CENTRACARE HEALTH SYSTEM: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CENTRACARE HEALTH SYSTEM (EIN 41-1813221)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-13
IRS object ID: 202121339349305227
Schema version: 2019v5.2
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 K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-13T16:30:14-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	801 NICOLLET MALL WEST TOWER STE	AddressLine1Txt
Address Line2	1200	AddressLine2Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554022526	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	411813221	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	3202512700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1406 6TH AVENUE NORTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56303	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL A BLAIR	PersonNm
Person Title	CFO/TREASURER	PersonTitleTxt
Phone	3202512700	PhoneNum
Signature	2021-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KACIE MCEWEN	PreparerPersonNm
PTIN	P01599614	PTIN
Phone	6123324300	PhoneNum
Preparation	2021-05-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1406 6TH AVENUE NORTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56303	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$459,656,536	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CENTRACARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	INTEGRATED MULTI-ORGANIZATIONAL HEALTH CARE SYSTEM DESIGNED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES AT AN AFFORDABLE PRICE.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5765	TotalEmployeeCnt
Total Volunteers	876	TotalVolunteersCnt
Total Gross UBI	$8,445,149	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$308,334	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,676,019	PYContributionsGrantsAmt
CY Contributions Grants	$24,207,642	CYContributionsGrantsAmt
PY Program Service Revenue	$382,942,376	PYProgramServiceRevenueAmt
CY Program Service Revenue	$418,145,994	CYProgramServiceRevenueAmt
PY Investment Income	$6,661,511	PYInvestmentIncomeAmt
CY Investment Income	$2,823,191	CYInvestmentIncomeAmt
PY Other Revenue	$9,271,798	PYOtherRevenueAmt
CY Other Revenue	$5,308,294	CYOtherRevenueAmt
PY Total Revenue	$402,551,704	PYTotalRevenueAmt
CY Total Revenue	$450,485,121	CYTotalRevenueAmt
PY Grants And Similar Paid	$149,920	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$297,725	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$206,406,426	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$222,752,782	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$183,066,564	PYOtherExpensesAmt
CY Other Expenses	$204,194,839	CYOtherExpensesAmt
PY Total Expenses	$389,622,910	PYTotalExpensesAmt
CY Total Expenses	$427,245,346	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,928,794	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$23,239,775	CYRevenuesLessExpensesAmt
Total Assets BOY	$516,087,917	TotalAssetsBOYAmt
Total Assets EOY	$537,648,015	TotalAssetsEOYAmt
Total Liabilities BOY	$315,760,094	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$274,950,980	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$200,327,823	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$262,697,035	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$127,418,109	ExpenseAmt
Grant	$180,125	GrantAmt
Revenue	$145,573,318	RevenueAmt
Desc	CENTRACARE HEALTH SYSTEM (CCHS) IS AN INTEGRATED HEALTH SYSTEM, INCLUDING COMPRISED OF SIX CRITICAL ACCESS HOSPITALS, TWO ACUTE CARE HOSPITALS, A MULTI-SPECIALITY CLINIC, SURGICAL CENTER, RETAIL PHARMACY NETWORK, NURSING HOME AND A FOUNDATION. CCHS SERVES ITS PATIENTS IN SIX MAIN AREAS.CENTRACARE LABORATORY SERVICES ALL HOSPITALS UNDER ITS UMBRELLA AS WELL AS CENTRACARE CLINIC. IT ALSO PERFORMS TESTS FOR VARIOUS FACILITIES IN THE REGION. CENTRACARE LABORATORY PERFORMED 1,894,576 TESTS IN FISCAL YEAR 2020. IN FISCAL YEAR 2020 CENTRACARE LABORATORY GENERATED $41,192,469 IN PROGRAM REVENUE AND INCURRED $30,459,788 OF EXPENSES.CENTRACARE SURGICAL CENTER PROVIDES ELECTIVE SURGERY PROCEDURES TO PATIENTS IN THE CENTRAL MN REGION. IN FY 2020, THE CENTER PERFORMED 5,453 SURGERIES AND GENERATED $11,056,550 OF PROGRAM REVENUE AND $11,792,306 OF PROGRAM EXPENSE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$130,506,166	ExpenseAmt
Grant	$93,177	GrantAmt
Revenue	$157,775,584	RevenueAmt
Desc	CARRIS HEALTH, LLC IS CONSIDERED A DISREGARDED ENTITY OF CCHS FOR PURPOSES OF 990 REPORTING. CARRIS HEALTH, LLC INCLUDES THE SUBSIDIARY CARRIS HEALTH - RICE MEMORIAL HOSPITAL, WHICH HAS 136 LICENSED BEDS. DURING FISCAL YEAR 2020 RICE MEMORIAL HOSPITAL CARED FOR 3,028 INPATIENT ADMISSIONS WITH 10,263 ASSOCIATED PATIENT DAYS. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL CARE, BIRTHING SERVICES, PEDIATRIC SERVICES, BEHAVIORAL HEALTH CARE SERVICES, AND REHABILITATION SERVICES. OUTPATIENT ENCOUNTERS DURING FISCAL YEAR 2020 WERE 95,343 AND INCLUDED EMERGENCY ROOM SERVICES, DIALYSIS, IMAGING, RESPIRATORY THERAPY, A REHABILITATION CENTER, SAME DAY SURGERY AND OTHER AMBULATORY CARE SERVICES. CARRIS HEALTH ALSO OFFERS A CERTIFIED SKILLED NURSING FACILITY LOCATED IN WILLMAR, MN WITH 78 LICENSED BEDS. CARRIS HEALTH HAS REALIZED 17,022 RESIDENT DAYS IN THE LONG TERM CARE PORTION OF THE FACILITY AND 7,632 RESIDENT DAYS IN THE SHORT TERM THERAPY SUITES AREA DURING FISCAL YEAR 2020. CARRIS HEALTH ALSO HAS AN ACCREDITED AMBULATORY SURGICAL CENTER LOCATED IN WILLMAR, MN. CARRIS HEALTH SURGICAL CENTER COMPLETED 4,121 OUTPATIENT (SAME DAY) PRODECURES. IN FISCAL YEAR 2020 CARRIS HEALTH GENERATED $123,229,380 OF PROGRAM REVENUE AND $110,217,850 OF PROGRAM EXPENSE.REDWOOD AREA HOSPITAL JOINED CENTRACARE JANUARY OF 2019 AND IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IS INCLUDED WITH THIS 990 FILING. CARRIS HEALTH, LLC INCLUDES THE SUBSIDIARY CARRIS HEALTH - REDWOOD AREA HOSPITAL, WHICH IS A 25 BED CRITICAL ACCESS HOSPITAL. DURING FISCAL YEAR 2020 THEY HAD 491 INPATIENT ADMISSIONS WITH 1,554 ASSOCIATED PATIENT DAYS, 21,535 OUTPATIENT VISITS AND 3,717 EMERGENCY ROOM VISITS. IN FISCAL YEAR 2020, REDWOOD GENERATED $34,546,204 OF PROGRAM REVENUE AND $30,288,316 OF PROGRAM EXPENSE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$61,219,333	ExpenseAmt
Grant	$18,900	GrantAmt
Revenue	$73,339,894	RevenueAmt
Desc	MONTICELLO HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. MONTICELLO HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL AND ALSO OPERATES A 10 BED ACUTE GERIATRIC PSYCHIATRIC UNIT. IN FISCAL YEAR 2020, THEY HAD 6,284 PATIENT DAYS, 28,328 OUTPATIENT VISITS AND 11,423 EMERGENCY ROOM VISITS' WHICH GENERATED $73,339,894 OF PROGRAM REVENUE AND $61,219,333 OF PROGRAM EXPENSES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$33,300,727	ExpenseAmt
Grant	$5,523	GrantAmt
Revenue	$41,457,198	RevenueAmt
Desc	CENTRACARE HEALTH - PAYNESVILLE HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. CENTRACARE HEALTH - PAYNESVILLE HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. IN FISCAL YEAR 2020 THEY HAD 2,384 PATIENT DAYS, 40,199 OUTPATIENT VISITS AND 3,640 EMERGENCY ROOM VISITS. IN FISCAL YEAR 2020, PAYNESVILLE GENERATED $41,457,198 OF PROGRAM REVENUE AND $33,300,727 OF PROGRAM EXPENSE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$33,300,727	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$5,523	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$41,457,198	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$352,444,335	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	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	777	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5765	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 SIXTH AVENUE NORTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56303	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
KENNETH D HOLMEN MD
PRESIDENT/CEO	21.00	19.00	Yes (X)	Yes (X)	$1,279,307	$0	$35,898
TOD W SPEER MD
PHYSICIAN	40.00	0.00			$911,775	$0	$53,203	Yes (X)
CINDY FIRKINS SMITH MD
CARRIS HEALTH, PRESIDENT/CEO	40.00	0.00			$0	$693,575	$89,604		Yes (X)
LEAH M SCHAMMEL MD
PHYSICIAN	40.00	0.00			$0	$771,775	$45,656	Yes (X)
NATHANIEL J SLINKARD MD
PHYSICIAN	40.00	0.00			$0	$718,560	$43,044	Yes (X)
JULIE C SCHULTZ MD
PHYSICIAN	40.00	0.00			$0	$702,628	$46,502	Yes (X)
DONALD JURGENS MD
DIRECTOR/PHYSICIAN	2.00	38.00	Yes (X)		$0	$724,692	$33,726
GREGORY R KLUGHERZ
TREASURER/CFO, CCH(UNTIL 7/1/2019)	25.00	15.00		Yes (X)	$0	$709,157	$39,650
PAUL R HARRIS ESQ
CORPORATE SECRETARY(UNTIL 3/1/2020)	25.00	15.00		Yes (X)	$505,355	$0	$131,200
MARK S MATTHIAS MD
VICE PRESIDENT	20.00	20.00			$581,059	$0	$52,551		Yes (X)
THOMAS SCHRUP MD
VICE PRESIDENT	20.00	20.00			$498,952	$0	$81,057		Yes (X)
AMY M PORWOLL
VICE PRESIDENT	20.00	20.00			$447,532	$0	$106,082		Yes (X)
THOMAS H LANGE MD
PHYSICIAN	40.00	0.00			$0	$565,070	$46,540	Yes (X)
JOSEPH M BLONSKI MD
VICE PRESIDENT	20.00	20.00			$444,405	$0	$93,861		Yes (X)
GEORGE A MORRIS MD
VICE PRESIDENT	20.00	20.00			$421,201	$0	$85,928		Yes (X)
CHRISTOPHER BOELTER MD
VICE PRESIDENT	20.00	20.00			$537,390	$0	$20,472		Yes (X)
JOSEPH H KALKMAN
VICE PRESIDENT	20.00	20.00			$388,072	$0	$82,567		Yes (X)
CHRISTIAN SCHMIDT MD
DIRECTOR/SURGEON	2.00	38.00	Yes (X)		$0	$454,815	$44,850
KURT OTTO MD
VICE PRESIDENT	20.00	20.00			$351,097	$0	$92,620		Yes (X)
BRYAN ROLPH
DIRECTOR/PHYSICIAN	40.00	0.00	Yes (X)		$0	$424,650	$43,652
MICHAEL W SCHRAMM
CARRIS HEALTH, PRESIDENT/CEO	40.00	0.00			$345,454	$0	$81,906		Yes (X)
JOSEPH D HELLIE
VICE PRESIDENT	20.00	20.00			$326,825	$0	$88,924		Yes (X)
JOY PLAMANN
VICE PRESIDENT	20.00	20.00			$302,031	$0	$90,271		Yes (X)
RICHARD WEHLSER MD
DIRECTOR/PHYSICIAN	2.00	38.00	Yes (X)		$0	$387,087	$48,010
ANTHONY V GARDENER
VICE PRESIDENT	20.00	20.00			$317,219	$0	$65,647		Yes (X)
BRADLEY J KONKLER
VICE PRESIDENT	20.00	20.00			$290,397	$0	$76,667		Yes (X)
KATHLEEN M PARSONS
VICE PRESIDENT	20.00	20.00			$273,548	$0	$56,015		Yes (X)
DIANE R BUSCHENA-BRENNA
VICE PRESIDENT	20.00	20.00			$276,565	$0	$40,509		Yes (X)
DAVID A LARSON
VICE PRESIDENT	20.00	20.00			$231,779	$0	$60,183		Yes (X)
SANTO CRUZ
CORPORATE SECRETARY(AS OF 6/28/2020)	25.00	15.00		Yes (X)	$262,606	$0	$22,337
SHARON RUGGIERO MD
DIRECTOR/PHYSICIAN	2.00	38.00	Yes (X)		$0	$242,305	$28,503
BETH A HONKOMP
VICE PRESIDENT	20.00	20.00			$163,142	$0	$21,706		Yes (X)
MICHAEL BLAIR
TREASURER/CFO(AS OF 9/30/2019)	25.00	15.00		Yes (X)	$97,957	$0	$757
MIKE BENUSA
DIRECTOR/CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
STEVE LARAWAY
DIRECTOR/VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID ANFINSON
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
TERESA BOHNEN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
CHRISTOPHER COBORN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
JEFF GAU
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
TIM HEBL MD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
MARY DANA HINTON
DIRECTOR	2.00	1.00	Yes (X)		$0	$0	$0
DONALD KETTLER JCL
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
DENISE ROSIN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
TOHOW SIYAD
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
ROBERT STOCKER MD
DIRECTOR/OBGYN	2.00	0.00	Yes (X)		$0	$0	$0
JOSEPH UPHUS
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
TIMOTHY WENSMAN
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,253,668	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,394,314	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,950,098	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	441	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MAYO COLLABORATIVE SERVICES
PO BOX 4100	ROCHESTER	MN	559034100	LABORATORY SERVICES	$4,584,780
NORTH MEMORIAL
3300 OAKDALE AVE NORTH	ROBBINSDALE	MN	55422	PATIENT CARE STAFFING	$3,284,436
METRO ANESTHESIA CONSULTANTS
9855 AETNA AVE NE	MONTICELLO	MN	55362	ANESTHESIA SERVICES	$3,251,000
STELLIS HEALTH PA
1700 HIGHWAY 25 NORTH	BUFFALO	MN	55313	PHYSICIAN SERVICES	$2,583,961
CENTRAL MN DIAGNOSTICS INC
525 10TH STREET NE	MILACA	MN	56353	IMAGING SERVICES	$1,711,709

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	101	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,331,024	RelatedOrganizationsAmt
Government Grants	$21,066,690	GovernmentGrantsAmt
All Other Contributions	$809,928	AllOtherContributionsAmt
Total Contributions	$24,207,642	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT & SERVICE REVENUE	621110	$349,945,598	$348,818,932	$1,126,666
HEALTH INSURANCE PREMIUM CREDIT	621110	$36,925,337	$36,925,337
SHARED/LEGAL SYSTEM REVENUE	621110	$31,275,059	$24,005,671	$7,269,388

Field	Value	IRS element (for citing)
Total Program Service Revenue	$418,145,994	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,574,700	TotalRevenueColumnAmt
Exclusion	$2,574,700	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,619,148	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,852,687	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,766,461	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,766,461	TotalRevenueColumnAmt
