CENTRACARE CLINIC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- CENTRACARE CLINIC (EIN 41-1806657)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-12
- IRS object ID
- 202641329349302604
- Schema version
- 2024v5.5
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-12T09:26:50-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH SIXTH STREET | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411806657 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 3202525131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 6TH AVENUE NORTH | AddressLine1Txt |
| City | ST CLOUD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56303 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL A BLAIR | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3202525131 | PhoneNum |
| Signature | 2026-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MORGAN SEVERSON | PreparerPersonNm |
| PTIN | P02279974 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENNETH D HOLMEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 6TH AVENUE NORTH | AddressLine1Txt |
| City | ST CLOUD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $348,165,550 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CENTRACARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $22,002 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $898,330 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,180,859 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $316,786,961 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $345,200,456 | CYProgramServiceRevenueAmt |
| PY Investment Income | $118,005 | PYInvestmentIncomeAmt |
| CY Investment Income | $366,124 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,284,078 | PYOtherRevenueAmt |
| CY Other Revenue | $1,272,306 | CYOtherRevenueAmt |
| PY Total Revenue | $319,087,374 | PYTotalRevenueAmt |
| CY Total Revenue | $348,019,745 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,306 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $720 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $319,315,506 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $341,714,758 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $90,857,405 | PYOtherExpensesAmt |
| CY Other Expenses | $106,466,802 | CYOtherExpensesAmt |
| PY Total Expenses | $410,174,217 | PYTotalExpensesAmt |
| CY Total Expenses | $448,182,280 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$91,086,843 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$100,162,535 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $62,685,892 | TotalAssetsBOYAmt |
| Total Assets EOY | $62,653,131 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $233,405,991 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $333,535,765 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$170,720,099 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$270,882,634 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $134,629,574 | ExpenseAmt |
| Revenue | $345,200,456 | RevenueAmt |
| Desc | MEDICAL PROFESSIONAL SERVICES CENTRACARE CLINIC (CCC) PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY MEDICAL SERVICES THROUGH A MULTI-SPECIALTY CLINIC STRUCTURE AS THE PHYSICIAN COMPONENT OF CENTRACARE HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM.CCC'S FORMALLY ADOPTED CORE VALUES ARE:PATIENT CENTERED: SERVING PATIENTS ABOVE ALL.INTEGRITY: ADHERING TO HONEST AND ETHICAL PRACTICES.COLLABORATION: WORKING JOINTLY WITH OTHERS TO IMPROVE HEALTH AND HEALTH CARE.COMPASSION: SERVING ALL WHO SEEK OUR CARE WITH KINDNESS, DIGNITY AND RESPECT.STEWARDSHIP: ENSURING RESPONSIBLE USE OF ALL RESOURCES TO BEST SERVE OUR COMMUNITIES. CCC ACHIEVES THESE VALUES THROUGH SERVICES PROVIDED BY A TEAM OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES, DIETICIANS, EDUCATORS AND OTHER HEALTH CARE PROFESSIONALS. MANY SERVICES ARE PROVIDED TO THE GROWING DIVERSE POPULATION IN CENTRAL MINNESOTA. CCC ALSO PROVIDES THE PROFESSIONAL STAFFING FOR DESIGNATED RURAL HEALTH CLINICS AND HEALTH MANPOWER SHORTAGE AREAS SERVED BY CENTRACARE HEALTH IN RURAL MINNESOTA. THE MAJOR ACTIVITIES PROVIDED TO THE COMMUNITY INCLUDE CLINIC VISITS, HOSPITAL VISITS, NURSING HOME VISITS, SURGICAL AND MINOR SURGICAL VISITS, LABORATORY VISITS, IMMUNIZATIONS AND INJECTIONS, RADIOLOGY TESTS, AND SPECIAL PROCEDURES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $218,547,899 | ExpenseAmt |
