CENTRACARE HEALTH SYSTEM OF MELROSE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CENTRACARE HEALTH SYSTEM OF MELROSE (EIN 41-1865315)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202531339349309493
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T19:55:39-05:00	ReturnTs
Tax Period End	2024-06-30	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	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	411865315	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRACARE HEALTH SYSTEM - MELROSE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	3202564231	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 MAIN STREET WEST	AddressLine1Txt
City	MELROSE	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56352	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOY PLAMANN	PersonNm
Person Title	CHIEF OPERATING OFFICER, SVP	PersonTitleTxt
Phone	3202564231	PhoneNum
Signature	2025-05-13	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	CHRIS MESKIMEN	PreparerPersonNm
PTIN	P01314196	PTIN
Phone	6123974000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRACARE HEALTH - MELROSE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DR KENNETH HOLMEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 MAIN STREET WEST	AddressLine1Txt
City	MELROSE	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56352	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$54,953,309	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	1997	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	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	13	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$205,923	PYContributionsGrantsAmt
CY Contributions Grants	$111,840	CYContributionsGrantsAmt
PY Program Service Revenue	$53,289,326	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,090,265	CYProgramServiceRevenueAmt
PY Investment Income	$1,171,814	PYInvestmentIncomeAmt
CY Investment Income	$607,133	CYInvestmentIncomeAmt
PY Other Revenue	$230,879	PYOtherRevenueAmt
CY Other Revenue	$617,101	CYOtherRevenueAmt
PY Total Revenue	$54,897,942	PYTotalRevenueAmt
CY Total Revenue	$51,426,339	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,071,045	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$877,950	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$31,630,138	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$25,104,294	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,698,595	PYOtherExpensesAmt
CY Other Expenses	$19,969,138	CYOtherExpensesAmt
PY Total Expenses	$52,399,778	PYTotalExpensesAmt
CY Total Expenses	$45,951,382	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,498,164	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,474,957	CYRevenuesLessExpensesAmt
Total Assets BOY	$71,757,257	TotalAssetsBOYAmt
Total Assets EOY	$69,907,565	TotalAssetsEOYAmt
Total Liabilities BOY	$15,853,979	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,171,109	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$55,903,278	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$63,736,456	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	Yes (1)	SignificantChangeInd
Expense	$28,414,663	ExpenseAmt
Grant	$877,950	GrantAmt
Revenue	$39,732,788	RevenueAmt
Desc	CCH - MELROSE 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 - MELROSE IS A 14 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. THERE WERE 509 INPATIENT VISITS, 2,182 INPATIENT DAYS WITH 40,014 OUTPATIENT VISITS, AND 5,031 EMERGENCY ROOM VISITS IN FISCAL YEAR 2024.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$4,533,148	ExpenseAmt
Revenue	$4,295,231	RevenueAmt
Desc	CCH - MELROSE OPERATES MELROSE PARK VIEW PLACE AND CENTRACARE - MELROSE CARE CENTER, WHICH ARE CONVENIENTLY CONNECTED TO THE MELROSE HOSPITAL FOR THE HEALTH NEEDS OF THE COMMUNITY. MELROSE PARK VIEW PLACE IS A 60-UNIT INDEPENDENT LIVING SENIOR HOUSING APARTMENT BUILDING THAT OFFERS RETIREMENT LIVING AT ITS FINEST. MELROSE PINE VILLA CARE CENTER IS A 75 BED SKILLED NURSING FACILITY THAT PROVIDES QUALITY, COMPASSIONATE CARE WITH AN EMPHASIS ON ENHANCING EACH RESIDENT'S PHYSICAL, SPIRITUAL, EMOTIONAL AND SOCIAL WELL-BEING. THERE WERE 12,026 RESIDENT DAYS DURING FISCAL YEAR 2024.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,740,042	ExpenseAmt
Revenue	$6,062,246	RevenueAmt
Desc	CCH - MELROSE OPERATES THE MELROSE CLINIC, WHICH IS CONVENIENTLY CONNECTED TO THE MELROSE HOSPITAL FOR THE HEALTH NEEDS OF THE COMMUNITY. MELROSE CLINIC PROVIDES SERVICES OF GENERAL SURGERY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, ORTHOPEDICS, AND UROLOGY. THERE WERE 30,483 CLINIC VISITS DURING FISCAL YEAR 2024.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$37,687,853	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	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	0	UnrelatedBusIncmOverLimitInd
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	8	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 (25 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	$1,554,927	$74,447
CHRISTIAN SCHMIDT
DIRECTOR	0.25	41.75	Yes (X)		$0	$497,014	$82,227
BRYAN ROLPH
DIRECTOR	0.25	41.75	Yes (X)		$0	$535,377	$39,024
RICHARD WEHSELER
DIRECTOR	0.25	41.75	Yes (X)		$0	$379,031	$59,114
BOBBIE BERTRAM
DIRECTOR	0.25	41.75	Yes (X)		$0	$217,428	$57,377
DAVID ANFINSON
CHAIR	0.25	1.75	Yes (X)	Yes (X)	$0	$33,000	$0
TIM WENSMAN
DIRECTOR	0.25	1.75	Yes (X)		$0	$12,500	$0
JEFF GAU
DIRECTOR	0.25	1.75	Yes (X)		$0	$12,000	$0
MICHELLE JOHNSON
DIRECTOR	0.25	1.75	Yes (X)		$0	$10,000	$0
RENEE FRAUENDIENST
DIRECTOR	0.25	3.75	Yes (X)		$0	$10,000	$0
DAN ABDUL
DIRECTOR	0.25	1.75	Yes (X)		$0	$8,000	$0
JAMES HEBL
DIRECTOR	0.25	1.75	Yes (X)		$0	$6,000	$0
CARRIE HENNING-SMITH
DIRECTOR	0.25	1.75	Yes (X)		$0	$4,000	$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	$801,092	$49,364