Exclusion	$1,766,461	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$129,399	SecuritiesAmt
Other	$119,092	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$129,399	SecuritiesAmt
Other	$119,092	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$248,491	TotalRevenueColumnAmt
Exclusion	$248,491	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,818,395	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$318,728	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,499,667	TotalRevenueColumnAmt
Exclusion	$1,499,667	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ALL OTHER REVENUE	900099	$2,262,967	$49,095	$2,213,872
REVENUE FROM JOINT VENTURES	900099	-$60,222		-$60,222
OTHER SERVICES SOLD	900099	-$160,579		-$160,579

Field	Value	IRS element (for citing)
Other Revenue Total	$2,042,166	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$450,485,121	TotalRevenueColumnAmt
Related Or Exempt Func Income	$409,749,940	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,445,149	UnrelatedBusinessRevenueAmt
Exclusion	$8,082,390	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	$278,021	TotalAmt
Program Services	$278,021	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$19,704	TotalAmt
Program Services	$19,704	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,086,873	TotalAmt
Program Services	$6,414,675	ProgramServicesAmt
Management And General	$1,672,198	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$120,682,593	TotalAmt
Program Services	$95,727,927	ProgramServicesAmt
Management And General	$24,954,666	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,696,567	TotalAmt
Program Services	$10,864,400	ProgramServicesAmt
Management And General	$2,832,167	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$65,192,222	TotalAmt
Program Services	$51,711,818	ProgramServicesAmt
Management And General	$13,480,404	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,094,527	TotalAmt
Program Services	$11,973,291	ProgramServicesAmt
Management And General	$3,121,236	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,050,042	TotalAmt
Program Services	$832,915	ProgramServicesAmt
Management And General	$217,127	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$315,938	TotalAmt
Program Services	$250,609	ProgramServicesAmt
Management And General	$65,329	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$159,019	TotalAmt
Program Services	$159,019	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$109,643	TotalAmt
Management And General	$109,643	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$92,203,048	TotalAmt
Program Services	$73,137,363	ProgramServicesAmt
Management And General	$19,065,685	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$729,334	TotalAmt
Program Services	$578,523	ProgramServicesAmt
Management And General	$150,811	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,592,374	TotalAmt
Program Services	$2,056,325	ProgramServicesAmt
Management And General	$536,049	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,730,520	TotalAmt
Program Services	$2,959,126	ProgramServicesAmt
Management And General	$771,394	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$645,330	TotalAmt
Program Services	$511,889	ProgramServicesAmt
Management And General	$133,441	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,945,318	TotalAmt
Program Services	$1,543,066	ProgramServicesAmt
Management And General	$402,252	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,850,451	TotalAmt
Program Services	$3,054,257	ProgramServicesAmt
Management And General	$796,194	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,466,902	TotalAmt
Program Services	$16,234,770	ProgramServicesAmt
Management And General	$4,232,132	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,148,419	TotalAmt
Program Services	$1,704,170	ProgramServicesAmt
Management And General	$444,249	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS/MEDICAL SUPPLIES	$53,145,684	$53,145,684
BAD DEBT	$6,688,681	$6,688,681
MEDICAID SURCHARGE/MN C	$5,631,666	$5,631,666
MINOR EQUIPMENT	$3,060,797	$2,427,887	$632,910

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,721,673	TotalAmt
Program Services	$4,538,549	ProgramServicesAmt
Management And General	$1,183,124	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$427,245,346	TotalAmt
Program Services	$352,444,335	ProgramServicesAmt
Management And General	$74,801,011	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$73,547,020	BOYAmt
EOY	$60,061,954	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,063,342	BOYAmt
EOY	$60,079,123	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,932,858	BOYAmt
EOY	$8,827,149	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,737,591	BOYAmt
EOY	$9,450,599	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$430,963,220	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$163,612,963	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$242,716,787	BOYAmt
EOY	$267,350,257	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$121,743,177	BOYAmt
EOY	$99,659,920	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,347,142	BOYAmt
EOY	$32,219,013	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$516,087,917	BOYAmt
EOY	$537,648,015	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,542,567	BOYAmt
EOY	$70,935,370	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$13,865	BOYAmt
EOY	$2,358,694	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,423,151	BOYAmt
EOY	$61,719,752	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$111,658,569	BOYAmt
EOY	$110,270,555	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,121,942	BOYAmt
EOY	$29,666,609	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$315,760,094	BOYAmt
EOY	$274,950,980	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	$180,133,287	BOYAmt
EOY	$254,886,558	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,194,536	BOYAmt
EOY	$7,810,477	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$200,327,823	BOYAmt
EOY	$262,697,035	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$516,087,917	BOYAmt
EOY	$537,648,015	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$23,239,775	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,898,140	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$41,027,577	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	0	FederalGrantAuditRequiredInd

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	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$63,457	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$95,562	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$159,019	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 HEALTH SYSTEM PAID $159,019 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,872,611	OtherCostOrOtherBasisAmt
Book Value	$19,872,611	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$286,390,874	OtherCostOrOtherBasisAmt
Depreciation	$106,559,047	DepreciationAmt
Book Value	$179,831,827	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,231,805	OtherCostOrOtherBasisAmt
Depreciation	$325,162	DepreciationAmt
Book Value	$906,643	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,421,189	OtherCostOrOtherBasisAmt
Depreciation	$56,700,912	DepreciationAmt
Book Value	$27,720,277	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,046,741	OtherCostOrOtherBasisAmt
Depreciation	$27,842	DepreciationAmt
Book Value	$39,018,899	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$267,350,257	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FUNDS HELD BY TRUSTEE UNDER TRUST AND ESCROW AGREEMENT	$4,188,451	F
FUNDS HELD BY TRUSTEE UNDER BOND INDENTURES	$38,576,914	F
FUNDS HELD BY BOARD FOR FUTURE PROPERTY & EQUIP REPLACEMENT/EXPANSION	$46,878,030	F
INVESTMENT IN JOINT VENTURES	$8,106,136	C
INVESTMENT IN MUTUAL SERVICE CORP	$1,910,389	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$99,659,920	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$10,347,142
DUE FROM AFFILIATES	$14,759,012
OPERATING LEASE ASSET	$7,112,859

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$32,219,013	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
PENSION ACCRUAL	-$10,055
ASSET RETIREMENT OBLIGATION	$612,373
CONTINGENET CONSIDERATIONS	$1,356,526
THIRD PARTY SETTLEMENTS	$4,691,398
INTERST PAYABLE	$15,785,931
LEASE LIABILITY	$7,230,436

Field	Value	IRS element (for citing)
Total Liability	$29,666,609	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	CENTRACARE, THE CORPORATION, THE CLINIC, CCH-MELROSE, CCH-LONG PRAIRIE, CCH-SAUK CENTRE, THE FOUNDATION AND CARRIS HEALTH 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, 2020 AND 2019, THERE WERE NO UNCERTAIN TAX POSITIONS.	ExplanationTxt

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	$670,568	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$670,568	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,018,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,151,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,866,911	NetCommunityBenefitExpnsAmt
Total Expense	0.02820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,689,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,151,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,537,479	NetCommunityBenefitExpnsAmt
Total Expense	0.02980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,497,612	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,497,612	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$88,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,351	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,351	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,595,863	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,595,863	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,285,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,151,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,133,342	NetCommunityBenefitExpnsAmt
Total Expense	0.03360	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,688,681	BadDebtExpenseAmt
Reimbursed By Medicare	$63,452,305	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$70,467,528	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,015,223	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	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
CENTRACARE HEALTH - MONTICELLO
1	1013 HART BLVD	MONTICELLO	MN	55362	WWW.CENTRACARE.COM/LOCATIONS/MONTICELL	399601	Yes (X)	Yes (X)	Yes (X)	Yes (X)	DISTINCT PSYCH UNIT
CENTRACARE HEALTH - PAYNESVILLE
2	200 WEST FIRST STREET	PAYNESVILLE	MN	56362	WWW.CENTRACARE.COM/LOCATIONS/PAYNESVIL	399803	Yes (X)	Yes (X)	Yes (X)	Yes (X)	NONE
CARRIS HEALTH - RICE MEMORIAL HOSPITAL
3	301 BECKER AVE SW	WILLMAR	MN	56201	WWW.CARRISHEALTH.COM/LOCATIONS/CARRIS-	399309	Yes (X)	Yes (X)		Yes (X)	NONE
CARRIS HEALTH - REDWOOD AREA HOSPITAL
4	100 FALLWOOD ROAD	REDWOOD FALLS	MN	56283	CARRISHEALTH.COM/LOCATIONS/CARRIS-HEAL	399308	Yes (X)	Yes (X)		Yes (X)	NONE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Insurance Status CriteriaInsuranceStatusCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	OtherOtherInd	Other Website URLOtherWebsiteURLTxt	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd
CENTRACARE HEALTH - MONTICELLO
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	Yes (X)	Yes (1)	18	Yes (1)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
CENTRACARE HEALTH - PAYNESVILLE
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.CENTRACARE.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	Yes (X)	Yes (1)	18	Yes (1)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0	Yes (X)	WWW.CENTRACARE.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
CARRIS HEALTH - RICE MEMORIAL HOSPITAL
3	0	0	Yes (1)	Yes (X)		Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	18	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	WWW.CARRISHEALTH.COM/DOCUMENTS/COMMUNITYHEALTHNEEDSASSESSMENT.PDF	Yes (X)	Yes (1)	18	Yes (1)	WWW.CARRISHEALTH.COM/DOCUMENTS/COMMUNITYHEALTHNEEDSASSESSMENT.PDF	0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CARRISHEALTH.COM/PATIENT-RESOURCES/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CARRISHEALTH.COM/PATIENT-RESOURCES/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CARRISHEALTH.COM/PATIENT-RESOURCES/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0			Yes (X)
CARRIS HEALTH - REDWOOD AREA HOSPITAL
4	0	Yes (1)	0																						0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CARRISHEALTH.COM/PATIENT-RESOURCES/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CARRISHEALTH.COM/PATIENT-RESOURCES/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CARRISHEALTH.COM/PATIENT-RESOURCES/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CARRIS HEALTH - REDWOOD AREA HOSPITAL	PART V, SECTION B, LINE 2: EFFECTIVE JANUARY 1, 2019, CARRIS HEALTH AFFILIATED WITH REDWOOD AREA HOSPITAL, A DIVISION OF THE CITY OF REDWOOD FALLS, MINNESOTA, EXPANDING CARRIS HEALTH TO INCLUDE CARRIS REDWOOD.