| Desc | CCC PARTICIPATES IN A WIDE VARIETY OF GOVERNMENTAL HEALTHCARE PROGRAMS INCLUDING: MEDICARE, MEDICAID, MNCARE, MINNESOTA GENERAL ASSISTANCE AND PROGRAMS FOR MILITARY, VETERANS AND THEIR FAMILIES. FOR THE YEAR ENDED JUNE 30, 2025, CCC INCURRED COSTS OF $218,547,899 IN EXCESS OF PAYMENTS RECEIVED FOR SERVICES TO PATIENTS COVERED UNDER THESE PROGRAMS AND TAXES AND FEES RELATING TO THESE PROGRAMS.GOVERNMENTAL HEALTHCARE PROGRAMS PROVIDER REIMBURSEMENT AMOUNTS ARE BELOW THE COSTS THE PROVIDER INCURS TO PROVIDE THESE SERVICES MEDICARE COSTS IN EXCESS OF PAYMENTS $138,851,440MEDICAID COSTS IN EXCESS OF PAYMENTS $60,341,014SURCHARGES, FEES AND MNCARE TAX $3,338,115MILITARY COSTS IN EXCESS OF PAYMENTS $16,017,330 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,862,320 | ExpenseAmt |
| Desc | CCC SUPPORTS A WIDE VARIETY OF PATIENTS WHO EXPRESS A WILLINGNESS TO PAY BUT ARE UNABLE TO DO SO DUE TO SOCIOECONOMIC FACTORS. ADDITIONALLY, CCC RECORDS BAD DEBT AT TIMES WHEN IT IS UNABLE TO RECEIVE PAYMENT FOR SERVICES PROVIDED. FOR THE YEAR ENDED JUNE 30, 2025, $12,179,534 OF UNCOMPENSATED CARE WAS PROVIDED. $1,317,214 OF CHARITY CARE WAS PROVIDED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM PROVIDES PATIENTS WILLING, BUT UNABLE TO PAY, TO HAVE PATIENT BALANCES OTHERWISE DUE, REDUCED OR WAIVED. THE FINANCIAL ASSISTANCE PROGRAM ENSURES THE PATIENTS OF THE COMMUNITIES SERVED BY CCC HAVE ACCESS TO QUALITY MEDICAL CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. CCC PROVIDES SERVICES TO ALL IN NEED AND AT TIMES PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT, THESE BAD DEBT AMOUNTS FOR THE YEAR ENDED JUNE 30, 2025 TOTALED $10,862,321. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $364,039,793 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL BLAIR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3202512700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1406 6TH AVENUE N | AddressLine1Txt |
| City | ST CLOUD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56303 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH HOLMEN | ||||||||||
| PRESIDENT/CEO | 6.50 | 33.50 | Yes (X) | Yes (X) | $0 | $1,921,145 | $48,384 | |||
| JACOB LYONS | ||||||||||
| DIRECTOR (START 07.01.2024) | 0.25 | 39.75 | Yes (X) | $0 | $722,876 | $38,464 | ||||
| BRYAN ROLPH | ||||||||||
| DIRECTOR | 0.25 | 39.75 | Yes (X) | $0 | $572,615 | $51,807 | ||||
| RICHARD WEHSELER | ||||||||||
| DIRECTOR | 0.25 | 39.75 | Yes (X) | $0 | $382,873 | $38,143 | ||||
| BOBBIE BERTRAM | ||||||||||
| DIRECTOR | 0.25 | 39.75 | Yes (X) | $0 | $305,193 | $38,777 | ||||
| DAVID ANFINSON | ||||||||||
| CHAIR | 0.25 | 1.75 | Yes (X) | Yes (X) | $0 | $32,000 | $0 | |||
| TIM WENSMAN | ||||||||||
| DIRECTOR (END 06.30.2025) | 0.25 | 1.75 | Yes (X) | $0 | $10,000 | $0 | ||||
| JEFF GAU | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $9,000 | $0 | ||||
| CARRIE HENNING-SMITH | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $8,000 | $0 | ||||
| DAN ABDUL | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $8,000 | $0 | ||||
| RENEE FRAUENDIENST | ||||||||||
| DIRECTOR | 0.25 | 3.75 | Yes (X) | $0 | $8,000 | $0 | ||||
| JAMES HEBL | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $6,000 | $0 | ||||
| MICHELLE JOHNSON | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $6,000 | $0 | ||||
| FATHER TOM KNOBLACH | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $0 | $0 | ||||
| JOY PLAMANN | ||||||||||
| CHIEF OPERATING OFFICER/SR VP | 6.50 | 33.50 | Yes (X) | $0 | $979,580 | $195,343 | ||||
