2021-05-13T15:16:28-05:00 2020-06-30 420714325 RSM US LLP 801 NICOLLET MALL WEST TOWER STE 1200 MINNEAPOLIS MN 554022526 990 2019-07-01 411924645 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CENT 3207322141 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 JOSEPH KALKMAN EVP, CAO & CHRO 3207322141 2021-05-11 1 KACIE MCEWEN P01599614 6123324300 2021-05-11 2019 2022-09-23 18:48:47Z CENTRACARE HEALTH - LONG PRAIRIE DR KENNETH D HOLMEN 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 42330456 0 X WWW.CENTRACARE.COM X 1999 MN WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 5 0 358 50 0 0 1042102 5153297 35743201 34976973 285589 206077 1515012 1756061 38585904 42092408 141176 142439 0 0 21408161 21788243 0 0 0 18590640 18839364 40139977 40770046 -1554073 1322362 61531480 61590751 43789990 43155424 17741490 18435327 X WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 22250033 142439 21551831 CCH - LONG PRAIRIE IS PART OF A LARGER INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS CENTRACARE HEALTH, A SYSTEM RECOGNIZED FOR BEING A LEADER IN PROVIDING HIGH-QUALITY, COMPREHENSIVE CARE THROUGHOUT THE REGION. CCH - LONG PRAIRIE IS A 25 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE SERVICES IN THE AREAS OF MEDICAL, SURGICAL, DIAGNOSTIC, AND OBSTETRICS ALONG WITH OTHER SERVICES OF 24 HOUR EMERGENCY ROOM, IMAGING, LABORATORY, REHABILITATION, AND CHEMOTHERAPY TO THE COMMUNITY OF LONG PRAIRIE AND THE SURROUNDING AREA. THERE WERE 539 ADMISSIONS, 2,529 INPATIENT DAYS, AND 28,431 OUTPATIENT VISITS DURING FISCAL YEAR 2020. 6340225 5680139 CCH - LONG PRAIRIE OPERATES THE LONG PRAIRIE CLINIC WHICH IS CONVENIENTLY CONNECTED TO THE LONG PRAIRIE HOSPITAL FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. LONG PRAIRIE CLINIC PROVIDES HEALTH CARE THROUGH A MIXTURE OF PHYSICIANS AND MIDLEVEL PROVIDERS. THERE WERE 17,921 CLINIC VISITS DURING FISCAL YEAR 2020. ALSO 48 SURGEON CLINIC VISITS.CCH - LONG PRAIRIE ALSO OPERATES THE EAGLE VALLEY CLINIC IN EAGLE BEND, MN WHICH PROVIDES HEALTH CARE FOR BOTH THE CLARISSA AND EAGLE BEND COMMUNITIES AND SURROUNDING AREAS. THE EAGLE VALLEY CLINIC PROVIDES HEALTH CARE THROUGH THE USE OF MIDLEVEL PROVIDERS WITH OVERSIGHT OF THE PHYSICIANS FROM THE LONG PRAIRIE CLINIC. THERE WERE 238 CLINIC VISITS DURING FISCAL YEAR 2020. THIS CLINIC WAS SHUT DOWN AS OF 10/31/19. 6608821 6382307 THE CCH - LONG PRAIRIE CARE CENTER IS AN ATTACHED 70 BED SKILLED NURSING FACILITY THAT PROVIDES QUALITY, COMPASSIONATE CARE WITH AN EMPHASIS ON ENHANCING EACH RESIDENT'S PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL WELL-BEING. THERE WERE 20,587 RESIDENT DAYS DURING FISCAL YEAR 2020. 2830159 1362696 CCH - LONG PRAIRIE BUILT AN ASSISTED LIVING BUILDING AND OPENED IT FOR SERVICES IN MID AUGUST 2017. THE BUILDING CONSISTS OF 24 ASSISTED LIVING APARTMENTS AND 16 MEMORY CARE APARTMENTS. THERE WERE 6,254 ASSISTED LIVING OCCUPIED UNIT DAYS AND 2,262 MEMORY CARE OCCUPIED UNIT DAYS FOR FISCAL YEAR 2020. THERE WERE 7,140 ASSISTED LIVING TENANT DAYS AND 2,262 MEMORY CARE TENANT DAYS FOR FISCAL YEAR 2020. 