CENTRACARE HEALTH - PAYNESVILLE	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 BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH, AND STEARNS COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 5: TO BETTER UNDERSTAND HEALTH ISSUES FACING THE COMMUNITIES OF WRIGHT COUNTY, BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION PARTNERED TO DEVELOP AND CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN EARLY 2017, THE ORGANIZATIONS FORMED WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE IN AN EFFORT TO COLLECT AND PRIORITIZE DATA FROM VARIOUS SOURCES, AND DEVELOP A JOINT COMMUNITY HEALTH IMPLEMENTATION PLAN. THE PURPOSE OF THE COLLABORATIVE GROUP IS TO SYSTEMATICALLY IDENTIFY AND ANALYZE HEALTH ISSUES IN THE COMMUNITY AND CREATE A PLAN FOR HOW TO ADDRESS THEM. THE GROUP INCLUDES ALL WRIGHT COUNTY ORGANIZATIONS WHO ARE ENCOURAGED OR REQUIRED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE COLLABORATIVE EMPLOYED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK WHICH EMPHASIZES COLLABORATION OF HEALTH CARE ENTITIES, PUBLIC HEALTH AND COMMUNITY ORGANIZATIONS AND IS CENTERED UPON COMMUNITY ENGAGEMENT.THE CHNA UTILIZED A VARIETY OF INFORMATION SOURCES AND COMMUNITY INPUT TO ANALYZE AND PRIORITIZE COMMUNITY HEALTH ISSUES. THIS INFORMATION WAS USED TO DEVELOP THE HEALTH IMPROVEMENT ACTION PLAN TO ADDRESS THE IDENTIFIED ISSUES. IMPORTANT ACTIVITIES IN THE CHNA PROCESS ARE OUTLINED IN THE CHNA, AS WELL AS ROLES AND RESPONSIBILITIES AMONG THE PARTNERS IN THE COLLABORATIVE. THE CHNA PROCESS WAS BASED ON THE PARTNERSHIP BETWEEN FOUR ORGANIZATIONS: BUFFALO HOSPITAL, PART OF ALLINA HEALTH, CENTRACARE MONTICELLO, WRIGHT COUNTY PUBLIC HEALTH AND WRIGHT COUNTY COMMUNITY ACTION. MAJOR CHNA DECISIONS WERE BASED ON CONSENSUS AND OPEN DIALOGUE BETWEEN THE PARTNERS, AS WELL AS COMMUNITY INPUT. THE COLLABORATIVE AGREED THAT THE DEFINITION OF HEALTH ENCOMPASSES A BROAD RANGE OF CONDITIONS, NOT JUST HEALTH IN TERMS OF HEALTHCARE. IMPROVING HEALTH IS NO LONGER ABOUT TREATING AND PREVENTING MEDICAL CONDITIONS; IT IS THE IMPROVEMENT OF COMPLETE PHYSICAL, MENTAL, SPIRITUAL AND SOCIAL WELL-BEING. REPRESENTATIVES FROM PARTNERING ORGANIZATIONS MET REGULARLY FROM SEPTEMBER 2017 TO JULY 2019 FOR PROGRESS UPDATES, DISCUSSION ON UPCOMING CHNA ACTIVITIES AND EVENT PLANNING. ALL CORE PARTNERS IN THE COLLABORATIVE CONTRIBUTED TO THE COMPLETION OF THE PROCESS TO THE BEST OF THEIR ABILITY AND UTILIZED THE STRENGTHS AND CAPACITY OF VARIOUS GROUP MEMBERS.THE PARTNERSHIP ADOPTED THE MAPP MODEL FOR ASSESSMENT AND PLANNING. MAPP IS A COMMUNITY DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH. FACILITATED BY PUBLIC HEALTH LEADERS, THIS FRAMEWORK HELPS COMMUNITIES APPLY STRATEGIC THINKING TO PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES TO ADDRESS THEM. MAPP IS NOT AN AGENCY-FOCUSED ASSESSMENT PROCESS; RATHER, IT IS AN INTERACTIVE PROCESS THAT CAN IMPROVE THE EFFICIENCY, EFFECTIVENESS, AND ULTIMATELY THE PERFORMANCE OF LOCAL PUBLIC HEALTH SYSTEMS. COMMUNITY OWNERSHIP IS A KEY COMPONENT OF MAPP. PARTICIPATION FROM THE BROADER COMMUNITY LEADS TO COLLECTIVE THINKING AND SUSTAINABLE SOLUTIONS TO COMPLEX PROBLEMS.THIS EFFORT INCLUDED: (1) COMPLETION OF A CHNA TO SYSTEMATICALLY IDENTIFY AND ANALYZE HEALTH PRIORITIES IN THE COMMUNITY, AND (2) DEVELOPMENT OF A PLAN TO ADDRESS THESE PRIORITIES AS A COLLABORATIVE AND IN PARTNERSHIP WITH OTHERS. THROUGH THIS PROCESS, THE COLLABORATIVE ENGAGED WITH COMMUNITY STAKEHOLDERS TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES, IDENTIFIED INTERNAL AND EXTERNAL RESOURCES FOR HEALTH PROMOTION AND CREATED AN IMPLEMENTATION PLAN THAT LEVERAGES THOSE RESOURCES TO IMPROVE COMMUNITY HEALTH.
CENTRACARE HEALTH - PAYNESVILLE	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:THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) WAS DATA COLLECTED FROM THE COMMUNITY HEALTH ASSESSMENT COMPLETED IN 2016, CENTRACARE PATIENT DATA, MINNESOTA STUDENT SURVEY DATA, AND MINNESOTA PUBLIC HEALTH VITAL STATISTICS. THIS DATA WAS COMPARED TO DOCUMENTS AND DATASETS FROM THE MN STATEWIDE HEALTH ASSESSMENT (SHA), CENTRAL MN COMMUNITY HEALTH SURVEY DATA, PREVIOUS PLANNING PROCESS PRIORITY LISTS, HEALTH EQUITY DATA ANALYSES (HEDA) FROM EACH COUNTY, TYPES OF DATA REQUESTS OUR AGENCIES WERE GETTING FROM THE PUBLIC, AND THE MN DEPARTMENT OF HEALTH DATA INDICATOR LIST. A "COMMUNITY PIRORITY CATEGORY" WAS ASSIGNED TO EACH DATA POINT TO IDENTIFY A LIST OF COMMUNITY PRIORITIES. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) WAS CONDUCTED IN THE FORM OF KEY STAKEHOLDER INTERVIEWS VIA PHONE WITH A WIDE VARIETY OF COMMUNITY PARTNERS THROUGHOUT THE THREE COUNTIES. A TOTAL OF 54 STAKEHOLDERS WERE INTERVIEWED FROM 10 DIFFERENT SECTORS INCLUDING: HEALTHCARE PROFESSIONALS, STATE, LOCAL OR TRIBAL GOV'T AGENCIES WITH EXPERTISE IN SUBSTANCE ABUSE, BUSINESSES, SCHOOLS, CIVIC GROUPS, LAW ENFORCEMENT, YOUTH, MEDIA, RELIGIOUS/FRATERNAL GROUPS AND YOUTH-SERVING ORGANIZATIONS. FOR THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) BENTON, SHERBURNE, AND STEARNS COUNTY LPH AGENCIES PARTICIPATED IN A CAPACITY ASSESSMENT TO HELP DETERMINE THE EXTENT TO WHICH REQUIRED LOCAL PUBLIC HEALTH ACTIVITIES ARE IN PLACE STATEWIDE. THE ASSESSMENT QUESTIONS WERE THEN UTILIZED TO FORMULATE A SURVEY FOR THREE SECTORS OF THE LOCAL PUBLIC HEALTH SYSTEM: EMERGENCY PREPAREDNESS, ENVIRONMENTAL HEALTH, AND HEALTHCARE ACCESS/INFECTIOUS DISEASE. COMMUNITY PARTNERS WERE INVITED TO PARTICIPATE IN THE SURVEY VIA EMAIL. AFTER ANALYZING THE RESULTS, THE LPHSA SUBGROUP DEVELOPED A LIST OF THEIR TOP 10 RECOMMENDATIONS FROM ALL 3 SECTORS TO SUPPORT THE DEVELOPMENT OF THE COMMUNITY COMMUNITY HEALTH IMPROVEMENT PLAN. THE FORCES OF CHANGE (FOC) ASSESSMENT WAS COMPLETED IN THE FORM OF A COMUNITY MEETING TO IDENTIFY FORCES THAT MAY AFFECT A COMMUNITY AND OPPORTUNITIES AND THREATS ASSOCIATED WITH THOSE FORCES. THE AGENDA INCLUDED A BRAINSTORMING ACTIVITY AND TIME IN SMALL GROUP AND LARGE GROUP DISCUSSION. A FLIER ADVERTISING THE MEETING WAS DISTRIBUTED TO COMMUNITY MEMBERS VIA EMAIL. THERE WERE 68 PEOPLE THAT ATTENDED REPRESENTING 27 ORGANIZATIONS AND TWO THAT IDENTIFIED THEIR AFFILIATION AS 'COMMUNITY MEMBER'. AS A FOLLOW UP TO THE FORCES OF CHANGE COMMUNITY MEETING, A WORLD CAFE WAS HELD IN JANUARY 2019 FOR MEMBERS OF THE COMMUNITY TO COME AND TALK ABOUT THEIR PERCEPTION OF NEEDS IN THE SURROUNDING COMMUNITIES. THERE WERE 94 PEOPLE THAT ATTENDED THE MEETING REPRESENTING 32 ORGANIZATIONS AND THREE THAT IDENTIFIED THEIR AFFILIATION AS 'COMMUNITY MEMBER'. ORGANIZATIONS THAT WERE REPRESENTED AT BOTH COMMUNITY MEETINGS INCLUDED LOCAL GOVERNMENT, HEALTHCARE, LOCAL NONPROFITS, EDUCATION, UNDERREPRESENTED COMMUNITIES, FAITH COMMUNITY, AND OTHERS. IN ORDER TO BETTER ENGAGE INDIVIDUALS OR ORGANIZATIONS WITH A PERSPECTIVE OF AT-RISK POPULATIONS, A HEALTH EQUITY ASSESSMENT WAS ALSO COMPLETED. FOCUS-GROUP MEETINGS WERE HELD ON THREE SEPARATE OCCASIONS AT THE GREAT RIVER REGIONAL LIBRARY IN ST. CLOUD, AND COMMUNITY INPUT WAS GATHERED AT THE BENTON, SHERBURNE, AND STEARNS COUNTY FAIRS TO REACH OUT TO A VARIETY OF COMMUNITIES. IN TOTAL, THERE WERE 30 SOMALI ADULTS WHO DISCUSSED POSITIVES, NEGATIVES, AND AREAS-TO-IMPROVE-ON WITHIN THE COMMUNITY. AT THE COUNTY FAIRS, INFORMATION WAS GATHERED FROM RESPONDENTS FROM THE 56304-ZIP CODE.
