ST MARYS MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ST MARYS MEDICAL CENTER (EIN 41-0695604)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-12
IRS object ID: 201141329349303489
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 D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T16:18:02-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	410695604	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	2187861421	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 East Third Street	AddressLine1
City	Duluth	City
State	MN	State
ZIP Code	55805	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BARBARA JOHNSON	Name
Title	CFO	Title
Date Signed	2011-05-10	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	BARBARA JOHNSON CFO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	407 EAST THIRD STREET	AddressLine1
City	DULUTH	City
State	MN	State
ZIP Code	55805	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	367851450	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	smdc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1888	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	St. Mary's Medical Center exist's to witness the love of God through compassionate and competent health services for all, especially the poor and powerless.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	3302	TotalNbrEmployees
Total Nbr Volunteers	1069	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	3329	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	354504910	ProgramServiceRevenuePriorYear
Program Service Revenue CY	355067369	ProgramServiceRevenueCY
Investment Income Prior Year	-14986838	InvestmentIncomePriorYear
Investment Income Current Year	7111918	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3230267	OtherRevenuePriorYear
Other Revenue Current Year	3140001	OtherRevenueCurrentYear
Total Revenue Prior Year	342748339	TotalRevenuePriorYear
Total Revenue Current Year	365322617	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	769361	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	15050	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	175389740	SalariesEtcPriorYear
Salaries Etc Current Year	174683127	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1270499	TotalFundrsngExpCurrentYear
Other Expense Prior Year	146934351	OtherExpensePriorYear
Other Expenses Current Year	150750338	OtherExpensesCurrentYear
Total Expenses Prior Year	323093452	TotalExpensesPriorYear
Total Expenses Current Year	325448515	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	19654887	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	39874102	RevenuesLessExpensesCY
Total Assets BOY	574936250	TotalAssetsBOY
Total Assets EOY	591801013	TotalAssetsEOY
Total Liabilities BOY	149987840	TotalLiabilitiesBOY
Total Liabilities EOY	130624674	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	424948410	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	461176339	NetAssetsOrFundBalancesEOY
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	242793502	Expense
Grants	15050	Grants
Revenue	355067369	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	242793502	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	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	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	179	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3302	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	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	BARBARA JOHNSON CFO	NamePerson
Telephone Number	2187861421	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	407 EAST THIRD STREET	AddressLine1
City	DULUTH	City
State	MN	State
ZIP Code	55805	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 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
S KATHLEEN HOFER
CHAIRPERSON, PRESIDENT SMMC BD	60.0	X	X	0	0	0
S SARAH SMEDMAN
SMMC BOARD DIRECTOR	10.0	X		0	0	0
FRANK JEWELL
VICE PRESIDENT, SMMC BOARD	10.0	X	X	0	0	0
S LINDA WIGGINS
SMMC BOARD DIRECTOR	10.0	X		0	0	0
S MELANIE GAGNE
SMMC BOARD DIRECTOR	10.0	X		0	0	0
THOMAS C STENDER
SECRETARY, SMMC BOARD	10.0	X	X	1045	0	0
ED J CRAWFORD
SMMC BOARD DIRECTOR	10.0	X		770	0	0
CAROL FARCHMIN MD
SMMC BOARD DIRECTOR	10.0	X		0	0	0
S MARY RAE HIGGINS
SMMC BOARD DIRECTOR	10.0	X		0	0	0
GEORGE F HOLLIDAY MD
SMMC BOARD DIRECTOR	60.0	X		0	198881	43533
ANDREW LISAK
SMMC BOARD DIRECTOR	10.0	X		0	0	0
JOSEPH J MIHALEK
SMMC BOARD DIRECTOR	10.0	X		660	0	0
KEVIN T STEPHAN MD
SMMC BOARD DIRECTOR	60.0	X		0	232721	37025
ROBERT NORMAN
CHIEF FINANCIAL OFFICER	60.0		X	0	531094	106313
BARBARA JOHNSON
CHIEF FINANCIAL OFFICER	60.0		X	0	82570	12252
MARIBETH OLSON
CHIEF OPERATING OFFICER	60.0		X	315421	0	76534
ALBERT J DEIBELE MD
CLINICAL CHIEF	60.0			0	700741	51251	X
ROCKLON CHAPIN
EXECUTIVE VP HOSPITAL DIVISION	60.0			0	416411	59759	X
MICHAEL F MCAVOY
VICE PRESIDENT ACUTE CARE & DI	60.0			0	208541	51165	X
TERRI L RUBERG
VICE PRESIDENT PATIENT CARE OP	60.0			198469	0	58571	X
MICHAEL C METCALF
EXECUTIVE VP CLINICAL DIVISION	60.0			0	422737	76772	X
HUGH P RENIER MD
VICE PRESIDENT MEDICAL AFFAIRS	60.0			353342	0	78421		X
STEVEN F JOHNSTON
CDO, EXECUTIVE DIRECTOR	60.0			184312	0	55677		X
MARY C SHAW
COO, ADMINISTRATOR	60.0			168882	0	51149		X
KAREN M ENGEN
RN	40.0			161683	0	9770		X
ANNE M MEYER
RN	40.0			153131		33734		X
DAVID H AMUNDSON
SENIOR VICE PRESIDENT FINANCE	0.0			172427	0	8426			X
DENNIS W DASSENKO