2830159 1362696 38029238 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 13 0 1 358 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X LARRY KNUTSON 3207327240 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 KENNETH D HOLMEN MD PRESIDENT/CEO 1.00 39.00 X X 0 1279307 35898 CRAIG J BROMAN CHIEF OPERATING OFFICER 1.00 39.00 X X 0 1109826 40748 GREGORY R KLUGHERZ TREASURER/CFO, CCH(UNTIL 7/1/2019) 1.00 39.00 X X 0 709157 39650 PAUL R HARRIS ESQ CORPORATE SECRETARY(UNTIL 3/1/2020) 2.00 38.00 X X 0 505355 131200 THOMAS G SCHRUP MD VICE PRESIDENT 1.00 39.00 X X 0 498952 81057 RENE ELDIDY MD PHYSICIAN 40.00 0.00 X 0 331755 37947 JAY-SHEREE P ALLEN MD PHYSICIAN 40.00 0.00 X 0 375041 15500 DANIEL J SWENSON ADMINISTRATOR - LONG PRAIRIE 39.50 0.50 X 0 266807 62849 SANTO CRUZ CORPORATE SECRETARY(AS OF 6/28/2020) 2.00 38.00 X X 0 262606 22337 DEBORAH P RASMUSSEN MD PHYSICIAN 40.00 0.00 X 0 241222 24996 WAYNE A JORGENSEN PA PHYSICIAN ASSISTANT 40.00 0.00 X 171339 0 38377 CHRISTOPHER A HAGEN PHARMACY 40.00 0.00 X 163928 0 33526 MICHAEL BLAIR TREASURER/CFO(AS OF 9/30/2019) 1.00 39.00 X X 0 97957 757 335267 5677985 564842 20 0 1 0 WHITESELL MEDICAL STAFFING 360 LAKE DRIVE EAST ANNANDALE MN 55302 PHYSICIAN SERVICES 953618 AYA HEALTHCARE INC DEPT 3519 DALLAS TX 75312 TEMPORARY STAFFING SERVICES 866908 CENTRAL MN DIAGNOSTIC INC 525 10TH ST NE MILACA MN 56353 MRI/CT SERVICES 740200 WEST CENTRAL ANESTHESIA PC 10382 AUGUSTA DRIVE SAUK CENTRE MN 56378 CRNA SERVICES 480457 DENNIS FAITH 4 REYNARD ROAD MALVERN PA 19355 PHYSICIAN SERVICES 304458 8 1393007 3536327 223963 5153297 PATIENT AND RESIDENT SERVICE REVE 621110 34579940 34579940 397033 397033 34976973 145375 145375 927606 0 927606 927606 927606 60702 0 60702 60702 60702 1066503 238048 828455 828455 42092408 34976973 0 1962138 X 130880 130880 11559 11559 16512657 15402576 1110081 633367 590788 42579 3771052 3517539 253513 871167 812602 58565 22263 22263 1292 1292 4988369 4675232 313137 32744 30543 2201 93386 87108 6278 40777 38036 2741 928076 865685 62391 31259 29158 2101 1321726 1232872 88854 3760565 3507757 252808 144659 134934 9725 MEDICAL SUPPLIES/DRUGS 4012770 4012770 IMPLICIT PRICE CONCESSI 1617758 1617758 MEDICAID/MN CARE 660978 660978 MEDICAL EQUIPMENT RENTA 628049 628049 554693 42414 512279 40770046 38029238 2740808 0 2337801 6210578 5888202 4626883 275282 380078 64099 46349 64714459 18407212 49930106 46307247 2525827 2013346 510163 468725 0 1537545 61531480 61590751 3714247 3126136 10376 25326 40065367 40003962 43789990 43155424 X 17673670 18360329 67820 74998 17741490 18435327 61531480 61590751 X 1322362 -123709 -504816 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1292 1292 0 PART II-B, LINE 1: CENTRACARE - LONG PRAIRIE PAID $1,292 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS. 0 1 282427 282427 51675154 10887034 40788120 1951631 883918 1067713 10805247 6636260 4168987 46307247 ASSET RETIREMENT OBLIGATION 570552 BOND PREMIUM 32403371 DUE TO AFFILIATES 4361550 THIRD PARTY SETTLEMENTS 1179583 OPERATING LIABILITIES 1488906 40003962 X PART X, LINE 2: CENTRACARE, THE CORPORATION, THE CLINIC, CCH-MELROSE, CCH-LONG PRAIRIE, CCH-SAUK CENTRE AND THE FOUNDATION HAVE BEEN DETERMINED TO QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CCH-MONTICELLO, CCH-PAYNESVILLE AND CARRIS HEALTH, AS DISREGARDED LIMITED LIABILITY COMPANIES (LLCS) UNDER INTERNAL REVENUE SERVICE REGULATIONS, ACHIEVE TAX-EXEMPT TREATMENT BASED ON THE EXEMPT STATUS OF THEIR PARENT, CENTRACARE HEALTH SYSTEM. AT JUNE 30, 2020 AND 2019, THERE WERE NO UNCERTAIN TAX POSITIONS. 