2026-05-12T09:25:24-05:00 2025-06-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2024-07-01 411924645 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CENT 3207322141 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 JOY PLAMANN CHIEF OPERATING OFFICER, SVP 3207322141 2026-05-08 1 1 MORGAN SEVERSON P02279974 6123974000 2024 2025-03-06 01:10:19Z CENTRACARE LONG PRAIRIE DR KENNETH D HOLMEN 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 38474071 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. 14 9 0 47 0 0 133799 37657 36090800 36870824 342162 353515 590986 744098 37157747 38006094 11362 4943 0 0 20085434 20762026 0 0 0 16003218 17752835 36100014 38519804 1057733 -513710 44766923 34714790 28062274 18487638 16704649 16227152 WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 27756898 4943 32126087 CENTRACARE - 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 466 ADMISSIONS, 2,518 INPATIENT DAYS, 31,419 OUTPATIENT VISITS, AND 4,622 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2025. 4479155 4953646 CENTRACARE - 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 17,424 CLINIC VISITS DURING FISCAL YEAR 2025. 32236053 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X MICHAEL BLAIR 3202512700 1406 6TH AVENUE N ST CLOUD MN 56303 KENNETH HOLMEN PRESIDENT/CEO 6.50 33.50 X X 0 1921145 48384 JACOB LYONS DIRECTOR (START 07.01.2024) 0.25 39.75 X 0 722876 38464 BRYAN ROLPH DIRECTOR 0.25 39.75 X 0 572615 51807 RICHARD WEHSELER DIRECTOR 0.25 39.75 X 0 382873 38143 BOBBIE BERTRAM DIRECTOR 0.25 39.75 X 0 305193 38777 DAVID ANFINSON CHAIR 0.25 1.75 X X 0 32000 0 TIM WENSMAN DIRECTOR (END 06.30.2025) 0.25 1.75 X 0 10000 0 JEFF GAU DIRECTOR 0.25 1.75 X 0 9000 0 CARRIE HENNING-SMITH DIRECTOR 0.25 1.75 X 0 8000 0 DAN ABDUL DIRECTOR 0.25 1.75 X 0 8000 0 RENEE FRAUENDIENST DIRECTOR 0.25 3.75 X 0 8000 0 JAMES HEBL DIRECTOR 0.25 1.75 X 0 6000 0 MICHELLE JOHNSON DIRECTOR 0.25 1.75 X 0 6000 0 FATHER TOM KNOBLACH DIRECTOR 0.25 1.75 X 0 0 0 JOY PLAMANN CHIEF OPERATING OFFICER/SR VP 6.50 33.50 X 0 979580 195343 MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREASURER 6.50 33.50 X 0 997209 156611 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY 6.50 33.50 X 0 874976 136905 KIMBERLY EGAN CHIEF HUMAN RESOURCES OFFICER/SR VP 6.50 33.50 X 0 288284 55491 THOMAS SCHRUP CHIEF PHYSICIAN OFFICER/EVP 4.00 36.00 X 0 839291 157064 AMY PORWOLL CHIEF INFORMATION SYSTEM OFFICER/SR VP 8.00 32.00 X 0 627103 114567 SAMUEL BURNS PHYSICIAN 40.00 0.00 X 0 400392 35274 LEAH BRYAN PHYSICIAN 40.00 0.00 X 0 395218 26091 RENE ELDIDY PHYSICIAN 40.00 0.00 X 0 314043 35295 STEVEN FUGLESTAD PHYSICIAN 40.00 0.00 X 0 327908 20316 JOSE ALBA HOSPITAL PRESIDENT 40.00 0.00 X 0 266122 8376 CINDY SMITH FORMER KEY EMPLOYEE 0.00 40.00 X 0 865246 33374 ANTHONY GARDNER FORMER KEY EMPLOYEE 8.00 32.00 X 0 343301 15776 0 11510375 1206058 0 1 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W STE 300 SAN DIEGO CA 92121 STAFFING AGENCY 922524 WEST CENTRAL ANESTHESIA PC 36497 230TH AVE ALBANY MN 56307 ANESTHESIA SERVICE 462102 AVEL ECARE LLC 4500 N LEWIS AVE SIOUX FALLS SD 57104 TELEMEDICINE 