2016-05-12T08:27:37-05:00 2015-06-30 420714325 RSM US LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2014-07-01 411806657 CENTRACARE CLINIC CENT 3202525131 1200 6TH AVENUE NORTH ST CLOUD MN 56303 DAVID TILSTRA PRESIDENT 3202525131 2016-04-29 1 TODD A JACKSON P00092672 6123324300 2016-04-29 2014 2016-08-17 19:52:53Z DAVID TILSTRA MD 1200 6TH AVENUE NORTH ST CLOUD MN 56303 168687846 0 X WWW.CENTRACARE.COM X 1995 MN WE ARE DEDICATED TO PROVIDING EXCELLENT SERVICE AND THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE. 10 4 1088 22 0 0 176103 480401 153831756 167940013 77829 109931 0 0 154085688 168530345 10984 4117 0 0 125615876 133993965 0 0 0 43541815 47735006 169168675 181733088 -15082987 -13202743 41337405 38904744 27673322 36164404 13664083 2740340 X CENTRACARE CLINIC WILL BE THE LEADER IN MINNESOTA FOR QUALITY, SAFETY, SERVICE AND VALUE. 0 0 100734038 4117 114975519 MEDICAL PROFESSIONAL SERVICES - CENTRACARE CLINIC (CCC) PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY MEDICAL SERVICES THROUGH A MULTI-SPECIALTY CLINIC STRUCTURE AS THE PHYSICIAN COMPONENT OF CENTRACARE HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. CCC'S FORMALLY ADOPTED CORE VALUES ARE: PATIENT CENTERED: SERVING PATIENTS ABOVE ALL.INTEGRITY: ADHERING TO HONEST AND ETHICAL PRACTICES.COLLABORATION: WORKING JOINTLY WITH OTHERS TO IMPROVE HEALTH AND HEALTH CARE.COMPASSION: SERVING ALL WHO SEEK OUR CARE WITH KINDNESS, DIGNITY AND RESPECT.STEWARDSHIP: ENSURING RESPONSIBLE USE OF ALL RESOURCES TO BEST SERVE OUR COMMUNITIES. CCC ACHIEVES THESE VALUES THROUGH SERVICES PROVIDED BY A TEAM OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES, DIETICIANS, EDUCATORS AND OTHER HEALTH CARE PROFESSIONALS. MANY SERVICES ARE PROVIDED TO THE GROWING DIVERSE POPULATION IN CENTRAL MINNESOTA. CCC ALSO PROVIDES THE PROFESSIONAL STAFFING FOR DESIGNATED RURAL HEALTH CLINICS AND HEALTH MANPOWER SHORTAGE AREAS SERVED BY CENTRACARE HEALTH IN RURAL MINNESOTA.A SUMMARY OF THE MAJOR ACTIVITIES ACCOMPLISHED FOR THE YEAR ENDED JUNE 30, 2015:CLINIC VISITS - 284,922HOSPITAL VISISTS - 162,805NURSING HOME VISITS - 4,961SURGICAL SERVICES - 142,997LABORATORY TESTS - 524,776IMMUNIZATION/INJECTION - 1,071,471RADIOLOGY TESTS - 22,226PROFESSIONAL INTERPRETATIONS - 56,308SURGICAL, MINOR - 30,922RADIATION ONCOLOGY - 3,211SPECIAL PROCEDURE - 33,749 52169578 52964494 CCC PARTICIPATES IN A WIDE VARIETY OF GOVERNMENTAL HEALTHCARE PROGRAMS INCLUDING: MEDICARE, MEDICAID, MINNESOTA CARE, MINNESOTA GENERAL ASSISTANCE AND PROGRAMS FOR MILITARY, VETERANS AND THEIR FAMILIES. FOR THE YEAR ENDED JUNE 30, 2015, CCC INCURRED COSTS OF $52,169,578 IN EXCESS OF PAYMENTS RECEIVED FOR SERVICES TO PATIENTS COVERED UNDER THESE PROGRAMS AND TAXES AND FEES RELATING TO THESE PROGRAMS. GOVERNMENTAL HEALTHCARE PROGRAMS PROVIDER REIMBURSEMENT AMOUNTS ARE BELOW THE COSTS THE PROVIDER INCURS TO PROVIDE