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 353244 353244 0.00900 9698936 7309241 2389695 0.06100 10052180 7309241 2742939 0.07000 2461 2461 0.00010 2461 2461 0.00010 10054641 7309241 2745400 0.07010 2461 2461 0.00010 2461 2461 0.00010 1 1617758 0 7428281 7404956 23325 X 1 1 1 1 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 331051 X X X X RURAL HEALTH CLINIC, NURSING HOME CENTRACARE HEALTH - LONG PRAIRIE 1 0 0 1 X X X X X X X X X X 18 1 1 1 1 X SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B X X 1 18 1 SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B 0 1 X 175.000000000000 250.000000000000 X X 1 1 X X X 1 X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X X X X X X X 1 0 X X X X X 1 X 0 0 CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE CHNA AND PREPARE THE IMPLEMENTATION STRATEGY WHICH WE CALLED THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDES A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND SEVERAL COMMUNITY MEETINGS TO GATHER INFORMATION ON FORCES THAT CREATE HEALTH, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. THE CHNA INCLUDED A HEALTH EQUITY ASSESSMENT AND INFORMATION ON NATIONAL, STATE, AND OTHER LOCAL PLANNING PROCESSES RELATED TO HEALTH. AS A FOLLOW UP TO THE PRIOR CHNA PROCESS WHERE PUBLIC HEALTH DATA WAS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WAS A COLLABORATIVE EFFORT EXECUTED WITH TODD COUNTY HEALTH AND HUMAN SERVICES, MORRISON COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 5: TODD-MORRISON-WADENA CHNA COLLABORATIVE (MTW CHB) AGREED TO UTILIZE THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE THE IMPLEMENTATION STRATEGY. THIS GROUP MEETS BI-MONTHLY TO DEDICATE TIME IN COMPLETING THE MAPP PROCESS. IN ADDITION TO THE COLLABORATIVE GROUP'S EFFORTS OF COMPLETING A FORCES OF CHANGE ASSESSMENT, COMMUNITY INPUT WILL BE REPRESENTED THROUGH A COMMUNITY HEALTH SURVEY (GOAL IS 400 COMPLETED SURVEYS PER COUNTY), COMMUNITY STAKEHOLDER INTERVIEWS (FOLLOWING THE 12 SECTOR MODEL, EACH COUNTY WILL SELECT 20-30 NAMES FOR INTERVIEWS), AND ANECDOTAL SELF-REPORTED DATA COLLECTION WITHIN OUR TARGETED POPULATION (IDENTIFIED THROUGH ASSESSMENT IN OUR PMAP). OTHER SOURCES OF DATA COLLECTION INCLUDE LOCAL ELECTRONIC MEDICAL RECORD DATA, IHP AND HEALTH EQUITY DATA, COUNTY DATA TABLES, MINNESOTA STUDENT SURVEYS AND RESULTS FROM THE 2013 AND 2016 REGIONAL COMMUNITY HEALTH SURVEY DATA.EACH ORGANIZATION WILL WORK ON THE 2019 COMMUNITY HEALTH PRIORITIES INDEPENDENTLY, AS WELL AS COLLECTIVELY WHEN POSSIBLE. IDENTIFYING PRIORITIES TOGETHER ALLOWS THE OPPORTUNITY TO MAKE GREATER STRIDES THROUGHOUT OUR AREA, CREATING A REGIONAL APPROACH RATHER THAN