315594 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 30384 STAFFING AGENCY 238170 JEROME FRAZIER 1001 5TH AVENUE NE LITTLE FALLS MN 56345 PHYSICIAN 197191 5 27913 9744 37657 PATIENT & RESIDENT REV 622110 36488341 36488341 OTHER PROGRAM REVENUE 622110 278219 278219 FOOD SALES & HOUSEKEEP 622110 104264 104264 36870824 384646 384646 31131 -31131 -31131 -31131 972035 436846 535189 535189 GAIN/LOSS ON JOINT VEN 900099 208909 208909 208909 38006094 37079733 0 888704 4943 4943 1263308 985380 277928 14637292 11417088 3220204 476460 371639 104821 3713484 2896518 816966 671482 523756 147726 7086 5527 1559 2757907 2677902 80005 16617 12961 3656 11770 9181 2589 2180117 1700491 479626 626118 488372 137746 48546 37866 10680 103177 80478 22699 938089 731709 206380 2204245 1719311 484934 216462 168840 47622 DRUGS/MEDICAL SUPPLIES 5741124 5741124 IMPLICIT PRICE CONCES. 1295354 1295354 EQUIPMENT RENT & MAINT. 891103 695060 196043 MEDICAID & MNCARE 521642 521642 193478 150911 42567 38519804 32236053 6283751 0 1385 1385 9487454 707939 5191671 5813497 225188 181482 21129 12572 44994055 20219715 26337136 24774340 2525513 2368412 596183 615895 381264 239268 44766923 34714790 2460613 2368799 25601661 16118839 28062274 18487638 X 16704649 16227152 16704649 16227152 44766923 34714790 -513710 36213 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2196 2196 0 PART II-B, LINE 1: CENTRACARE - LONG PRAIRIE PAID MEMBERSHIP DUES TO STATE AND NATIONAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES ARE ALLOCATED FOR THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS. 268933 268933 34602915 12104589 22498326 1575150 1529122 46028 8547057 6586004 1961053 24774340 INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS 2368412 F 2368412 LEASE LIABILITIES 518396 DUE TO AFFILIATES 15253490 THIRD PARTY PAYOR SETTLEMENTS 346953 16118839 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 606493 606493 0.01630 7368614 6327626 1040988 0.02800 7975107 6327626 1647481 0.04430 515417 160159 355258 0.00950 242448 22006 220442 0.00590 31304231 25881049 5423182 0.14570 32062096 26063214 5998882 0.16110 40037203 32390840 7646363 0.20540 5069 5069 0.00010 2699 2699 0.00010 7768 7768 0.00020 1 1295354 0 6282145 6294947 -12802 X 1 1 1 1 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 419374 X X X X RURAL HEALTH CLINIC CENTRACARE HEALTH - LONG PRAIRIE 1 0 0 1 X X X X X X X X X X 24 1 1 1 1 X SEE SECTION C SUPPLEMENTAL INFORMATION X 1 24 1 SEE SECTION C SUPPLEMENTAL INFORMATION 0 1 X 175.000000000000 250.000000000000 X X X 1 1 X X X 1 X SEE SUPPLEMENTAL X SEE SUPPLEMENTAL X SEE SUPPLEMENTAL X X X X X X X 1 X 0 X X X X X 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE NACCHO MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) FRAMEWORK TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOP THE IMPLEMENTATION STRATEGY, REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDED A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, A COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND ADMINISTERED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND MULTIPLE COMMUNITY MEETINGS TO GATHER