THESE SERVICES.MEDICARE COSTS IN EXCESS OF PAYMENTS - $34,408,719MEDICAID COSTS IN EXCESS OF PAYMENTS - $14,214,961SURCHARGES, FEES AND MINNESOTACARE TAX - $1,869,001MILITARY COSTS IN EXCESS OF PAYMENTS - $1,676,897 2580451 CCC SUPPORTS A WIDE VARIETY OF PATIENTS WHO EXPRESS A WILLINGNESS TO PAY BUT ARE UNABLE TO DO SO DUE TO SOCIOECONOMIC FACTORS. ADDITIONALLY CCC RECORDS BAD DEBT AT TIMES WHEN IT IS UNABLE TO RECEIVE PAYMENT FOR SERVICES PROVIDED. FOR THE ENDED JUNE 30, 2015, $2,580,451 OF UNCOMPENSATED CARE WAS PROVIDED. $649,614 OF CHARITY CARE WAS PROVIDED UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM PROVIDES PATIENTS WILLING, BUT UNABLE TO PAY, TO HAVE PATIENT BALANCES OTHERWISE DUE, REDUCED OR WAIVED. THE FINANCIAL ASSISTANCE PROGRAM ENSURES THE PATIENTS OF THE COMMUNITIES SERVED BY CCC HAVE ACCESS TO QUALITY MEDICAL CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. CCC PROVIDES SERVICES TO ALL IN NEED AND AT TIMES PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT, THESE BAD DEBT AMOUNT FOR THE YEAR ENDED JUNE 30, 2015 TOTALED $1,930,837. 155484067 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 108 0 1 1088 1 0 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X THOMAS FELDHEGE 3202402152 1200 SIXTH AVENUE NORTH ST CLOUD MN 56303 DAVID TILSTRA MD CPE DIRECTOR & PRESIDENT 37.00 3.00 X X 467937 0 90976 DAVID ROBERTS MD DIRECTOR, CHAIR & GASTROENTEROLOGIST 40.00 X X 638878 0 42817 ROBERT STOCKER MD DIRECTOR & OBGYN 38.00 2.00 X 635078 0 19500 SHARON RUGGIERO MD DIRECTOR & INTERNIST 20.00 X 193509 0 13279 DONALD JURGENS MD DIRECTOR & ONCOLOGIST 40.00 X 543596 0 44867 CHRISTIAN SCHMIDT MD DIRECTOR & SURGEON 40.00 X 501407 0 41817 DENISE ROSIN DIRECTOR 2.00 2.00 X 0 0 0 DAVID AGERTER MD DIRECTOR 2.00 2.00 X 0 0 0 FREDERIC ENGMAN MD DIRECTOR 2.00 X 0 0 0 PATRICK LYNCH DIRECTOR 2.00 X 0 0 0 THOMAS M FELDHEGE TREASURER & CFO 40.00 X 102201 128912 28843 GEORGE MORRIS MD MEDICAL DIRECTOR 40.00 X 385816 0 55027 MARK MURPHY VICE PRESIDENT OF OPERATIO 40.00 X 325824 0 69830 WADE SCHMIDT MD INTERVENTIONAL CARDIOLOGIST 40.00 X 981712 0 40967 BERNARD R ERICKSON MD INTERVENTIONAL CARDIOLOGIS 40.00 X 999908 0 41817 HOWARD ZIMRING MD INTERVENTIONAL CARDIOLOGIST 40.00 X 946307 0 44317 RACHEL SCHUNEMAN MD DERMATOLOGIST 40.00 X 1005509 0 30574 RICHARD APLIN MD INTERVENTIONAL CARDIOLOGIST 40.00 X 918321 0 44205 8646003 128912 608836 288 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN SERVICES 616768 DERMATOPATHOLOGY ASSOCIATES 7205 UNIVERSITY AVE NE MINNEAPOLIS MN 55440 LABORATORY SERVICES 520662 DAVID PENCE MD 1010 MULBERRY STREET MANKATO MN 56001 LOCUM FEES 378573 THEODORE J LILLEHEI 2820 BENTON BLVD MINNEAPOLIS MN 55416 LOCUM FEES 278634 REGIONAL DIAGNOSTIC RADIOLOGY 1990 CONNECTICUT AVE S SUITE 100 SARTELL MN 56377 RADIOLOGY FEES 196573 9 342900 137501 480401 PATIENT & RESIDENT SERVICE REVENU 621110 149303248 