ORGANIZATIONAL APPROACH. EACH ORGANIZATION HAS THE FREEDOM TO DECIDE HOW THEY CAN MOST AFFECT EACH PRIORITY BASED ON THEIR RESOURCES ALLOTTED TO THIS WORK. THE COLLABORATIVE GROUP WILL CONTINUE TO MEET TO REVIEW GOALS AND STRATEGIES AND UPDATE CURRENT EFFORTS AND MEASURES OF SUCCESS OVER THE DESIGNATED COMMUNITY HEALTH NEEDS ASSESSMENT PERIOD.THE ASSESSMENTS GATHER QUALITATIVE AND QUANTITATIVE DATA TO DRIVE THE PRIORITY SELECTION PROCESS. TO COMPLETE THE ASSESSMENTS, TODD AND WADENA COUNTIES FOLLOWED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE MAPP PROCESS IS A COMMUNITY-DRIVEN STRATEGIC PLANNING TOOL THAT INCLUDES COMMUNITY VISIONING, CONDUCTING FOUR ASSESSMENTS (COMMUNITY THEMES AND STRENGTHS, ORGANIZATION CAPACITY AND PERFORMANCE, COMMUNITY HEALTH, AND FORCES OF CHANGE), PRIORITIZING ISSUES, SELECTING GOALS AND STRATEGIES, AND DEVELOPING AN ACTION PLAN. THE CHB'S COMMUNITY HEALTH ASSESSMENT RESULTS INCLUDE SIX AREAS: WRITTEN/EMAIL SURVEY, FACE-TO-FACE INTERVIEWS, SECONDARY DATA SOURCES, DIRECTORY LISTING OF HEALTH SYSTEM CAPABILITIES, SUMMARY AND CONCLUSIONS, AND THREE-YEAR ACTION PLAN.THE SURVEY INSTRUMENT CONTENT WAS LARGELY TAKEN FROM A SIMILAR SURVEY CONDUCTED BY THESE SAME COUNTIES IN 2016. MODIFICATIONS TO THE SURVEY QUESTIONS WERE MADE BY LOCAL PUBLIC HEALTH STAFF WITH TECHNICAL ASSISTANCE FROM THE MINNESOTA DEPARTMENT OF HEALTH CENTER FOR HEALTH STATISTICS. A TWO-STAGE SAMPLING STRATEGY WAS USED FOR OBTAINING PROBABILITY SAMPLES OF ADULTS LIVING IN EACH OF THE THREE COUNTIES. A SEPARATE SAMPLE WAS DRAWN FOR EACH COUNTY. ADDITIONAL SAMPLES WERE DRAWN IN EACH OF FOUR CITIES IN THE REGION (LITTLE FALLS, LONG PRAIRIE, STAPLES AND WADENA). THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA): COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH 54 INDIVIDUALS ACROSS MORRISON, TODD, AND WADENA COUNTIES. INTERVIEWS WERE CONDUCTED BY PUBLIC HEALTH AND HEALTH CARE STAFF UTILIZING THE COMMUNITY STAKEHOLDER QUESTIONNAIRE. INTERVIEWS WERE CONDUCTED IN PERSON AND VIA PHONE AND TYPICALLY LASTED 45 MINUTES TO 1 HOUR. 22 INTERVIEWS WERE CONDUCT IN MORRISON COUNTY, 15 INTERVIEWS WERE CONDUCTED IN TODD COUNTY, AND 17 INTERVIEWS WERE CONDUCTED IN WADENA COUNTY. COMMUNITY STAKEHOLDERS WERE SELECTED FROM A VARIETY OF SECTORS. THE FORCES OF CHANGE (FOC) ASSESSMENT IDENTIFIES FORCES THAT MAY AFFECT A COMMUNITY AND OPPORTUNITIES AND THREATS ASSOCIATED WITH THOSE FORCES. THE FOC TEAM FACILITATED A CONVERSATION ON WHAT CREATES HEALTH, FORCES, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6A: CENTRACARE CONDUCTED THREE DIFFERENT CHNA GROUPS. THE TODD MORRISON WADENA COLLABORATIVE INCLUDED CENTRACARE LONG PRAIRIE ALONG WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, CHI ST. GABRIEL'S HEALTH, AND THE MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON, TODD, AND WADENA COUNTY PUBLIC HEALTH DEPARTMENTS). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6B: CENTRACARE CONDUCTED THREE DIFFERENT CHNA GROUPS. THE TODD MORRISON WADENA COLLABORATIVE INCLUDED CENTRACARE LONG PRAIRIE ALONG WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, CHI ST. GABRIEL'S HEALTH, AND THE MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON, TODD, AND WADENA COUNTY PUBLIC HEALTH DEPARTMENTS). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 7D: PAPER COPY AVAILABLE UPON REQUEST AT NO CHARGE. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 11: AFTER COMPLETING THE 2019 MORRISON-TODD-WADENA COMMUNITY HEALTH SURVEY AND THE INTERVIEWS WITH 22 COMMUNITY STAKEHOLDERS, AND AFTER REVIEWING ADDITIONAL DATA SOURCES FROM EMERGENCY ROOM STATISTICS TO THE STATE'S STUDENT SURVEY TO THE U.S. CENSUS BUREAU INFORMATION, AND MANY OTHER SOURCES, THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM AT CENTRACARE LONG PRAIRIE BEGAN THE WORK TO DEVELOP GOALS, INITIATIVES AND STRATEGIES TO ADDRESS TODD COUNTY'S THREE TOP HEALTH NEEDS AS IDENTIFIED BY THESE INVESTIGATIONS.WITH DATA IN HAND, KATIE GRUBER, SUPERVISOR COMMUNITY HEALTH AND WELL-BEING AND JODI HILLMER, DIRECTOR OF PATIENT CARE SERVICES, WHO LED THE 2019 CHNA WORK, CONVENED A SERIES OF MEETINGS WITH A STRATEGY TEAM TO, FIRST, DISCUSS THE ISSUES THAT SEEMED OF GREATEST CONCERN TO THE PEOPLE OF TODD COUNTY, AND THEN TO FOCUS ON EACH OF THE TOP THREE TO EXPLORE WAYS TO ADDRESS THOSE NEEDS AND TO IMPROVE THE HEALTH OF THEIR COMMUNITY. THE STRATEGY TEAM SHE INVITED TO ATTEND INCLUDED REPRESENTATIVES OF ORGANIZATIONS WHO, ON A DAILY BASIS, ADDRESS THE HEALTH CONCERNS OF THE PEOPLE WHO CALL TODD COUNTY HOME. THE TEAM INCLUDES REPRESENTATIVES FROM THE COUNTY'S PUBLIC HEALTH OFFICE, CITY COUNCIL, SCHOOLS, ELDERLY COMMUNITIES, THE COUNTY EXTENSION OFFICE, AND CENTRACARE LONG PRAIRIE ITSELF.PREPARED WITH INFORMATION ON THE RESULTS OF THE 2019 COMMUNITY NEEDS SURVEY AND THE STAKEHOLDER INTERVIEWS, THEY BEGAN ADDRESSING THE ISSUES FROM THEIR PROFESSIONAL PERSPECTIVES, QUICKLY FOCUSING ON OBESITY AND MENTAL HEALTH AS TOP CONCERNS, AS THEY HAD BEEN IN THE 2016 CHNA. DISCUSSION OF THESE TWO ISSUES LED THE TEAM TO CONCLUDE THAT OTHER ISSUES IDENTIFIED IN THE SURVEY, SUCH AS PARENTING SKILLS, AND FOOD INSECURITY WERE RELATED AND THAT THE ISSUES OF MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH ARE INTERTWINED. THE TEAM ACKNOWLEDGED AND ADDRESSED THE FACT THAT THE LIST OF ISSUES FROM WHICH SURVEY RESPONDENTS HAD TO CHOOSE WAS DEVELOPED BY THE MTW HEALTH BOARD TEAM AND WERE, THUS, NOT SELF-REPORTED ISSUES. THE TEAM MEMBERS, HOWEVER, AGREED THAT OBESITY, CAUSES MAJOR HEALTH CONCERNS FACED BY TODD COUNTY RESIDENTS. OBESITY ROSE TO THE TOP OF THEIR LIST OF HEALTH CONCERNS FOR 2019, FOLLOWED BY MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE. PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT. CENTRACARE HEALTH - LONG PRAIRIE: PART V, SECTION B, LINES 7A AND 10A: THE HOSPITAL'S CHNA AND STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-VERSION-1-UPDATED-8.19.PDF 4 1 - LONG PRAIRIE CARE CENTER 20 NINTH STREET SE LONG PRAIRIE MN 56347 NURSING HOME 2 - LONG PRAIRIE CLINIC 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 CLINIC 3 - EAGLE VALLEY CLINIC (CLOSED 103119) 815 HWY 71 SOUTH EAGLE BEND MN 56446 CLINIC 4 - LONG PRAIRIE MEADOW PLACE 220 CENTRACARE DRIVE LONG PRAIRIE MN 56347 ASSISTED LIVING PART I, LINE 6A: CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS. PART I, LINE 7: THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MN CARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,617,758. 