2025-05-13T19:56:36-05:00 2024-06-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2023-07-01 452438973 CENTRACARE HEALTH SYSTEM - SAUK CENTRE CENT 3203522221 425 N ELM ST SAUK CENTRE MN 56378 JOY PLAMANN CHIEF OPERATING OFFICER, SVP 3203522221 2025-05-13 1 0 CHRIS MESKIMEN P01314196 6123974000 2023 2025-03-06 01:10:19Z CENTRACARE HEALTH - SAUK CENTRE DR KENNETH HOLMEN 425 N ELM ST SAUK CENTRE MN 56378 48126116 0 X WWW.CENTRACARE.COM X 2011 MN WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 14 8 0 23 0 0 1218291 74144 42020314 46321077 197721 516883 336860 863238 43773186 47775342 13651 7683 0 0 22501188 19919839 0 0 0 17471682 21951503 39986521 41879025 3786665 5896317 63208666 70247084 16885779 16783860 46322887 53463224 WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 24707456 7683 34986878 CCH - SAUK CENTRE IS PART OF A LARGER INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS CENTRACARE HEALTH, A SYSTEM RECOGNIZED FOR BEING A LEADER IN PROVIDING HIGH-QUALITY, COMPREHENSIVE CARE THROUGHOUT THE REGION. CCH - SAUK CENTRE IS A 25 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE SERVICES IN THE AREAS OF MEDICAL, SURGICAL, DIAGNOSTIC AND OBSTETRICS ALONG WITH OTHER SERVICES OF 24 HOUR EMERGENCY ROOM, IMAGING, LABORATORY, REHABILITATION, AND CHEMOTHERAPY TO THE COMMUNITY OF STEARNS COUNTY. DURING FISCAL YEAR 2024 THERE WERE 500 INPATIENT VISITS, 2,014 INPATIENT DAYS, 33,951 OUTPATIENT VISITS, AND 4,025 EMERGENCY ROOM VISITS. 10224684 11334199 CCH - SAUK CENTRE OPERATES THE SAUK CENTRE CLINIC, SAUK CENTRE LAKESHORE ESTATES, AND SAUK CENTRE CARE CENTER, WHICH ARE ALL CONVENIENTLY CONNECTED TO THE SAUK CENTRE HOSPITAL FOR THE HEALTH NEEDS OF THE COMMUNITY. SAUK CENTRE CLINIC PROVIDES SERVICES OF GENERAL SURGERY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, ORTHOPEDICS, AND UROLOGY. THERE WERE 19,875 CLINIC VISITS DURING FISCAL YEAR 2024. SAUK CENTRE LAKESHORE ESTATES IS A 30-UNIT INDEPENDENT LIVING SENIOR HOUSING APARTMENT BUILDING THAT OFFERS RETIREMENT LIVING AT ITS FINEST. SAUK CENTER CARE CENTER IS A 60 BED SKILLED NURSING FACILITY WITH 12,274 RESIDENT DAYS OF CARE FOR FISCAL 2024. 34932140 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X MICHAEL BLAIR 3202512700 1406 6TH AVENUE N ST CLOUD MN 56303 KENNETH HOLMEN PRESIDENT/CEO 6.50 33.50 X X 0 1554927 74447 CHRISTIAN SCHMIDT DIRECTOR 0.25 41.75 X 0 497014 82227 BRYAN ROLPH DIRECTOR 0.25 41.75 X 0 535377 39024 RICHARD WEHSELER DIRECTOR 0.25 41.75 X 0 379031 59114 BOBBIE BERTRAM DIRECTOR 0.25 41.75 X 0 217428 57377 DAVID ANFINSON CHAIR 0.25 1.75 X X 0 33000 0 TIM WENSMAN DIRECTOR 0.25 1.75 X 0 12500 0 JEFF GAU DIRECTOR 0.25 1.75 X 0 12000 0 MICHELLE JOHNSON DIRECTOR 0.25 1.75 X 0 10000 0 RENEE FRAUENDIENST DIRECTOR 0.25 3.75 X 0 10000 0 DAN ABDUL DIRECTOR 0.25 1.75 X 0 8000 0 JAMES HEBL DIRECTOR 0.25 1.75 X 0 6000 0 CARRIE HENNING-SMITH DIRECTOR 0.25 1.75 X 0 4000 0 FATHER TOM KNOBLACH DIRECTOR 0.25 1.75 X 0 0 0 JOY PLAMANN CHIEF OPERATING OFFICER/SR VP 6.50 33.50 X 0 801092 49364 MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREASURER 6.50 33.50 X 0 754895 79410 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY 6.50 33.50 X 0 567364 53699 AMY PORWOLL CHIEF INFORMATION SYSTEM OFFICER/SR VP 8.00 32.00 X 0 514086 63189 ANTHONY GARDNER CHIEF MARKETING & COMMUNICATIONS OFFICER/SR VP 8.00 32.00 X 0 360511 45575 MARK WEISBROD PHYSICIAN 40.00 0.00 X 0 613397 72391 SHANNON CABRERA PHYSICIAN 40.00 2.00 X 0 438443 75282 BENEDICT HAEG PHYSICIAN 40.00 0.00 X 0 488630 24610 JAMIE HAMMERBECK PHYSICIAN 40.00 0.00 X 0 455522 47103 REBECCA STEPAN PHYSICIAN 40.00 0.00 X 0 450206 30717 CINDY SMITH FORMER KEY EMPLOYEE 0.00 40.00 X 0 716391 78002 0 9439814 931531 0 1 1 0 WEST CENTRAL ANESTHESIA PC 36497 230TH AVE ALBANY MN 56307 ANESTHESIA SERVICE 872355 AYA HEALTHCARE INC PO BOX 674907 DALLAS TX 75267 STAFFING AGENCY 620633 MEDLINE INDUSTRIES LP DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 497659 HORIZON VIRTUAL 1550 45TH AVENUE SE SUITE 2 SAINT CLOUD MN 56304 PHYSICIAN