149303248 OTHER PROGRAM REVENUE 900099 16250047 16250047 QUALITY & TECH INCENTIVE 900099 2199299 2199299 SCHOOL REVENUE 900099 187419 187419 167940013 109931 109931 157501 157501 0 168530345 167940013 0 109931 4117 4117 4235935 3812744 423191 108296000 98227232 10068768 5710642 5710642 9963008 7216519 2746489 5788380 5400471 387909 646494 643585 2909 19929 19929 9015896 6442628 2573268 120371 120371 512396 436163 76233 7235352 1384400 5850952 247615 224260 23355 928322 627729 300593 1985688 1714208 271480 DRUGS 15317660 15317660 REPAIRS & MAINTENANCE 2956786 161309 2795477 OTHER SUPPLIES 2808692 2528232 280460 BAD DEBT EXPENSE 1930836 1930836 4008969 3561032 447937 181733088 155484067 26249021 0 5888 6167 11619180 7990958 16321778 18994178 1179034 1291077 1213602 1379896 546265 591003 21096157 15798230 3559004 5297927 6892654 3353538 41337405 38904744 25206639 32595866 2466683 3568538 27673322 36164404 X 13664083 2740340 13664083 2740340 41337405 38904744 X -13202743 2279000 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1132 1132 0 PART II-B, LINE 1: CENTRACARE CLINIC PAID $1,132 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS. 4148507 1830474 2318033 16947650 13967756 2979894 5297927 FUNDS HELD BY TRUSTEE 3353538 3353538 DEFERRED COMPENSATION PLAN OBLIGATIONS 1982008 LT SETTLEMENT RESERVE 1390000 EXECUTIVE BENEFIT ACCRUAL 196530 3568538 X X X X X 0 1 0 0 0 1 1 0 0 DAVID TILSTRA MD CPE DIRECTOR & PRESIDENT 335222 0 92200 0 40515 0 68505 0 27547 0 563989 0 19605 0 DAVID ROBERTS MD DIRECTOR, CHAIR & GASTROENTEROLOGIST 549172 0 68294 0 21412 0 19500 0 26349 0 684727 0 0 0 ROBERT STOCKER MD DIRECTOR & OBGYN 531441 0 100578 0 3059 0 19500 0 3295 0 657873 0 0 0 SHARON RUGGIERO MD DIRECTOR & INTERNIST 150603 0 41643 0 1263 0 13279 0 1233 0 208021 0 0 0 DONALD JURGENS MD DIRECTOR & ONCOLOGIST 469455 0 56367 0 17774 0 19500 0 27624 0 590720 0 0 0 CHRISTIAN SCHMIDT MD DIRECTOR & SURGEON 427807 0 54139 0 19461 0 19500 0 25256 0 546163 0 0 0 THOMAS M FELDHEGE TREASURER & CFO 92869 95862 0 23892 9332 9158 7704 9330 11567 773 121472 139015 0 0 GEORGE MORRIS MD MEDICAL DIRECTOR 306297 0 69463 0 10056 0 31060 0 30371 0 447247 0 0 0 MARK MURPHY VICE PRESIDENT OF OPERATIO 235491 0 47952 0 42381 0 47174 0 24985 0 397983 0 20351 0 WADE SCHMIDT MD INTERVENTIONAL CARDIOLOGIST 787525 0 190523 0 3664 0 19500 0 29326 0 1030538 0 0 0 BERNARD R ERICKSON MD INTERVENTIONAL CARDIOLOGIS 804488 0 190852 0 4568 0 19500 0 24418 0 1043826 0 0 0 HOWARD ZIMRING MD INTERVENTIONAL CARDIOLOGIST 737253 0 186045 0 23009 0 19500 0 28058 0 993865 0 0 0 RACHEL SCHUNEMAN MD DERMATOLOGIST 932124 0 72251 0 1134 0 19500 0 13692 0 1038701 0 0 0 RICHARD APLIN MD INTERVENTIONAL CARDIOLOGIST 716730 0 179862 0 21729 0 19500 0 27110 0 964931 0 0 0 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: DAVID TILSTRA, MD - PAID $19,605; ACCRUED $49,005 MARK MURPHY - PAID $20,351; ACCRUED $27,776 GEORGE MORRIS, MD - PAID $0; ACCRUED $9,559 PART I, LINE 6 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR CENTRACARE CLINIC OR CENTRACARE HEALTH SYSTEM; ACHIEVEMENT OF IMPROVEMENT IN PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS; ACHIEVEMENT OF IMPROVEMENT IN OVERALL EMPLOYMENT ENGAGEMENT SCORES; AND ACHIEVEMENT OF UP TO THREE INDIVIDUAL GOALS WHICH ARE TIED TO THE CENTRACARE SYSTEM'S STRATEGIC PLAN. 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 INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS CENTRACARE HEALTH SYSTEM, A MINNESOTA NON-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A PHYSICIAN AND CORPORATE DIRECTORS SHALL BE ELECTED OR APPOINTED AS FOLLOWS: (A) PRIMARY CARE PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE PRIMARY CARE PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (B) SPECIALIST PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE SPECIALIST PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (C) THE AT LARGE DIRECTORS SHALL BE ELECTED BY THE PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (D) THE CORPORATE DIRECTORS ARE APPOINTED BY THE SOLE MEMBER, CENTRACARE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED TO THE SOLE MEMBER, CENTRACARE HEALTH SYSTEM, WHICH SHALL BE TAKEN BY A VOTE APPROVED BY AT LEAST 75% OF THE BOARD OF DIRECTORS OF CENTRACARE HEALTH SYSTEM: 1. ADOPTION OF AMENDMENTS TO THE ARTICLES OF CENTRACARE CLINIC. 2. APPROVE AMENDMENTS TO THE BYLAWS OF CENTRACARE CLINIC WHICH MAY AFFECT ANY POWERS OF FUNCTIONS RESERVED TO THE SOLE MEMBER. THE FOLLOWING MATTERS ARE RESERVED TO CENTRACARE HEALTH SYSTEM, WHICH SHALL BE TAKEN BY A VOTE APPROVED BY AT LEAST 51% OF THE BOARD OF DIRECTORS OF CENTRACARE HEALTH SYSTEM: 1. REVIEW AND APPROVE THE FOLLOWING: (I) THE ANNUAL OPERATING AND CAPITAL BUDGETS, (II) ANY CAPITAL EXPENDITURES IN EXCESS OF $1.0 MILLION WHETHER BUDGETED OR NOT BUDGETED, (III) ANY DEBTS TO BE INCURRED. 2. APPROVAL ANY ENCUMBRANCE OF THE ASSETS OF CENTRACARE CLINIC. 3. REVIEW AND APPROVE ALL STRATEGIC PLANS OF CENTRACARE CLINIC. 4. REVIEW AND APPROVE ALL MEDICAL STAFF DEVELOPMENT PLANS FOR AN INTEGRATED DELIVERY STEM OF CENTRACARE CLINIC. 5. REVIEW AND APPROVE ALL THIRD PARTY CONTRACTS WHICH ARE FIRST APPROVED BY THE BOARD OF DIRECTORS OF CENTRACARE CLINIC. 6. APPROVE ANY APPOINTMENT OF THE PRESIDENT OF CENTRACARE CLINIC. 7. APPROVE CENTRACARE CLINIC'S ANNUAL BUDGET FOR ALL PROFESSIONAL COMPENSATION AND APPROVE ALL COMPENSATION POLICIES AND PLANS FOR PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. 8. OVERSEE AND MONITOR ALL COMPLIANCE AND RISK MANAGEMENT PRACTICES OF CENTRACARE CLINIC. 9. REVIEW AND APPROVE ANY TRANSACTION OF CENTRACARE CLINIC WHICH MAY AFFECT (I) THE CORPORATION'S STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION OR (II) THE TAX EXEMPT STATUS OF ANY FINANCING OF CENTRACARE CLINIC. 