MICHAEL BLAIR
CHIEF FINANCIAL OFFICER/SR VP/ TREASURER	6.50	33.50		Yes (X)	$0	$754,895	$79,410
SANTO CRUZ
CHIEF LEGAL OFFICER/SR VP/ SECRETARY	6.50	33.50		Yes (X)	$0	$567,364	$53,699
AMY PORWOLL
CHIEF INFORMATION SYSTEM OFFICER/SR VP	8.00	32.00			$0	$514,086	$63,189	Yes (X)
ANTHONY GARDNER
CHIEF MARKETING & COMMUNICATIONS OFFICER/SR VP	8.00	32.00			$0	$360,511	$45,575	Yes (X)
PATRICK HELLER
PHYSICIAN	40.00				$0	$575,190	$50,225		Yes (X)
LINDSEY CHMIELEWSKI
PHYSICIAN	40.00				$0	$463,290	$76,574		Yes (X)
MICHAEL BESTE
PHYSICIAN	40.00				$0	$476,916	$51,617		Yes (X)
BRYAN BAUCK
VICE PRESIDENT	38.00	2.00			$0	$346,261	$77,948		Yes (X)
JULIE KLASEN
PHYSICIAN	40.00				$0	$267,721	$52,667		Yes (X)
CINDY SMITH
FORMER KEY EMPLOYEE	0.00	40.00			$0	$716,391	$78,002			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,122,994	TotReportableCompRltdOrgAmt
Total Other Compensation	$990,459	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 (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
PO BOX 674907	DALLAS	TX	75267	STAFFING AGENCY	$1,848,233
WEST CENTRAL ANESTHESIA PC
36497 230TH AVE	ALBANY	MN	56307	ANESTHESIA SERVICE	$889,138
MEDLINE INDUSTRIES LP
DEPT CH 14400	PALATINE	IL	60055	MEDICAL SUPPLIES	$604,815
HORIZON VIRTUAL
1550 45TTH AVENUE SE SUITE 2	SAINT CLOUD	MN	56304	PHYSICIAN FEES	$249,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Related Organizations	$39,758	RelatedOrganizationsAmt
Government Grants	$7,053	GovernmentGrantsAmt
All Other Contributions	$65,029	AllOtherContributionsAmt
Total Contributions	$111,840	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT & RESIDENT REV	622110	$48,962,392	$48,962,392
SENIOR HOUSING REVENUE	623311	$766,463	$766,463
OTHER PROGRAM REVENUE	622110	$361,410	$361,410

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,090,265	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,570,372	TotalRevenueColumnAmt
Exclusion	$1,570,372	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,145,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$3,108,239	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$963,239	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$963,239	TotalRevenueColumnAmt
Exclusion	-$963,239	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,002,436	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$418,731	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$583,705	TotalRevenueColumnAmt
Exclusion	$583,705	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC NON-OPERATING INC	Desc
Total Revenue Column	$33,396	TotalRevenueColumnAmt
Exclusion	$33,396	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$33,396	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,426,339	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,090,265	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,224,234	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$871,135	TotalAmt
Program Services	$871,135	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,815	TotalAmt
Program Services	$6,815	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$844,189	TotalAmt
Program Services	$650,026	ProgramServicesAmt
Management And General	$194,163	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,848,765	TotalAmt
Program Services	$14,513,549	ProgramServicesAmt
Management And General	$4,335,216	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$560,257	TotalAmt
Program Services	$431,398	ProgramServicesAmt
Management And General	$128,859	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,038,704	TotalAmt
Program Services	$3,109,802	ProgramServicesAmt
Management And General	$928,902	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$812,379	TotalAmt
Program Services	$625,532	ProgramServicesAmt
Management And General	$186,847	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,523	TotalAmt
Program Services	$13,493	ProgramServicesAmt
Management And General	$4,030	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,850,887	TotalAmt
Program Services	$4,332,172	ProgramServicesAmt
Management And General	$518,715	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,285	TotalAmt
Program Services	$7,149	ProgramServicesAmt
Management And General	$2,136	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,602	TotalAmt
Program Services	$23,564	ProgramServicesAmt
Management And General	$7,038	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,927,887	TotalAmt
Program Services	$1,484,473	ProgramServicesAmt
Management And General	$443,414	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$681,460	TotalAmt
Program Services	$524,724	ProgramServicesAmt
Management And General	$156,736	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$33,057	TotalAmt
Program Services	$25,454	ProgramServicesAmt
Management And General	$7,603	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$60,436	TotalAmt
Program Services	$46,536	ProgramServicesAmt
Management And General	$13,900	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$779,156	TotalAmt
Program Services	$599,950	ProgramServicesAmt
Management And General	$179,206	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,886,123	TotalAmt
Program Services	$2,222,315	ProgramServicesAmt
Management And General	$663,808	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$248,780	TotalAmt
Program Services	$191,561	ProgramServicesAmt
Management And General	$57,219	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS/MEDICAL SUPPLIES	$4,458,022	$4,458,022
EQUIPMENT RENT & MAINT.	$1,576,870	$1,214,190	$362,680
IMPLICIT PRICE CONCES.	$1,209,357	$1,209,357
MEDICAID & MNCARE	$882,051	$882,051

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$317,642	TotalAmt
Program Services	$244,585	ProgramServicesAmt
Management And General	$73,057	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,951,382	TotalAmt
