2025-05-13T20:45:03-05:00 2024-06-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2023-07-01 411924645 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CENT 3207322141 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 JOY PLAMANN CHIEF OPERATING OFFICER, SVP 3207322141 2025-05-13 1 0 CHRIS MESKIMEN P01314196 6123974000 2023 2025-03-06 01:10:19Z CENTRACARE HEALTH - LONG PRAIRIE DR KENNETH D HOLMEN 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 37432597 0 X WWW.CENTRACARE.COM X 1999 MN WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 14 8 0 41 0 0 262337 133799 40496238 36090800 183811 342162 407846 590986 41350232 37157747 6679 11362 0 0 23054846 20085434 0 0 0 17598699 16003218 40660224 36100014 690008 1057733 48575937 44766923 33111300 28062274 15464637 16704649 WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 24982741 11362 31148123 CCH - LONG PRAIRIE 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 - LONG PRAIRIE 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 LONG PRAIRIE AND THE SURROUNDING AREA. THERE WERE 493 ADMISSIONS, 2,701 INPATIENT DAYS, 32,663 OUTPATIENT VISITS, AND 5,404 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2024. 4813564 4942677 CCH - LONG PRAIRIE OPERATES THE LONG PRAIRIE CLINIC WHICH IS CONVENIENTLY CONNECTED TO THE LONG PRAIRIE HOSPITAL FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. LONG PRAIRIE CLINIC PROVIDES HEALTH CARE THROUGH A MIXTURE OF PHYSICIANS AND MIDLEVEL PROVIDERS. THERE WERE 19,849 CLINIC VISITS DURING FISCAL YEAR 2024. 29796305 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 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 SAMUEL BURNS PHYSICIAN 40.00 0.00 X 0 405884 52519 STEVEN FUGLESTAD PHYSICIAN 40.00 0.00 X 0 357160 51291 CYBILL ORAGWU PHYSICIAN 40.00 0.00 X 0 344399 48772 RENE ELDIDY PHYSICIAN 40.00 0.00 X 0 306094 77429 DARON GERSCH PHYSICIAN 40.00 0.00 X 0 259677 50203 CINDY SMITH FORMER KEY EMPLOYEE 0.00 40.00 X 0 716391 78002 0 8666830 961642 0 1 1 0 WEST CENTRAL ANESTHESIA PC 36497 230TH AVE ALBANY MN 56307 ANESTHESIA SERVICE 458040 MEDLINE INDUSTRIES LP DEPT CH 14400 PALATINE IL 60055 MEDICAL SUPPLIES 303152 HORIZON VIRTUAL 1550 45TH AVENUE SE SUITE 2 SAINT CLOUD MN 56304 PHYSICIAN FEES 253320 AYA HEALTHCARE PO BOX 674907 DALLAS TX 75267 STAFFING AGENCY 243142 WAYNE CARSTENSEN 26947 CO RD 16 BROWERVILLE MN 56438 SNOW REMOVAL 101046 5 1760 65710 66329 133799 PATIENT & RESIDENT REV 622110 35562847 35562847 OTHER PROGRAM REVENUE 622110 418921 418921 SENIOR HOUSING REVENUE 623311 109032 109032 36090800 322249 322249 19913 0 19913 19913 19913 857470 274850 582620 582620 MISC NON-OPERATING INC 900099 8366 8366 8366 37157747 36090800 0 933148 11362 11362 844189 650026 194163 14740216 11349966 3390250 486897 374911 111986 3338130 2570360 767770 676002 520522 155480 28638 22051 6587 1475698 1576366 -100668 12257 9438 2819 20946 16128 4818 2097277 1614903 482374 538986 415019 123967 49027 37751 11276 53477 41177 12300 943328 726363 216965 2255708 1736895 518813 232520 179040 53480 DRUGS/MEDICAL SUPPLIES 4812939 4812939 IMPLICIT PRICE CONCES. 