CHIEF INFORMATION OFFICER	60.0			0	324185	72089			X
DIANE T DAVIDSON
SR VICE PRES HUMAN RESOURCES	60.0			0	285092	60122			X
MICHAEL J MAHONEY
VP OF GOVERNMENT AFFAIRS	60.0			0	221023	47717			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1710142	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3623996	TotalReportableCompFrmRltdOrgs
Total Other Compensation	990280	TotalOtherCompensation
Number Individuals GT100 K	95	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
LAKE SUPERIOR LAUNDRY
PO BOX 488	SUPERIOR	WI	54880	LAUNDRY SERVICES	1279434
FRESENUIS MEDICAL CARE
PO BOX 77000 DETROIT	DETROIT	MI	48277	DIALYSIS SERVICES	562846
AIM HEALTHCARE SERVICES
PO BOX 292377	NASHVILLE	TN	37229	MEDICAL CLAIMS SVCS	1243478
NORTHERN PRINTING AND PROMOTION INC
1914 W SUPERIOR ST	DULUTH	MN	55806	PRINTING SERVICES	584296
OTIS ELEVATOR COMPANY
PO BOX 73579	CHICAGO	IL	60673	ELEVATOR MAINT SVCS	344148

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	18	NumberOfContractorsGT100K
Government Grants	3329	GovernmentGrants
Total Contributions	3329	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT REVENUE	Description
Business Code	621400	BusinessCode
Total Revenue Column	355067369	TotalRevenueColumn
Related Or Exempt Function Income	355067369	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	355067369	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2025400	TotalRevenueColumn

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	64540	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	64540	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	64540	TotalRevenueColumn
Exclusion	$64,540	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5065611	Securities
Other	2215134	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	2194227	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5065611	Securities
Other	20907	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5086518	TotalRevenueColumn
Exclusion	$5,086,518	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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	784851	GrossSalesOfInventory
Cost Of Goods Sold	334606	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	450245	TotalRevenueColumn
Exclusion	$450,245	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA REVENUE	900099	1615509	$1,615,509
CHILD CARE REVENUE	900099	293020	$293,020
PARKING REVENUE	812930	715193	$715,193

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1494	TotalRevenueColumn
Exclusion	$1,494	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2625216	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	365322617	TotalRevenueColumn
Related Or Exempt Function Income	355067369	RelatedOrExemptFunctionIncome
Exclusion	$8,226,519	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	15050	Total
Program Services	15050	ProgramServices

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	712139	Total
Program Services	712139	ProgramServices

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	128768813	Total
Program Services	100635235	ProgramServices
Management And General	27691889	ManagementAndGeneral
Fundraising	441689	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13013777	Total
Program Services	3831417	ProgramServices
Management And General	9157540	ManagementAndGeneral
Fundraising	24820	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	22866422	Total
Program Services	16002700	ProgramServices
Management And General	6812313	ManagementAndGeneral
Fundraising	51409	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9321976	Total
Program Services	7244697	ProgramServices
Management And General	2045518	ManagementAndGeneral
Fundraising	31761	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	139396	Total
Management And General	139396	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	292768	Total
Management And General	292768	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

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	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19129570	Total
Program Services	15034395	ProgramServices
Management And General	3946636	ManagementAndGeneral
Fundraising	148539	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	315126	Total
Program Services	2630	ProgramServices
Management And General	310671	ManagementAndGeneral
Fundraising	1825	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	71430634	Total
Program Services	64919063	ProgramServices
Management And General	6462665	ManagementAndGeneral
Fundraising	48906	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4960928	Total
Program Services	474014	ProgramServices
Management And General	4483417	ManagementAndGeneral
Fundraising	3497	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3528564	Total
Program Services	251319	ProgramServices
Management And General	3277245	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1004685	Total
Program Services	680643	ProgramServices
Management And General	320555	ManagementAndGeneral
Fundraising	3487	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	823124	Total
Program Services	197395	ProgramServices
Management And General	587672	ManagementAndGeneral
Fundraising	38057	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	3347520	Total
Management And General	3347520	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	1947258	Total
Program Services	1947258	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15571709	Total