Program Services	$37,687,853	ProgramServicesAmt
Management And General	$8,263,529	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,105	BOYAmt
EOY	$1,005	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,237,334	BOYAmt
EOY	$3,681,078	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,340,109	BOYAmt
EOY	$6,115,613	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$216,086	BOYAmt
EOY	$200,448	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$124,097	BOYAmt
EOY	$62,368	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$58,651,978	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$34,696,317	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$28,738,819	BOYAmt
EOY	$23,955,661	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$31,585,329	BOYAmt
EOY	$34,380,428	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$733,980	BOYAmt
EOY	$966,764	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$780,398	BOYAmt
EOY	$544,200	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,757,257	BOYAmt
EOY	$69,907,565	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,344,138	BOYAmt
EOY	$3,476,959	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$73,578	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,436,263	BOYAmt
EOY	$2,694,150	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,853,979	BOYAmt
EOY	$6,171,109	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	$55,896,789	BOYAmt
EOY	$63,736,456	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,489	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$55,903,278	BOYAmt
EOY	$63,736,456	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$71,757,257	BOYAmt
EOY	$69,907,565	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,474,957	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,358,221	NetUnrlzdGainsLossesInvstAmt
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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$986	OtherActivitiesAmt
Total Lobbying Expenditures	$986	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	CENTRACARE - MELROSE 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$517,250	OtherCostOrOtherBasisAmt
Book Value	$517,250	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,007,108	OtherCostOrOtherBasisAmt
Depreciation	$21,493,121	DepreciationAmt
Book Value	$20,513,987	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,118	OtherCostOrOtherBasisAmt
Depreciation	$130,391	DepreciationAmt
Book Value	$3,727	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,993,502	OtherCostOrOtherBasisAmt
Depreciation	$13,072,805	DepreciationAmt
Book Value	$2,920,697	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,955,661	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS	Desc
Book Value	$34,380,428	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$34,380,428	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$1,239,610
THIRD PARTY PAYOR SETTLEMENTS	$845,873
LEASE LIABILITIES	$272,706
ASSET RETIREMENT OBLIGATION	$335,961

Field	Value	IRS element (for citing)
Total Liability	$2,694,150	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$267,466	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$267,466	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,772,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,289,880	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,482,998	NetCommunityBenefitExpnsAmt
Total Expense	0.03310	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,040,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,289,880	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,750,464	NetCommunityBenefitExpnsAmt
Total Expense	0.03910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,333	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,333	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,396	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$871,135	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$871,135	NetCommunityBenefitExpnsAmt
Total Expense	0.01950	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$984,741	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$953,864	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,025,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,320,757	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,704,328	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$536	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$536	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$536	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$536	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,209,357	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,117,457	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,105,242	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$12,215	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRACARE HEALTH - MELROSE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	525 MAIN STREET WEST	AddressLine1Txt
City	MELROSE	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56352	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CENTRACARE.COM/LOCATIONS/MELROSE/	WebsiteAddressTxt
State License	415228	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	RURAL HEALTH CLINIC, NURSING HOME	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRACARE HEALTH - MELROSE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C SUPPLEMENTAL INFORMATION	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CENTRACARE HEALTH - MELROSE	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 - MELROSE	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 - MELROSE	PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - MELROSE CONDUCTED THE CHNA WITH CENTRACARE- PAYNESVILLE, CENTRACARE- SAUK CENTRE, AND ST. CLOUD HOSPITAL.