CARRIS HEALTH - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: CONDUCTING A HEALTH NEEDS ASSESSMENT IS A MULTIFACETED PROCESS THAT REQUIRES AMPLE PREPARATION, EFFECTIVE USE OFRESOURCES, SOUND METHODOLOGY, AND COLLABORATION ON BEHALF OF ALL STAKEHOLDERS. WITH THAT IN MIND, THE ASSESSMENTPROCESS WAS ORGANIZED INTO FIVE MAIN PHASES, WHICH WERE FURTHER BROKEN DOWN INTO A SERIES OF INTERCONNECTEDCOMPONENTS:1. FORMATION OF SYSTEM-WIDE WORKING GROUP AND DEFINITION OF SERVICE AREAS2. DATA COLLECTION AND ANALYSIS (APRIL-JUNE 2018)3. INITIAL PRIORITIZATION (JULY-AUGUST 2018)4. EVALUATION AND ASSESSMENT OF COMMUNITY MEMBERS (SEPTEMBER-OCTOBER 2018)5. FINAL PRIORITIZATION (NOVEMBER-DECEMBER 2018)ALTHOUGH THE PROCESS MOVED IN THIS CHRONOLOGICAL ORDER, THE COMPLEXITY OF THE ASSESSMENT PROCESS NECESSITATED AFLUID MOVEMENT BETWEEN EACH PHASE. INDEED, KEY TO A THOROUGH AND COMPREHENSIVE ASSESSMENT IS THE ABILITY TOEXAMINE AND REEXAMINE EACH COMPONENT OF THE PROCESS IN LIGHT OF WHAT IS LEARNED IN LATER PHASES OF ASSESSMENT.CARRIS HEALTH TAKES PRIDE IN ITS LEVEL OF INVOLVEMENT IN THE COMMUNITY AND ITS RECEPTIVENESS TO THE COMMUNITY'S HEALTH CARE NEEDS. THEREFORE, SYSTEM ADMINISTRATION CONSIDERED IT BOTH REASONABLE AND APPROPRIATE THAT STAFF AND LEADERS WITHIN CARRIS HEALTH BE CHARGED WITH THE TASK OF CONDUCTING THE ASSESSMENT, RATHER THAN CONTRACT WITH A THIRD PARTY REMOVED FROM THE COMMUNITY ITSELF. AN INTERNAL TEAM CALLED THE CHNA WORKING GROUP WAS ASSEMBLED, COMPRISED OF INDIVIDUALS WITH DIVERSE KNOWLEDGE AND EXPERTISE IN HEALTH CARE DELIVERY, ADMINISTRATION, PLANNING AND DEVELOPMENT, MARKETING, COMMUNITY AND GOVERNMENT RELATIONS, AMONG OTHER DEPARTMENTS. THIS GROUP, WHICH CONSISTS OF INDIVIDUALS FROM ACROSS THE CARRIS HEALTH SYSTEM, IS INDICATIVE OF THE COLLABORATIVE NATURE OF THE CHNA PROCESS AND A TESTAMENT, MORE GENERALLY, OF THE MUTUAL SUPPORT THROUGHOUT THE SYSTEM. ADDITIONALLY, HOSPITAL BOARD MEMBERS AND EXECUTIVES WERE ENGAGED IN THE ASSESSMENT PROCESS AT AN EARLY STAGE. IN THE INITIAL STAGES OF DATA ANALYSIS AND PRIORITIZATION, ALL WORKING GROUP MEMBERS WERE PRESENTED WITH DATA BROKEN DOWN BY COUNTY IN ORDER TO INDICATE MOST CLEARLY THOSE ISSUES THAT WERE PREVALENT THROUGHOUT THE CARRIS HEALTH SERVICE AREA AND THOSE ISSUES UNIQUE TO EACH CARRIS LOCATION. FURTHERMORE, EACH MEMBER OF THE WORKING GROUP PARTICIPATED IN THE PRIORITIZATION PROCESS SO THAT THE FINAL SET OF COMMUNITY HEALTH NEEDS MIGHT ACCURATELY REFLECT GENUINE ISSUES THAT ARE PREVALENT WITHIN THE BROADER CARRIS HEALTH SERVICE AREA. AN IMPLEMENTATION STRATEGY, SPECIFIC TO THE NEEDS OF THE CORRESPONDING SERVICE AREA WAS DEVELOPED IN RESPONSE TO THE FINDINGS OF THE COLLABORATIVE.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 6A: WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE INCLUDES CENTRACARE MONTICELLO ALONG WITH ALLINA HEALTH BUFFALO HOSPITAL, WRIGHT COUNTY COMMUNITY ACTION, AND WRIGHT COUNTY PUBLIC HEALTH.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 6A: CENTRACARE CONDUCTED THREE DIFFERENT CHNA GROUPS. THE CENTRAL MN ALLIANCE INCLUDES ST. CLOUD HOSPITAL, CENTRACARE- MELROSE, CENTRACARE- SAUK CENTRE, AND CENTRACARE- PAYNESVILLE, ALONG WITH BENTON, SHERBURNE, AND STEARNS COUNTY PUBLIC HEALTH DEPARTMENTS.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 6B: WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE INCLUDES CENTRACARE MONTICELLO ALONG WITH ALLINA HEALTH BUFFALO HOSPITAL, WRIGHT COUNTY COMMUNITY ACTION, AND WRIGHT COUNTY PUBLIC HEALTH.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 6B: CENTRACARE CONDUCTED THREE DIFFERENT CHNA GROUPS. THE CENTRAL MN ALLIANCE INCLUDES ST. CLOUD HOSPITAL, CENTRACARE- MELROSE, CENTRACARE- SAUK CENTRE, AND CENTRACARE- PAYNESVILLE, ALONG WITH BENTON, SHERBURNE, AND STEARNS COUNTY PUBLIC HEALTH DEPARTMENTS.
CARRIS HEALTH - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: CARRIS HEALTH'S CHNA WAS CONDUCTED WITH THE KANDIYOHI/RENVILLE PUBLIC HEALTH DEPARTMENT.