INPUT ON FORCES THAT CREATE HEALTH, EMERGING TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO ADDRESS BARRIERS TO HEALTHY LIVING. THE CHNA ALSO INCORPORATED A HEALTH EQUITY ASSESSMENT AND REVIEWED NATIONAL, STATE, AND LOCAL PLANNING EFFORTS RELATED TO HEALTH.AS A FOLLOW-UP TO A PRIOR CHNA PROCESS WHERE LIMITED ACCESS TO PUBLIC HEALTH DATA WAS IDENTIFIED AS A SIGNIFICANT GAP, THIS CHNA WAS CONDUCTED IN COLLABORATION WITH THE MORRISON TODD WADENA COMMUNITY HEALTH BOARD, INCLUDING MORRISON COUNTY PUBLIC HEALTH, TODD COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 5: CENTRACARE LONG PRAIRIE INCORPORATED INPUT FROM A BROAD GROUP OF COMMUNITY REPRESENTATIVES THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THE HOSPITAL PARTNERED WITH PUBLIC HEALTH AGENCIES IN TODD, WADENA, AND MORRISON COUNTIES, ALONG WITH SEVERAL REGIONAL HEALTH ORGANIZATIONS, TO DEVELOP, DISTRIBUTE, AND ANALYZE THE COMMUNITY HEALTH SURVEY. THIS COLLABORATIVE APPROACH ENSURED THAT THE HOSPITAL'S STRATEGIES REFLECTED THE NEEDS OF THE RURAL AND INCREASINGLY DIVERSE POPULATION IT SERVES.A SURVEY PLANNING TEAM MET VIRTUALLY EVERY TWO WEEKS FROM APRIL THROUGH JUNE OF 2024. THE TEAM INCLUDED HEALTH PROFESSIONALS FROM MORRISON COUNTY PUBLIC HEALTH, TODD COUNTY PUBLIC HEALTH, WADENA COUNTY PUBLIC HEALTH, CENTRACARE HEALTH, ASTERA HEALTH, CHI HEALTH, LAKEWOOD HEALTH SYSTEM, AND LOCAL FAITH LEADERS. USING THE PREVIOUS VERSION OF THE SURVEY AS A STARTING POINT, THE GROUP PROVIDED FEEDBACK WHILE TODD COUNTY STAFF MADE REVISIONS. THEIR INPUT INFORMED THE SURVEY DESIGN, OUTREACH STRATEGIES, AND INTERPRETATION OF RESULTS.THE SURVEY WAS DISTRIBUTED IN THE FOLLOWING MONTHS THROUGH AN ONLINE PLATFORM AND WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. PAPER COPIES WERE ALSO DISTRIBUTED IN TARGETED COMMUNITY SETTINGS TO INCREASE ACCESSIBILITY, INCLUDING AT A DRIVE-IN MOVIE THEATER EVENT IN LONG PRAIRIE SERVING THE HISPANIC COMMUNITY. PAPER RESPONSES WERE COLLECTED AND ENTERED IN TO THE ONLINE DATABASE BY STAFF INVOLVED IN SURVEY PLANNING. THE ASSESSMENT COLLECTED BOTH QUANTITATIVE AND QUALITATIVE DATA TO SUPPORT THE HEALTH PRIORITY SELECTION PROCESS.THE SURVEY RESULTED IN APPROXIMATELY 1,900 RESPONSES ACROSS THE THREE COUNTIES, WITH 23% OF RESPONDENTS IDENTIFYING AS HISPANIC/LATINO/A, REFLECTING THE SIGNIFICANT PRESENCE OF THIS POPULATION IN THE REGION. DATA ANALYSIS WAS CONDUCTED BY TODD COUNTY BEHAVIORAL DATA ANALYST AND HEALTH EDUCATION COORDINATOR SERGIO AGUILERA, WHO DEVELOPED A DATA DASHBOARD TO SUPPORT REVIEW AND DISCUSSION OF RESULTS.FOLLOWING THE SURVEY AND DATA ANALYSIS, EACH PARTICIPATING ORGANIZATION INDEPENDENTLY REVIEWED THE FINDINGS AND DETERMINED ITS COMMUNITY HEALTH PRIORITIES BASED ON ORGANIZATIONAL RESOURCES AND AREAS OF IMPACT. AT CENTRACARE LONG PRAIRIE, SURVEY RESULTS AND THE TOP TEN COMMUNITY HEALTH CONCERNS WERE PRESENTED TO HOSPITAL LEADERSHIP, INCLUDING THE CENTRACARE LONG PRAIRIE PRESIDENT, DIRECTOR OF PATIENT CARE SERVICES, DIRECTOR OF OPERATIONS, NURSING MANAGEMENT, PATIENT ACCESS MANAGEMENT, AND OTHER LEADERSHIP STAFF. A MENTIMETER POLL WAS THEN USED TO NARROW THE PRIORITIES TO