. are the conduit borrowers of the Series 2008C reoffered bonds. The conduit borrowers, St. Mary's Regional Health Center and The Duluth Clinic, Ltd., have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, ECHC and Innovis Health, LLC, are indirect beneficiaries of a portion of the Series 2008C reoffered borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Series 2010 bonds are secured by Notes issued under the Master Indenture. The Obligated Group Members: The Duluth Clinic, Ltd., Essentia Health, St. Joseph's Medical Center, St. Mary's Duluth Clinic Health System, St. Mary's Medical Center, Inc. and St. Mary's Regional Health Center are the conduit borrowers of the Series 2010 bonds. The conduit borrowers, The Duluth Clinic, Ltd., Essentia Health, St. Joseph's Medical Center, and St. Mary's Regional Health Center, have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health. The Obligated Group Members, ECHC and Innovis Health, LLC, are indirect beneficiaries of a portion of the Series 2010 borrowing and have recorded a portion of the bond liability on their balance sheets which are consolidated with Essentia Health.
Schedule K, Part I, Column (E)	Issue Price: Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 Bonds were issued by the Essentia Health Obligated Group. The issue price listed in St. Mary's Regional Health Center's Schedule K Part I Column (e) represents the Essentia Health Obligated Group's total borrowing.
Schedule K, Part I, Column (F)	Description of Purpose: Series 2008A Reoffered: Refund Series 2008 A-1 and A-2 bonds issued March 4, 2008 to refinance a portion of the acquisition of certain assets of Innovis Health in connection with the affiliation of Essentia Health with Innovis Health. Series 2008B Reoffered: Refund Series 2008 B-1 bonds issued March 4, 2008 to refund Series 1999B bonds issued May 18, 1999 for construction projects and equipment purchases in Superior, WI and various Duluth Clinic locations in northwestern Wisconsin. Series 2008C Reoffered: Refund Series 2008 C-5 and 2008 C-4A bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and refund Series 1999A bonds issued May 18, 1999 for various acquisitions, construction projects, capital improvements and equipment purchases in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota. Series 2010 Bonds: Refund Series 1993C and 1993E bonds issued January 15, 1993 and refund Series 2008 C-3 and 2008 C-4B bonds issued March 4, 2008 to refund Series 2004 bonds issued March 19, 2004 for various acquisitions, construction projects, capital improvements and equipment purchases in Duluth, Brainerd, and Detroit Lakes, MN and various Duluth Clinic sites in northern Minnesota and finance various construction projects, capital improvements and equipment purchased in Brainerd, Detroit Lakes and Duluth, MN and various Duluth Clinic sites in northern Minnesota.
Schedule K, Part II, Lines 1 Through 7	Proceeds: Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 Bonds were issued by the Essentia Health Obligated Group. A portion of the Series 2008A Reoffered, Series 2008B Reoffered, Series 2008C Reoffered, and Series 2010 Bonds borrowing were allocated to St. Mary's Regional Health Center, an Essentia Health Obligated Group Member. The proceeds listed in St. Mary's Regional Health Center's Schedule K Part II Lines 2 through 7 represent St. Mary's Regional Health Center's allocated portion of the proceeds.
Schedule K, Part II, Line 5	Identify portions of the amount entered relating to issuance costs and credit enhancement fees: Series 2008C Reoffered: The total amount reported in Part II Line 5 represents the amount of proceeds used to pay bond issuance costs. Series 2010: The total amount reported in Part II Line 5 represents the amount of proceeds used to pay bond issuance costs.
Schedule K, Part II, Line 8	Year of Substantial Completion: N/A
Schedule K, Part III, Line 3C	Routinely engage bond counsel to review management, service contracts, or research agreements: None
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
Brainerd Lakes Integrated Health System
2024 S 6th St	Brainerd	MN	56401	371532145	Supporting	MN	501(c)(3)	11 II	ECHC
Brainerd Meidcal 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 and Clinics
301 Cedar Ave	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 Linoln	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 Hospital & Clinics Inc
PO Box 137	Cottonwood	ID	83522	820226453	Clinic/Hosp	ID	501(c)(3)	3	ECHC
St Mary's Innovis Health
1027 Washington Ave	Detroit Lakes	MN	56501	262861321	Clinic	MN	501(c)(3)	3	ECHC
Essentia Health
502 E 2nd St	Duluth	MN	55805	200360007	Supporting	MN	501(c)(3)	11 III FI	NA
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	55805	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	MN	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	Direct Controlling Entity NADirectControllingEntityNA	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Essentia Health Insurance Services SPC
Buckingham Sq 720 W Bay Rd PO Bx 69	Grand Cayman	CA	CJ	KY1-1102	000000000	Insurance	CJ	N/A	Foreign Corp	0	0	0.00000
East Range Clinics LTD
					410909915	Clinics			C	0	0	0.00000	910 6th Ave N	Virginia	MN	55792	MN	NA

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	true	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	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	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	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
St Mary's Innovis Health
o	10480760
St Mary's Foundation (An assoc of ECHC Fdn)
c	541636
St Mary's Foundation (An assoc of ECHC Fdn)
n	68252
St Mary's Foundation (An assoc of ECHC Fdn)
p	61589
Innovis Health LLC
l	169049
St Mary's Innovis Health
n	3499054
ECHC
o	4261818
ECHC
l	1167732
Essentia Health
o	1072648
Essentia Health
q	187871