FEES 245592 4 3500 70644 74144 PATIENT & RESIDENT REV 622110 45148599 45148599 SENIOR HOUSING REVENUE 623311 600744 600744 OTHER PROGRAM REVENUE 622110 571734 571734 46321077 515383 515383 1500 0 1500 1500 1500 1188035 350774 837261 837261 MISC NON-OPERATING INC 900099 25977 25977 25977 47775342 46321077 0 1380121 X 3500 3500 4183 4183 844189 650026 194163 14617728 11255651 3362077 417109 321174 95935 3416966 2631064 785902 623847 480362 143485 208 160 48 5519556 4884552 635004 4747 3655 1092 28774 22156 6618 2129543 1639748 489795 629770 484923 144847 33647 25908 7739 33642 25904 7738 171082 131733 39349 2337818 1800120 537698 216872 166991 49881 DRUGS/MEDICAL SUPPLIES 7053226 7053226 EQUIPMENT RENT & MAINT. 1731059 1332915 398144 IMPLICIT PRICE CONCES. 1131429 1131429 MEDICAID & MNCARE 724179 724179 205951 158581 47370 41879025 34932140 6946885 0 120 120 3889863 4819185 4625418 5934637 247854 265379 71123 921 51713776 24707389 24682141 27006387 16235772 12753744 843962 907400 12612413 18559311 63208666 70247084 2737566 2502491 389195 12627153 12042992 1521060 1849182 16885779 16783860 X 46153790 53292495 169097 170729 46322887 53463224 63208666 70247084 5896317 1244020 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1590 1590 0 PART II-B, LINE 1: CENTRACARE HEALTH - SAUK CENTRE PAID MEMBERSHIP DUES TO STATE AND NATIONAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES ARE ALLOCATED FOR THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS. 1006512 1006512 39890826 16895401 22995425 665223 452669 212554 10150738 7359319 2791419 477 477 27006387 INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS 12753744 F 12753744 OTHER RECEIVABLES 281028 DUE FROM AFFILIATED ORGANIZATIONS 18100614 OPERATING LEASED ASSETS 177669 18559311 INTEREST PAYABLE 234516 ASSET RETIREMENT OBLIGATION 127475 THIRD PARTY PAYOR SETTLEMENTS 724854 LEASE LIABILITIES 762337 1849182 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 156921 156921 0.00390 9106093 8100784 1005309 0.02470 9263014 8100784 1162230 0.02860 109368 38984 70384 0.00170 109368 38984 70384 0.00170 9372382 8139768 1232614 0.03030 3500 3500 0.00010 3500 3500 0.00010 1 1131429 0 6402723 6468839 -66116 X 1 1 1 1 CENTRACARE HEALTH - SAUK CENTRE 425 ELM STREET SAUK CENTRE MN 56378 WWW.CENTRACARE.COM/LOCATIONS/SAUK-CENT 414709 X X X X RURAL HEALTH CLINIC, NURSING HOME CENTRACARE HEALTH - SAUK CENTRE 1 0 0 1 X X X X X X X X X X 21 1 1 1 1 X SEE SECTION C SUPPLEMENTAL INFORMATION X 1 21 1 SEE SECTION C SUPPLEMENTAL INFORMATION 0 1 X 175.000000000000 250.000000000000 X X X 1 1 X X X 1 X HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X X 1 X 0 0 CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE CHNA AND PREPARE THE IMPLEMENTATION STRATEGY WHICH WE CALLED THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDES A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND SEVERAL COMMUNITY MEETINGS TO GATHER INFORMATION ON FORCES THAT CREATE HEALTH, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. THE CHNA INCLUDED A HEALTH EQUITY ASSESSMENT AND INFORMATION ON NATIONAL, STATE, AND OTHER LOCAL PLANNING PROCESSES RELATED TO HEALTH.AS A FOLLOW UP TO A PRIOR CHNA PROCESS WHERE PUBLIC HEALTH DATA WAS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WAS A COLLABORATIVE EFFORT EXECUTED WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH, AND STEARNS COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP. CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 5: CENTRACARE POPULATION HEALTH CONDUCTED SPECIFIC AND COMPREHENSIVE EVALUATION OF ZIP CODE 56304 THAT HAS THE WORST HEALTH OUTCOMES IN THE THREE COUNTIES INCLUDED IN THE CHNA AND CHIP. THIS EVALUATION INCLUDED DATA EVALUATION, KEY INFORMANT INTERVIEWS, AND HEALTH INDICATORS FOR MINORITY GROUPS. THE CENTRAL MN ALLIANCE ALSO COMPLETED SEVERAL SURVEYS AND ASSESSMENTS TO GET INPUT FROM MULTIPLE SECTORS OF EACH COMMUNITY REPRESENTING DIFFERENT POPULATIONS IN ORDER TO COMPILE A LIST OF TOP PRIORITIES IN THE REGION:THREE ASSESSMENTS WERE COMPLETED