| MICHAEL BLAIR | ||||||||||
| CHIEF FINANCIAL OFFICER/SR VP/ TREASURER | 6.50 | 33.50 | Yes (X) | $0 | $997,209 | $156,611 | ||||
| SANTO CRUZ | ||||||||||
| CHIEF LEGAL OFFICER/SR VP/ SECRETARY | 6.50 | 33.50 | Yes (X) | $0 | $874,976 | $136,905 | ||||
| KIMBERLY EGAN | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER/SR VP | 6.50 | 33.50 | Yes (X) | $0 | $288,284 | $55,491 | ||||
| THOMAS SCHRUP | ||||||||||
| CHIEF PHYSICIAN OFFICER/EVP | 4.00 | 36.00 | $0 | $839,291 | $157,064 | Yes (X) | ||||
| CHRISTOPHER BOELTER | ||||||||||
| VICE PRESIDENT | 20.00 | 20.00 | $0 | $674,351 | $94,018 | Yes (X) | ||||
| AMY PORWOLL | ||||||||||
| CHIEF INFORMATION SYSTEM OFFICER/SR VP | 8.00 | 32.00 | $0 | $627,103 | $114,567 | Yes (X) | ||||
| JOSEPH BLONSKI | ||||||||||
| VICE PRESIDENT | 20.00 | 20.00 | $0 | $608,217 | $38,130 | Yes (X) | ||||
| MARIA MALLORY | ||||||||||
| VICE PRESIDENT | 13.00 | 27.00 | $0 | $522,851 | $100,107 | Yes (X) | ||||
| MATTHEW KUNKEL | ||||||||||
| VICE PRESIDENT | 20.00 | 20.00 | $0 | $431,064 | $95,888 | Yes (X) | ||||
| PHILIP LUITJENS | ||||||||||
| VICE PRESIDENT | 20.00 | 20.00 | $0 | $412,437 | $83,607 | Yes (X) | ||||
| RYAN ENGDAHL | ||||||||||
| VICE PRESIDENT | 20.00 | 20.00 | $0 | $360,210 | $87,815 | Yes (X) | ||||
| HANI ALKHATIB | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $1,660,426 | $44,007 | Yes (X) | ||||
| PAVAN BHAMIDIPATI | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $1,365,771 | $41,629 | Yes (X) | ||||
| HILARY UFEARO | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $1,358,871 | $39,164 | Yes (X) | ||||
| DONALD JURGENS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $941,494 | $28,944 | Yes (X) | ||||
| KADIR MULLINGS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $959,462 | $4,889 | Yes (X) | ||||
| ANTHONY GARDNER | ||||||||||
| FORMER KEY EMPLOYEE | 8.00 | 32.00 | $0 | $343,301 | $15,776 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $18,236,600 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,705,530 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HAYES LOCUMS | |||||
| PO BOX 844543 | DALLAS | TX | 75284 | CONTRACT PHYSICIANS | $4,471,805 |
| MEDIFIELD STAFFING | |||||
| 2341 BARTOLO DRIVE | LAND O LAKES | FL | 34639 | STAFFING AGENCY | $3,318,861 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT PHYSICIANS | $1,191,295 |
| LOCUMTENENSCOM LLC | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | CONTRACT PHYSICIANS | $792,398 |
| NORTHWEST PROFESSIONAL CENTER | |||||
| 175 7TH AVENUE S | WAITE PARK | MN | 56387 | RENT | $726,610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $417,092 | RelatedOrganizationsAmt |
| Government Grants | $696,047 | GovernmentGrantsAmt |
| All Other Contributions | $67,720 | AllOtherContributionsAmt |
| Total Contributions | $1,180,859 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT & RESIDENT REV | 622110 | $286,658,283 | $286,658,283 | |
| OTHER PROGRAM REVENUE | 622110 | $58,542,173 | $58,520,171 | $22,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $345,200,456 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $354,124 | TotalRevenueColumnAmt |
| Exclusion | $354,124 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $12,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $12,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,000 | TotalRevenueColumnAmt |
| Exclusion | $12,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,418,111 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $145,805 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,272,306 | TotalRevenueColumnAmt |
| Exclusion | $1,272,306 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $348,019,745 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $345,178,454 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,002 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,638,430 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720 | TotalAmt |