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 AMOUNT ON LINE 7 OF PART III WAS DETERMINED BY UTILIZING THE MEDICARE COST REPORT UTILIZING KEY SECTION OF THAT REPORT, PRIMARILY THE D SERIES AND E SERIES. PART III, LINE 9B: THE COLLECTION POLICIES AT THE ORGANIZATION REQUIRE COLLECTION STAFF TO OFFER CHARITY TO PATIENTS WHO INDICATE THAT PAYMENT MAY BE AN ISSUE. IF A PATIENT DOES QUALIFY FOR FULL CHARITY, ALL OTHER COLLECTION EFFORTS MUST CEASE. IF A PATIENT QUALIFIES FOR PARTIAL CHARITY, COLLECTION EFFORTS WILL CONTINUE ON THE BALANCE OF THE ACCOUNT. THESE PROVISIONS APPLY TO BOTH HOSPITAL EMPLOYED COLLECTION STAFF AND COLLECTION AGENCY STAFF. NO PATIENTS, WHETHER THEY QUALIFY FOR CHARITY OR NOT, ARE REPORTED TO CREDIT REPORTING AGENCIES. PART VI, LINE 2: THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATING COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES. PART VI, LINE 3: INPATIENTS WHO ARE SELF PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF PAY RECEIVE AN AUTOMATIC SELF PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO ALL PRECOLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: LONG PRAIRIE IS LOCATED IN TODD COUNTY, MINNESOTA. THE ESTIMATED 2020 POPULATION SHOWS 6,865 RESIDENTS WITH AN ESTIMATED SLIGHT INCREASE TO 6,920 BY 2025. THE PROJECTED GROWTH BY AGE BRACKET FROM 2020 TO 2025 IS AS FOLLOWS: 0-17: 2.03%, 18-44: 3.02%, 45-64: -8.04%, 65+: 6.50%. THE ESTIMATED 2020 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 76.45%, AFRICAN AMERICAN: .60%, ASIAN: 1.41%, HISPANIC: 19.58%, OTHER: 1.97%. PART VI, LINE 5: THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS ON A MONTHLY BASIS TO REVIEW VARIOUS ASPECTS OF THE FACILITY AND PROVIDE INPUT ON THOSE ASPECTS FROM A COMMUNITY PERSPECTIVE. THE ORGANIZATION PARTICIPATES IN THE COMMUNITY BLOOD DRIVES BY PROVIDING FOOD AND SUPPLIES FOR BOTH THE WORKERS AND BLOOD DONORS. THE FACILITY ALSO SPONSORS A HEALTH FAIR ON AN ANNUAL BASIS FOR THE LOCAL AND SURROUNDING COMMUNITIES. PART VI, LINE 6: THE ORGANIZATION IS PART OF CENTRACARE HEALTH SYSTEM (CCHS) WHICH PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO THE PATIENTS OF CENTRAL MINNESOTA. CCHS IS DEDICATED TO IMPROVING THE HEALTH OF PEOPLE LIVING AND WORKING IN THE COMMUNITIES IT SERVES. TO ACCOMPLISH ITS GOALS IT WORKS ACTIVELY WITH ITS AFFILIATE HEALTH CARE ORGANIZATIONS. CCHS CONTINUES TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE AND IN REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 501(C)(3) 129960 PROGRAM SUPPORT 1 0 EDUCATION SCHOLARSHIPS 11 11538 0 1 0 0 0 0 1 0 0 KENNETH D HOLMEN MD PRESIDENT/CEO 0 1256282 0 0 0 23025 0 14000 0 22738 0 1316045 0 0 CRAIG J BROMAN CHIEF OPERATING OFFICER 0 872329 0 0 0 237497 0 21000 0 20546 0 1151372 0 0 GREGORY R KLUGHERZ TREASURER/CFO, CCH(UNTIL 7/1/2019) 0 636563 0 0 0 72594 