2011-05-12T18:34:24-04:00 2010-06-30 990 2009-07-01 411620386 St Mary's Regional Health Center STMA 2188475611 1027 Washington Ave Detroit Lakes MN 56501 THOMAS THOMPSON 2011-05-09 2009 2016-02-24 21:20:13Z Thomas Thompson 1027 Washington Ave Detroit Lakes MN 56501 66032451 false 0928 X www.trustedcareforlife.org X 1988 MN We are called to serve our community by providing exceptional health care for life. 12 8 728 193 0 0 82463 85967 54052789 65184960 -3080111 -678667 206759 386029 51261900 64978289 0 0 0 0 23696130 37006953 0 0 0 29970769 27677925 53666899 64684878 -2404999 293411 79584970 98017385 52344517 69103790 27240453 28913595 We are called to serve our community by providing exceptional health care for life. false false 46720984 0 57359086 See Schedule O 6026762 0 6071022 See Schedule O 1498001 0 1755102 See Schedule O 54245747 true true false true false false false false false true false true false false false false false false false false true false false true true false false false false false false false false true false false false false false false true true false false true 19 0 true 728 true false false false false false false false false false 12 8 true false false false true true true true true false false true true true true true true true true false MN X RYAN HILL 2188470852 1027 WASHINGTON AVE Detroit Lakes MN 56501 Thomas Thompson 60.0 X X 0 327868 85303 Cyndi Anderson 5.0 X X 0 0 0 Bruce Hein 5.0 X 0 0 0 Rhoda Hooper 5.0 X 0 0 0 Laurie Lewandowski 5.0 X 0 1200 0 Kevin Mann 5.0 X 0 0 0 Daniel McGinty 60.0 X 0 594238 112597 Sister Pauline Micke 5.0 X 0 0 0 Paul Nistler 5.0 X X 0 0 0 Lois Solheim 5.0 X 0 0 0 Sister Luella Wegscheid 5.0 X X 0 0 0 George Portilla MD 40.0 X 0 570545 41174 Robert Koshnick MD 40.0 X 0 139622 25284 Abigail Ring MD 60.0 X 0 195332 35842 Ryan Hill 60.0 X 103215 33917 13321 James Christensen MD 40.0 X 0 360717 40174 Bradley Refsland MD 40.0 X 0 154702 24896 Jean Evans 40.0 X 131425 0 9077 Richard Martin MD 40.0 X 235972 0 31425 Mark Lindquist MD 40.0 X 232563 0 29320 Carl Kaster MD 40.0 X 242521 0 14560 Wendy Stephens MD 40.0 X 147126 0 18816 Christy Brinkmann 40.0 X 109824 0 26222 1202646 2378141 508011 10 true true false 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 10 5655 850 79462 85967 HOSPITAL/CLINIC SERVICES 621110 57358836 57358836 NURSING CENTER SERVICES 623000 6071022 6071022 ASSISTED & INDEPENDENT LIVING SERVICES 623000 1755102 1755102 65184960 375495 375495 0 0 5806 5806 5806 250 5556 662818 391344 -662818 -391344 -1054162 -1054162 0 0 0 CAFETERIA 722210 130414 130414 LIFELINE EMERGENCY ALARMS 621610 67910 67910 INFORMATION SYSTEMS REBATE 900099 76332 76332 105567 105567 380223 64978289 65185210 0 -292888 0 0 0 0 141090 141090 0 29929144 25665655 4263489 824019 753071 70948 2660345 2471130 189215 3452355 2482087 970268 0 25920 25920 24435 24435 2149 2149 0 107503 107503 5198048 2701221 2496827 214193 210342 3851 8894810 8552894 341916 750207 31113 719094 0 1210108 701863 508245 98416 85218 13198 0 87594 61092 26502 1181301 1181301 0 3327876 3327876 865954 865954 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 697406 342063 355343 64684878 54245747 10439131 0 4676590 5313335 3026120 2332860 9915589 10323046 38000 16839 1441316 1566140 151893 129753 73159193 26208974 43319931 46950219 696521 10576953 15577697 16839262 0 3094391 741313 874587 79584970 98017385 2931310 4646899 33160723 45730928 4215811 14253648 10312500 0 1724173 4472315 52344517 69103790 X 27240453 28913595 0 0 27240453 28913595 79584970 98017385 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1356 false true 793 2149 false false Schedule C, Part 11-B 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. 4265276 4265276 51702787 16351756 35351031 13193142 9527996 3665146 3997988 329222 3668766 46950219 194916 F POOLED INVESTMENT FUND 16644346 F 16839262 0 NON CURRENT SWAP LIABILITY 1802718 ASSET RETIREMENT OBILIGATION 265365 PAYABLES TO RELATED TAX-EXEMPT ORG 2404232 4472315 Schedule D, Part X 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. true true X true X true X 150. true true false true true 217 97289 0 97289 0.00150 14632617 9414635 5217982 0.08080 0 0 0 0.00000 217 14729906 9414635 5315271 0.08230 24 7964 201275 1030 200245 0.00310 3 19 10485 0 10485 0.00020 2 1834 65937 982 64955 0.00100 0 0 0 0.00000 3 21 36205 0 36205 0.00060 32 9838 313902 2012 311890 0.00490 32 10055 15043808 9416647 5627161 0.08720 0 0 0 0.00000 0 0 0 0.00000 4 6964 0 6964 0.00010 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 4 6964 0 6964 0.00010 true 1465425 0 9890726 12352165 -2461439 X true true 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 The organization uses federal poverty guidelines. 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. 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. There are no subsidized costs attributable to a physician clinic. Bad debt expense that was subtracted from total expense to obtain the % of community benefit to total expense amounted to $2,913,368. 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. 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. 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. Not applicable. 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. 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. 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. 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. 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. 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. MN X X X X X false true false false false false false false false 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 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. 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 4438197 0 0 0 0 0 0 true false false true 957677 0 0 0 0 0 0 true false false true 12345946 0 0 271893 141497 0 0 true false false true 25331034 0 0 9886095 105939 0 3245905 true false false true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false false false false false false false false true false false false false Rosemary McGuire Related to Dr. Refsland 94463 Employee of SMRHC false 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 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 PMC-Gateway Imaging LLC 109 Court Ave S Sandstone MN 55072 261634764 Imaging Services MN NA NONE 0 0 0 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 910 6th Ave N Virginia MN 55792 410909915 Clinics MN NA C 0 0 0.00000 false false true false false false false false false true true true false true true true true false 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