1471141 1471141 EQUIPMENT RENT & MAINT. 1287273 991200 296073 MEDICAID & MNCARE 483768 483768 240235 184979 55256 36100014 29796305 6303709 0 1385 1385 9142257 9487454 4479539 5191671 295494 225188 111188 21129 44572834 18235698 30774506 26337136 2464010 2525513 513468 596183 794090 381264 48575937 44766923 2665631 2460613 30445669 25601661 33111300 28062274 X 15464637 16704649 15464637 16704649 48575937 44766923 1057733 182279 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 1762 1762 0 PART II-B, LINE 1: CENTRACARE - LONG PRAIRIE 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. 268933 268933 34584803 10491578 24093225 1541068 1330620 210448 8178030 6413500 1764530 26337136 INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS 2525513 F 2525513 ASSET RETIREMENT OBLIGATION 574271 LEASE LIABILITIES 791751 DUE TO AFFILIATES 23589410 THIRD PARTY PAYOR SETTLEMENTS 646229 25601661 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 488773 488773 0.01410 6705691 5754859 950832 0.02750 7194464 5754859 1439605 0.04160 492802 153600 339202 0.00980 72967 22006 50961 0.00150 565769 175606 390163 0.01130 7760233 5930465 1829768 0.05290 1440 1440 0.00000 1440 1440 0.00000 1 1471141 0 7310886 7333201 -22315 X 1 1 1 1 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 414797 X X X X RURAL HEALTH CLINIC CENTRACARE HEALTH - LONG PRAIRIE 1 0 0 1 X X X X X X X X X X 22 1 1 1 1 X SEE SECTION C SUPPLEMENTAL INFORMATION X 1 22 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 - LONG PRAIRIE 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 THE PRIOR CHNA PROCESS WHERE PUBLIC HEALTH DATA WAS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WAS A COLLABORATIVE EFFORT EXECUTED WITH TODD COUNTY HEALTH AND HUMAN SERVICES, MORRISON COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 5: TODD-MORRISON-WADENA CHNA COLLABORATIVE (MTW CHB) AGREED TO UTILIZE THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE THE IMPLEMENTATION STRATEGY.THIS GROUP MEETS BI-MONTHLY TO DEDICATE TIME IN COMPLETING THE MAPP PROCESS. IN ADDITION TO THE COLLABORATIVE GROUP'S EFFORTS OF COMPLETING A FORCES OF CHANGE ASSESSMENT, COMMUNITY INPUT WILL BE REPRESENTED THROUGH A COMMUNITY HEALTH SURVEY (GOAL IS 400 COMPLETED SURVEYS PER COUNTY), COMMUNITY STAKEHOLDER INTERVIEWS (FOLLOWING THE 12 SECTOR MODEL, EACH COUNTY WILL SELECT 20-30 NAMES FOR INTERVIEWS), AND ANECDOTAL SELF-REPORTED DATA COLLECTION WITHIN OUR TARGETED POPULATION (IDENTIFIED THROUGH ASSESSMENT IN OUR PMAP). OTHER SOURCES OF DATA COLLECTION INCLUDE LOCAL ELECTRONIC MEDICAL RECORD DATA, IHP AND HEALTH EQUITY DATA, COUNTY DATA TABLES, MINNESOTA STUDENT SURVEYS AND RESULTS FROM THE 2013, 2016 AND 2019 REGIONAL COMMUNITY HEALTH SURVEY DATA.EACH ORGANIZATION WILL WORK ON THE 2022 COMMUNITY HEALTH PRIORITIES INDEPENDENTLY, AS WELL AS COLLECTIVELY WHEN POSSIBLE. IDENTIFYING