FROM JULY 2021 THROUGH FEBRUARY 2022: COMMUNITY STATUS, COMMUNITY CONTEXT AND COMMUNITY PARTNERS. IT WAS A GOAL TO IMPART MORE EMPHASIS ON WHAT RESULTED FROM THE COMMUNITY CONTEXT AND COMMUNITY PARTNER ASSESSMENTS THAN FROM THE QUANTITATIVE DATA WITHIN THE STATUS ASSESSMENT.THE COMMUNITY CONTEXT ASSESSMENT BUILDS ON THE FORMER COMMUNITY THEMES AND STRENGTHS ASSESSMENT, DIGGING DEEPER TO UNDERSTAND INEQUITIES, FILLING IN DATA GAPS FROM THE COMMUNITY STATUS ASSESSMENT, AND EXPLORES THE CONTEXT OF THE COMMUNITY THROUGH THE LENS OF THOSE WITH LIVED EXPERIENCE. THIS ASSESSMENT IS DESIGNED TO MOVE BEYOND PERCEIVED COMMUNITY NEEDS AND PERPETUATION OF DEPENDENCY ON PROGRAMS AND SERVICES TO UNDERSTANDING A COMMUNITY'S STRENGTHS, ASSETS, AND CULTURE, RECOGNIZING THAT ALL COMMUNITIES HAVE A VIBRANCY THAT MUST BE LEVERAGED IN COMMUNITY IMPROVEMENT.COMMITTEE MEMBERS REFLECTED ON THE ABOVE AREAS AND GATHERED INFORMATION FOR EACH OF THEIR RESPECTIVE AGENCIES TO ASSESS THE CONTEXT OF OUR COMMUNITIES WITHIN EACH OF THE DOMAIN AREAS, COMPLETING A CONTEXT COMMITTEE ASSESSMENT, ONE FOR EACH OF THE CMA MEMBERS OF BENTON, STEARNS, SHERBURNE AND CENTRACARE. THIS ASSESSMENT TOOL COMPLETION WAS DEVELOPED THROUGH INFORMATION GATHERING, PARTNERSHIP, COMMUNITY CONVERSATIONS, INDIVIDUAL CONVERSATIONS, AND OBSERVATIONS OF COMMUNITY NEEDS. CMA MEMBERS BROUGHT EACH OF THEIR CONTEXT ASSESSMENT TOOLS BACK TO THE CONTEXT COMMITTEE. THE CONTEXT COMMITTEE IDENTIFIED SHARED FINDINGS, TRENDS, GAPS AND UNIQUE FEATURES FOR EACH OF THE DOMAINS FOR THE REGION. THE CONTEXT COMMITTEE THEN PRESENTED TO THE LARGER LEADERSHIP GROUP WHERE THE GROUP HAD AN OPPORTUNITY TO ASK QUESTIONS, CLARIFY CONCERNS, AND MAKE RECOMMENDATIONS. FOLLOWING THE LEADERSHIP GROUP MEETING, THE CONTEXT COMMITTEE UPDATED THE CONTEXT ASSESSMENT TOOL THAT CAPTURED THE MOST SIGNIFICANT FINDINGS AMONG OUR CMA REGIONS. THE COMMITTEE TOOK THE FEEDBACK GAINED FROM THE LARGER LEADERSHIP GROUP BACK TO THE CONTEXT COMMITTEE AND COMPLETED AN IMPORTANCE/RELEVANCE PRIORITIZATION ACTIVITY TO IDENTIFY THE TOP DOMAINS WITHIN OUR CENTRAL MINNESOTA ALLIANCE.REPLACING THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA), THE COMMUNITY PARTNER ASSESSMENT PROVIDES STRUCTURE FOR ALL COMMUNITY PARTNERS TO LOOK CRITICALLY WITHIN THEIR OWN SYSTEMS AND PROCESSES, REFLECT ON THEIR ROLE IN THE COMMUNITY'S HEALTH AND WELL-BEING, AND UNDERSTAND THE DEGREE TO WHICH THEY ARE ADDRESSING OR PERPETUATING HEALTH INEQUITIES ACROSS A SPECTRUM OF ACTION RANGING FROM THE INDIVIDUAL TO SYSTEMIC AND STRUCTURAL LEVELS. IT WILL OFFER AN ASSESSMENT INSTRUMENT WHICH, IN CONTRAST TO THE LPHSA, WILL BE INCLUSIVE OF BUT NOT GROUNDED IN THE 10 ESSENTIAL PUBLIC HEALTH SERVICES TO BROADEN ITS RELEVANCE TO COMMUNITY PARTNERS OUTSIDE OF THE HEALTH AND HUMAN SERVICES SECTOR. SINCE THE ASSESSMENT TOOL WAS NOT AVAILABLE FOR OUR GROUP TO UTILIZE DURING THIS TIME FRAME, WE ADAPTED BY CREATING A TABLE WITH THE DOMAIN AREAS. EACH CMA MEMBER WAS RESPONSIBLE TO "ASSESS" PARTNERS IN THEIR GEOGRAPHIC OR SERVICE AREA BY THE 9 DOMAIN AREAS. MEMBERS ATTENDED MEETINGS, RESEARCHED WEBSITES, OBSERVED PARTNERS WITHIN THE COMMUNITY, REVIEWED STRATEGIC DOCUMENTS, COMPLETED SURVEYS, ENGAGED IN ONE-ON-ONE CONVERSATIONS WITH COMMUNITY RESIDENTS AND/OR WITH PARTNERS ON BEHALF OF A COMMUNITY, PROVIDED LIVED EXPERIENCES, AND ATTENDED EVENTS THAT EXEMPLIFIED THE WORK AND MISSION OF THE PARTNER. ONCE THE CMA MEMBERS COMPLETED THEIR ASSESSMENTS, THE GROUP THEN SHARED FINDINGS AND IDENTIFIED TRENDS, GAPS AND UNIQUE FEATURES FOR EACH OF THE DOMAINS. THIS WAS THEN PRESENTED TO THE LARGER CMA LEADERSHIP GROUP WHERE THE GROUP HAD AN OPPORTUNITY TO ASK QUESTIONS, CLARIFY CONCERNS AND MAKE RECOMMENDATIONS. FOLLOWING THE CMA LEADERSHIP GROUP MEETING, WE UPDATED THE REGIONAL DOCUMENT THAT CAPTURED THE MOST SIGNIFICANT FINDINGS AMONG OUR CMA MEMBERS, PARTNERS, AND GEOGRAPHIC AREAS.THE COMMUNITY STATUS ASSESSMENT COMMITTEE CONDUCTED A MODIFIED ASSESSMENT BY CONTINUING THE TRENDING OF THE TOP DATA POINTS OF CONCERN FROM