Program Services	6092794	ProgramServices
Management And General	9474198	ManagementAndGeneral
Fundraising	4717	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	282911	Total
Program Services	111219	ProgramServices
Management And General	171692	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	14772409	14469471	302938
MINNESOTA CARE TAX	3938349	3862887	75462
MEDICAL CARE SURCHARGE	2917637	2861546	56091
EQUIPMENT REPAIR	1904650	1052036	852459	155
DUES & SUBSCRIPTIONS	1341467	1079312	254868	7287

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3101633	Total
Program Services	1316282	ProgramServices
Management And General	1321001	ManagementAndGeneral
Fundraising	464350	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	325448515	Total
Program Services	242793502	ProgramServices
Management And General	81384514	ManagementAndGeneral
Fundraising	1270499	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	56200293	BOY
EOY	13125793	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4350192	BOY
EOY	18062139	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	49598577	BOY
EOY	45950582	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	6677173	BOY
EOY	235992920	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7868280	BOY
EOY	7702819	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	867874	BOY
EOY	1171708	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	254697594	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	187015858	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	71580961	BOY
EOY	67681736	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	109653423	BOY
EOY	1796726	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	252625541	BOY
EOY	195605726	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	4577046	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	5027577	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	10486359	BOY
EOY	133818	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	574936250	BOY
EOY	591801013	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	40732494	BOY
EOY	42567846	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	25304999	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1930000	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	82020347	BOY
EOY	88056828	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	149987840	BOY
EOY	130624674	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	424948410	BOY
EOY	461176339	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	424948410	BOY
EOY	461176339	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	574936250	BOY
EOY	591801013	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 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	1586106	OtherCostOrOtherBasis
Book Value	1586106	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	153862848	OtherCostOrOtherBasis
Depreciation	111631597	Depreciation
Book Value	42231251	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	98756656	OtherCostOrOtherBasis
Depreciation	74918259	Depreciation
Book Value	23838397	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	491984	OtherCostOrOtherBasis
Depreciation	466002	Depreciation
Book Value	25981	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	67681735	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
DEPR RESERVE LONG TERM POOL	185806454	F
VHA COMMON STOCK	400000	C
BOARD DESIGNATED RESERVE	1775476	F
LTC RESERVE	7479989	F
MISC OTHER SECURITIES	143807	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	195605726	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
MN CARE TAX PAYABLE	$1,377,845
ACCRUED REAL ESTATE TAXES	$87,885
WORKERS COMP IBNR	$6,163,108
PENSION LIABILITY	$62,745,235
SMDC PENSION LIABILITY	$9,455,158
BENEFIT PLAN LIABILITY	$4,577,046
ASSET RETIRE OBLIGAT LIABILITY	$841,753
INTEREST SWAP LIABILITY	$2,739,084
MISC OTHER LIABILITY	$69,714

Field	Value	IRS element (for citing)
Total Of Amounts	88056828	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE D PART X:	Identifier
Return Reference	FIN 48 FOOTNOTE-	ReturnReference
Explanation	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
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
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)
Total Community Benefit Expense	2535438	TotalCommunityBenefitExpense
Net Community Benefit Expense	2535438	NetCommunityBenefitExpense
Percent Of Total Expense	0.00780	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	97369587	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79296625	DirectOffsettingRevenue
Net Community Benefit Expense	18072962	NetCommunityBenefitExpense
Percent Of Total Expense	0.05550	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	618955	TotalCommunityBenefitExpense
Net Community Benefit Expense	618955	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	100523980	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79296625	DirectOffsettingRevenue
Net Community Benefit Expense	21227355	NetCommunityBenefitExpense
Percent Of Total Expense	0.06520	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	342	PersonsServed
Total Community Benefit Expense	2618	TotalCommunityBenefitExpense
Net Community Benefit Expense	2618	NetCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	4506427	TotalCommunityBenefitExpense
Direct Offsetting Revenue	389715	DirectOffsettingRevenue