CARRIS HEALTH - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: IN ADDITION TO MAKING ITS CHNA AVAILABLE TO THE PUBLIC ON ITS WEB SITE AND AT ITS BUSINESS OFFICE, CCH HAS SHARED COPIES OF THE CHNA WITH COUNTY PUBLIC HEALTH OFFICIALS AND, INTERNALLY, WITH INDIVIDUALS WORKING ON QUALITY IMPROVEMENT AND COMMUNITY HEALTH INITIATIVES.CCH HAS ALSO PUBLISHED CONTACT INFORMATION FOR ITS DIRECTOR OF COMMUNITY & GOVERNMENT RELATIONS TO RESPOND TO QUESTIONS OR CONCERNS ABOUT THE CHNA. THE DIRECTOR HAS ALSO PRESENTED RESULTS OF THE CHNA TO COMMUNITY GROUPS AND TO REPRESENTATIVES OF LOCAL FUNDING GROUPS.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 11: COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, PUBLIC HEALTH AND HOSPITAL/HEALTH SYSTEM STAFF PARTICIPATED IN A PROCESS THAT IDENTIFIED THE FOLLOWING PRIORITY AREAS FOR COMMUNITY HEALTH IN THE COMMUNITIES SERVED BY THE COLLABORATIVE:1) MENTAL HEALTH AND WELLNESS2) DENTAL CARE3) SUBSTANCE USE AND ABUSEIN 2018-19, STAFF SOLICITED COMMUNITY INPUT, ASSESSED EXISTING RESOURCES AND DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2020-2022 IN ORDER TO ADDRESS THESE PRIORITIES. THIS IMPLEMENTATION PLAN INCLUDES THE FOLLOWING GOALS, EACH OF WHICH IS SUPPORTED BY MULTIPLE STRATEGIES AND WILL BE IMPLEMENTED THROUGH A VARIETY OF ACTIVITIES MONITORED FOR PROGRESS AND OUTCOMES OVER TIME.MENTAL HEALTH AND WELLNESS GOAL: REDUCE THE RATE OF MENTAL HEALTH CARE DELAY AND THE NUMBER OF NOT GOOD" MENTAL HEALTH DAYS IN WRIGHT COUNTY.DENTAL CARE GOAL: REDUCE THE RATE OF DENTAL CARE DELAY IN WRIGHT COUNTY.SUBSTANCE USE AND ABUSE GOAL: SUPPORT LOCAL PREVENTION EFFORTS AND ADVOCATE FOR POLICY CHANGES TO ADDRESS SUBSTANCE ABUSE IN WRIGHT COUNTY.DATA REVIEW AND ISSUE PRIORITIZATIONAPPROXIMATELY 150 STAKEHOLDERS REPRESENTING BROAD INTERESTS OF THE COMMUNITY AND 40 COMMUNITY ORGANIZATIONS PARTICIPATED IN KEY INFORMANT INTERVIEWS AND/OR ATTENDED AT LEAST ONE OF SEVERAL MEETINGS TO REVIEW AND DISCUSS THE CHNA DATA GATHERED AND HELP IDENTIFY THREE PRIORITY HEALTH ISSUES. THE REVIEW PROCESS INCLUDED A FORMAL PRIORITIZATION TOOL KNOWN AS THE HANLON METHOD, WHICH INCLUDES RANKING HEALTH PRIORITIES BASED ON THREE PRIMARY CRITERIA: THE SIZE OF THE PROBLEM, INCLUDING PROJECTION OF FUTURE TRENDS; THE SERIOUSNESS OF THE PROBLEM, INCLUDING DISPARATE HEALTH BURDENS WITHIN THE POPULATION; AND THE EFFECTIVENESS AND FEASIBILITY OF INTERVENTIONS ON THE PART OF HEALTH CARE. AS A RESULT OF THE PRIORITIZATION SESSION, THE COLLABORATIVE ARRIVED AT 10 TOP HEALTH PRIORITIES FACING THE POPULATION OF WRIGHT COUNTY.AFTER COLLECTING EXTENSIVE FEEDBACK AND CONDUCTING COMMUNITY CONVERSATIONS AND DIALOGUES, THE COLLABORATIVE ARRIVED AT TOP 10 PRIORITIES, WHICH WERE THEN REVIEWED BY EACH ORGANIZATIONS' STAKEHOLDER GROUPS. EACH GROUP CONSISTED OF KEY STAKEHOLDERS, INCLUDING SENIOR LEADERS AND MANAGERS. ALL FOUR GROUPS FOCUSED ON DEFINING WHAT HEALTH PRIORITIES ARE THE MOST RELEVANT TO THE POPULATION EACH ORGANIZATION SERVES, AND HOW THE POPULATION IS AFFECTED BY THE GAPS IDENTIFIED IN THE CHNA PROCESS.EACH GROUP ARRIVED AT THEIR OWN PRIORITIZED LIST OF HEALTH ISSUES FACING WRIGHT COUNTY. THE LISTS WERE THEN COMBINED BY THE CORE GROUP AND ISSUES WERE AGAIN PRIORITIZED BASED ON THE RANKINGS FROM INDIVIDUAL ORGANIZATIONS. THE CORE GROUP FOCUSED ON THE ISSUES FACING THE MAJORITY OF THE POPULATION SERVED AND THE SEVERITY AND MAGNITUDE OF THE HEALTH CONCERNS. THE COLLABORATIVE CHOSE THE TOP THREE PRIORITIES BASED ON TRUE COMMUNITY NEED, VERSUS JUST THE ABILITY TO PROVIDE INTERVENTIONS. THE COLLABORATIVE BELIEVES THAT PART OF THE SOLUTION IS STARTING THE CONVERSATION AROUND THE TOPICS THAT HAVE NOT YET BEEN ADDRESSED, AND ENGAGING COMMUNITY PARTNERS AND OTHER ORGANIZATIONS TO ASSIST IN IMPLEMENTATION PLANNING AND DEVELOPMENT OF TACTICS/ACTIVITIES TO ADDRESS THOSE PRIORITIES.NEEDS IDENTIFIED BUT NOT INCLUDED IN THE CHNA:GOING INTO THE HANLON PRIORITIZATION, THE CORE GROUP HAD A LIST OF 20 IDENTIFIED HEALTH ISSUES THAT NEEDED TO BE DISCUSSED AND ARRANGED ACCORDING TO THE WEIGHT OF ITS SIZE, SERIOUSNESS AND EFFECTIVENESS. AFTER ALL THE HEALTH ISSUES WERE RANKED, THE CORE GROUP REALIZED THERE WERE SEVERAL IDENTIFIED ISSUES THAT COULD BE COMBINED WITH TOP PRIORITIES. FOR EXAMPLE, SUICIDE AWARENESS AND PREVENTION CAN BE COMBINED WITH ONE OF THE TOP PRIORITIES OF MENTAL HEALTH AND WELLNESS. OTHER ISSUES THAT WERE IDENTIFIED INCLUDED STRESS, LACK OF PHYSICAL ACTIVITY AND SOCIAL CONNECTEDNESS/ISOLATION. WHILE THE CORE GROUP UNDERSTANDS THAT ALL OF THESE ISSUES ARE IMPORTANT AND NEED CONCENTRATED EFFORTS IN ORDER TO RESOLVE, THEY WILL BE CONSCIOUSLY DISCUSSED AND NATURALLY ADDRESSED IN THE STRATEGIES AND TACTICS EACH ORGANIZATION CREATES.WHILE TOPICS SUCH AS DISTRACTED DRIVING RANKED AS A HIGH NEED IN WRIGHT COUNTY, THERE ARE CURRENTLY MANY GROUPS ALREADY WORKING ON THIS ISSUE AND ACTIVELY PURSUING INTERVENTIONS AROUND THIS CONCERN (SAFE COMMUNITIES OF WRIGHT COUNTY, HIGHWAY 55 COALITION, HIGHWAY 12 COALITION AND I94 WEST CHAMBER OF COMMERCE). SOME OF THE PRIORITIES IDENTIFIED IN 20172019 IMPLEMENTATION PLAN ARE STILL RELEVANT TO THE WORK OF THE COLLABORATIVE (FOOD INSECURITY, OBESITY, PHYSICAL ACTIVITY, ACCESS TO CARE). THE COLLABORATIVE MADE SIGNIFICANT STRIDES IN ADDRESSING THOSE PRIORITIES AND WILL CONTINUE TO SUPPORT THE EFFORTS AROUND THESE INITIATIVES THROUGH CURRENT WORKFLOWS AND SERVICE MODELS.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 11: THE PRIORITIZATION PROCESS TOOK PLACE WHILE UTILIZING THE MAPP PROCESS. THE WORK OF EACH OF THE FOUR MAPP ASSESSMENT SUB-GROUPS RESULTED IN FOUR LISTS OF 10 COMMUNITY PRIORITIES. AS A REMINDER, THE FOUR ASSESSMENTS INCLUDE: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, LOCAL PUBLIC HEALTH STATUS ASSESSMENT, AND FORCES OF CHANGE ASSESSMENT. THOSE FOUR LISTS OF 10 ARE INCLUDED IN THE NARRATIVE EARLIER IN THIS DOCUMENT.THE CORE SUPPORT TEAM WAS PROVIDED THOSE FOUR LISTS OF TEN PRIORITIES. THEY TOOK THOSE LISTS AND TALKED WITH THEIR AGENCY STAFF TO IDENTIFY ANY THEMES OR COMMONALITIES AMONGST THE FOUR LISTS. THE CORE SUPPORT TEAM THEN CAME TOGETHER IN A MEETING AND WENT THROUGH A FACILITATED PROCESS USING THE CENTRAL MN ALLIANCE VISION AS A GUIDE TO COME UP WITH A TOP 10 LIST TO SEND ON TO THE DELEGATED AUTHORITIES.THE DELEGATED AUTHORITIES MET AND CONTINUED THE DISCUSSION ABOUT THE PRIORITY LIST. THE PRIORITIES PASSED ON BY THE CORE SUPPORT TEAM WERE RUN THROUGH TWO PRIORITIZATION EXERCISES. THE FIRST WAS A RANKING DISCUSSION WITH POINTS ASSIGNED FOR CERTAIN CRITERIA. RANKS INCLUDED 3 FOR HIGH, 2 FOR MEDIUM, AND 1 FOR LOW. THE CRITERIA INCLUDED: URGENCY: IS THIS A PRIORITY ISSUE THAT NEEDS TO BE ADDRESSED IN THE NEXT 1-3 YEARS? POTENTIAL IMPACT: IS IT LIKELY THAT ADDRESSING THIS CRITICAL ISSUE WILL HAVE A SIGNIFICANT IMPACT ON ONE OR MORE SPECIFIC POPULATIONS? DO YOU HAVE REASON TO BELIEVE YOU CAN BE SUCCESSFUL ON THIS ISSUE? ACTIONABLE/FEASIBLE: ARE THERE OPPORTUNITIES FOR ACTION TO ADDRESS THE CRITICAL ISSUE? IS THERE ROOM TO MAKE MEANINGFUL IMPROVEMENT ON THE ISSUE? RESOURCES: ARE RESOURCES (FUNDS, STAFF, & EXPERTISE) EITHER READILY AVAILABLE OR LIKELY RESOURCES CAN BE OBTAINED TO ADDRESS THE CRITICAL ISSUE? ARE THERE RESOURCES THROUGH THE STATE AND COMMUNITY MEMBERS TO WORK ON THE ISSUE? IF NOT, CAN RESOURCES BE ACQUIRED? COMMUNITY READINESS: IS THIS A CRITICAL ISSUE IDENTIFIED AS IMPORTANT BY THE COMMUNITY? ARE PEOPLE IN THE COMMUNITY INTERESTED IN THE ISSUE? IS THERE COMMUNITY MOMENTUM TO MOVE THIS INITIATIVE FORWARD? INTEGRATION: IS THERE OPPORTUNITY FOR COLLABORATION? IS THERE OPPORTUNITY TO BUILD ON EXISTING INITIATIVES? WILL THIS DUPLICATE EFFORTS? FINALLY, THE PRIORITIES WERE PLACED ON A CONTROL/INFLUENCE GRID.THE PRIORITIES IDETIFIED 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 FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIES THREE THROUGH TEN WILL NOT SPECIFICALLY BE ADDRESSED THROUGH ACTION PLANNING OR MEASUREMENT, 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 CENTRAL MN ALLIANCE 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/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.