0 18403 0 22088 0 749648 0 0 PAUL R HARRIS ESQ CORPORATE SECRETARY(UNTIL 3/1/2020) 0 414352 0 0 0 91003 0 106487 0 25591 0 637433 0 68871 THOMAS G SCHRUP MD VICE PRESIDENT 0 460466 0 0 0 38486 0 61343 0 22422 0 582717 0 36642 RENE ELDIDY MD PHYSICIAN 0 304631 0 19461 0 7663 0 19233 0 20832 0 371820 0 0 JAY-SHEREE P ALLEN MD PHYSICIAN 0 303637 0 0 0 71404 0 0 0 16915 0 391956 0 0 DANIEL J SWENSON ADMINISTRATOR - LONG PRAIRIE 0 227828 0 0 0 38979 0 41335 0 22391 0 330533 0 0 SANTO CRUZ CORPORATE SECRETARY(AS OF 6/28/2020) 0 262444 0 0 0 162 0 0 0 23330 0 285936 0 0 DEBORAH P RASMUSSEN MD PHYSICIAN 0 219429 0 14596 0 7197 0 16766 0 10433 0 268421 0 0 WAYNE A JORGENSEN PA PHYSICIAN ASSISTANT 159365 0 0 0 11974 0 13340 0 27050 0 211729 0 0 0 CHRISTOPHER A HAGEN PHARMACY 163710 0 0 0 218 0 10149 0 23809 0 197886 0 0 0 PART I, LINE 3 THE COMPENSATION PAID TO THE PRESIDENT AND VICE-PRESIDENTS (NON-MEDICAL PROVIDERS) IS DETERMINED BY CENTRACARE HEALTH SYSTEM, A RELATED ORGANIZATION. CENTRACARE HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRED NON-QUALIFIED INVESTMENT ACCOUNTS. THESE PLANS MAY PROVIDE, BUT ARE NOT CERTAIN TO PROVIDE, FOR PAYMENT OF TAX DEFERRED COMPENSATION TO THESE EXECUTIVES AT SOME TIME IN THE FUTURE. THE EXECUTIVE HAS NO LEGAL RIGHT TO THESE DOLLARS UNTIL, AND UNLESS, CERTAIN FUTURE EVENTS OCCUR. IN ACCORDANCE WITH THE INSTRUCTIONS TO FORM 990, THE AMOUNTS LISTED IN PART VII AND SCHEDULE J, PART II, COLUMN C, REFLECT TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON FORM 990 - ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: KENNETH D HOLMEN - PAID $0; ACCRUED $0 CRAIG J BROMAN - PAID $199,497; ACCRUED $0 PAUL R HARRIS - PAID $68,871; ACCRUED $88,628 GREGORY R KLUGHERZ - PAID $0; ACCRUED $0 DANIEL J SWENSON - PAID $20,632; ACCRUED $27,159 THOMAS G SCHRUP - PAID $36,642; ACCRUED $42,705 PART I, LINE 6 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: STEWARDSHIP, THROUGH A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR SAINT CLOUD HOSPITAL AND/OR CENTRACARE HEALTH SYSTEM AS WELL THROUGH ACHIEVING METRICS FOR AN IDENTIFIED COST REDUCTION PROGRAM; QUALITY, THROUGH ACHIEVING SAINT CLOUD HOSPITAL AND SYSTEM QUALITY METRICS; PATIENT EXPERIENCE, THROUGH ACHIEVEMENT OF PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS; AND PEOPLE/EMPLOYEES, THROUGH ACHIEVEMENT OF SPECIFIED EMPLOYMENT SATISFACTION GOALS AND HIRING AND/OR RETENTION GOALS. THE INCENTIVE COMPENSATION PAID OUT IS NOT A PORTION OR PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE, HOWEVER NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE THE INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 6 CENTRACARE HEALTH SYSTEM, A MINNESOTA NONPROFIT ASSOCIATION, IS THE SOLE MEMBER OF CENTRACARE HEALTH SYSTEM - LONG PRAIRIE. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE APPOINTED BY CENTRACARE HEALTH SYSTEM, THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED FOR ACTION BY CENTRACARE HEALTH SYSTEM, THE SOLE MEMBER: 1. ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS. 2. APPOINTMENT OF DIRECTORS AND OFFICERS. 