| Program Services | $720 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,781,596 | TotalAmt |
| Program Services | $2,169,645 | ProgramServicesAmt |
| Management And General | $611,951 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,256,010 | TotalAmt |
| Program Services | $219,379,688 | ProgramServicesAmt |
| Management And General | $61,876,322 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,710,920 | TotalAmt |
| Program Services | $9,134,518 | ProgramServicesAmt |
| Management And General | $2,576,402 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,874,208 | TotalAmt |
| Program Services | $25,641,882 | ProgramServicesAmt |
| Management And General | $7,232,326 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,092,024 | TotalAmt |
| Program Services | $10,211,779 | ProgramServicesAmt |
| Management And General | $2,880,245 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,468 | TotalAmt |
| Program Services | $28,445 | ProgramServicesAmt |
| Management And General | $8,023 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,259,926 | TotalAmt |
| Program Services | $22,548,709 | ProgramServicesAmt |
| Management And General | -$1,288,783 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,633 | TotalAmt |
| Program Services | $342,914 | ProgramServicesAmt |
| Management And General | $96,719 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,518,879 | TotalAmt |
| Program Services | $1,184,726 | ProgramServicesAmt |
| Management And General | $334,153 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,519,786 | TotalAmt |
| Program Services | $17,565,433 | ProgramServicesAmt |
| Management And General | $4,954,353 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,462,138 | TotalAmt |
| Program Services | $1,140,468 | ProgramServicesAmt |
| Management And General | $321,670 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,078 | TotalAmt |
| Program Services | $333,121 | ProgramServicesAmt |
| Management And General | $93,957 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,751,278 | TotalAmt |
| Program Services | $1,365,997 | ProgramServicesAmt |
| Management And General | $385,281 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,322 | TotalAmt |
| Program Services | $15,071 | ProgramServicesAmt |
| Management And General | $4,251 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,421,918 | TotalAmt |
| Program Services | $1,109,096 | ProgramServicesAmt |
| Management And General | $312,822 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,426,255 | TotalAmt |
| Program Services | $1,892,479 | ProgramServicesAmt |
| Management And General | $533,776 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS/MEDICAL SUPPLIES | $24,397,236 | $24,397,236 | |
| EQUIPMENT RENT & MAINT. | $13,402,008 | $10,453,566 | $2,948,442 |
| IMPLICIT PRICE CONCES. | $10,862,321 | $10,862,321 | |
| MEDICAID & MNCARE | $3,338,115 | $3,338,115 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,441 | TotalAmt |
| Program Services | $923,864 | ProgramServicesAmt |
| Management And General | $260,577 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,182,280 | TotalAmt |
| Program Services | $364,039,793 | ProgramServicesAmt |
| Management And General | $84,142,487 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,949 | BOYAmt |
| EOY | $9,949 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,384,996 | BOYAmt |
| EOY | $7,557,884 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,398,678 | BOYAmt |
| EOY | $29,582,631 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,782 | BOYAmt |
| EOY | $661,226 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,377,783 | BOYAmt |
| EOY | $2,637,502 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,336 | BOYAmt |
| EOY | $703,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,247,825 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,876,222 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,086,266 | BOYAmt |