CARRIS HEALTH - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: IN ORDER TO PRIORITIZE THE HEALTH INDICATORS THAT WERE IDENTIFIED, THE CHNA WORKING GROUP EVALUATED A SET OF FOUR RANKING CRITERIA TO ALIGN PRIORITIES WITH COMMUNITY HEALTH OBJECTIVES. THE CRITERIA THAT WERE USED, AND THEIR CORRESPONDING DESCRIPTION ARE LISTED BELOW:1. MISSION RELEVANCY: THE HEALTH ISSUE FALLS WITHIN THE HOSPITAL'S OVERALL MISSION AND CORE COMPETENCIES2. COMMUNITY IMPACT: THE PREVALENCE AND SEVERITY OF THE HEALTH ISSUE3. RESOURCE AVAILABILITY: THE AVAILABILITY OF CARRIS HEALTH'S TIME, HUMAN, AND STRATEGIC RESOURCES NECESSARY TO ADDRESS THE ISSUE4. ESTIMATED EXPENSE: THE EXPENSE (BOTH INTERNAL AND EXTERNAL) OF ADDRESSING THE ISSUETHE PRIORITIZATION PROCESS ITSELF WAS DIVIDED INTO THE TWO STAGES. THE FIRST STAGE CONSISTED IN RATING EACH HEALTH INDICATOR ACCORDING TO MISSION RELEVANCY ALONE. EACH CHNA WORKING GROUP MEMBER WAS ASKED TO RESPOND, "IS EACH RESPECTIVE COURSE OF ACTION RELEVANT TO CARRIS HEALTH'S MISSION AND CORE COMPETENCIES?" AFTER A REVIEW OF THE RESPONSES TO THE SURVEY, 6 PRIORITY AREAS WERE SELECTED. THE SECOND STAGE OF THE PROCESS CONSISTED IN THE PRIORITIZATION OF THE 6 HIGH PRIORITY AREAS ACCORDING TO COMMUNITY IMPACT, RESOURCE AVAILABILITY, AND ESTIMATED EXPENSES. THESE TOP SIX PRIORITY AREAS WERE REVIEWED IN COMPARISON TO DATA GATHERED BY CARRIS HEALTH'S ONGOING, COLLABORATIVE EFFORT WITH KANDIYOHI PUBLIC HEALTH TO COMPLETE THEIR HEALTH NEEDS ASSESSMENT. NO DATA FROM THE COUNTY HEALTH ASSESSMENT CONTRADICTED THE CHOICE OF THE PRIORITIES FROM THE CARRIS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENTS. THE COLLABORATION BETWEEN CARRIS HEALTH AND KANDIYOHI PUBLIC HEALTH STRENGTHENED THE COLLECTIVE IMPACT THAT THIS GROUP OF HEALTH PROFESSIONALS RECOGNIZE IS NEEDED IN ORDER TO HAVE SUSTAINABLE IMPACT ON POPULATION HEALTH IMPROVEMENT. FINALLY, THE RANKED ISSUES WERE PRESENTED TO CARRIS HEALTH'S OPERATING COMMITTEES, BOARDS, MEDICAL STAFFS AND LEADERSHIP GROUP FOR FEEDBACK AND CLARIFICATION. AN ACTION PLAN WAS DEVELOPED TO ADDRESS THE TOP PRIORITY HEALTH CONCERNS THAT WERE IDENTIFIED BY THE CHNA WORKING COMMITTEE. AN INTERNAL REVIEW OF PERFORMANCE AND OUTCOME DATA USING VARIOUS REPORTING AND DATA COLLECTION TOOLS, IN ADDITION TO THE INCORPORATION OF COMMUNITY CONVERSATIONS LED BY THE LOCAL HEALTH DEPARTMENT SUPPORTED THE IDENTIFICATION OF THE TOP HEALTH PRIORITIES THAT WERE DETERMINED TO HAVE THE LARGEST IMPACT AND POTENTIAL FOR IMPROVEMENT ON POPULATION HEALTH. THESE PRIORITY AREAS ARE AS FOLLOWS: OBESITY, DEPRESSION, TOBACCO, DIABETES, OPIOID USE, AND CANCER.
CENTRACARE HEALTH - MONTICELLO	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 - PAYNESVILLE	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
CARRIS HEALTH - RICE MEMORIAL HOSPITAL	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
CARRIS HEALTH - REDWOOD AREA HOSPITAL	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 - MONTICELLO	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 - PAYNESVILLE	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.
CARRIS HEALTH - RICE MEMORIAL HOSPITAL	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.
CARRIS HEALTH - REDWOOD AREA HOSPITAL	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 - MONTICELLO:	PART V, SECTION B, LINES 7A AND 10A: THE HOSPITAL'S CHNA CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/WRIGHT-COUNTY-COMMUNITY-HEALTH-COLLABORATIVE-CHNA-2019-2022-VERSION-1-UPDATED-10.19.PDF.THE HOSPITAL'S IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-MONTICELLO-IMPLEMENTATION-PLAN-2019-2022-VERSION-1-UPDATED-10.19.PDF.
CENTRACARE HEALTH - PAYNESVILLE:	PART V, SECTION B, LINES 7A AND 10A: THE HOSPITAL'S CHNA AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP_CHNA-2019-2022-VERSION-2-UPDATED-02.20.PDF.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MONTICELLO CARE CENTER
1104 EAST RIVER STREET	MONTICELLO	MN	55362	SKILLED NURSING FACILITY
2 - CENTRACARE - MONTICELLO SPECIALTY CLINIC
1107 HART BLVD	MONTICELLO	MN	55362	CLINIC
3 - KORONIS MANOR CARE CENTER
200 WEST FIRST STREET	PAYNESVILLE	MN	56362	SKILLED NURSING FACILITY
4 - CCH PAYNESVILLE - EDEN VALLEY CLINIC
405 MEEKER AVENUE	EDEN VALLEY	MN	56362	CLINIC
5 - CCH PAYNESVILLE - PAYNESVILLE CLINIC
200 WEST FIRST STREET	PAYNESVILLE	MN	56362	CLINIC
6 - CCH PAYNESVILLE - RICHMOND CLINIC
130 FIRST STREET NE	RICHMOND	MN	56368	CLINIC
7 - RICE CARE CENTER
1801 WILLMAR AVE SW	WILLMAR	MN	56201	SKILLED NURSING FACILITY
8 - RICE HOME MEDICAL
1033 19TH AVE SW	WILLMAR	MN	56201	DURABLE MEDICAL EQUIPMENT PROVIDER
9 - CARRIS HEALTH SURGERY CENTER WILLMAR
1310 1ST STREET S	WILLMAR	MN	56201	AMBULATORY SURGICAL CENTER
10 - CARRIS HEALTH-REDWOOD HEALTH PAVILION
1110 E BRIDGE ST	REDWOOD FALLS	MN	56283	HOME CARE, HOSPICE AND ADULT DAY SERVICES
11 - CARRIS HEALTH - REDWOOD SEASONS HOUSE
400 VEDA DR	REDWOOD FALLS	MN	56283	ADULT FOSTER CARE WITH SERVICES (END OF LIFE CARE)
12 - RICE REHABILITATION CENTER
311 SW 3RD ST	WILLMAR	MN	56201	PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY
13 - MARSHALL SURGERY CENTER
1521 CARLSON ST 200	MARSHALL	MN	56258	OUTPATIENT SURGERY

Supplemental Information Detail SupplementalInformationDetail (13 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 HOSPITALS' TOTAL EXPENSES (NET OF BAD DEBT) WERE REDUCED BY OTHER OPERATING REVENUE (NET OF EHR INCENTIVE REVENUE) AND ALSO BY MEDICAID SURCHARGE AND TAXES, AND THEN DIVIDED BY TOTAL PATIENT REVENUE TO DETERMINE COST TO CHARGE RATIO.
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 $ 6,688,681.
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 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 SHORTFALL OF $7,015,223 IN TREATING MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT IN ITS ENTIRETY. THE HOSPITALS PROVIDE AN EXCELLENT LEVEL OF CARE TO THE PEOPLE IN THE COMMUNITY. DESPITE THE SHORTFALL IN REIMBURSEMENT FORM MEDICARE, THE HOSPITALS CONTINUE TO PROVIDE ESSENTIAL HEALTHCARE SERVICES TO THE POPULATION. THE AMOUNT ON LINE 6 OF PART III WAS DETERMINED BY UTILIZING THE MEDICARE COST REPORT UTILIZING KEY SECTIONS OF THAT REPORT, PRIMARILY THE D SERIES AND E SERIES.
PART III, LINE 9B:	THE COLLECTION POLICIES AT THE HOSPITALS 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 RATING 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:	CENTRACARE HEALTH - MONTICELLO IS LOCATED IN CENTRAL MINNESOTA IN WRIGHT COUNTY. THE ESTIMATED 2020 CENSUS SHOWS A POPULATION OF 20,213, WITH A PROJECTED 2025 GROWTH PERCENTAGE OF 5.19% TO 21,262 POPULATION LEVEL. THIS AREA OF THE STATE IS SHOWING A SIGNIFICANT INCREASE IN POPULATION AND IS EXPECTED TO CONTINUE INTO THE FUTURE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2020 TO 2025 IS AS FOLLOWS: 0-17: 1.15%, 18-44: 2.12%, 45-64: 6.20%, 65+: 20.67%. THE ESTIMATED 2020 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 88.70%, AFRICAN AMERICAN: 1.67%, ASIAN: 1.09%, HISPANIC: 5.98%, OTHER: 2.56%. CENTRACARE HEALTH - PAYNESVILLE IS LOCATED IN CENTRAL MINNESOTA IN STEARNS COUNTY. THE ESTIMATED 2020 CENSUS SHOWS A POPULATION OF 6,318 AND IS PROJECTED TO INCREASE SLIGHTLY TO 6,475 BY 2025 WHICH REPRESENTS A 2.48% INCREASE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2020 TO 2025 IS AS FOLLOWS: 0-17: 3.65%, 18-44: 4.79%, 45-64: -6.98%, 65+: 8.02%. THE ESTIMATED 2020 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 95.41%, AFRICAN AMERICAN: .55%, ASIAN: .46%, HISPANIC: 2.48%, OTHER: 1.09%. CENTRACARE HEALTH - RICE MEMORIAL HOSPITAL IS LOCATED IN CENTRAL MINNESOTA IN KANDIYOHI COUNTY. THE ESTIMATED 2020 CENSUS SHOWS A POPULATION OF 23,727 AND IS PROJECTED TO INCREASE SLIGHTLY TO 24,188 BY 2025 WHICH REPRESENTS A 1.94% INCREASE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2020 TO 2025 IS AS FOLLOWS: 0-17: 2.00%, 18-44: 1.83%, 45-64: -5.48%, 65+: 11.36%. THE ESTIMATED 2020 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 65.63%, AFRICAN AMERICAN: 10.79%, ASIAN: 1.34%, HISPANIC: 20.63%, OTHER: 1.60%. CENTRACARE HEALTH - REDWOOD FALLS HOSPITAL IS LOCATED IN REDWOOD COUNTY, MINNESOTA. THE ESTIMATED 2021 CENSUS SHOWS A POPULATION OF 6,363 AND IS PROJECTED TO DECREASE SLIGHTLY TO 6,314 BY 2026 WHICH REPRESENTS A 0.77% DECREASE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2021 TO 2026 IS AS FOLLOWS: 0-17: -2.16%, 18-44: 1.96%, 45-64: -10.13%, 65+: 6.90%. THE ESTIMATED 2021 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 83.78%, AFRICAN AMERICAN: .90%, ASIAN: .42%, HISPANIC: 5.83%, OTHER: 9.07%.
PART VI, LINE 5:	THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IN SEVERAL IMPORTANT WAYS. ONE OF THESE WAYS IS THROUGH THE COMMUNITY COLLABORATION COMMITTEE (CCC), A STANDING COMMITTEE OF THE CENTRACARE HEALTH FOUNDATION. THE CCC HAS A MEMBERSHIP OF OVER 30 PERSONS REPRESENTING HEALTHCARE AND COMMUNITY NEEDS ACROSS CENTRAL MINNESOTA. THE CCC MEETS MONTHLY TO DISCUSS WAYS TO ADDRESS TYPICAL HEALTH ISSUES THROUGH AWARENESS BUILDING, EDUCATION AND/OR AN INTERVENTION PROJECT. THERE ARE SEVERAL COMMUNITY HEALTH OUTREACH INITIATIVES THAT THE FOUNDATION IS INVOLVED WITH. THESE INITIATIVES INCLUDE: 1) BLEND CHILDHOOD OBESITY COALITION OF CENTRAL MINNESOTA, 2) SMOKE FREE COMMUNITIES (CONTINUED EFFORTS TO CREATE CLEAN INDOOR AND OUTDOOR AIR FOR ALL), 3) TOBACCO CESSATION SERVICES CLINICS (COLLABORATION WITH CLINIC), 4) CENTRACARE CLINIC TEAM BASED CARE PILOT, 5) ST. CLOUD HOSPITAL - TRANSITION OF CARE PILOT (CREATE MORE SEAMLESS INTEGRATION FROM CARE SETTING TO CARE SETTING, AND 6) CLINIC - DIVERSITY AND CULTURAL COMPETENCY TRAINING.