10. APPROVE ANY USE OF ANY TRADE NAMES OR ANY INTELLECTUAL PROPERTY OF (NO SUGGESTIONS) CLINIC. 11. THE DETERMINATION OF THE DISSOLUTION OF OR THE DISCONTINUATION OF BUSINESS OF CENTRACARE CLINIC. 12. THE MERGERS WITH, THE ACQUISITION OF, OF THE AFFILIATION WITH ANY HOSPITAL, CLINIC, OR PHYSICIAN PROVIDER GROUP. 13. OVERSEE AUDITING AND ACCOUNTING PRACTICES OF CENTRACARE CLINIC. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS REVIEWED IN DETAIL BY MANAGEMENT AND LEGAL COUNSEL. IN ADDITION, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW FORM 990 WITH STAFF, ASK QUESTIONS, SEEK CLARIFICATIONS, AND APPROVE THE FINAL RETURN 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 QUESTIONNAIRE ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTE 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 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 DONE MAY 2015. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. COULD HOSPITAL TO PERFORM SERVICES. THE ORGANIZATION'S EMPLOYED PRACTICING PHYSICIANS ARE SUBJECT TO ANNUAL FULL COMPENSATION AND BENEFITS REVIEW THROUGH COMPARABILITY STUDIES BY AN OUTSIDE, INDEPENDENT CONSULTANT USING NATIONAL AND REGIONAL DATA FROM MULTIPLE SOURCES. THIS STUDY IS REVIEWED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE COMMITTEE AND THE BOARD. THE LAST FULL REVIEW WAS COMPLETED IN MAY 2015. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT OPEN TO PUBLIC DISCLOSURE. FORM 990, PART XI, LINE 9: NET EQUITY TRANSFERS FROM AFFILIATES 2,279,000. FORM 990, PART I, LINE 6 CENTRACARE CLINIC HAD 22 VOLUNTEERS DURING FY15 WHO DONATED A TOTAL OF APPROXIMATELY 2,011 HOURS TO VARIOUS DEPARTMENTS. CENTRACARE HEALTH SYSTEM 1406 6TH AVE N ST CLOUD MN 56303 411813221 HEALTH CARE MN 501(C)(3) 11- TYPE 3 FI N/A 0 CENTRACARE HEALTH SERVICES-MELROSE 11 NORTH 5TH AVE WEST MELROSE MN 56352 411865315 ACUTE & LONG-TERM CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SERVICES-LONG PRAIRIE 20 SOUTHEAST 9TH STREET LONG PRAIRIE MN 56347 411924645 ACUTE & LONG-TERM CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) LINE 7 CENTRACARE HEALTH SYSTEM 0 CENTRAL MINNESOTA EMERGENCY PHYSICIANS 1406 6TH AVE N ST CLOUD MN 56303 411708142 EMERGENCY PHYSICIAN PRACTICE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD MN 56303 410695596 ACUTE & LONG-TERM CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH-SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 NORTH STAR SURGICAL SERVICES LLC 6339 E SPEEDWAY BLVD SUITE 201 TUCSON AZ 85710 LITHOTRIPSY SERVICES AZ CENTRACARE HOLDINGS INC N/A 0 0 CENTRACARE PHARMACY SERVICES INC 1406 6TH AVE NORTH ST CLOUD MN 56303 411620618 RETAIL PHARMACIES MN CENTRACARE HEALTH SYSTEM C 1 CENTRACARE HOLDINGS INC 1406 6TH AVE NORTH ST CLOUD MN 56303 472688595 INVESTING MN CENTRACARE HEALTH SYSTEM C 1 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1