PRIORITIES TOGETHER ALLOWS THE OPPORTUNITY TO MAKE GREATER STRIDES THROUGHOUT OUR AREA, CREATING A REGIONAL APPROACH RATHER THAN ORGANIZATIONAL APPROACH. EACH ORGANIZATION HAS THE FREEDOM TO DECIDE HOW THEY CAN MOST AFFECT EACH PRIORITY BASED ON THEIR RESOURCES ALLOTTED TO THIS WORK. THE COLLABORATIVE GROUP WILL CONTINUE TO MEET TO REVIEW GOALS AND STRATEGIES AND UPDATE CURRENT EFFORTS AND MEASURES OF SUCCESS OVER THE DESIGNATED COMMUNITY HEALTH NEEDS ASSESSMENT PERIOD.THE ASSESSMENTS GATHER QUALITATIVE AND QUANTITATIVE DATA TO DRIVE THE PRIORITY SELECTION PROCESS. TO COMPLETE THE ASSESSMENTS, TODD AND WADENA COUNTIES FOLLOWED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE MAPP PROCESS IS A COMMUNITY-DRIVEN STRATEGIC PLANNING TOOL THAT INCLUDES COMMUNITY VISIONING, CONDUCTING FOUR ASSESSMENTS (COMMUNITY THEMES AND STRENGTHS, ORGANIZATION CAPACITY AND PERFORMANCE, COMMUNITY HEALTH, AND FORCES OF CHANGE), PRIORITIZING ISSUES, SELECTING GOALS AND STRATEGIES, AND DEVELOPING AN ACTION PLAN. THE CHB'S COMMUNITY HEALTH ASSESSMENT RESULTS INCLUDE: WRITTEN/EMAIL SURVEY, ONLINE SURVEY, SECONDARY DATA SOURCES, DIRECTORY LISTING OF HEALTH SYSTEM CAPABILITIES, SUMMARY AND CONCLUSIONS, AND THREE-YEAR ACTION PLAN.THE SURVEY INSTRUMENT CONTENT WAS LARGELY TAKEN FROM A SIMILAR SURVEY CONDUCTED BY THESE SAME COUNTIES IN 2016 AND 2019. MODIFICATIONS TO THE SURVEY QUESTIONS WERE MADE BY LOCAL PUBLIC HEALTH STAFF WITH TECHNICAL ASSISTANCE FROM THE MINNESOTA DEPARTMENT OF HEALTH. A TWO-STAGE SAMPLING STRATEGY WAS USED FOR OBTAINING PROBABILITY SAMPLES OF ADULTS LIVING IN EACH OF THE THREE COUNTIES. A SEPARATE SAMPLE WAS DRAWN FOR EACH COUNTY. ADDITIONAL SAMPLES WERE DRAWN IN EACH OF FOUR CITIES IN THE REGION (LITTLE FALLS, LONG PRAIRIE, STAPLES AND WADENA).COMPLETED SURVEYS WERE RECEIVED FROM 1,270 ADULT RESIDENTS OF THE THREE COUNTIES. COUNTY LEVEL RESPONSE RATES WERE 19.3% (MORRISON), 19.7% (TODD) AND 20.5% (WADENA). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, AND CHI ST. GABRIEL'S HEALTH. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON COUNTY PUBLIC HEALTH, TODD COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 11: AFTER COMPLETING THE 2022 COMMUNITY HEALTH SURVEY AND AFTER REVIEWING ADDITIONAL DATA SOURCES FROM EMERGENCY ROOM STATISTICS TO THE STATE'S STUDENT SURVEY TO THE U.S. CENSUS BUREAU INFORMATION, AND MANY OTHER SOURCES, THE CHNA TEAM BEGAN TO WORK TO DEVELOP GOALS, INITIATIVES AND STRATEGIES TO ADDRESS TODD COUNTY'S THREE TOP HEALTH NEEDS AS IDENTIFIED BY SURVEY RESULTS.WITH DATA IN HAND, JODI HILLMER, DIRECTOR OF PATIENT CARE SERVICES, WHO LED THE 2022 CHNA WORK, PRESENTED SURVEY RESULTS AND DATA TO CENTRACARE LONG PRAIRIE MEDICAL STAFF AND THE OPERATING COMMITTEE. AFTER CONVERSATIONS, THE TOP THREE PRIORITIES FOR FISCAL YEAR 2023 - 2025 WERE DETERMINED TO BE DIABETES, OBESITY AND MENTAL HEALTH TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY.THE CENTRACARE LONG PRAIRIE MEDICAL STAFF AND LEADERSHIP TEAM BUILT