3. APPROVAL OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY DEBTS TO BE INCURRED. 4. APPROVAL OF ALL STRATEGIC PLANS. 5. DETERMINATION OF THE DISSOLUTION OF OR THE DISCONTINUATION OF THE BUSINESS OF THE CORPORATION. 6. APPROVAL OF ANY TRANSACTION WHICH MAY AFFECT THE CORPORATION'S STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED THE APPROVAL AUTHORITY OF THE FORM 990 TO THE AUDIT COMMITTEE. ANNUALLY, AT THE AUDIT COMMITTEE MEETING, PRIOR TO FILING WITH THE IRS, THE AUDIT COMMITTEE REVIEWS AND APPROVES FORM 990. A COPY OF FORM 990 IS THEN PROVIDED FOR THE FULL BOARD TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 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 ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS DONE JUNE 2019. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. COULD HOSPITAL TO PERFORM SERVICES. FORM 990, PART VI, QUESTION 15B: THE COMPENSATION AND BENEFITS OF THE VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2019. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THESE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES DO AN ANNUAL REPORT TO THE COMMUNITY IN WHICH FINANCIAL RESULTS ARE REPORTED TO AND DISCUSSED WITH THE PUBLIC. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G MEDICAL FEES: PROGRAM SERVICE EXPENSES 2,414,209. MANAGEMENT AND GENERAL EXPENSES 173,995. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,588,204. CONTRACTED/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,261,023. MANAGEMENT AND GENERAL EXPENSES 139,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,400,165. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATED ORGANIZATIONS -504,816. CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 INTEGRATED HEALTH SYSTEM MN 501(C)(3) LINE 3 N/A 0 ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD MN 56303 410695596 ACUTE/LT CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH-MELROSE 11 NORTH 5TH AVE WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH-SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE/LT CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE CLINIC 1200 6TH AVE NORTH ST CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) LINE 7 CENTRACARE HEALTH SYSTEM 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD MN 56303 416019335 SUPPORT FOR CARRIS HEALTH MN 501(C)(3) 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 7 CENTRACARE HEALTH FOUNDATION 0 MONTICELLO CANCER CENTER 1001 HART BLVD STE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A MONTICELLO SURGERY CENTER 1013 HART BLVD MONTICELLO MN 55362 813593057 AMBULATORY SURGERY CENTER MN N/A BENSON MEDICAL LLC 1228 ATLANTIC AVENUE BENSON MN 56215 203149203 HEALTHCARE MN N/A CENTRACARE HOLDINGS INC 1406 6TH AVE N ST CLOUD MN 56303 472688595 HOLDING COMPANY/PHARMACY MN N/A C 0 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVE SW WILLMAR MN 56201 410850702 HEALTH CARE SYSTEM MN N/A C 0 AFFILIATED COMMUNITY HEALTH NETWORK INC 101 WILLMAR AVE SW WILLMAR MN 56201 HEALTH NETWORK MN N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 CENTRACARE CLINIC O 1511694 ACTUAL AMOUNT