Essentia Health

What it reported doing in 2024

St. Mary's medical center, dba essentia health st. Mary's medical center, is created and organized exclusively for charitable, religious, educational, and scientific purposes. More specifically, essentia health st. Mary's medical center is created and organized to own, maintain, operate and conduct, directly or indirectly, and to assist and coordinate activities of facilities for health care, education, care for the aged and social services in accordance with the charitable works tradition of the roman catholic church.essentia health st. Mary's medical center provides health care services in duluth, Minnesota through its joint commission accredited hospital with 380 licensed beds. The hospital is a level i adult and level ii pediatric trauma center offering 24 hour emergency and critical care. The hospital has multiple intensive care units, including for pediatric and newborn patients. Essentia health st. Mary's medical center offers inpatient and outpatient services including heart and vascular, birthing services, surgery, imaging/radiology, lab, respiratory care, hospice, and rehabilitation.essentia health st. Mary's medical center employs approximately 2,215 full time equivalents. The hospital provided nearly 99,000 hospital patient days and over 92,000 outpatient visits during the fiscal year ended june 30, 2025. The hospital had over 17,000 encounters during the same time period.during the fiscal year ended june 30, 2025, essentia health st. Mary's medical center provided the following community benefits: $3.6 million in charity care, $38.3 million costs in excess of medicaid payments, $3.5 million in community services, and $1.7 million in health profession education.essentia health is the parent organization of an integrated health system that includes this organization and all entities that are owned or controlled, directly or indirectly, by essentia health (collectively, the "system or "essentia health").

Financial Efficiency

• Mission deployment rate: 89.2%; rating input score 89
• Program expense ratio: 85.3%; rating input score 85
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 52nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -5%; rating input score 13; 13th percentile among comparable filings
• Total-asset coverage ratio: 1.53; rating input score 54; 54th percentile among comparable filings
• Liabilities to assets ratio: 0.07; rating input score 86; 86th percentile among comparable filings
• Officer compensation ratio: 0.4%; rating input score 85; 85th percentile among comparable filings

Growth

• Program expense growth: 5.3% per year; rating input score 100; 43rd percentile among comparable filings
• Revenue growth: 3% per year; rating input score 100; 22nd percentile among comparable filings
• Asset growth: 2% per year; rating input score 100; 15th percentile among comparable filings