THE 2019-2022 PROCESS AS WELL AS ANALYZING NEW COMMUNITY DATA. THE COMMITTEE REVIEWED THE LIST OF DATA SOURCES TO EXPLORE, AND EACH COMMITTEE MEMBER IDENTIFIED A SOURCE FOR WHICH THEY FELT INTEREST AND THEY EXPLORED THAT DATA.THE THIRD ITERATION OF THE CENTRAL MN COMMUNITY HEALTH SURVEY WAS CONDUCTED IN 2021. THE SURVEY INSTRUMENT WAS DEVELOPED FROM 9/16/20 THROUGH 4/1/21. THE CMA WORKED WITH THE MN DEPARTMENT OF HEALTH AND VENDOR SSI INC. TO CONDUCT A STATISTICALLY DESIGNED RANDOM SAMPLE MAILED SURVEY; IT WAS IN THE FIELD FROM 4/1/21 THROUGH 6/18/21. THE SAME INSTRUMENT WAS CONVERTED TO A WEB BASED SURVEY USING ARCGIS SURVEY 123 AND THAT WAS IN THE FIELD FROM 5/18/21 THROUGH 9/30/21 AND WAS AVAILABLE VIA CONVENIENCE SAMPLE.IN ORDER TO BETTER ENGAGE INDIVIDUALS OR ORGANIZATIONS WITH A PERSPECTIVE OF AT-RISK POPULATIONS, A HEALTH EQUITY ASSESSMENT WAS ALSO COMPLETED. INTERVIEWS WITH ELEVEN COMMUNITY LEADERS REPRESENTING THE DIVERSITY OF THE EAST ST. CLOUD NEIGHBORHOOD REVEALED MAJOR THEMES RELEVANT TO COMMUNITY HEALTH IN THE 56304 - ZIP CODE AREA. THE 56304 QUANTITATIVE STUDY HIGHLIGHTED THE IMPORTANCE OF THE INTERCONNECTEDNESS OF HEALTH AND SOCIOECONOMIC ISSUES. CONCERNS ABOUT HEALTH WERE FOCUSED ON POVERTY AND LACK OF ACCESS TO HEALTH FOOD AND MENTAL AND BEHAVIORAL HEALTH.THE FOCUS OF THE 2022-2025 CMA CHIP WILL BE THE FOLLOWING DRIVERS OF INEQUITIES: DATA ACCESS & SYSTEMS, STRUCTURAL RACISM, LIVED EXPERIENCE AND HISTORICAL CONTEXT. CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM SAUK CENTRE CONDUCTED THE CHNA WITH CENTRACARE- PAYNESVILLE, CENTRACARE- MELROSE, AND ST. CLOUD HOSPITAL. CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - SAUK CENTRE CONDUCTED THE CHNA WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH AND STEARNS COUNTY PUBLIC HEALTH. CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 11: AFTER THE DRIVERS OF INEQUITIES HAD BEEN IDENTIFIED, THE CENTRAL MN ALLIANCE (CMA) LEADERSHIP GROUP STARTED WORK ON DEVELOPING POTENTIAL GOALS AND ACTION STEPS THAT WOULD FIT UNDER EACH CATEGORY. MEMBERS OF THE LEADERSHIP GROUP USED A GOALS AND ACTION STEPS WORKSHEET STORED ON MICROSOFT TEAMS TO COLLABORATIVELY, PREPARE A LIST OF GOALS AND ACTION STEPS. THIS WAS DISCUSSED AT THE JANUARY 27TH, FEBRUARY 10TH, AND FEBRUARY 22ND LEADERSHIP MEETINGS. TO KEEP THE CHIP AT A WORKABLE LEVEL, IT WAS DECIDED THAT WE WOULD TRY TO IDENTIFY ONE GOAL WITH ACTION STEPS TO INCLUDE IN THE CHIP. ON MARCH 25TH , A PRIORITIZATION EXERCISE WAS COMPLETED USING MIRO.COM TO IDENTIFY THE GOAL WITH ACTION STEPS THAT WOULD BE INCLUDED IN THE CHIP DOCUMENT. JUST BECAUSE THE GOAL WAS NOT INCLUDED IN THE CHIP, DOES NOT MEAN THAT THE CMA WILL NOT WORK ON IT.IT IS THE INTENTION OF THE CMA MEMBERS THAT THE CHIP WILL BE A LIVING DOCUMENT AND AS MORE CONVERSATIONS TAKE PLACE WITH COMMUNITY PARTNERS, THE GOALS AND ACTION STEPS MAY CHANGE. THE CHANGES TO THE DOCUMENT WILL BE REPORTED AT LEAST ANNUALLY WHEN LOCAL PUBLIC HEALTH IS REQUIRED TO REPORT ON CHIP WORK.THE PRIORITIES IDENTIFIED WERE AS FOLLOWS IN COMMUNITY INFORMED RANKING: 1) BUILDING FAMILIES, 2) MENTAL HEALTH, 3) ENCOURAGING SOCIAL CONNECTION, 4) ADVERSE CHILDHOOD EXPERIENCES (ACES), 5) TOBACCO/NICOTINE USE, 6) HEALTH CARE, 7) RISKY YOUTH BEHAVIOR, 8) FINANCIAL STRESS, 9) TRAUMA, AND 10) EDUCATING POLICY MAKERS AND KEY COMMUNITY STAKEHOLDERS. DUE TO THE NEWNESS OF THE COLLABORATION ON THIS WORK, A DECISION WAS MADE TO FOCUS ON THE TOP TWO PRIORITIES (BUILDING FAMILIES AND MENTAL HEALTH) FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIES ENCOURAGING SOCIAL CONNECTION, ADVERSE CHILDHOOD EXPERIENCES (ACES), TOBACCO/NICOTINE USE, HEALTH CARE, RISKY YOUTH BEHAVIOR, FINANCIAL STRESS, TRAUMA, AND EDUCATING POLICY MAKERS AND KEY COMMUNITY STAKEHOLDERS WILL NOT SPECIFICALLY BE ADDRESSED THROUGH ACTION PLANNING OR MEASUREMENT DUE TO FINANCIAL AND STAFFING RESTRAINTS, HOWEVER, THERE ARE WAYS MANY OF THESE PRIORITIES ARE BEING ADDRESSED EITHER WITHIN THE TOP TWO PRIORITIES OR THE COMMUNITY. IN THE FUTURE, THE GROUP WILL