CENTRACARE HEALTH - MELROSE	PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - MELROSE CONDUCTED THE CHNA WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH AND STEARNS COUNTY PUBLIC HEALTH.
CENTRACARE HEALTH - MELROSE	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 HOSPITAL, 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/APP/FILES/PUBLIC/703575EA-3E1F-492E-B1A2-C2977FA3277D/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF
CENTRACARE HEALTH - MELROSE	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 - MELROSE	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 - MELROSE	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/703575EA-3E1F-492E-B1A2-C2977FA3277D/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/APP/FILES/PUBLIC/703575EA-3E1F-492E-B1A2-C2977FA3277D/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 MELROSE ("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.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MELROSE CLINIC
525 MAIN STREET WEST	MELROSE	MN	56352	CLINIC
2 - MELROSE PARK VIEW PLACE
125 5TH AVE NW	MELROSE	MN	56352	ASSISTED LIVING FACILITY
3 - MELROSE PINE RILLA CARE CENTER
525 MAIN STREET WEST	MELROSE	MN	56382	SKILLED CARE AND MEMORY ASSISTANCE LIVING FACILITY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $ 1,209,357.
PART II, COMMUNITY BUILDING ACTIVITIES:	CENTRACARE - MELROSE PARTICIPATED IN NUMEROUS MEETINGS THROUGHOUT THE YEAR WITH SURROUNDING LIONS/JAYCEES, 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:	MELROSE IS PREDOMINANTLY AN AGRICULTURAL COMMUNITY LOCATED IN STEARNS COUNTY, MINNESOTA IN WHICH THERE IS 1 HOSPITAL. THE ESTIMATED 2024 POPULATION SHOWS 5,913 RESIDENTS WITH AN ESTIMATED INCREASE TO 5,991 BY 2029. THE PROJECTED CHANGE BY AGE BRACKET FROM 2024 TO 2029 IS AS FOLLOWS: 0-17: -0.90%, 18-44: 4.45%, 45-64: -6.16%, 65+: 8.28%. THE ESTIMATED 2024 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 76.48%, AFRICAN AMERICAN: .30%, ASIAN: .17%, HISPANIC: 21.73%, OTHER: 1.32%. THE CENTRACARE HEALTH SYSTEM - MELROSE ESTIMATED 2024 AVERAGE INCOME IS $82,019. 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DOUGLAS COUNTY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	610 30TH AVE W	AddressLine1Txt
City	ALEXANDRIA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56308	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	411410148	RecipientEIN
IRC Section	115	IRCSectionDesc
Cash Grant	$871,135	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	COMMUNITY BENEFITS IN THE ALEXANDRIA AREA	PurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
LTC SCHOLARSHIPS FOR EDUCATION	5	$6,815
CNA TRAINING AND PROCTORED EXAMS	8	$3,434
COMMUNITY BENEFIT AND SPONSORSHIPS	1	$1,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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 TIME 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.	ExplanationTxt

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 (16 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	$1,241,865	$0	$0	$0	$313,062	$0	$39,768	$0	$34,679	$0	$1,629,374	$0	$311,826
JOY PLAMANN
CHIEF OPERATING OFFICER/SR VP	$0	$754,410	$0	$0	$0	$46,682	$0	$17,550	$0	$31,814	$0	$850,456	$0	$46,268
MICHAEL BLAIR
CHIEF FINANCIAL OFFICER/SR VP/ TREAS	$0	$668,440	$0	$0	$0	$86,455	$0	$52,500	$0	$26,910	$0	$834,305	$0	$85,681
CINDY SMITH
FORMER KEY EMPLOYEE	$0	$620,355	$0	$0	$0	$96,036	$0	$48,000	$0	$30,002	$0	$794,393	$0	$94,848
PATRICK HELLER
PHYSICIAN	$0	$548,385	$0	$26,031	$0	$774	$0	$25,944	$0	$24,281	$0	$625,415	$0	$0
SANTO CRUZ
CHIEF LEGAL OFFICER/SR VP/ SECRETARY	$0	$516,575	$0	$0	$0	$50,789	$0	$23,700	$0	$29,999	$0	$621,063	$0	$50,609
CHRISTIAN SCHMIDT
DIRECTOR	$0	$475,305	$0	$20,521	$0	$1,188	$0	$49,814	$0	$32,413	$0	$579,241	$0	$0
AMY PORWOLL
CHIEF INFORMATION SYSTEM OFFICER/SR	$0	$452,945	$0	$0	$0	$61,141	$0	$43,000	$0	$20,189	$0	$577,275	$0	$60,367
BRYAN ROLPH
DIRECTOR	$0	$513,572	$0	$21,391	$0	$414	$0	$0	$0	$39,024	$0	$574,401	$0	$0
LINDSEY CHMIELEWSKI
PHYSICIAN	$0	$445,722	$0	$17,288	$0	$280	$0	$45,000	$0	$31,574	$0	$539,864	$0	$0
MICHAEL BESTE
PHYSICIAN	$0	$455,854	$0	$20,900	$0	$162	$0	$22,500	$0	$29,117	$0	$528,533	$0	$0
RICHARD WEHSELER
DIRECTOR	$0	$371,248	$0	$7,042	$0	$741	$0	$30,000	$0	$29,114	$0	$438,145	$0	$0
BRYAN BAUCK
VICE PRESIDENT	$0	$321,083	$0	$0	$0	$25,178	$0	$39,626	$0	$38,322	$0	$424,209	$0	$25,016
ANTHONY GARDNER
CHIEF MARKETING & COMMUNICATIONS OFF	$0	$305,965	$0	$0	$0	$54,546	$0	$30,000	$0	$15,575	$0	$406,086	$0	$53,358
JULIE KLASEN
PHYSICIAN	$0	$252,412	$0	$15,043	$0	$266	$0	$20,900	$0	$31,767	$0	$320,388	$0	$0
BOBBIE BERTRAM
DIRECTOR	$0	$215,295	$0	$1,979	$0	$154	$0	$22,500	$0	$34,877	$0	$274,805	$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 $60,367 ANTHONY GARDNER - PAID $53,358 BRYAN BAUCK - PAID $25,016 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JANET WENSMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SPOUSE OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$39,937	TransactionAmt
Transaction	WAGES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	CCH-MELROSE OWNED AND OPERATED A 75-BED LICENSED SKILLED NURSING FACILITY (CENTRACARE MELROSE CARE CENTER) AND A SENIOR LIVING RESIDENTIAL FACILITY (MELROSE PARK VILLA). IN JANUARY 2024, CENTRACARE DIVESTED THESE FACILITIES THROUGH AN OPERATIONS TRANSFER AGREEMENT AND A REAL ESTATE SALE CONTRACT WITH PREMIER HEALTHCARE MANAGEMENT (CURA).
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 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 ON JUNE 6, 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 2,158,919. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,158,919. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 117,591. MANAGEMENT AND GENERAL EXPENSES 35,125. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,716. LABORATORY FEES: PROGRAM SERVICE EXPENSES 436,686. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 436,686. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 505. MANAGEMENT AND GENERAL EXPENSES 151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 656. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,102,944. MANAGEMENT AND GENERAL EXPENSES 926,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,029,797. RECLASS INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES -1,484,473. MANAGEMENT AND GENERAL EXPENSES -443,414. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -1,927,887.

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 CLINIC
1200 6TH AVENUE NORTH	ST CLOUD	MN	56303	411806657	MULTI-SPECIALTY	MN	501(C)(3)	3		Yes (1)	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH - LONG PRAIRIE
50 CENTRACARE DRIVE	LONG PRIAIRE	MN	56347	411924645	ACUTE/LT CARE	MN	501(C)(3)	3		Yes (1)	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH - SAUK CENTRE
425 ELM STREET NORTH	SAUK CENTRE	MN	56378	452438973	ACUTE/LT CARE	MN	501(C)(3)	3		Yes (1)	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH FOUNDATION
1406 6TH AVENUE NORTH	ST CLOUD	MN	56303	411855173	FUNDRAISING	MN	501(C)(3)	7		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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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
1001 HART BOULEVARD SUITE 50	MONTICELLO	MN	55362	261909519	RADIATION & ONCOLOGY SERVICES	MN	N/A	0	0

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	0	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