Net Community Benefit Expense	4116712	NetCommunityBenefitExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	72953	TotalCommunityBenefitExpense
Net Community Benefit Expense	72953	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	15200	TotalCommunityBenefitExpense
Net Community Benefit Expense	15200	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	342	PersonsServed
Total Community Benefit Expense	4597198	TotalCommunityBenefitExpense
Direct Offsetting Revenue	389715	DirectOffsettingRevenue
Net Community Benefit Expense	4207483	NetCommunityBenefitExpense
Percent Of Total Expense	0.01300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	342	PersonsServed
Total Community Benefit Expense	105121178	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79686340	DirectOffsettingRevenue
Net Community Benefit Expense	25434838	NetCommunityBenefitExpense
Percent Of Total Expense	0.07820	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$6,325,546	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	102535138	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	97168111	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	5367027	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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	407 EAST THIRD STREET	AddressLine1
City	DULUTH	City
State	MN	State
ZIP Code	55805	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

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 Medical 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 Medical 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 cost for the following community benefits: 1) Charity Care; 2) Unreimbursed Medicaid; 3) Unreimbursed cots - other means-tested government Programs. 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 $14,772,409.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Provide rationale and costing methodology used to determine amount reported in Part III, Lines 2 and 3: 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. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Also describe the method the organization uses to determine the amount that reasonable can be attributable to patients who likely would qualify for financial assistance under the organization's charity care policy if sufficient information had been available to make a determination of their eligibility: 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. Provide the text to the footnote of the organization's audited financial statements that describes the organization's 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	Describe the costing methodology used in determining the Medicare Allowable Cost reported in the organization's Medicare Cost Report as reflected in the amount reported in Part III, Line 6: 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. Describe, if applicable, the extent to which any shortfall reported in Part III, Line 7 should be treated as a community benefit and provide the rationale for the organization's opinion: St. Mary's Medical 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.	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	St. Mary's Medical Center's parent corporation, SMDC Health System, provides significant financial support for a health-care needs assessment survey, called "Bridge to Health," which collects and analyzes population-based health data on adults in northeastern Minnesota and northwestern Wisconsin (hospital's primary service area). The Bridge to Health survey is conducted by Duluth, Minnesota-based non-profit that supports programs and activities which improve the physical health and mental well-being of underserved populations. We also provide financial support for the United Way of Greater Duluth's ongoing assessment of community needs, including (but not limited to) health-related issues in children and adults. The findings of these assessments are the basis for determining community programs supported by our organization.	NeedsAssessment
Patient Education Assistance	St. Mary's Medical Center has financial assistance packets that contain information about their charity care program as well as contact information on other federal and state government programs. These packets are distributed to patients once a financial need has been determined either through patient request or staff referrals. The charity care policy and application is available on the SMDC website at www.smdc.org. Because financial assistance packets are given to patients when a need is determined, they may be given to the patient at any point (admission, discharge, during the billing process). St. Mary's Medical Center has financial counselors on staff to assist patients in Medicaid, Medicare and other assistance programs (including the charity care program) that may be available to them. Contact information for the Financial Counselors is available on the SMDC website and is also included on the back of the billing statements. All hospital staff have been trained to refer patients to the financial counselor. The financial counselors often assist patients with the application process, mailing and follow up.	PatientEducationAssistance