ASSESS THE CAPACITY TO EXPAND THE NUMBER OF PRIORITIES BEING ADDRESSED AND MEASURED. ALTHOUGH NOT DIRECTLY ADDRESSED IN THE PLAN, CENTRACARE DOES ACTIVELY SUPPORT OTHER ORGANIZATIONS WITHIN THE COMMUNITY WHO ARE WORKING ON DETERMINANTS OF HEALTH IDENTIFIED DURING THE CHNA PROCESS LIKE ACES, TOBACCO, TRAUMA, EDUCATING POLICYMAKERS, ETC.THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS THE ACTION PLAN THAT USES GUIDING PRINCIPLES AND STRATEGIES TO ADDRESS THE COMMUNITY PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THE TOP PRIORITIES ARE BUILDING FAMILIES AND MENTAL HEALTH. WE WILL USE THE GUIDING PRINCIPLES OF COMMUNITY COLLABORATION, AWARENESS, RESILIENCE, EQUITY, EDUCATION, AND HEALTH ORGANIZATIONS TO DRIVE OUR STRATEGIES.THE ST. CLOUD HOSPITAL, CENTRACARE- MELROSE, CENTRACARE- SAUK CENTRE, AND CENTRACARE- PAYNESVILLE WILL MAINTAIN THEIR ENGAGEMENTS WITH THE CMA AND FOLLOW THE MAPP LEADERSHIP STRUCTURE TO CARRY OUT THE STRATEGIES OUTLINED IN THE CHIP. THERE WILL BE MEETINGS AS OUTLINED IN THE CHIP UNDER LEADERSHIP SYSTEM & PROCESS FOR MONITORING AND REVISION.TO SEE THE FULL CHIP GO TO THE CENTRACARE WEBSITE AT HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF. CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE.PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF-PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS. CENTRACARE HEALTH - SAUK CENTRE PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY CARE INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT. PART V, SECTION B, LINE 7A THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF PART V, SECTION B, LINE 10A THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF PART V, SECTION B, LINE 22B THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 SECTION 7 REGARDING SCHEDULE H, PART V, LINE 22B.CENTRACARE HEALTH SYSTEM SAUK CENTRE ("CENTRACARE") IDENTIFIED AN ERROR REGARDING AN OMISSION OF AN ELEMENT REQUIRED TO BE DISCLOSED IN FINANCIAL ASSISTANCE POLICY PURSUANT TO IRC SECTION 501(R)(4). AS REQUIRED, CENTRACARE'S FINANCIAL ASSISTANCE POLICY DID STATE THE PERCENTAGE OF THE AMOUNTS GENERALLY BILLED ("AGB"). THE POLICY DID NOT PROVIDE AN EXPLANATION OF HOW THE AGB PERCENTAGE WAS CALCULATED. THIS OMISSION WAS DISCOVERED DURING A REVIEW OF THE POLICY IN MARCH 2025. THIS ERROR WAS MINOR AND INADVERTENT. ONCE THE ERROR WAS DISCOVERED, CENTRACARE TOOK IMMEDIATE ACTION TO CORRECT THE ERRORS BY UPDATING THE POLICY TO INCLUDE THE REQUIRED LANGUAGE. NO INDIVIDUAL WHO WAS ELIGIBLE UNDER CENTRACARE'S FINANCIAL ASSISTANCE POLICY WAS BILLED INCORRECT AMOUNTS OR OTHERWISE IMPACTED BY THESE ERRORS.CENTRACARE CONSIDERS THESE ERRORS TO BE "MINOR" OMISSIONS AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE IRC SECTION 501(R) REGULATIONS AND INTERPRETATIONS, DUE TO THE FACTORS NOTED ABOVE. CENTRACARE IS CHOOSING TO PROACTIVELY DISCLOSE THE ABOVE IDENTIFIED FAILURES IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 TO CORRECT AND DISCLOSE IDENTIFIED FAILURES TO MEET THE REQUIREMENTS OF IRC SECTION 501(R). ACCORDINGLY, CENTRACARE HAS NOT FILED AN EXCISE TAX RETURN OR PAID ANY RELATED TAX IMPOSED UNDER IRC SECTION 4959. CENTRACARE HAS PUT PROCEDURES IN PLACE TO ADDRESS AND MONITOR ITS COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). TO BE FULLY TRANSPARENT, CENTRACARE HAS CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR OMISSIONS AND ERRORS ON THIS FORM 990. 3 1 - SAUK CENTRE CLINIC 425 ELM STREET NORTH SAUK CENTRE MN 56378 RURAL HEALTH CLINIC 2 - SAUK CENTRE LAKESHORE ESTATES 501 LAKESHORE DRIVE SAUK CENTRE MN 56378 SENIOR HOUSING APARTMENT BUILDING 3 - SAUK CENTRE CARE CENTER 425 ELM STREET NORTH SAUK CENTRE MN 56378 NURSING HOME PART I, LINE 6A: CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS. PART I, LINE 7: THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MNCARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE FINANCIAL ASSISTANCE ON LINE 7A. MEDICAID COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES ON LINE 7B ARE REPORTED AT COST. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ON LINE 7E ARE REPORTED AT COST. HEALTH PROFESSIONALS EDUCATION AND DIRECT OFFSETTING REVENUES ON LINE 7F ARE REPORTED AT COST. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,131,429. PART II, COMMUNITY BUILDING ACTIVITIES: CENTRACARE - SAUK CENTRE PARTICIPATED IN NUMEROUS MEETINGS THROUGHOUT THE YEAR WITH SURROUNDING CHAMBER OF COMMERCE, THEY HELD NUMEROUS HIGH SCHOOL CAREER DAYS, HIGH SCHOOL STUDENT SHADOW EVENTS, BLOOD DRIVES WITH THE RED CROSS, AND ALSO COMPLETED BIOMETRIC SCREENINGS WHICH HELPED PROMOTE IMPROVED HEALTH IN THE COMMUNITY.THE HEALTH SYSTEM PROVIDED DRIVE THROUGH TEST SITES, FREE VACCINATION CLINICS, MANDATED EMPLOYEE VACCINATION, TRAINING, SCREENING, PRODUCTS TO ENSURE SAFE ENVIRONMENTS, AND OTHER VARIOUS SERVICES/PRODUCTS. PART III, LINE 2: 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 HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 4: THE FOLLOWING IS FROM THE "PATIENT AND RESIDENT SERVICE REVENUE AND PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 ON PAGE 10 OF THE ORGANIZATION'S AUDITED FINANCIALS."THE SYSTEM REPORTS PATIENT AND RESIDENT SERVICE REVENUE AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE SYSTEM EXPECTS TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS AND THIRD-PARTY PAYORS (INCLUDING MEDICARE, MEDICAID, BLUE CROSS COMMERCIAL AND OTHER THIRD-PARTY PAYORS). CERTAIN REIMBURSEMENT ARRANGEMENTS INCLUDE VARIABLE CONSIDERATION FOR AMOUNTS SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. DIFFERENCES BETWEEN AMOUNTS ORIGINALLY RECORDED AND FINALLY SETTLED ARE INCLUDED IN OPERATIONS IN THE YEAR IN WHICH THE DIFFERENCES ARE KNOWN. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED." PART III, LINE 8: THE AMOUNT ON LINE 7 OF PART III WAS DETERMINED BY UTILIZING KEY SECTIONS OF THE MEDICARE COST REPORT, PRIMARILY THE D SERIES, E SERIES AND M SERIES. PART III, LINE 9B: THE COLLECTION POLICIES AT THE ORGANIZATION REQUIRE COLLECTION STAFF TO OFFER CHARITY TO PATIENTS WHO INDICATE THAT PAYMENT MAY BE AN ISSUE. IF A PATIENT DOES QUALIFY FOR FULL CHARITY, ALL OTHER COLLECTION EFFORTS MUST CEASE. IF A PATIENT QUALIFIES FOR PARTIAL CHARITY, COLLECTION EFFORTS WILL CONTINUE ON THE BALANCE OF THE ACCOUNT. THESE PROVISIONS APPLY TO BOTH HOSPITAL EMPLOYED COLLECTION STAFF AND COLLECTION AGENCY STAFF. NO PATIENTS, WHETHER THEY QUALIFY FOR CHARITY OR NOT, ARE REPORTED TO CREDIT REPORTING AGENCIES. PART VI, LINE 2: THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATING COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES. PART VI, LINE 3: INPATIENTS WHO ARE SELF-PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF-PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF-PAY RECEIVE AN AUTOMATIC SELF-PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO, ALL PRE-COLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: SAUK CENTRE IS LOCATED IN STEARNS COUNTY, AND IS PRIMARILY AN AGRICULTURAL COMMUNITY IN WHICH THERE IS ONE HOSPITAL. THE ESTIMATED 2024 CENSUS SHOWS THE POPULATION IS 8,211 AND IS EXPECTED TO GROW SLIGHTLY TO 8,402 BY 2029 FOR AN INCREASE OF 2.33%. THE PROJECTED CHANGE BY AGE BRACKET FROM 2024 TO 2029 IS AS FOLLOWS: 0-17: 2.19%, 18-44: 4.02%, 45-64: -5.71%, 65+: 8.04%. THE ESTIMATED 2024 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 89.93%, AFRICAN AMERICAN: 0.49%, ASIAN: 0.35%, HISPANIC: 7.09%, OTHER: 2.14%. THE ESTIMATED 2024 AVERAGE INCOME IS $83,160. THE ESTIMATED MEDICAL UNDERSERVICE SCORE IS 59.60. PART VI, LINE 5: THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS MONTHLY TO REVIEW VARIOUS ASPECTS OF THE FACILITY AND PROVIDE INPUT ON THOSE ASPECTS FROM A COMMUNITY PERSPECTIVE. A MAJORITY OF THE COMMITTEE IS COMPRISED OF PEOPLE WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA THAT ARE NOT EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION AND ARE NOT FAMILY MEMBERS THEREOF. THE ORGANIZATION PARTICIPATES IN THE COMMUNITY BLOOD DRIVES BY PROVIDING FOOD AND SUPPLIES FOR BOTH THE WORKERS AND BLOOD DONORS. THE FACILITY ALSO SPONSORS A HEALTH FAIR ON AN ANNUAL BASIS FOR THE LOCAL AND SURROUNDING COMMUNITIES. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS OR SPECIALTIES AND FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH. PART VI, LINE 6: THE ORGANIZATION IS PART OF CENTRACARE HEALTH SYSTEM (CCHS) WHICH PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO THE PATIENTS OF CENTRAL MINNESOTA. CCHS IS DEDICATED TO IMPROVING THE HEALTH OF PEOPLE LIVING AND WORKING IN THE COMMUNITIES IT SERVES. TO ACCOMPLISH ITS GOALS, IT WORKS ACTIVELY WITH ITS AFFILIATE HEALTH CARE ORGANIZATIONS. CCHS CONTINUES TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE AND ON REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 0 1 0 0 0 0 0 1 0 KENNETH HOLMEN PRESIDENT/CEO 0 1241865 0 0 0 313062 0 39768 0 34679 0 1629374 0 311826 JOY PLAMANN CHIEF OPERATING OFFICER/SR VP 0 754410 0 0 0 46682 0 17550 0 31814 0 850456 0 46268 MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREAS 0 668440 0 0 0 86455 0 52500 0 26910 0 834305 0 85681 CINDY SMITH FORMER KEY EMPLOYEE 0 620355 0 0 0 96036 0 48000 0 30002 0 794393 0 94848 MARK WEISBROD PHYSICIAN 0 594202 0 18925 0 270 0 43040 0 29351 0 685788 0 0 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY 0 516575 0 0 0 50789 0 23700 0 29999 0 621063 0 50609 CHRISTIAN SCHMIDT DIRECTOR 0 475305 0 20521 0 1188 0 49814 0 32413 0 579241 0 0 AMY PORWOLL CHIEF INFORMATION SYSTEM OFFICER/SR 0 452945 0 0 0 61141 0 43000 0 20189 0 577275 0 60367 BRYAN ROLPH DIRECTOR 0 513572 0 21391 0 414 0 0 0 39024 0 574401 0 0 SHANNON CABRERA PHYSICIAN 0 416609 0 21320 0 514 0 42067 0 33215 0 513725 0 0 BENEDICT HAEG PHYSICIAN 0 463694 0 24162 0 774 0 0 0 24610 0 513240 0 0 JAMIE HAMMERBECK PHYSICIAN 0 438523 0 16838 0 161 0 22078 0 25025 0 502625 0 0 REBECCA STEPAN PHYSICIAN 0 425111 0 24915 0 180 0 0 0 30717 0 480923 0 0 RICHARD WEHSELER DIRECTOR 0 371248 0 7042 0 741 0 30000 0 29114 0 438145 0 0 ANTHONY GARDNER CHIEF MARKETING & COMMUNICATIONS OFF 0 305965 0 0 0 54546 0 30000 0 15575 0 406086 0 53358 BOBBIE BERTRAM DIRECTOR 0 215295 0 1979 0 154 0 22500 0 34877 0 274805 0 0 PART I, LINE 3 THE COMPENSATION PAID TO THE PRESIDENT AND VICE PRESIDENTS (NON-MEDICAL PROVIDERS) IS DETERMINED BY CENTRACARE HEALTH SYSTEM, A RELATED ORGANIZATION. CENTRACARE HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRED NON-QUALIFIED INVESTMENT ACCOUNTS. THESE PLANS MAY PROVIDE, BUT ARE NOT CERTAIN TO PROVIDE, FOR PAYMENT OF TAX DEFERRED COMPENSATION TO THESE EXECUTIVES AT SOME TIME IN THE FUTURE. THE EXECUTIVES HAVE NO LEGAL RIGHT TO THESE DOLLARS UNTIL, AND UNLESS, CERTAIN FUTURE EVENTS OCCUR. IN ACCORDANCE WITH THE INSTRUCTIONS TO FORM 990, THE AMOUNTS LISTED IN PART VII AND SCHEDULE J, PART II, COLUMN C REFLECT TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON THE FORM 990. ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: AMY PORWOLL - PAID $60,367 ANTHONY GARDNER - PAID $53,358 CINDY SMITH - PAID $94,848 JOY PLAMANN - PAID $46,268 KENNETH HOLMEN - PAID $311,826 MICHAEL BLAIR - PAID $85,681 SANTO CRUZ - PAID $50,609 PART I, LINE 7 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: 1. STEWARDSHIP, THROUGH A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR ST CLOUD HOSPITAL AND/OR CENTRACARE HEALTH SYSTEM AS WELL THROUGH ACHIEVING METRICS FOR AN IDENTIFIED COST REDUCTION PROGRAM. 2. QUALITY, THROUGH ACHIEVING ST CLOUD HOSPITAL AND SYSTEM QUALITY METRICS. 3. PATIENT EXPERIENCE, THROUGH ACHIEVEMENT OF PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS. 4. PEOPLE/EMPLOYEES, THROUGH ACHIEVEMENT OF SPECIFIED EMPLOYMENT SATISFACTION GOALS AND HIRING AND/OR RETENTION GOALS. THE INCENTIVE COMPENSATION PAID OUT IS NOT A PORTION OR PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE. HOWEVER, NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE THE INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS CENTRACARE HEALTH SYSTEM, A MINNESOTA NON-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE APPOINTED BY CENTRACARE HEALTH SYSTEM, THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED FOR ACTION BY CENTRACARE HEALTH SYSTEM, THE SOLE MEMBER: 1. ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS. 2. APPOINTMENT OF DIRECTORS AND OFFICERS. 3. APPROVAL OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY DEBTS TO BE INCURRED. 4. APPROVAL OF ALL STRATEGIC PLANS. 5. DETERMINATION OF THE DISSOLUTION OF OR THE DISCONTINUATION OF THE BUSINESS OF THE CORPORATION 6. APPROVAL OF ANY TRANSACTION WHICH MAY AFFECT THE CORPORATION'S STATUS AS A TAX-EXEMPT ORGANIZATION FOR FEDERAL INCOME TAXATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED THE APPROVAL AUTHORITY OF THE FORM 990 TO THE AUDIT COMMITTEE. ANNUALLY AT THE AUDIT COMMITTEE MEETING, PRIOR TO FILING WITH THE IRS, THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990. A COPY OF THE FORM 990 IS THEN PROVIDED FOR THE FULL BOARD TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT-OF-INTEREST QUESTIONNAIRE TWICE A YEAR. ALL STAFF SIGN A CONFLICT-OF-INTEREST FORM ON AN ANNUAL BASIS. THE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AS WELL AS THE CORPORATE COMPLIANCE GROUP (A COMPLIANCE COMMITTEE WHICH INCLUDES INTERNAL MEMBERS AND EXTERNAL COUNSEL). THE RESPONSES TO THE QUESTIONNAIRES ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICT-OF-INTEREST RELATED TO THE BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HERSELF FROM THE DECISION-MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS THE BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT-OF-INTEREST MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENT ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPATIBILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2024. THE THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THE SERVICES. THE COMPENSATION AND BENEFITS OF THE VICE-PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2024. THE THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT-OF-INTEREST POLICY AVAILABLE TO THE PUBLIC. THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES PROVIDE AN ANNUAL REPORT TO THE COMMUNITY IN WHICH FINANCIAL RESULTS ARE REPORTED TO AND DISCUSSED WITH THE PUBLIC. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G MEDICAL FEES: PROGRAM SERVICE EXPENSES 2,411,115. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,411,115. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 15,772. MANAGEMENT AND GENERAL EXPENSES 4,711. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,483. LABORATORY FEES: PROGRAM SERVICE EXPENSES 347,554. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 347,554. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,749,859. MANAGEMENT AND GENERAL EXPENSES 1,120,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,869,947. RECLASS INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES -1,639,748. MANAGEMENT AND GENERAL EXPENSES -489,795. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -2,129,543. CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 INTEGRATED HEALTH SYSTEM MN 501(C)(3) 3 N/A 0 ST CLOUD HOSPITAL 1406 6TH AVENUE NORTH ST CLOUD MN 56303 410695596 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE CLINIC 1200 6TH AVENUE NORTH ST CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRIAIRE MN 56347 411924645 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH - MELROSE 525 MAIN STREET WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD MN 56303 416019335 SUPPORT FOR CENTRACARE RICE MEMORIAL HOSPITAL MN 501(C)(3) 12A, I CENTRACARE RICE MEMORIAL HOSPITAL 0 CENTRAL IMAGING LLC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 822580688 IMAGING SERVICES MN N/A 0 0 MONTICELLO CANCER CENTER 1001 HART BOULEVARD SUITE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A 0 0 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 410850702 INVESTMENTS MN N/A C 0 CENTRACARE HOLDINGS INC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 472688595 INVESTMENTS MN N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0