| EOY | $7,371,603 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,853 | BOYAmt |
| EOY | -$2,853 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,735,507 | BOYAmt |
| EOY | $4,651,803 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,352,448 | BOYAmt |
| EOY | $9,480,148 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,685,892 | BOYAmt |
| EOY | $62,653,131 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,073,870 | BOYAmt |
| EOY | $60,594,416 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,332,121 | BOYAmt |
| EOY | $272,941,349 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,405,991 | BOYAmt |
| EOY | $333,535,765 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$170,720,099 | BOYAmt |
| EOY | -$270,882,634 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$170,720,099 | BOYAmt |
| EOY | -$270,882,634 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,685,892 | BOYAmt |
| EOY | $62,653,131 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$100,162,535 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,797,419 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,299,167 | DepreciationAmt |
| Book Value | $3,498,252 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,710 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,650 | DepreciationAmt |
| Book Value | $121,060 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,325,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,573,405 | DepreciationAmt |
| Book Value | $3,752,291 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,371,603 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASED ASSETS | $1,122,605 |
| OTHER RECEIVABLES | $7,211,155 |
| OTHER ASSETS | $1,146,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,480,148 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR SETTLEMENTS | $675,768 |
| OTHER LIABILITIES | $216,417 |
| DUE TO AFFILIATES | $269,126,433 |
| LEASE LIABILITIES | $1,532,612 |
| LT SETTLEMENTS RESERVE | $1,390,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $272,941,349 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH HOLMEN | ||||||||||||||
| PRESIDENT/CEO | $0 | $1,275,014 | $0 | $305,083 | $0 | $341,048 | $0 | $10,350 | $0 | $38,034 | $0 | $1,969,529 | $0 | $318,062 |
| HANI ALKHATIB | ||||||||||||||
| PHYSICIAN | $0 | $1,568,042 | $0 | $90,404 | $0 | $1,980 | $0 | $10,350 | $0 | $33,657 | $0 | $1,704,433 | $0 | $0 |
| PAVAN BHAMIDIPATI | ||||||||||||||
| PHYSICIAN | $0 | $1,277,040 | $0 | $65,431 | $0 | $23,300 | $0 | $10,350 | $0 | $31,279 | $0 | $1,407,400 | $0 | $0 |
| HILARY UFEARO | ||||||||||||||
| PHYSICIAN | $0 | $1,279,500 | $0 | $78,681 | $0 | $690 | $0 | $10,350 | $0 | $28,814 | $0 | $1,398,035 | $0 | $0 |
| JOY PLAMANN | ||||||||||||||
| CHIEF OPERATING OFFICER/SR VP | $0 | $764,018 | $0 | $141,253 | $0 | $74,309 | $0 | $167,430 | $0 | $27,913 | $0 | $1,174,923 | $0 | $53,269 |
| MICHAEL BLAIR | ||||||||||||||
| CHIEF FINANCIAL OFFICER/SR VP/ TREAS | $0 | $582,015 | $0 | $251,104 | $0 | $164,090 | $0 | $128,404 | $0 | $28,207 | $0 | $1,153,820 | $0 | $85,554 |
| SANTO CRUZ | ||||||||||||||
| CHIEF LEGAL OFFICER/SR VP/ SECRETARY | $0 | $462,381 | $0 | $251,135 | $0 | $161,460 | $0 | $105,106 | $0 | $31,799 | $0 | $1,011,881 | $0 | $69,200 |
| THOMAS SCHRUP | ||||||||||||||
| CHIEF PHYSICIAN OFFICER/EVP | $0 | $623,207 | $0 | $111,782 | $0 | $104,302 | $0 | $134,657 | $0 | $22,407 | $0 | $996,355 | $0 | $102,322 |
| DONALD JURGENS | ||||||||||||||
| PHYSICIAN | $0 | $898,033 | $0 | $42,771 | $0 | $690 | $0 | $10,350 | $0 | $18,594 | $0 | $970,438 | $0 | $0 |
| KADIR MULLINGS | ||||||||||||||
| PHYSICIAN | $0 | $886,392 | $0 | $72,620 | $0 | $450 | $0 | $0 | $0 | $4,889 | $0 | $964,351 | $0 | $0 |
| CHRISTOPHER BOELTER | ||||||||||||||
| VICE PRESIDENT | $0 | $536,448 | $0 | $63,877 | $0 | $74,026 | $0 | $90,264 | $0 | $3,754 | $0 | $768,369 | $0 | $72,736 |