Community Information	St. Mary's Medical Center is located in Duluth, MN. St. Mary's is a part of the larger Essentia Health System, which is defined in Part VI, Line 7. St. Mary's Medical Center consists of 1 hospital that service the St. Louis county area. The overall community is classified as a combination of suburban and rural communities. St. Mary's and its related clinics cover a population of over 460,000 people. The service region consists of 17.08% of the population over the age of 65, 20.21% of the population under the age of 18, 7.03% of the population is of a minority racial background, almost a 50/50 split between genders, 49.18% of the population have a high school diploma or less. The average income of the service area is slightly below $53,000. Approximately 7.9% of the population falls below federal poverty guidelines. St. Mary's Medical Center, along with the rest of Essentia Health, is committed to serve patients regardless of their ability to pay. 2.3% of patients seen by St. Mary's or their corresponding clinics were uninsured patients. In addition, slightly more than 14% of their patients were Medicaid recipients. As mentioned above, St. Mary's Medical 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 its smaller communities. This eliminates barriers to care for many patients, particularly those who are elderly, living on low incomes, or are faced with other challenges that make it difficult to travel long distances for care. There are 13 other hospitals outside of the Essentia Health umbrella that service the community.	CommunityInformation
Community Building Activities	Not applicable.	CommunityBuildingActivities
Other Information	St. Mary's Medical Center's board of directors is composed of volunteer representatives from the community it serves. St. Mary's Medical 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. St. Mary's Medical Center is a part of the SMDC Health System. SMDC Health System's consolidated community benefits are summarized below: Benefits for person living in poverty: Charity care at cost $4,885,965 Cost-to-Charge Ratio Unreimbursed Medicaid $56,377,438 Cost-to-Charge Ratio Unreimbursed costs other means- tested government programs $1,066,229 Actual Costs Total Charity Care and Means- Tested Government Programs $62,329,632 Total Benefits for the broader community Community health improvement services & community benefit operations $2,618 Actual Costs Health professions education $5,839,665 Actual Costs Subsidized health services $72,953 Actual Costs Research $1,201,804 Actual Costs Financial & in-kind contributions $275,206 Actual Costs Total Other Benefits $7,392,246 Total Community building activities $242,045 Actual Costs Unpaid cost of public programs, Medicare $87,220,121 Cost-to-Charge Ratio Other care provided without compensation (bad debt) $18,044,106 Cost-to-Charge Ratio Discounts offered to uninsured patients $3,723,529 Actual Costs Taxes and fees $2,521,033 Actual Costs Total Community Benefit $181,472,712 Total St. Mary's Medical Center is a 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 in 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. We also support 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	St. Mary's Medical 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	32 E 1ST ST STE 200	AddressLine1
City	DULUTH	City
State	MN	State
ZIP Code	55802	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	411350021	EINOfRecipient
IRC Section	501(c)3	IRCSection
Amount Of Cash Grant	15000	AmountOfCashGrant
Purpose Of Grant	PROGRAM SUPPORT 2010	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF ORGANIZATION PROCEDURES FOR MONITORING THE USE OF GRANTS:	Identifier
Return Reference	FORM 990, SCHEDULE I, PART 1, LINE 2-	ReturnReference
Explanation	FOR GRANTS OVER $5,000 RECIPIENTS ARE REQUIRED TO PROVIDE A WRITTEN REPORT TO THE GRANT COMMITTEE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	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 (18 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
HUGH P RENIER MD
288458	0	51371	0	13513	0	49753	0	28668	0	431763	0	13513	0
DAVID H AMUNDSON
0	0	0	0	172427	0	0	0	8426	0	180853	0	28744	0
ROBERT NORMAN
0	377302	0	123763	0	30029	0	60196	0	46117	0	637407	0	29138
MARIBETH OLSON
257201	0	46390	0	11830	0	49320	0	27214	0	391955	0	11830	0
GEORGE F HOLLIDAY MD
0	198881	0	0	0	0	0	20512	0	23021	0	242414	0	0
KEVIN T STEPHAN MD
0	232721	0	0	0	0	0	23000	0	14025	0	269746	0	0
ALBERT J DEIBELE MD
0	700741	0	0	0	0	0	23000	0	28251	0	751992	0	0
ROCKLON CHAPIN
0	310325	0	106086	0	0	0	45721	0	14038	0	476170	0	0
MICHAEL F MCAVOY
0	176545	0	31996	0	0	0	31908	0	19257	0	259706	0	0
TERRI L RUBERG
161588	0	27584	0	9297	0	33899	0	24672	0	257040	0	9297	0
MICHAEL C METCALF
0	306907	0	115830	0	0	0	50184	0	26588	0	499509	0	0
STEVEN F JOHNSTON
120264	0	23241	0	40807	0	29000	0	26677	0	239989	0	8678	0
MARY C SHAW
142887	0	25995	0	0	0	30001	0	21148	0	220031	0	0	0
KAREN M ENGEN
161683	0	0	0	0	0	0	0	9770	0	171453	0	0	0
ANNE M MEYER
153131		0		0		6724		27010		186865		0
DENNIS W DASSENKO
0	232906	0	91279	0	0	0	48134	0	23955	0	396274	0	0
DIANE T DAVIDSON
0	205277	0	79815	0	0	0	34658	0	25464	0	345214	0	0
MICHAEL J MAHONEY
0	188769	0	32254	0	0	0	36990	0	10727	0	268740	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE J EXPLANATIONS:	Identifier
Explanation	METHOD FOR ESTABLISHING THE COMPENSATION OF COO: PART I, LINE 3- SMDC HEALTH SYSTEM RELIED ON THE FOLLOWING METHOD FOR ESTABLISHING THE COMPENSATION OF MARIBETH OLSON, COO: A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEVERANCE PAYMENT: PART I, LINE 4A- FORMER OFFICER, DAVID AMUNDSON, a former employee of related organization, St. Mary's Medical Center, RECEIVED PAYMENT TOTALING $145,987 IN TAX YEAR 2009 RELATED TO HIS TERMINATION. THE TERMINATION TERMS ARE JANUARY 7, 2008 UNTIL JULY 7, 2009. MR. AMUNDSON WILL RECEIVE PAY TOTALING $457,260 AND BENEFITS TOTALING $14,581 RELATED TO HIS TERMINATION. All other individuals listed as Formers in Form 990, Par VII, Section A, Line 1a remain employed within Essentia Health and its subsidiaries and are not receiving a severance payment. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PART I, LINE 4B- THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: MARIBETH OLSON (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $11,830 DAVID AMUNDSON (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $28,744 STEVEN JOHNSTON (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $ 8,678 HUGH RENIER (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $13,513 TERRI RUBERG (ST. MARY'S DULUTH CLINIC HEALTH SYSTEM) $ 9,297 ROBERT NORMAN (ECHC) $29,138 ST. MARY'S DULUTH CLINIC HEALTH SYSTEM'S NONQUALIFIED PLAN IS OFFERED TO DESIGNATED ST. MARY'S DULUTH CLINIC HEALTH SYSTEM'S EXECUTIVES. THERE IS A MINIMUM TWO YEAR VESTING DATE, BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING, AND BENEFITS ARE PAYABLE FROM ST. MARY'S DULUTH CLINIC HEALTH SYSTEM'S GENERAL ASSETS. 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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Ryan M Olson	NamePerson

Field	Value	IRS element (for citing)
Relationship	Son of SMMC Officer	Relationship
Amount Of Transaction	12565	AmountOfTransaction
Description Of Transaction	Employee of SMMC	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE O EXPLANATIONS:	FORM 990, PART III: ORGANIZATION'S MISSION- St. Mary's Medical Center exists to witness to the love of God through compassionate and competent health services for all, especially the poor and powerless. As a Benedictine-sponsored Catholic organization, we promote the highest level of physical, emotional, and spiritual health and well-being for all persons, from the moment of conception until their providential end. As a member of the SMDC Health System, we help bring the soul and science of healing to the people we serve. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: PART III LINE 4- St. Mary's Medical Center is organized and operated exclusively for charitable, scientific, and educational purposes. In furtherance of its purposes, St. Mary's Medical Center provides health care services in Minnesota through its 380 bed medical center. The hospital offers a broad range of inpatient and outpatient state-of-art services for its patients, including Level II Emergency (trauma) services, intensive care units, neurosurgery, medical surgical care, orthopedics, neuroscience, digestive health, family and pediatrics services, and heart and vascular services. In accordance with the Federal Emergency Medical Treatment and Active Labor Act, any person who presents at the hospital seeking treatment of an emergency medical condition is given a medical screening and necessary stabilizing treatment regardless of the person's ability to pay. Beyond its hospital services, St. Mary's Medical Center also offers educational programs for the community, such as parenting classes and child safety programs such as bicycle helmet fitting, bicycle safety, and pedestrian safety. St. Mary's Medical Center also participates in continuing education programs for health care professionals. St. Mary's Medical Center employs over 3,300 full time equivalents. The hospital provided for over 73,500 hospital patient days and over 40,400 emergency visits. St. Mary's Medical Center provided over $2,550,000 in charity care as well as an additional $11,200,000 of costs incurred in excess of Medicaid payments received during the fiscal year ended June 30, 2010. Further community benefits provided during the fiscal year include community services of over $4,500,000 and cash & in-kind donations of over $17,800. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 6- St. Mary's Duluth Clinic Health System may elect one or more members of the governing body as described in Schedule O Part VI 7a. Essentia Health and Benedictine Sisters Benevolent Association have reserved powers with respect to St. Mary's Medical Center as described in Schedule O Part VI Line 7b. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 7A- According to its Bylaws, St. Mary's Duluth Clinic Health System shall appoint and remove St. Mary's Medical Center's governing body. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 7B- St. Mary's Medical 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.
SCHEDULE O EXPLANATION CONTINUED:	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.