GOAL STATEMENTS AND PERFORMANCE MEASURES. REGIONAL, COMMUNITY WIDE STRATEGIES WERE ALSO DEVELOPED TO ADDRESS THE GOALS.ASSESSING THE NEEDS OF THE PEOPLE IT SERVES IS AN ONGOING PRIORITY OF CENTRACARE LONG PRAIRIE AND THE GREATER CENTRACARE HEALTH SYSTEM OF WHICH IT IS A PART. THE PEOPLE WHO MAKE UP THE STAFF OF THIS HOSPITAL FOCUS CLOSELY ON THEIR MISSION, VISION, AND WORK CONSTANTLY TO SUPPORT THE MEDICAL NEEDS OF TODD COUNTY AND THE PEOPLE WHO LIVE IN THE SURROUNDING AREAS. FOR THEM, SEEING AN OPPORTUNITY IS A REASON TO ACT; SEEING A PROBLEM IS A REASON TO SEARCH AND IMPLEMENT SOLUTIONS. AS A RESULT THE CHNA RESPONSE, PRIORITY WILL BE PUT TOWARD THE FOLLOWING AREAS:DIABETES - IMPROVE DIABETIC CARE WITHIN THE COMMUNITY BY; ESTABLISHING RN VISITS IN THE CLINIC FOR NEW AND UNCONTROLLED DIABETIC PATIENTS, ONE ON ONE EDUCATIONAL SESSIONS FOR DIABETICS IN THE COMMUNITY, AND CONTINUING TO WORK WITH MINNESOTA PATH TO VALUE TO IMPROVE DIABETIC CARE AMONG THE HISPANIC POPULATION.OBESITY ADULT & CHILD - TO PREVENT AND REDUCE OBESITY IN ADULTS AND CHILDREN BY INCREASING HEALTH EATING AND PHYSICAL ACTIVITY OPPORTUNITIES BASED ON THE 6 DIMENSIONS OF WELLNESS BY; WORKING WITH CENTRACARE DIETICIANS AND PARTNERS TO INCREASE HEALTHY FOOD KNOWLEDGE AND FOOD PREPARATION SKILLS FOR HIGH RISK MEMBERS FOR THE COMMUNITY, ESTABLISH A WEIGHT MANAGEMENT PROGRAM WITHIN FAMILY PRACTICE, OFFER SENIOR FITNESS INTRODUCTION CLASS AND NUTRITION CLASSES, ESTABLISH CHILD AND TEEN ACTIVITY CLASSES AND SPORTS CLINICS, AND SUPPORT AND PROMOTE A COMMUNITY 5K.MENTAL HEALTH - TO IMPROVE EDUCATION, AWARENESS, AND COMMUNITY BASED INTERVENTIONS FOR MENTAL AND BEHAVIORAL HEALTH RESOURCES FOR THE COMMUNITY BY; PROMOTING AND HOSTING QUESTION, PERSUADE AND RESPOND (QPR) CLASSES FOR THE RURAL AND AGRICULTURAL COMMUNITIES, INTRODUCING WALK WITH ME CLASSES TO INCREASE SOCIAL STIMULATION, OFFER COFFEE AND CONVERSATION SESSIONS INCORPORATING MENTAL HEALTH TOPICS, ESTABLISH TELEHEALTH MENTAL HEALTH CONSULTS FOR THE HOSPITALIZED PATIENTS, AND OFFER MENTAL HEALTH SUPPORT AND ON-SITE EDUCATION FOR CENTRACARE LONG PRAIRIE STAFF.THE SOCIAL NEEDS SUCH AS SUBSTANCE ABUSE, CHRONIC DISEASE, DENTAL CARE, INFECTIOUS DISEASES, POVERTY, HOUSING, TRANSPORTATION AND CHILD CARE WERE NOT ADDRESSED DUE TO STAFFING AND FUNDING CONSTRAINTS. CENTRACARE HEALTH - LONG PRAIRIE 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 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 - LONG PRAIRIE 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 - LONG PRAIRIE PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY 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/APP/FILES/PUBLIC/9BDD1A26-B859-4316-8272-CB47EC7B7B72/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-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/APP/FILES/PUBLIC/9BDD1A26-B859-4316-8272-CB47EC7B7B72/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-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 - LONG PRAIRIE ("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. 