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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ST CLOUD STATE UNIVERSITY
720 FOURTH AVE SOUTH	ST CLOUD	MN	56301	411687554	STATE GOVERNMENT	$150,000	HELP FUND THE GRADUATE NURSING EDUCATION AND THE CENTER FOR HEALTH OUTCOMES AND POLICY RESEARCH
UNITED WAY
921 1ST ST N STE 200	ST CLOUD	MN	56303	410915124	501(C)(3)	$23,125	TO HELP THE COMMUNITIES MOST CRITICAL HUMAN SERVICES ISSUES.
COMMUNITYGIVING
101 7TH AVE SOUTH	ST CLOUD	MN	56302	363412544	501(C)(3)	$21,000	SPONSOR AT COMMUNITY GIVING DAY, SOCIAL CAPITAL SURVEY SPONSORSHIP/PLEDGE CONTRIBUTION - STAFF PARTICIPATING IN LEADERSHIP PROGRAM
JUNIOR ACHEIVEMENT OF THE UPPER MIDWEST INC
3515 3RD STREET N	ST CLOUD	MN	56303	411424988	501(C)(3)	$5,000	LEARNING PROGRAM FOR STUDENTS K-12
REGIONS HOSPITAL FOUNDATION
PO BOX 1309	MINNEAPOLIS	MN	55440	410956618	501(C)(3)	$25,000	LITTLE MOMENTS COUNT FUND - TO ADVANCE EARLY BRAIN DEVELOPMENT WORK.
ST CLOUD DOWNTOWN COUNCIL
PO BOX 535	ST CLOUD	MN	56302	411384835	501(C)(4)	$25,000	EARTH DAY EVENT FOR COMMUNITY

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	0	RecipientCnt
Cash Grant	$19,704	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	CONTRIBUTIONS MUST BE IN KEEPING WITH THE MISSION OF CENTRACARE HEALTH, WHICH IS TO WORK TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. CONTRIBUTIONS WILL BE MADE TO ORGANIZATIONS RATHER THAN TO INDIVIDUALS WITHIN THE CENTRAL MINNESOTA REGION. CENTRACARE'S CHARITABLE FUNDS MAY NOT BE USED TO SUPPORT ANY ORGANIZATION OR EVENT THAT WOULD RESULT IN BENEFITS OF ANY KIND TO AN EMPLOYEE OF THE HEALTH SYSTEM OR A MEMBER OF THE VARIOUS BOARDS OF DIRECTORS, EITHER DIRECTLY OR INDIRECTLY. ONE EXCEPTION EXISTS TO THE GUIDELINE REGARDING BENEFIT TO EMPLOYEES: WE WILL SUPPORT, VIA SCHOLARSHIPS AND THE PURCHASE OF SUPPLIES, THE MEDICAL MISSION WORK OF OUR STAFF AND PHYSICIANS. THE CENTRACARE HEALTH CONTRIBUTIONS COMMITTEE IS MADE UP OF: ONE REPRESENTATIVE FROM CENTRACARE HEALTH FOUNDATION; ONE REPRESENTATIVE FROM ST. CLOUD HOSPITAL HUMAN RESOURCES/DIVERSITY COMMITTEE; THE DIRECTOR OF CENTRACARE HEALTH'S COMMUNICATION DEPARTMENT AND THE COMMUNICATIONS/MARKETING FOR ST. BENEDICT'S SENIOR COMMUNITY; THE DIRECTOR OF CENTRACARE HEALTH'S MARKETING DEPARTMENT; THE DIRECTOR OF ST. CLOUD HOSPITAL VOLUNTEER SERVICES; AND ST. CLOUD HOSPITAL'S DIRECTOR OF MISSION & SPIRITUAL CARE. THE COMMITTEE MEETS MONTHLY TO ENSURE A STREAMLINED, COORDINATED PROCESS OF REVIEWING REQUESTS AND DETERMINING FUNDING. THE COMMITTEE MAINTAINS A DATABASE TO TRACK ALL CONTRIBUTIONS. OTHER CENTRACARE ENTITIES, INCLUDING CENTRACARE HEALTH - LONG PRAIRIE, MELROSE, MONTICELLO, PAYNESVILLE AND SAUK CENTRE, MAY DEVELOP A BUDGET FOR APPROVAL AND IMPLEMENT THEIR OWN CONTRIBUTIONS DECISIONS WITHIN THE GUIDELINES OF THIS DOCUMENT. CONTRIBUTIONS MAY NOT EXCEED THE STATED BUDGET AND NO MULTI-YEAR COMMITMENTS TO ORGANIZATIONS MAY BE MADE WITHOUT APPROVAL FORM THE CENTRACARE HEALTH EXECUTIVE COUNCIL. INDIVIDUALS AND DEPARTMENTS FORM THROUGHOUT ST. CLOUD HOSPITAL AND CENTRACARE CLINIC SHOULD FORWARD ALL OUTSIDE FUNDING REQUESTS TO A MEMBER OF THE COMMITTEE FOR THE FULL GROUP'S CONSIDERATION. THOSE REQUESTING FUNDS SHOULD BE ASKED TO SUBMIT REQUESTS IN WRITING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 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 D HOLMEN MD
PRESIDENT/CEO	$1,256,282	$0	$0	$0	$23,025	$0	$14,000	$0	$22,738	$0	$1,316,045	$0	$0	$0
TOD W SPEER MD
PHYSICIAN	$645,185	$0	$186,776	$0	$79,814	$0	$25,505	$0	$28,207	$0	$965,487	$0	$0	$0
CINDY FIRKINS SMITH MD
CARRIS HEALTH, PRESIDENT/CEO	$0	$423,748	$0	$268,738	$0	$1,089	$0	$65,259	$0	$25,150	$0	$783,984	$0	$0
LEAH M SCHAMMEL MD
PHYSICIAN	$0	$189,471	$0	$543,280	$0	$39,024	$0	$17,562	$0	$28,504	$0	$817,841	$0	$0
NATHANIEL J SLINKARD MD
PHYSICIAN	$0	$345,786	$0	$187,500	$0	$185,274	$0	$15,951	$0	$27,504	$0	$762,015	$0	$0
JULIE C SCHULTZ MD
PHYSICIAN	$0	$162,399	$0	$520,143	$0	$20,086	$0	$15,992	$0	$30,909	$0	$749,529	$0	$0
DONALD JURGENS MD
DIRECTOR/PHYSICIAN	$0	$698,954	$0	$0	$0	$25,738	$0	$21,000	$0	$14,872	$0	$760,564	$0	$0
GREGORY R KLUGHERZ
TREASURER/CFO, CCH(UNTIL 7/1/2019)	$0	$636,563	$0	$0	$0	$72,594	$0	$18,403	$0	$22,088	$0	$749,648	$0	$0
PAUL R HARRIS ESQ
CORPORATE SECRETARY(UNTIL 3/1/2020)	$414,352	$0	$0	$0	$91,003	$0	$106,487	$0	$25,591	$0	$637,433	$0	$68,871	$0
MARK S MATTHIAS MD
VICE PRESIDENT	$497,049	$0	$0	$0	$84,010	$0	$30,603	$0	$22,825	$0	$634,487	$0	$16,122	$0
THOMAS SCHRUP MD
VICE PRESIDENT	$460,466	$0	$0	$0	$38,486	$0	$61,343	$0	$22,422	$0	$582,717	$0	$36,642	$0
AMY M PORWOLL
VICE PRESIDENT	$364,101	$0	$0	$0	$83,431	$0	$83,745	$0	$23,215	$0	$554,492	$0	$49,269	$0
THOMAS H LANGE MD
PHYSICIAN	$0	$250,999	$0	$274,695	$0	$39,376	$0	$16,796	$0	$30,133	$0	$611,999	$0	$0
JOSEPH M BLONSKI MD
VICE PRESIDENT	$398,774	$0	$0	$0	$45,631	$0	$71,523	$0	$25,135	$0	$541,063	$0	$43,757	$0
GEORGE A MORRIS MD
VICE PRESIDENT	$361,969	$0	$0	$0	$59,232	$0	$63,590	$0	$23,215	$0	$508,006	$0	$25,249	$0
CHRISTOPHER BOELTER MD
VICE PRESIDENT	$390,936	$0	$0	$0	$146,454	$0	$20,472	$0	$3,077	$0	$560,939	$0	$0	$0
JOSEPH H KALKMAN
VICE PRESIDENT	$355,018	$0	$0	$0	$33,054	$0	$57,854	$0	$25,591	$0	$471,517	$0	$0	$0
CHRISTIAN SCHMIDT MD
DIRECTOR/SURGEON	$0	$437,978	$0	$0	$0	$16,837	$0	$20,137	$0	$27,542	$0	$502,494	$0	$0
KURT OTTO MD
VICE PRESIDENT	$292,370	$0	$0	$0	$58,727	$0	$69,283	$0	$24,215	$0	$444,595	$0	$38,983	$0
BRYAN ROLPH
DIRECTOR/PHYSICIAN	$0	$400,537	$0	$0	$0	$24,113	$0	$18,665	$0	$26,528	$0	$469,843	$0	$0
MICHAEL W SCHRAMM
CARRIS HEALTH, PRESIDENT/CEO	$345,131	$0	$0	$0	$323	$0	$59,570	$0	$23,214	$0	$428,238	$0	$0	$0
JOSEPH D HELLIE
VICE PRESIDENT	$289,339	$0	$0	$0	$37,486	$0	$68,763	$0	$37,072	$0	$432,660	$0	$0	$0
JOY PLAMANN
VICE PRESIDENT	$283,051	$0	$0	$0	$18,980	$0	$66,475	$0	$24,673	$0	$393,179	$0	$18,710	$0
RICHARD WEHLSER MD
DIRECTOR/PHYSICIAN	$0	$86,974	$0	$146,418	$0	$153,695	$0	$18,266	$0	$29,786	$0	$435,139	$0	$0
ANTHONY V GARDENER
VICE PRESIDENT	$259,060	$0	$0	$0	$58,159	$0	$56,989	$0	$9,535	$0	$383,743	$0	$35,817	$0
BRADLEY J KONKLER
VICE PRESIDENT	$248,613	$0	$0	$0	$41,784	$0	$54,329	$0	$23,215	$0	$367,941	$0	$32,032	$0
KATHLEEN M PARSONS
VICE PRESIDENT	$272,774	$0	$0	$0	$774	$0	$36,768	$0	$20,125	$0	$330,441	$0	$0	$0
DIANE R BUSCHENA-BRENNA
VICE PRESIDENT	$235,216	$0	$0	$0	$41,349	$0	$19,461	$0	$21,782	$0	$317,808	$0	$0	$0
DAVID A LARSON
VICE PRESIDENT	$223,081	$0	$0	$0	$8,698	$0	$37,846	$0	$23,215	$0	$292,840	$0	$0	$0
SANTO CRUZ
CORPORATE SECRETARY(AS OF 6/28/2020)	$262,444	$0	$0	$0	$162	$0	$0	$0	$23,330	$0	$285,936	$0	$0	$0
SHARON RUGGIERO MD
DIRECTOR/PHYSICIAN	$0	$215,588	$0	$1,076	$0	$25,641	$0	$17,687	$0	$12,124	$0	$272,116	$0	$0
BETH A HONKOMP
VICE PRESIDENT	$152,317	$0	$0	$0	$10,825	$0	$10,025	$0	$12,187	$0	$185,354	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRRED 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 THE FORM 990, THE AMOUNTS LISTED IN SECTION VII AND IN SCHEDULE J REFLECT THIS TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON THE FORM 990. ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF IT IS PAID TO THE EXECUTIVE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: PAUL R HARRIS - PAID $68,871; ACCRUED $88,628 CINDY FIRKINS SMITH, MD - PAID $0; ACCRUED $43,281 AMY M PORWOLL - PAID $49,269; ACCRUED $66,313 THOMAS SCHRUP - PAID $36,642; ACCRUED $42,705 KURT OTTO - PAID $38,983; ACCRUED $54,854 JOY PLAMANN - PAID $18,710; ACCRUED $47,972 MARK S MATTHIAS, MD - PAID $63,822; ACCRUED $16,122 GEORGE A MORRIS, MD - PAID $25,249; ACCRUED $47,483 JOSEPH M BLONSKI, MD - PAID $43,757; ACCRUED $54,527 JOSEPH H KALKMAN - PAID $0; ACCRUED $50,875 ANTHONY V GARDENER - PAID $35,817; ACCRUED $44,496 BRADLEY J KONKLER - PAID $32,032; ACCRUED $42,372 DAVID A LARSON - PAID $0; ACCRUED $22,065 JOSEPH D HELLIE - PAID $37,072; ACCRUED $51,408 KATHLEEN M PARSONS - PAID $0; ACCRUED $18,629 MICHAEL SCHRAMM - PAID $0; ACCRUED $34,398	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE CITY OF ST CLOUD