SCHEDULE O EXPLANATION CONTINUED:	FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 11A- The 2009 Form 990 including all schedules were reviewed by St. Mary's Medical Center's management and St. Mary's Duluth Clinic Health System's governing body on May 4, 2011 prior to filing with the Internal Revenue Service. Each current director of the governing body received a copy of the 2009 Form 990. St. Mary's Medical Center's CFO led the review of the forms and schedules and any questions were discussed. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 12C- 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN: PART VI, QUESTION 15A- The executive compensation committee of the board of directors of SMDC Health System fulfills the board's responsibility regarding compensation of SMDC Health System's (SMDC) executives consistent with SMDC's mission, values, and tax exempt status. The committee reviews and makes decisions based on information presented by the SMDC President and Chief Administrative Officer concerning the performance of the system and senior executives of SMDC. The committee provides oversight for incentive compensation program(s) in a manner consistent with the executive compensation philosophy, annually they evaluate the performance of SMDC against approved corporate goals and objectives, including a review of system results and supporting documentation for all members covered by the SMDC incentive compensation program and report such findings to the Essentia Health Executive Compensation Committee. The year this process was last undertaken for SMDC was 2008. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN: PART VI, QUESTION 15B- The executive compensation committee of the board of directors of SMDC Health System fulfills the board's responsibility regarding compensation of SMDC Health System's (SMDC) executives consistent with SMDC's mission, values, and tax exempt status. The committee reviews and makes decisions based on information presented by the SMDC President and Chief Administrative Officer concerning the performance of the system and senior executives of SMDC. The committee provides oversight for incentive
SCHEDULE O EXPLANATION CONTINUED:	compensation program(s) in a manner consistent with the executive compensation philosophy, annually they evaluate the performance of SMDC against approved corporate goals and objectives, including a review of system results and supporting documentation for all members covered by the SMDC incentive compensation program and report such findings to the Essentia Health Executive Compensation Committee. The year this process was last undertaken for SMDC was 2008. Essentia's Chief Financial Officer's compensation is determined by the Executive Compensation Committee of Essentia Health's Board of Directors. The executive compensation committee of Essentia Health's Board of Directors is authorized to fulfill the Board's responsibilities regarding executive compensation consistent with Essentia's mission, values, tax-exempt status, and the executive compensation committee's charter. The executive compensation committee meets at least twice annually to carry out its responsibilities, which include, but are not limited to, establishing, reviewing & modifying, as appropriate, reasonable compensation & benefits for Essentia's Chief Executive Officer. The executive compensation committee engages qualified independent compensation advisors to provide objective & impartial comparative data & to express opinions on total compensation reasonableness. The executive compensation committee may request its independent advisors to: monitor comparability data & marketplace trends; make appropriate recommendations regarding salary ranges; & periodically review the market competitiveness of Essentia's executive compensation packages. Prior to establishing or adjusting executive compensation, the executive compensation committee will obtain & rely upon appropriate data as to comparability of the proposed compensation or adjustments. The executive compensation committee will adequately document the basis for its determination concurrently with making those determinations. The executive compensation committee minutes shall include: the terms of the approved compensation & the date approved; the executive compensation committee members present during the review, discussion & approval of the proposed compensation & those who voted on the proposed compensation; identification of the comparability data obtained & relied upon by the executive compensation committee & how the data was obtained; any actions by a member of the executive compensation committee having a conflict of interest; & documentation of the basis for the determination. The year this process was last undertaken for Essentia's CFO was 2008. FORM 990 GOVERNANCE, MANAGEMENT, AND DISCLOSURE: PART VI LINE 19-AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE PUBLIC- St. Mary's Medical Center makes its governing documents, conflict of interest policy, and financial statements available to the public. St. Mary's Medical Center's governing documents, conflict of interest policy, and financial statements are available to the public upon request. St. Mary's Medical Center is part of Essentia Health's consolidated financials statements which are included in Essentia Health's annual report posted on Essentia Health's web site. HOURS DEVOTED TO RELATED ORGANIZATIONS: PART VII SECTION A LINE 1A COLUMN B- Robert Norman is employed by ECHC as Essentia Health's Chief Financial Officer. 100% of his time is spent furthering the purpose of Essentia Health and all related organizations. Barbara Johnson is employed by SMDC Medical Center as Chief Financial Officer. 