1 1 - LONG PRAIRIE CLINIC 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 CLINIC 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 $ 1,471,141. PART II, COMMUNITY BUILDING ACTIVITIES: THE HEALTH SYSTEM PROVIDED FREE VACCINATION CLINICS, MANDATED EMPLOYEE VACCINATIONS, 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: LONG PRAIRIE IS LOCATED IN TODD COUNTY, MINNESOTA IN WHICH THERE IS 1 HOSPITAL. THE ESTIMATED 2024 POPULATION SHOWS 7,232 RESIDENTS WITH AN ESTIMATED SLIGHT INCREASE TO 7,428 BY 2029. THE PROJECTED CHANGE BY AGE BRACKET FROM 2024 TO 2029 IS AS FOLLOWS: 0-17: 1.00%, 18-44: 6.59%, 45-64: -7.88%, 65+: 10.52%. THE ESTIMATED 2024 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 68.00%, AFRICAN AMERICAN: 0.58%, ASIAN: 1.63%, HISPANIC: 28.32%, OTHER: 1.47%. THE ESTIMATED 2024 AVERAGE INCOME IS $79,631. THE ESTIMATED MEDICAL UNDERSERVICE SCORE IS 53.90. 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 1 COMMUNITY EVENTS/SPONSORSHIPS 11 11282 CNA/NURSING ASSISTANT TRAINING 1 80 PART I, LINE 2: THE CLASSES ARE POSTED AS "POSITIONS" ON THE WEBSITE THAT PEOPLE CAN APPLY TO. THE APPLICATIONS ARE SCREENED BY RECRUITMENT AND IF SELECTED, SET UP FOR AN INTERVIEW WITH THE HIRING MANAGER AT THE SITE. IF THE HIRING MANAGER WISHES TO PROCEED, THEY ARE OFFERED A POSITION BY THE RECRUITER TO TAKE THE CNA CLASS BUT THEN ALSO TO TAKE A PART TIME OR FULL TIMES POSITION AS A CNA IN ONE OF OUR ENTITIES ONCE THEY COMPLETE THE CLASS, SKILLS, AND TEST. ANYONE THAT APPLIES AND IS NOT SELECTED, THE RECRUITMENT TEAM WOULD HAVE NOTES AND TRACKING ITEMS FOR THIS IN ORACLE. 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 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 SAMUEL BURNS PHYSICIAN 0 399514 0 6168 0 202 0 21112 0 31407 0 458403 0 0 RICHARD WEHSELER DIRECTOR 0 371248 0 7042 0 741 0 30000 0 29114 0 438145 0 0 STEVEN FUGLESTAD PHYSICIAN 0 338918 0 17420 0 822 0 44377 0 6914 0 408451 0 0 ANTHONY GARDNER CHIEF MARKETING & COMMUNICATIONS OFF 0 305965 0 0 0 54546 0 30000 0 15575 0 406086 0 53358 CYBILL ORAGWU PHYSICIAN 0 344237 0 0 0 162 0 18228 0 30544 0 393171 0 0 RENE ELDIDY PHYSICIAN 0 286059 0 18636 0 1399 0 43000 0 34429 0 383523 0 0 DARON GERSCH PHYSICIAN 0 244210 0 14693 0 774 0 21086 0 29117 0 309880 0 0 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. JANET WENSMAN SPOUSE IS A BOARD MEMBER 39937 WAGES 0 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 AN ORGANIZATION EXEMPT FROM 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-OF-INTEREST 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. 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. 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. 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 - MELROSE 525 MAIN STREET WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 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 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0