A	416005515	2011-12-28	$31,445,000	HEALTH CARE REVENUE BONDS 2011B	0	0	0
THE CITY OF ST CLOUD
B	416005515	2014-11-19	$48,876,925	HEALTH CARE REVENUE BONDS 2014B	0	0	0	78916VCZ1
THE CITY OF ST CLOUD
C	416005515	2014-08-01	$128,310,000	HEALTH CARE REVENUE BONDS 2014	0	0	0
THE CITY OF ST CLOUD
D	416005515	2016-05-12	$216,598,436	HEALTH CARE REVENUE BONDS 2016A	0	0	0	78916VDR8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Refunding EscrowRefundingEscrowAmt
A	$31,445,000	$31,445,000	2012	Yes (1)	0	Yes (1)	Yes (1)
B	$48,876,925	$48,325,944	2010	0	Yes (1)	Yes (1)	Yes (1)	$550,981
C	$128,310,000	$113,310,000	2016	Yes (1)	0	Yes (1)	Yes (1)		$15,000,000
D	$216,598,436		2017	0	Yes (1)	Yes (1)	Yes (1)	$1,760,260	$53,357,670	$161,480,506

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	0	0	0.00870	0.00870	Yes (1)
B	Yes (1)	Yes (1)	0.02370	0.02370	Yes (1)	Yes (1)
C	Yes (1)	0	0.00630	0.00630	Yes (1)
D	Yes (1)	Yes (1)	0.01890	0.01890	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	0	Yes (1)
B	0	0	Yes (1)	0	Yes (1)
C	0	0	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 02/23/2017 ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 07/23/2019 ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 07/09/2019	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE CITY OF ST CLOUD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	416005515	BondIssuerEIN
CUSIP	78916VDW7	CUSIPNum
Bond Issued	2019-03-28	BondIssuedDt
Issue Price	$143,227,442	IssuePriceAmt
Purpose	HEALTH CARE REVENUE BONDS 2019	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$14,322,744	TotalProceedsAmt
Issuance Costs From Proceeds	$1,512,827	IssuanceCostsFromProceedsAmt
Capital Expenditures	$77,343,447	CapitalExpendituresAmt
Other Spent Proceeds	$8,156,941	OtherSpentProceedsAmt
Unspent	$56,214,227	UnspentAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Concerning UBI	0.01010	PrivateBusConcerningUBIPct
Total Private Business Use	0.01010	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 12C	THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE TWICE A YEAR. ALL STAFF SIGN CONFLICTS OF INTEREST FORMS 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 OUTSIDE COUNSEL). THE RESPONSES TO THE QUESTIONNAIRES ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICTS OF INTERESTS RELATED TO BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HER SELF FROM THE DECISION MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT ISSUES MAY ARISE.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND 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.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT REQUIRED BY LAW TO BE MADE AVAILABLE TO THE PUBLIC AND CENTRACARE HEALTH SYSTEM DOES NOT MAKE THEM AVAILABLE.
FORM 990, PART IX, LINE 11G	MEDICAL/OTHER FEES: PROGRAM SERVICE EXPENSES 15,385,196. MANAGEMENT AND GENERAL EXPENSES 4,010,663. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,395,859. CONTRACTED SERVICES/PURCH SVCS: PROGRAM SERVICE EXPENSES 57,752,167. MANAGEMENT AND GENERAL EXPENSES 15,055,022. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,807,189.
FORM 990, PART XI, LINE 9:	PENSION PLAN ADJUSTMENT 327,122. NET EQUITY TRANSFERS TO RELATED ORGS 41,817,290. CONTRIBUTED NA OF AFFILIATIONS 15,555. OTHER CHANGES IN NET ASSETS -1,132,390.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRACARE SURGERY CENTER LLC
1406 6TH AVE N	ST CLOUD	MN	56303	611514974	SURGICAL CENTER	MN	$11,101,942	$5,196,616	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH - MONTICELLO
1013 HART BLVD	MONTICELLO	MN	55362	461584944	HEALTHCARE	MN	$77,620,929	$69,924,097	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH - PAYNESVILLE
200 W200 WEST FIRST STREET	PAYNESVILLE	MN	56362	433298651	HEALTHCARE	MN	$46,661,890	$35,254,292	CENTRACARE HEALTH SYSTEM
CENTRAL MINNESOTA HEALTH NETWORK LLC (FKA CIN LLC)
1406 6TH AVE N	ST CLOUD	MN	56303	473924684	CLINICAL INEGRATED NETWORK	MN	$0	-$1,431,177	CENTRACARE HEALTH SYSTEM
CENTRAL MINNESOTA ACO LLC
1406 6TH AVE N	ST CLOUD	MN	56303	474591476	ACCREDITED CARE ORGANIZATION	MN	$8,075	-$784,029	CENTRACARE HEALTH SYSTEM
CARRIS HEALTH LLC
301 BECKER AVE SW	WILLMAR	MN	56201	823166379	HEALTH CARE SYSTEM	MN	$259,446,086	$250,040,552	CENTRACARE HEALTH SYSTEM
CENTRAL MINNESOTA IHP LLC
1406 6TH AVE N	ST CLOUD	MN	56303		HEALTHCARE	MN	$0	$0	CENTRACARE HEALTH SYSTEM
ALBANY CLINIC PROPERTY LLC
1406 6TH AVE N	ST CLOUD	MN	56303		HEALTHCARE	MN	$0	$0	CENTRACARE HEALTH SYSTEM
CENTRACARE PROVIDER SERVICES LLC
1406 6TH AVE N	ST CLOUD	MN	56303		HEALTHCARE	MN	$0	$0	CENTRACARE HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ST CLOUD HOSPITAL
1406 6TH AVE N	ST CLOUD	MN	56303	410695596	ACUTE/LT CARE	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE HEALTH-MELROSE
11 NORTH 5TH AVE WEST	MELROSE	MN	56352	411865315	ACUTE/LT CARE	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE HEALTH-LONG PRAIRIE
50 CENTRACARE DRIVE	LONG PRAIRIE	MN	56347	411924645	ACUTE/LT CARE	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE HEALTH-SAUK CENTRE
425 ELM STREET NORTH	SAUK CENTRE	MN	56378	452438973	ACUTE/LT CARE	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE CLINIC
1200 6TH AVE NORTH	ST CLOUD	MN	56303	411806657	MULTI-SPECIALTY	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE HEALTH FOUNDATION
1406 6TH AVE N	ST CLOUD	MN	56303	411855173	FUNDRAISING	MN	501(C)(3)	LINE 7	CENTRACARE HEALTH SYSTEM	Yes (1)
CUSHMAN ALBERT RICE TRUST
1100 WEST ST GERMAIN STREET	ST CLOUD	MN	56303	416019335	SUPPORT FOR CARRIS HEALTH	MN	501(C)(3)	LINE 12A, I	CARRIS HEALTH	0
CARRIS HEALTH FOUNDATION
301 BECKER AVE SW	WILLMAR	MN	56303	411611555	SUPPORT FOR CARRIS HEALTH	MN	501(C)(3)	LINE 12A, I	CENTRACARE HEALTH FOUNDATION	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MONTICELLO CANCER CENTER
1001 HART BLVD STE 50	MONTICELLO	MN	55362	261909519	RADIATION & ONCOLOGY SERVICES	MN	CENTRACARE HEALTH SYSTEM - MONTICELLO	RELATED	$3,588,013	$6,545,459	0	Yes (1)	0.60000
MONTICELLO SURGERY CENTER
1013 HART BLVD STE 50	MONTICELLO	MN	55362	813593057	AMBULATORY SURGERY CENTER	MN	CENTRACARE HEALTH SYSTEM	RELATED	-$123,602	-$2,153,201	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CENTRACARE HOLDINGS INC
1406 6TH AVE N	ST CLOUD	MN	56303	472688595	INVESTMENTS/PHARMACY	MN	CENTRACARE HEALTH SYSTEM	C	-$453,899	$1,276,465	1.00000	Yes (1)
AFFILIATED COMMUNITY MEDICAL CENTERS PA
301 BECKER AVE SW	WILLMAR	MN	56201		HEALTH CARE SYSTEM	MN	CARRIS HEALTH LLC	C	-$18,696,123	$118,390,416	1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	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	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRACARE PHARMACY SERVICES
A	$83,568	ARMS LENGTH
CENTRACARE CLINIC
A	$7,286,762	ARMS LENGTH
ST CLOUD HOSPITAL
A	$149,520	ARMS LENGTH
CENTRACARE HEALTH - LONG PRAIRIE
D	$1,707,973	ARMS LENGTH
ST CLOUD HOSPITAL
K	$1,940,969	ARMS LENGTH
CENTRACARE CLINIC
P	$623,777	ARMS LENGTH
CENTRACARE HEALTH - LONG PRAIRIE
Q	$3,717,096	ARMS LENGTH
CENTRACARE HEALTH - MELROSE
Q	$3,758,964	ARMS LENGTH
CENTRACARE HEALTH - SAUK CENTRE
Q	$3,219,468	ARMS LENGTH
CENTRACARE PHARMACY SERVICES
Q	$345,156	ARMS LENGTH
CENTRACARE CLINIC
Q	$30,520,067	ARMS LENGTH
ST CLOUD HOSPITAL
Q	$81,449,052	ARMS LENGTH
CENTRACARE CLINIC
R	$43,531,914	ARMS LENGTH
CENTRACARE PHARMACY SERVICES
R	$2,818,821	ARMS LENGTH
CENTRACARE HEALTH - LONG PRAIRIE
S	$634,935	ARMS LENGTH
CENTRACARE HEALTH - SAUK CENTRE
S	$3,734,950	ARMS LENGTH
CENTRACARE HEALTH - MELROSE
S	$6,222,232	ARMS LENGTH
ST CLOUD HOSPITAL
S	$90,214,274	ARMS LENGTH