100% of her time is spent furthering the purpose of SMDC Health System and all of it's related organizations. MariBeth Olson, is employed by St. Mary's Medical Center as Chief Operating Officer. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Sister Kathleen Hofer is employed by St. Mary's Medical Center as Essentia Health's Senior Vice President, Benedictine Sponsorship. 100% of her time is spent furthering the purpose of Essentia Health and all related organizations. George Holliday, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Kevin Stephan, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Albert Deibele, MD is employed by The Duluth Clinic, Ltd. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Rocklon Chapin, is employed by SMDC Medical Center as one of SMDC Health System's Executive Vice Presidents. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Michael McAvoy, is employed by SMDC Medical Center as one of SMDC Health System's Vice Presidents. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Terri Ruberg, is employed by St. Mary's Medical Center as one of SMDC Health System's Vice Presidents. 100% of her time is spent furthering the purpose of SMDC Health System and it's related organizations. Michael Metcalf, is employed by SMDC Medical Center as one of SMDC Health System's Executive Vice Presidents. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. Hugh Renier, MD, is employed by St. Mary's Medical Center as Vice President of Medical Affairs for St. Mary's Medical Center. 100% of his time is spent furthering the purpose of SMDC Health System and it's related organizations. 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 (27 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	SUPPORT ORG	MN	501 C 3	11 II	ECHC
BRAINERD MEDICAL CENTER INC
2024 S 6TH ST	BRAINERD	MN	56401	371532148	CLINIC	MN	501 C 3	3	BLIHS
BRIDGES MEDICAL CENTER
201 9TH ST W	ADA	MN	56510	200479568	CLINIC HOSPIT	MN	501 C 3	3	ECHC
CLEARWATER VALLEY HOSPITAL & CLINICS INC
301 CEDAR	OROFINO	ID	83544	820497771	CLINIC HOSPIT	ID	501 C 3	3	ECHC
DIVINE MEDICAL SERVICES
709 N LINCOLN	JEROME	ID	83338	202773717	EMERGENCY SER	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
FIRST CARE MEDICAL SERVICES
900 HILLIGROSS BLVD SE	FOSSTON	MN	56542	410706143	CLINIC HOSPIT	MN	501 C 3	3	ECHC
MINNESOTA VALLEY HEALTH CENTER
621 S 4TH ST	LE SUEUR MN	MN	56058	410837659	HOSPITAL NURS	MN	501 C 3	3	ECHC
ST BENEDICTS FAMILY MEDICAL CENTER
709 N LINCOLN	JEROME	ID	83338	820227163	CLINIC HOSPIT	ID	501 C 3	3	ECHC
ST JOSEPHS MEDICAL CENTER
523 N 3RD ST	BRAINERD	MN	56401	410695602	HOSPITAL	MN	501 C 3	3	BLIHS
ST MARYS EMS
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	411805811	EMERG HOSPITA	MN	501 C 3	9	SMRHC
ST MARYS HOSPITAL AND CLINICS INC
P O BOX 137	COTTONWOOD	ID	83522	820226453	CLINIC HOSPIT	ID	501 C 3	3	ECHC
ST MARYS INNOVIS HEALTH
1027 WASHINGTON AVE	DETROIT	MN	56501	262861321	CLINIC	MN	501 C 3	3	ECHC
ST MARYS REG HLTH CTR DBA INNOVIS HLTH
1027 WASHINGTON AVE	DETROIT LAKES	MN	56501	411620386	CLINIC HOSPIT	MN	501 C 3	3	ECHC
ESSENTIA HEALTH
502 E 2ND ST	DULUTH	MN	55805	200360007	SUPPORT ORG	MN	501 C 3	11 III FI	NA
ESSENTIA INSTITUTE OF RURAL HEALTH
502 E 2ND ST	DULUTH	MN	55805	271291124	RESEARCH	MN	501 C 3	4	ESSENTIA
INNOVIS HEALTH LLC
1702 S UNIVERSITY DR	FARGO	ND	58103	261175213	CLINIC HOSPIT	DE	501 C 3	3	ESSENTIA
INNOVIS HEALTH FOUNDATION
502 E 2ND ST	DULUTH	MN	55805	271984704	FOUNDATION	MN	501 C 3	7	INNOVIS
MIDWEST MEDICAL EQUIP & SUPPLY INC
4418 HAINES ROAD	DULUTH	MN	55811	411674021	MEDICAL EQUIP	MN	501 C 3	9	SMDC
PINE MEDICAL CENTER
109 COURT AVE S	SANDSTONE	MN	55072	411884597	CLINIC HOSPIT	MN	501 C 3	3	SMDC
POLINSKY MEDICAL REHABILITATION CENTER
530 E 2ND ST	DULUTH	MN	55805	410691275	CLINIC HOSPIT	MN	501 C 3	3	SMMC
SMDC MEDICAL CENTER
502 E 2ND ST	DULUTH	MN	55805	411878730	CLINIC HOSPIT	MN	501 C 3	3	SMDC
ST MARYS DULUTH CLINIC FOUNDATION
400 E 3RD ST	DULUTH	MN	55805	412016979	FOUNDATION	MN	501 C 3	7	SMDC
ST MARYS DULUTH CLINIC HEALTH SYSTEM
407 E 3RD ST	DULUTH	MN	55805	411836633	CLINIC HOSPIT	MN	501 C 3	3	ESSENTIA
ST MARYS HOSPITAL OF SUPERIOR
3500 TOWER AVE	SUPERIOR	WI	54880	411811073	CLINIC HOSPIT	WI	501 C 3	3	SMMC
THE DULUTH CLINIC LTD
400 E 3RD ST	DULUTH	MN	55805	410883623	CLINIC HOSPIT	MN	501 C 3	3	SMDC

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	AddressLine1
City	SANDSTONE	City
State	MN	State
ZIP Code	55072	ZIPCode

Field	Value	IRS element (for citing)
EIN	261634864	EIN
Primary Activity	IMAGING SERVICES	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
ESSENTIA HLTH INS SVCE SPC LTD
BUCKINGHAM SQ 720W BAY RD POBX 69	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1 1102	000000000	INSURANCE	CJ	NA	FOREIGN CORP	0	0	0.00000
EAST RANGE CLINICS LTD
					410909915	CLINICS		NA	C CORP	0	0	0.00000	910 6TH AVE N	VIRGINIA	MN	55792	MN

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MIDWEST MEDICAL EQUIP & SUPPLY INC 41-1674021
P	3308491
THE DULUTH CLINIC LTD 41-0883623
R	322000000
THE DULUTH CLINIC LTD 41-0883623
P	85092
ST MARYS DULUTH CLINIC FOUND 41-2016979
P	507491
POLINSKY MEDICAL REH CTR 41-169275
P	11402266
SMDC MEDICAL CENTER 41-01878730
R	69000000
ST MARYS HOSPITAL OF SUPERIOR 41-1811073
Q	32288812
ST MARYS HOSPITAL OF SUPERIOR 41-1811073
R	26700000
ST MARYS HOSPITAL OF SUPERIOR 41-1811073
P	128583
THE DULUTH CLINIC LTD 41-0883623
O	86639
SMDC MEDICAL CENTER 41-01878730
O	461733
ESSENTIA INSTITUTE OF RURAL HEALTH 27-1291124
P	637375