| JACOB LYONS | ||||||||||||||
| DIRECTOR (START 07.01.2024) | $0 | $684,422 | $0 | $38,154 | $0 | $300 | $0 | $10,350 | $0 | $28,114 | $0 | $761,340 | $0 | $0 |
| AMY PORWOLL | ||||||||||||||
| CHIEF INFORMATION SYSTEM OFFICER/SR | $0 | $447,379 | $0 | $71,245 | $0 | $108,479 | $0 | $90,320 | $0 | $24,247 | $0 | $741,670 | $0 | $84,189 |
| JOSEPH BLONSKI | ||||||||||||||
| VICE PRESIDENT | $0 | $478,395 | $0 | $56,792 | $0 | $73,030 | $0 | $10,350 | $0 | $27,780 | $0 | $646,347 | $0 | $71,050 |
| BRYAN ROLPH | ||||||||||||||
| DIRECTOR | $0 | $547,561 | $0 | $23,764 | $0 | $1,290 | $0 | $8,475 | $0 | $43,332 | $0 | $624,422 | $0 | $0 |
| MARIA MALLORY | ||||||||||||||
| VICE PRESIDENT | $0 | $443,527 | $0 | $55,034 | $0 | $24,290 | $0 | $79,200 | $0 | $20,907 | $0 | $622,958 | $0 | $0 |
| MATTHEW KUNKEL | ||||||||||||||
| VICE PRESIDENT | $0 | $334,472 | $0 | $42,635 | $0 | $53,957 | $0 | $62,913 | $0 | $32,975 | $0 | $526,952 | $0 | $36,322 |
| PHILIP LUITJENS | ||||||||||||||
| VICE PRESIDENT | $0 | $337,569 | $0 | $41,273 | $0 | $33,595 | $0 | $60,818 | $0 | $22,789 | $0 | $496,044 | $0 | $33,295 |
| RYAN ENGDAHL | ||||||||||||||
| VICE PRESIDENT | $0 | $305,572 | $0 | $39,074 | $0 | $15,564 | $0 | $56,029 | $0 | $31,786 | $0 | $448,025 | $0 | $0 |
| RICHARD WEHSELER | ||||||||||||||
| DIRECTOR | $0 | $367,730 | $0 | $14,309 | $0 | $834 | $0 | $7,712 | $0 | $30,431 | $0 | $421,016 | $0 | $0 |
| ANTHONY GARDNER | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $315,931 | $0 | $0 | $0 | $27,370 | $0 | $4,391 | $0 | $11,385 | $0 | $359,077 | $0 | $0 |
| BOBBIE BERTRAM | ||||||||||||||
| DIRECTOR | $0 | $243,745 | $0 | $24,499 | $0 | $36,949 | $0 | $3,503 | $0 | $35,274 | $0 | $343,970 | $0 | $0 |
| KIMBERLY EGAN | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER/SR VP | $0 | $234,822 | $0 | $50,000 | $0 | $3,462 | $0 | $52,063 | $0 | $3,428 | $0 | $343,775 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $84,189 CHRISTOPHER BOELTER - PAID $72,736 JOSEPH BLONSKI - PAID $71,050 JOY PLAMANN - PAID $53,269 KENNETH HOLMEN - PAID $318,062 MATTHEW KUNKEL - PAID $36,322 MICHAEL BLAIR - PAID $85,554 PHILLIP LUITJENS - PAID $33,295 SANTO CRUZ - PAID $69,200 THOMAS SCHRUP - PAID $102,322 |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 COMMITTEE 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 2025. 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 2025. 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 CLINIC/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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE HEALTH SYSTEM - LONG PRAIRIE | |||||||||||
| 50 CENTRACARE DRIVE | LONG PRIAIRE | MN | 56347 | 411924645 | ACUTE/LT CARE | MN | 501(C)(3) | 3 | 0 | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE HEALTH SYSTEM - MELROSE | |||||||||||
| 525 MAIN STREET WEST | MELROSE | MN | 56352 | 411865315 | ACUTE/LT CARE | MN | 501(C)(3) | 3 | 0 | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE HEALTH SYSTEM - SAUK CENTRE | |||||||||||
| 425 ELM STREET NORTH | SAUK CENTRE | MN | 56378 | 452438973 | ACUTE/LT CARE | MN | 501(C)(3) | 3 | 0 | CENTRACARE HEALTH SYSTEM | |
| 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 | 0 | CENTRACARE RICE MEMORIAL HOSPITAL | |
| CENTRACARE HEALTH FOUNDATION | |||||||||||
| 1406 6TH AVENUE NORTH | ST CLOUD | MN | 56303 | 411855173 | FUNDRAISING | MN | 501(C)(3) | 7 | 0 | CENTRACARE HEALTH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL IMAGING LLC | |||||||||
| 1406 6TH AVENUE NORTH | ST CLOUD | MN | 56303 | 822580688 | IMAGING SERVICES | MN | N/A | 0 | 0 |
| MONTICELLO CANCER CENTER LLC | |||||||||
| 1001 HART BOULEVARD SUITE 50 | MONTICELLO | MN | 55362 | 261909519 | RADIATION & ONCOLOGY SERVICES | MN | N/A | 0 | 0 |
| CENTRACARE PHARMACY SERVICES LLC | |||||||||
| 1406 6TH AVENUE NORTH | ST CLOUD | MN | 56303 | 411620618 | PHARMACY SERVICES | MN | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |