2022-05-14T09:52:55-05:00 2021-06-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2020-07-01 411924645 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CENT 3207322141 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 JOSEPH KALKMAN EVP, CAO & CHRO 3207322141 2022-05-10 1 JOSEPH KALKMAN 999009999 CHRIS MESKIMEN P01314196 6123974000 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CENTRACARE HEALTH - LONG PRAIRIE DR KENNETH D HOLMEN 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 40981702 0 X WWW.CENTRACARE.COM X 1999 MN WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 15 9 0 43 0 0 5153297 1730064 34976973 37925151 206077 252036 1756061 869596 42092408 40776847 142439 14858 0 0 21788243 24030816 0 0 0 18839364 19362972 40770046 43408646 1322362 -2631799 61590751 62306209 43155424 46120986 18435327 16185223 X WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 18877304 26064692 CCH - LONG PRAIRIE IS PART OF A LARGER INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS CENTRACARE HEALTH, A SYSTEM RECOGNIZED FOR BEING A LEADER IN PROVIDING HIGH-QUALITY, COMPREHENSIVE CARE THROUGHOUT THE REGION. CCH - LONG PRAIRIE IS A 25 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE SERVICES IN THE AREAS OF MEDICAL, SURGICAL, DIAGNOSTIC, AND OBSTETRICS ALONG WITH OTHER SERVICES OF 24 HOUR EMERGENCY ROOM, IMAGING, LABORATORY, REHABILITATION, AND CHEMOTHERAPY TO THE COMMUNITY OF LONG PRAIRIE AND THE SURROUNDING AREA. THERE WERE 492 ADMISSIONS, 2,169 INPATIENT DAYS, AND 32,650 OUTPATIENT VISITS DURING FISCAL YEAR 2021. 4840482 5378419 CCH - LONG PRAIRIE OPERATES THE LONG PRAIRIE CLINIC WHICH IS CONVENIENTLY CONNECTED TO THE LONG PRAIRIE HOSPITAL FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. LONG PRAIRIE CLINIC PROVIDES HEALTH CARE THROUGH A MIXTURE OF PHYSICIANS AND MIDLEVEL PROVIDERS. THERE WERE 17,617 CLINIC VISITS DURING FISCAL YEAR 2021. 6391599 5282175 THE CCH - LONG PRAIRIE CARE CENTER IS AN ATTACHED 70 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 16,425 RESIDENT DAYS DURING FISCAL YEAR 2021. 1379038 1199865 CCH - LONG PRAIRIE BUILT AN ASSISTED LIVING BUILDING AND OPENED IT FOR SERVICES IN MID AUGUST 2017. THE BUILDING CONSISTS OF 24 ASSISTED LIVING APARTMENTS AND 16 MEMORY CARE APARTMENTS. THERE WERE 7,215 ASSISTED LIVING OCCUPIED UNIT DAYS AND 3,026 MEMORY CARE OCCUPIED UNIT DAYS FOR FISCAL YEAR 2021. THERE WERE 7,606 ASSISTED LIVING TENANT DAYS AND 3,026 MEMORY CARE TENANT DAYS FOR FISCAL YEAR 2021. 1379038 1199865 31488423 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 0 1 1 0 0 0 MN X ADAM PAULSON 3207327240 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 KENNETH D HOLMEN MD PRESIDENT/CEO 6.50 33.50 X X 0 1423120 42559 DONALD JURGENS MD DIRECTOR 1.00 39.00 X 0 863168 20730 CHRISTIAN P SCHMIDT MD DIRECTOR 1.00 39.00 X 0 514228 73374 RICHARD A WEHSELER MD DIRECTOR 1.00 39.00 X 0 403754 58681 BRYAN ROLPH MD DIRECTOR 1.00 39.00 X 0 431949 1783 SHARON J RUGGIERO MD DIRECTOR 1.00 39.00 X 0 260991 57886 DAVID ANFINSON VICE CHAIR 0.25 1.75 X X 0 0 0 STEVE LARAWAY BOARD CHAIR 0.25 1.75 X X 0 0 0 BOB THUERINGER DIRECTOR 0.20 1.80 X 0 0 0 FATHER TOM KNOBLACH DIRECTOR 0.25 1.75 X 0 0 0 JAMES HEBL DIRECTOR 0.25 1.75 X 0 0 0 JEFF GAU DIRECTOR 0.25 1.75 X 0 0 0 JOE UPHUS DIRECTOR 0.25 1.75 X 0 0 0 TERESA BOHNEN DIRECTOR 0.25 1.75 X 0 0 0 TIM WENSMAN DIRECTOR 0.25 1.75 X 0 0 0 CRAIG BROMAN CHIEF OPERATING OFFICER/EVP 6.50 33.50 X 0 1387560 51923 MICHAEL BLAIR CFO/SR VP/TREASURER 1.00 39.00 X 0 544396 73619 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/SECRETARY 1.00 39.00 X 0 363379 45019 CINDY FIRKINS SMITH MD VICE PRESIDENT 10.00 30.00 X 0 852324 53785 DANIEL J SWENSON PRESIDENT 40.00 0.00 X 0 302530 44076 JAY-SHEREE P ALLEN PHYSICIAN 40.00 0.00 X 0 366212 18774 LIONEL S MCINTOSH PHYSICIAN 40.00 0.00 X 0 364802 17127 RENE ELDIDY PHYSICIAN 40.00 0.00 X 0 328892 46802 DEBORAH P RASMUSSEN PHYSICIAN 40.00 0.00 X 0 250197 32955 DARON W GERSCH PHYSICIAN 40.00 0.00 X 0 224245 38362 0 8881747 677455 0 0 1 0 WEST CENTRAL ANESTHESIA PC 10382 AUGUSTA DRIVE SAUK CENTRE MN 56378 CRNA SERVICES 456741 AYA HEALTHCARE INC DEPT 3519 PO BOX 123519 DALLAS TX 75312 TEMPORARY STAFFING SERVICES 335814 WHITESELL MEDICAL STAFFING PO BOX 997 ANNANDALE MN 55302 PHYSICIAN SERVICES 311905 HORIZON VIRTUAL C/O DARIN WILLARDSEN 9886 352ND ST SAINT JOSEPH MN 56374 PHYSICIAN SERVICES 218050 4 135586 1594478 1730064 PATIENT & RESIDENT REV 622110 36548111 36548111 SENIOR HOUSING INCOME 623311 1082326 1082326 OTHER PROGRAM INCOME 622110 294714 294714 37925151 252036 252036 1074451 204855 869596 869596 40776847 37925151 0 1121632 14858 14858 18013779 13041198 4972581 709581 493168 216413 4387948 3147643 1240305 919508 847156 72352 1072 1072 3666 3666 3309851 2216954 1092897 30297 382 29915 146110 54180 91930 2366318 1538107 828211 2117055 900664 1216391 41542 40895 647 41947 40932 1015 1318986 1318986 3430256 2923452 506804 178189 31771 146418 DRUGS/MEDICAL SUPPLIES 4387320 4207494 179826 IMPLICIT PRICE CONCESS. 1357711 1357711 MEDICAID/MN CARE 594767 594767 DUES & AFFILIATIONS 39951 37091 2860 -2066 -2066 43408646 31488423 11920223 0 6210578 8814572 4626883 5520754 380078 367316 46349 58863 64932380 21839308 46307247 43093072 2013346 2655408 468725 451202 1537545 1345022 61590751 62306209 3126136 4285217 2350000 25326 20264 40003962 39465505 43155424 46120986 X 18360329 16185223 74998 0 18435327 16185223 61590751 62306209 X -2631799 456693 -74998 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1362 1362 0 PART II-B, LINE 1: CENTRACARE - LONG PRAIRIE PAID $1,362 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS. 0 1 X 282427 282427 51718647 13144233 38574414 1951631 1104126 847505 10979675 7590949 3388726 43093072 DUE TO AFFILIATED ORGANIZATIONS 4171007 THIRD PARTY SETTLEMENTS 1091408 ASSET RETIREMENT OBLIGATION 568713 OPERATING LIABILITIES 1377119 BOND PREMIUM 32257258 39465505 X PART IV, LINE 2B: CENTRACARE - LONG PRAIRIE HOLDS RESDIENT CUSTODIAL ACCOUNT LIABILITY FUNDS. PART X, LINE 2: CENTRACARE, THE CORPORATION, THE CLINIC, CCH MELROSE, CCH-LONG PRAIRIE, CCH-SAUK CENTRE AND THE FOUNDATION HAVE BEEN DETERMINED TO QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CCH-MONTICELLO, CCH-PAYNESVILLE AND CARRIS HEALTH, AS DISREGARDED LIMITED LIABILITY COMPANIES (LLCS) UNDER INTERNAL REVENUE SERVICE REGULATIONS, ACHIEVE TAX-EXEMPT TREATMENT BASED ON THE EXEMPT STATUS OF THEIR PARENT, CENTRACARE HEALTH SYSTEM. AT JUNE 30, 2021 AND 2020, THERE WERE NO UNCERTAIN TAX POSITIONS. 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 339666 339666 0.00810 8873460 6211616 2661844 0.06330 9213126 6211616 3001510 0.07140 14858 14858 0.00040 14858 14858 0.00040 9227984 6211616 3016368 0.07180 1 1357711 0 6696090 6532304 163786 X 1 1 1 1 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 331051 X X X X RURAL HEALTH CLINIC, NURSING HOME CENTRACARE HEALTH - LONG PRAIRIE 1 0 0 1 X X X X X X X X X X 18 1 1 1 1 X SEE PART V, PAGE 8 X 1 18 1 SEE PART V, PAGE 8 0 1 X 175.000000000000 250.000000000000 X X 1 1 X X X 1 X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X X 1 X 0 0 CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE CHNA AND PREPARE THE IMPLEMENTATION STRATEGY WHICH WE CALLED THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDES A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND SEVERAL COMMUNITY MEETINGS TO GATHER INFORMATION ON FORCES THAT CREATE HEALTH, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. THE CHNA INCLUDED A HEALTH EQUITY ASSESSMENT AND INFORMATION ON NATIONAL, STATE, AND OTHER LOCAL PLANNING PROCESSES RELATED TO HEALTH.AS A FOLLOW UP TO THE PRIOR CHNA PROCESS WHERE PUBLIC HEALTH DATA WAS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WAS A COLLABORATIVE EFFORT EXECUTED WITH TODD COUNTY HEALTH AND HUMAN SERVICES, MORRISON COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 5: TODD-MORRISON-WADENA CHNA COLLABORATIVE (MTW CHB) AGREED TO UTILIZE THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE THE IMPLEMENTATION STRATEGY.THIS GROUP MEETS BI-MONTHLY TO DEDICATE TIME IN COMPLETING THE MAPP PROCESS. IN ADDITION TO THE COLLABORATIVE GROUP'S EFFORTS OF COMPLETING A FORCES OF CHANGE ASSESSMENT, COMMUNITY INPUT WILL BE REPRESENTED THROUGH A COMMUNITY HEALTH SURVEY (GOAL IS 400 COMPLETED SURVEYS PER COUNTY), COMMUNITY STAKEHOLDER INTERVIEWS (FOLLOWING THE 12 SECTOR MODEL, EACH COUNTY WILL SELECT 20-30 NAMES FOR INTERVIEWS), AND ANECDOTAL SELF-REPORTED DATA COLLECTION WITHIN OUR TARGETED POPULATION (IDENTIFIED THROUGH ASSESSMENT IN OUR PMAP). OTHER SOURCES OF DATA COLLECTION INCLUDE LOCAL ELECTRONIC MEDICAL RECORD DATA, IHP AND HEALTH EQUITY DATA, COUNTY DATA TABLES, MINNESOTA STUDENT SURVEYS AND RESULTS FROM THE 2013 AND 2016 REGIONAL COMMUNITY HEALTH SURVEY DATA.EACH ORGANIZATION WILL WORK ON THE 2019 COMMUNITY HEALTH PRIORITIES INDEPENDENTLY, AS WELL AS COLLECTIVELY WHEN POSSIBLE. IDENTIFYING PRIORITIES TOGETHER ALLOWS THE OPPORTUNITY TO MAKE GREATER STRIDES THROUGHOUT OUR AREA, CREATING A REGIONAL APPROACH RATHER THAN ORGANIZATIONAL APPROACH. EACH ORGANIZATION HAS THE FREEDOM TO DECIDE HOW THEY CAN MOST AFFECT EACH PRIORITY BASED ON THEIR RESOURCES ALLOTTED TO THIS WORK. THE COLLABORATIVE GROUP WILL CONTINUE TO MEET TO REVIEW GOALS AND STRATEGIES AND UPDATE CURRENT EFFORTS AND MEASURES OF SUCCESS OVER THE DESIGNATED COMMUNITY HEALTH NEEDS ASSESSMENT PERIOD.THE ASSESSMENTS GATHER QUALITATIVE AND QUANTITATIVE DATA TO DRIVE THE PRIORITY SELECTION PROCESS. TO COMPLETE THE ASSESSMENTS, TODD AND WADENA COUNTIES FOLLOWED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE MAPP PROCESS IS A COMMUNITY-DRIVEN STRATEGIC PLANNING TOOL THAT INCLUDES COMMUNITY VISIONING, CONDUCTING FOUR ASSESSMENTS (COMMUNITY THEMES AND STRENGTHS, ORGANIZATION CAPACITY AND PERFORMANCE, COMMUNITY HEALTH, AND FORCES OF CHANGE), PRIORITIZING ISSUES, SELECTING GOALS AND STRATEGIES, AND DEVELOPING AN ACTION PLAN. THE CHB'S COMMUNITY HEALTH ASSESSMENT RESULTS INCLUDE SIX AREAS: WRITTEN/EMAIL SURVEY, FACE-TO-FACE INTERVIEWS, SECONDARY DATA SOURCES, DIRECTORY LISTING OF HEALTH SYSTEM CAPABILITIES, SUMMARY AND CONCLUSIONS, AND THREE-YEAR ACTION PLAN.THE SURVEY INSTRUMENT CONTENT WAS LARGELY TAKEN FROM A SIMILAR SURVEY CONDUCTED BY THESE SAME COUNTIES IN 2016. MODIFICATIONS TO THE SURVEY QUESTIONS WERE MADE BY LOCAL PUBLIC HEALTH STAFF WITH TECHNICAL ASSISTANCE FROM THE MINNESOTA DEPARTMENT OF HEALTH CENTER FOR HEALTH STATISTICS. A TWO-STAGE SAMPLING STRATEGY WAS USED FOR OBTAINING PROBABILITY SAMPLES OF ADULTS LIVING IN EACH OF THE THREE COUNTIES. A SEPARATE SAMPLE WAS DRAWN FOR EACH COUNTY. ADDITIONAL SAMPLES WERE DRAWN IN EACH OF FOUR CITIES IN THE REGION (LITTLE FALLS, LONG PRAIRIE, STAPLES AND WADENA).THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA): COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH 54 INDIVIDUALS ACROSS MORRISON, TODD, AND WADENA COUNTIES. INTERVIEWS WERE CONDUCTED BY PUBLIC HEALTH AND HEALTH CARE STAFF UTILIZING THE COMMUNITY STAKEHOLDER QUESTIONNAIRE. INTERVIEWS WERE CONDUCTED IN PERSON AND VIA PHONE AND TYPICALLY LASTED 45 MINUTES TO 1 HOUR. 22 INTERVIEWS WERE CONDUCT IN MORRISON COUNTY, 15 INTERVIEWS WERE CONDUCTED IN TODD COUNTY, AND 17 INTERVIEWS WERE CONDUCTED IN WADENA COUNTY. COMMUNITY STAKEHOLDERS WERE SELECTED FROM A VARIETY OF SECTORS.THE FORCES OF CHANGE (FOC) ASSESSMENT IDENTIFIES FORCES THAT MAY AFFECT A COMMUNITY AND OPPORTUNITIES AND THREATS ASSOCIATED WITH THOSE FORCES. THE FOC TEAM FACILITATED A CONVERSATION ON WHAT CREATES HEALTH, FORCES, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, AND CHI ST. GABRIEL'S HEALTH. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON COUNTRY PUBLIC HEALTH, TODD COUNTRY PUBLIC HEALTH, AND WADENA CONTRY PUBLIC HEALTH). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 11: AFTER COMPLETING THE 2019 MORRISON-TODD-WADENA COMMUNITY HEALTH SURVEY AND THE INTERVIEWS WITH 22 COMMUNITY STAKEHOLDERS, AND AFTER REVIEWING ADDITIONAL DATA SOURCES FROM EMERGENCY ROOM STATISTICS TO THE STATE'S STUDENT SURVEY TO THE U.S. CENSUS BUREAU INFORMATION, AND MANY OTHER SOURCES, THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM AT CENTRACARE LONG PRAIRIE BEGAN THE WORK TO DEVELOP GOALS, INITIATIVES AND STRATEGIES TO ADDRESS TODD COUNTY'S THREE TOP HEALTH NEEDS AS IDENTIFIED BY THESE INVESTIGATIONS.WITH DATA IN HAND, KATIE GRUBER, SUPERVISOR COMMUNITY HEALTH AND WELL-BEING AND JODI HILLMER, DIRECTOR OF PATIENT CARE SERVICES, WHO LED THE 2019 CHNA WORK, CONVENED A SERIES OF MEETINGS WITH A STRATEGY TEAM TO, FIRST, DISCUSS THE ISSUES THAT SEEMED OF GREATEST CONCERN TO THE PEOPLE OF TODD COUNTY, AND THEN TO FOCUS ON EACH OF THE TOP THREE TO EXPLORE WAYS TO ADDRESS THOSE NEEDS AND TO IMPROVE THE HEALTH OF THEIR COMMUNITY. THE STRATEGY TEAM SHE INVITED TO ATTEND INCLUDED REPRESENTATIVES OF ORGANIZATIONS WHO, ON A DAILY BASIS, ADDRESS THE HEALTH CONCERNS OF THE PEOPLE WHO CALL TODD COUNTY HOME. THE TEAM INCLUDES REPRESENTATIVES FROM THE COUNTY'S PUBLIC HEALTH OFFICE, CITY COUNCIL, SCHOOLS, ELDERLY COMMUNITIES, THE COUNTY EXTENSION OFFICE, AND CENTRACARE LONG PRAIRIE ITSELF.PREPARED WITH INFORMATION ON THE RESULTS OF THE 2019 COMMUNITY NEEDS SURVEY AND THE STAKEHOLDER INTERVIEWS, THEY BEGAN ADDRESSING THE ISSUES FROM THEIR PROFESSIONAL PERSPECTIVES, QUICKLY FOCUSING ON OBESITY AND MENTAL HEALTH AS TOP CONCERNS, AS THEY HAD BEEN IN THE 2016 CHNA. DISCUSSION OF THESE TWO ISSUES LED THE TEAM TO CONCLUDE THAT OTHER ISSUES IDENTIFIED IN THE SURVEY, SUCH AS PARENTING SKILLS, AND FOOD INSECURITY WERE RELATED AND THAT THE ISSUES OF MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH ARE INTERTWINED. THE TEAM ACKNOWLEDGED AND ADDRESSED THE FACT THAT THE LIST OF ISSUES FROM WHICH SURVEY RESPONDENTS HAD TO CHOOSE WAS DEVELOPED BY THE MTW HEALTH BOARD TEAM AND WERE, THUS, NOT SELF-REPORTED ISSUES. THE TEAM MEMBERS, HOWEVER, AGREED THAT OBESITY, CAUSES MAJOR HEALTH CONCERNS FACED BY TODD COUNTY RESIDENTS. OBESITY ROSE TO THE TOP OF THEIR LIST OF HEALTH CONCERNS FOR 2019, FOLLOWED BY MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH.CENTRACARE - LONG PRAIRIE HAS ADDRESSED THESE NEEDS IN THE FOLLOWING WAYS: OBESITY - PREVENT AND REDUCE OBESITY IN ADULTS AND CHILDREN BY INCREASING PHYSICAL ACTIVITY AND HEALTHY EATING OPPORTUNITIES. CENTRACARE - LONG PRAIRIE IMPLEMENTED SPORTS CLINICS FOR ALL DIFFERENT AGES DURING THE SUMMER MONTHS, OFFERED HEALTHY EATING CLASSES TO THE HISPANIC POPULATION, WE WERE A PARTNER IN CSA FOOD DELIVERY AND EXPANDED HOURS OF OPERATION TO VITALITY WELLNESS GYM AND STUDIO TO BE MORE ACCESSIBLE TO WORK SCHEDULES OF THE COMMUNITY .MENTAL HEALTH -IMPROVE EDUCATION, SCREENINGS, AWARENESS AND ACCESS TO COMMUNITY BASED MENTAL HEALTH RESOURCES TO PROMOTE EARLY INTERVENTION AND TREATMENT OF MENTAL HEALTH CONDITIONS. CENTRACARE - LONG PRAIRIE IMPLEMENTED INTEGRATED BEHAVIOR HEALTH VIA TELEHEALTH IN CLINIC, AND NURSE VISIT BEHAVIORAL HEALTH SCREENINGS VIA TELEHEALTH IN THE ED.SOCIAL DETERMINANTS OF HEALTH - BUILD AND STRENGTHEN PARTNERSHIPS WITH COMMUNITY AGENCIES TO ADDRESS FOOD INSECURITY AND TOBACCO USE/EXPOSURE IN AT-RISK POPULATIONS TO REDUCE HEALTH DISPARITIES. CENTRACARE - LONG PRAIRIE IS A PART OF MINNESOTA PATHWAY TO HEALTH PROJECT FOCUSING ON HISPANIC POPULATION AND THE LIVE WELL AT HOME GRANT THAT FOCUSES ON PARTNERING WITH COMMUNITY AGENCIES TO PROVIDE RESOURCES TO OUR ELDERLY POPULATION. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE.PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT. CENTRACARE HEALTH - LONG PRAIRIE: PART V, SECTION B, LINE 7A:THE HOSPITAL'S CHNA CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-VERSION-1-UPDATED-8.19.PDFPART V, SECTION B, LINE 10A:THE HOSPITAL'S IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-VERSION-1-UPDATED-8.19.PDF SCHEDULE H, PART V, SECTION B, LINE 22B THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REV. PROC. 2015-21 SECTION 7 IN REGARDS TO SCHEDULE H, PART V, SECTION B, LINE 22B. DURING THE TAX PERIOD ENDED JUNE 30, 2021, THE FINANCIAL ASSISTANCE POLICY DID NOT INCLUDE THE PERCENTAGE CALCULATED FOR THE "AMOUNTS GENERALLY BILLED" USING THE LOOK BACK METHOD. CENTRACARE IDENTIFIED THIS ERROR IN MARCH 2022 DURING THE PREPARATION OF THE FORM 990 FOR THE TAX PERIOD ENDED JUNE 30, 2021 AND CORRECTED THIS ERROR IN APRIL 2022. THIS ERROR WAS MINOR AND INADVERTENT AND CORRECTIVE ACTIONS WERE TAKEN AFTER THE DISCOVERY OF THE ERROR. 3 1 - LONG PRAIRIE CARE CENTER 20 NINTH STREET SE LONG PRAIRIE MN 56347 NURSING HOME 2 - LONG PRAIRIE CLINIC 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 CLINIC 3 - LONG PRAIRIE MEADOW PLACE 220 CENTRACARE DRIVE LONG PRAIRIE MN 56347 ASSISTED LIVING 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 MN CARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,357,711. PART II, COMMUNITY BUILDING ACTIVITIES: 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 "ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 ON PAGE 11 OF THE ORGANIZATION'S AUDITED FINANCIALS."CENTRACARE REPORTS PATIENT AND RESIDENT SERVICE REVENUE AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH CENTRACARE 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 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 THE MEDICARE COST REPORT UTILIZING KEY SECTION OF THAT REPORT, PRIMARILY THE D SERIES AND E 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 PRECOLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: LONG PRAIRIE IS LOCATED IN TODD COUNTY, MINNESOTA. THE ESTIMATED 2021 POPULATION SHOWS 6,878 RESIDENTS WITH AN ESTIMATED SLIGHT INCREASE TO 6,929 BY 2026. THE PROJECTED GROWTH BY AGE BRACKET FROM 2021 TO 2026 IS AS FOLLOWS: 0-17: 2.73%, 18-44: 1.70%, 45-64: -7.76%, 65+: 6.51%. THE ESTIMATED 2021 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 75.47%, AFRICAN AMERICAN: 0.60%, ASIAN: 1.35%, HISPANIC: 20.75%, OTHER: 1.83%. PART VI, LINE 5: THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS ON A MONTHLY BASIS TO REVIEW VARIOUS ASPECTS OF THE FACILITY AND PROVIDE INPUT ON THOSE ASPECTS FROM A COMMUNITY PERSPECTIVE. 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. 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 IN REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 EDUCATION SCHOLARSHIPS 20 14858 PART I, LINE 2: THE CLASSES ARE POSTED AS "POSITIONS" ON THE WEBSITE THAT PEOPLE CAN APPLY TO. THE APPLICATIONS ARE SCREENED BY RECRUITMENT AND IF SELECTED, SET UP FOR AN INTERVIEW WITH THE HIRING MANGER AT THE SITE. IF THE HIRING MANAGER WISHES TO PROCEED, THEY ARE OFFERED A POSITION BY THE RECRUITER TO TAKE THE CNA CLASS BUT THEN ALSO TO TAKE A PART TIME OR FULL TIMES POSITION AS A CNA IN ONE OF OUR ENTITIES ONCE THEY COMPLETE THE CLASS, SKILLS, AND TEST. ANYONE THAT APPLIES AND IS NOT SELECTED, THE RECRUITMENT TEAM WOULD HAVE NOTES AND TRACKING ITEMS FOR THIS IN ORACLE. 0 1 0 0 0 0 0 1 0 KENNETH D HOLMEN MD PRESIDENT/CEO 0 1025380 0 0 0 397740 0 14981 0 27578 0 1465679 0 0 CRAIG BROMAN CHIEF OPERATING OFFICER/EVP 0 956517 0 250000 0 181043 0 27625 0 24298 0 1439483 0 199215 CINDY FIRKINS SMITH MD VICE PRESIDENT 0 618886 0 105282 0 128156 0 26000 0 27785 0 906109 0 0 DONALD JURGENS MD DIRECTOR 0 853816 0 4650 0 4702 0 5688 0 15042 0 883898 0 0 MICHAEL BLAIR CFO/SR VP/TREASURER 0 524778 0 0 0 19618 0 45500 0 28119 0 618015 0 0 CHRISTIAN P SCHMIDT MD DIRECTOR 0 500526 0 8549 0 5153 0 45500 0 27874 0 587602 0 0 RICHARD A WEHSELER MD DIRECTOR 0 319512 0 79432 0 4810 0 26000 0 32681 0 462435 0 0 BRYAN ROLPH MD DIRECTOR 0 414480 0 11503 0 5966 0 0 0 1783 0 433732 0 0 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/SECRETARY 0 336391 0 0 0 26988 0 19500 0 25519 0 408398 0 0 JAY-SHEREE P ALLEN PHYSICIAN 0 365912 0 0 0 300 0 0 0 18774 0 384986 0 0 LIONEL S MCINTOSH PHYSICIAN 0 364484 0 0 0 318 0 6895 0 10232 0 381929 0 0 RENE ELDIDY PHYSICIAN 0 315553 0 4650 0 8689 0 23437 0 23365 0 375694 0 0 DANIEL J SWENSON PRESIDENT 0 255093 0 0 0 47437 0 19500 0 24576 0 346606 0 25658 SHARON J RUGGIERO MD DIRECTOR 0 242774 0 9089 0 9128 0 45500 0 12386 0 318877 0 0 DEBORAH P RASMUSSEN PHYSICIAN 0 234036 0 6869 0 9292 0 23236 0 9719 0 283152 0 0 DARON W GERSCH PHYSICIAN 0 216488 0 0 0 7757 0 13245 0 25117 0 262607 0 0 PART I, LINE 3 THE COMPENSATION PAID TO THE PRESIDENT AND VICE PRESIDENTS (NON-MEDICAL PROVIDERS) IS DETERMINED BY CENTRACARE HEALTH SYSTEM, A RELATED ORGANIZATION. CENTRACARE HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - 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 EXECUTIVE HAS 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 FORM 990 - ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: CRAIG BROMAN - PAID $199,215 DANIEL SWENSON - PAID $25,658 PART I, LINE 7 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: STEWARDSHIP, THROUGH A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR SAINT CLOUD HOSPITAL AND/OR CENTRACARE HEALTH SYSTEM AS WELL THROUGH ACHIEVING METRICS FOR AN IDENTIFIED COST REDUCTION PROGRAM; QUALITY, THROUGH ACHIEVING SAINT CLOUD HOSPITAL AND SYSTEM QUALITY METRICS; PATIENT EXPERIENCE, THROUGH ACHIEVEMENT OF PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS; AND PEOPLE/EMPLOYEES, THROUGH ACHIEVEMENT OF SPECIFIED EMPLOYMENT SATISFACTION GOALS AND HIRING AND/OR RETENTION GOALS. THE INCENTIVE COMPENSATION PAID OUT IS NOT A PORTION OR PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE, HOWEVER NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE THE INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 6 CENTRACARE HEALTH SYSTEM, A MINNESOTA NONPROFIT ASSOCIATION, IS THE SOLE MEMBER OF CENTRACARE HEALTH SYSTEM - LONG PRAIRIE. 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 FORM 990. A COPY OF FORM 990 IS THEN PROVIDED FOR THE FULL BOARD TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENT ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS DONE JUNE 2021. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. COULD HOSPITAL TO PERFORM SERVICES. THE COMPENSATION AND BENEFITS OF THE VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2021. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THESE 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 DO 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 XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -74,998. FORM 990, PART XII, LINE 3B: DUE TO COVID-19 THE OFFICE OF MANAGEMENT AND BUDGET EXTENDED THE SINGLE AUDIT DUE DATE. DUE TO THIS THE SINGLE AUDIT REQUIRED TO BE COMPLETED IS IN PROCESS, HOWEVER THE JUNE 30, 2020 SINGLE AUDIT HAS BEEN COMPLETED. CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 INTEGRATED HEALTH SYSTEM MN 501(C)(3) 3 N/A 0 ST CLOUD HOSPITAL 1406 6TH AVENUE NORTH ST CLOUD MN 56303 410695596 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH - MELROSE 11 NORTH 5TH AVENUE WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE CLINIC 1200 6TH AVENUE NORTH ST CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD MN 56303 416019335 SUPPORT FOR CARRIS HEALTH MN 501(C)(3) 12A, I CARRIS HEALTH 0 CARRIS HEALTH FOUNDATION 301 BECKER AVE SW WILLMAR MN 56201 411611555 SUPPORT FOR CARRIS HEALTH MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 MONTICELLO CANCER CENTER 1001 HART BOULEVARD SUITE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A 0 0 BENSON MEDICAL LLC 1228 ATLANTIC AVENUE BENSON MN 56215 203149203 HEALTHCARE MN N/A 0 0 CENTRACARE HOLDINGS INC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 472688595 HOLDING COMPANY/PHARMACY MN N/A C 0 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 410850702 HEALTH CARE SYSTEM MN N/A C 0 AFFILIATED COMMUNITY HEALTH NETWORK INC 101 WILLMAR AVENUE SOUTHWEST WILLMAR MN 56201 411765606 HEATH NETWORK MN N/A C 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 CENTRACARE HEALTH SYSTEM E 1575121 FMV CENTRACARE HEALTH SYSTEM P 29569571 FMV CENTRACARE HEALTH FOUNDATION C 135586 FMV CENTRACARE HEALTH SYSTEM N 2767981 FMV CENTRACARE HEALTH SYSTEM O 4740854 FMV