THREE FOCUS AREAS THAT CENTRACARE LONG PRAIRIE WILL ADDRESS FROM 20252028.AFTER THE TOP THREE PRIORITIES WERE IDENTIFIED, MEMBERS OF CENTRACARE'S COMMUNITY HEALTH IMPROVEMENT TEAM SOUGHT ADDITIONAL FEEDBACK FROM THE LONG PRAIRIE WELLNESS NETWORK. THIS GROUP INCLUDES LOCAL PROFESSIONALS REPRESENTING BUSINESSES, PUBLIC HEALTH, COMMUNITY ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND LOCAL FAITH LEADERS WHO PROVIDE VALUABLE INSIGHT INTO COMMUNITY NEEDS. MANY OF THESE INDIVIDUALS BOTH WORK AND LIVE IN THE COMMUNITY, GIVING THEM A BROAD PERSPECTIVE AND REACH WITHIN THE LOCAL POPULATION. THE TEAM ALSO ENGAGED WITH THE PROJECT HEAL CLINIC IN LONG PRAIRIE, WHICH SERVES MEMBERS OF THE LOCAL AMISH COMMUNITY, TO GATHER ADDITIONAL COMMUNITY PERSPECTIVES.FEEDBACK FROM THESE GROUPS SUPPORTED THE HOSPITAL'S SELECTED PRIORITY AREAS. ONGOING COLLABORATION CONTINUES THROUGH REGULARLY SCHEDULED MEETINGS OF COMMUNITY GROUPS AND WORKGROUPS, INCLUDING THE SOCIAL DETERMINANTS OF HEALTH (SDOH) WORKGROUP AND THE LONG PRAIRIE WELLNESS NETWORK, TO SUPPORT IMPLEMENTATION OF CHNA STRATEGIES. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, AND CHI ST. GABRIEL'S HEALTH. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON COUNTY PUBLIC HEALTH, TODD COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 11: CENTRACARE LONG PRAIRIE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY RESULTS AND THE TOP TEN COMMUNITY HEALTH CONCERNS WERE PRESENTED TO HOSPITAL LEADERSHIP, INCLUDING THE PRESIDENT, DIRECTOR OF PATIENT CARE SERVICES, DIRECTOR OF OPERATIONS, NURSING MANAGEMENT, PATIENT ACCESS MANAGEMENT, AND OTHER LEADERSHIP STAFF. ASSESSING AND RESPONDING TO COMMUNITY HEALTH NEEDS REMAINS AN ONGOING PRIORITY FOR CENTRACARE LONG PRAIRIE AND THE BROADER CENTRACARE HEALTH SYSTEM. FOLLOWING REVIEW AND DISCUSSION OF THE SURVEY FINDINGS, LEADERSHIP USED A MENTIMETER POLLING PROCESS TO IDENTIFY THREE PRIORITY FOCUS AREAS FOR THE 20252028 CHNA IMPLEMENTATION CYCLE: QUALITY OF LIFE INDICATORS WITH CHRONIC DISEASE MANAGEMENT, HEALTHCARE NAVIGATION AND PROVIDER RELATIONSHIPS, AND MENTAL HEALTH. GOALS WITHIN THESE FOCUS AREAS INCLUDE STRENGTHENING PERFORMANCE IN CHRONIC DISEASE MEASURES AND ENSURING FOLLOW-UP APPOINTMENTS ARE SCHEDULED PRIOR TO HOSPITAL DISCHARGE; IMPROVING COMMUNICATION BETWEEN PROVIDERS AND PATIENTS THROUGH ENHANCED NAVIGATION SERVICES AND PATIENT EDUCATION ABOUT FAMILY MEDICINE, WALK-IN CLINIC, AND EMERGENCY DEPARTMENT SERVICES; AND EXPANDING SUICIDE PREVENTION EFFORTS AND ACCESS TO MENTAL HEALTH RESOURCES IN RURAL COMMUNITIES. SEVERAL COMMUNITY CONCERNS WERE INCORPORATED INTO THESE BROADER FOCUS AREAS, INCLUDING DIABETES, HYPERTENSION, COPD/ASTHMA, OBESITY, AND QUALITY MEASURES UNDER CHRONIC DISEASE MANAGEMENT, AND ISSUES SUCH AS ACCESS TO CARE, WORKFORCE NEEDS, SAFETY, TRANSPORTATION, AND ECONOMIC FACTORS UNDER HEALTHCARE NAVIGATION. OTHER NEEDS IDENTIFIED THROUGH THE CHNA, SUCH AS CHILDCARE AND ACCESS TO HEALTHY FOOD, WERE NOT SELECTED AS PRIMARY FOCUS AREAS FOR THIS IMPLEMENTATION CYCLE DUE TO LIMITATIONS IN STAFFING RESOURCES, FUNDING, AND ALIGNMENT WITH THE HOSPITAL'S SCOPE OF SERVICES. HOWEVER, CENTRACARE LONG PRAIRIE RECOGNIZES THE IMPORTANCE OF THESE ISSUES AND WILL CONTINUE TO COLLABORATE WITH COMMUNITY PARTNERS WHEN OPPORTUNITIES ARISE TO SUPPORT EFFORTS ADDRESSING THESE NEEDS. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT CENTRACARE HEALTH - 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. PART V, SECTION B, LINE 7A: THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/9BDD1A26-B859-4316-8272-CB47EC7B7B72/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-UPDATED-6.29.22.PDF PART V, SECTION B, LINE 10A: THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/9BDD1A26-B859-4316-8272-CB47EC7B7B72/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-UPDATED-6.29.22.PDF PART V, SECTION B, LINE 20B CENTRACARE HEALTH SYSTEM - LONG PRAIRIE ("CENTRACARE") IDENTIFIED AN ERROR REGARDING AN OMISSION OF AN ELEMENT REQUIRED TO BE DISCLOSED IN FINANCIAL ASSISTANCE POLICY PURSUANT TO IRC SECTION 501(R)(4). AS CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 41-1924645 REQUIRED, CENTRACARE'S FINANCIAL ASSISTANCE POLICY DID STATE THE PERCENTAGE OF THE AMOUNTS GENERALLY BILLED ("AGB"). THE POLICY DID NOT PROVIDE AN EXPLANATION OF HOW THE AGB PERCENTAGE WAS CALCULATED. THIS OMISSION WAS DISCOVERED DURING A REVIEW OF THE POLICY IN MARCH 2025. THIS ERROR WAS MINOR AND INADVERTENT. ONCE THE ERROR WAS DISCOVERED, CENTRACARE TOOK IMMEDIATE ACTION TO CORRECT THE ERRORS BY UPDATING THE POLICY TO INCLUDE THE REQUIRED LANGUAGE . NO INDIVIDUAL WHO WAS ELIGIBLE UNDER CENTRACARE'S FINANCIAL ASSISTANCE POLICY WAS BILLED INCORRECT AMOUNTS OR OTHERWISE IMPACTED BY THESE ERRORS. CENTRACARE CONSIDERS THESE ERRORS TO BE "MINOR" OMISSIONS AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE IRC SECTION 501(R) REGULATIONS AND INTERPRETATIONS, DUE TO THE FACTORS NOTED ABOVE. CENTRACARE CHOSE TO PROACTIVELY DISCLOSE THE ABOVE IDENTIFIED FAILURES IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 TO CORRECT AND DISCLOSE IDENTIFIED FAILURES TO MEET THE REQUIREMENTS OF IRC SECTION 501(R). ACCORDINGLY, CENTRACARE HAS NOT FILED AN EXCISE TAX RETURN OR PAID ANY RELATED TAX IMPOSED UNDER IRC SECTION 4959. CENTRACARE HAS PUT PROCEDURES IN PLACE TO ADDRESS AND MONITOR ITS COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). TO BE FULLY TRANSPARENT, CENTRACARE CHOSE TO PROACTIVELY DISCLOSE THESE MINOR OMISSIONS AND ERRORS ON THE TY23 FORM 990 IN THE YEAR OF DISCOVERY AND AGAIN ON THE TY24 FILING THE YEAR OF CORRECTION. PART V, SECTION B, LINE 16A HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/0093F50D-7846-41F1-88FA-B01DEF0825ED/FINANCIAL-ASSISTANCE-POLICY-ENGLISH.PDF PART V, SECTION B, LINE 16B HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/4C3FF34C-7205-4138-B43E-B1913AC8562B/FINANCIAL-ASSISTANCE-APPLICATION-2024.PDF PART V, SECTION B, LINE 16C HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/44362464-4F68-4C78-8452-A3D22ABB223F/CENTRACARE-FA-SUMMARY-ENGLISH.PDF 1 1 - LONG PRAIRIE CLINIC 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 CLINIC PART I, LINE 6A: CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS. PART I, LINE 7: THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MNCARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE FINANCIAL ASSISTANCE ON LINE 7A. MEDICAID COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES ON LINE 7B ARE REPORTED AT COST. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ON LINE 7E ARE REPORTED AT COST. HEALTH PROFESSIONALS EDUCATION AND DIRECT OFFSETTING REVENUES ON LINE 7F ARE REPORTED AT COST. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,295,354. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION PROMOTED COMMUNITY HEALTH THROUGH COLLABORATIVE AND INCLUSIVE INITIATIVES. IT PARTNERED WITH LOCAL BUSINESSES TO SUPPORT DIABETES MANAGEMENT AND CONDUCTED TARGETED OUTREACH FOR WELLNESS VISITS. TO ADDRESS OBESITY, IT IMPROVED ACCESS TO AFFORDABLE HEALTHY FOODS, ENCOURAGED ACTIVE FAMILY LIFESTYLES THROUGH VITALITY WELLNESS PROGRAMS, AND EXPANDED RESOURCES FOR ISOLATED SENIORS, WHILE TRAINING STAFF ON OBESITY MEDICATION PROCESSES. MENTAL HEALTH EFFORTS FOCUSED ON REDUCING STIGMA, RAISING AWARENESS OF RESOURCES, HOSTING OUTREACH EVENTS, INCREASING SERVICE AVAILABILITY, AND PLANNING A BEHAVIORAL HEALTH ROOM FOR CRISIS INTERVENTION. THESE ACTIVITIES COLLECTIVELY ENHANCED ACCESS TO CARE, FOSTERED HEALTHY BEHAVIORS, AND STRENGTHENED OVERALL WELL-BEING IN THE COMMUNITY. 1. HEALTH FOCUS: DIABETES COLLABORATED WITH LOCAL BUSINESS TO IDENTIFY AND PROVIDE DIABETES MANAGEMENT TO EMPLOYEES. OUTREACHED TO PATIENTS IDENTIFIED THROUGH MEDICAL RECORDS TO INCREASE WELLNESS VISITS. INTENTIONAL OUTREACH TO PATIENTS IDENTIFIED THROUGH EMR TO INCREASE WELLNESS VISITS AND ONGOING MONITORING.2. HEALTH FOCUS: OBESITY (ADULT & CHILD) SUPPORTED ACCESSIBILITY AND AFFORDABLE HEALTHY FOODS. ENCOURAGED ACTIVE FAMILIES THROUGH PROGRAMMING AT VITALITY WELLNESS. INCREASED ACCESS TO PROGRAMS AND CLASSES FOR ISOLATED SENIORS THROUGHOUT OUR REGION.3. HEALTH FOCUS: MENTAL HEALTH WORK TO REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH FOR YOUTH AND ADULTS. CAMPAIGNS TO RAISE AWARENESS OF EXISTING MENTAL HEALTH RESOURCES. HOSTED COMMUNITY OUTREACH EVENTS TO ENCOURAGE CONVERSATIONS ABOUT MENTAL HEALTH. PART III, LINE 2: THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 4: THE FOLLOWING IS FROM THE "PATIENT AND RESIDENT SERVICE REVENUE AND PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 ON PAGE 10 OF THE ORGANIZATION'S AUDITED FINANCIALS. "THE SYSTEM REPORTS PATIENT AND RESIDENT SERVICE REVENUE AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE SYSTEM EXPECTS TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS AND THIRD-PARTY PAYORS (INCLUDING MEDICARE, MEDICAID, BLUE CROSS COMMERCIAL AND OTHER THIRD-PARTY PAYORS). CERTAIN REIMBURSEMENT ARRANGEMENTS INCLUDE VARIABLE CONSIDERATION FOR AMOUNTS SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. DIFFERENCES BETWEEN AMOUNTS ORIGINALLY RECORDED AND FINALLY SETTLED ARE INCLUDED IN OPERATIONS IN THE YEAR IN WHICH THE DIFFERENCES ARE KNOWN. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED." PART III, LINE 8: THE AMOUNT ON LINE 7 OF PART III WAS DETERMINED BY UTILIZING KEY SECTIONS OF THE MEDICARE COST REPORT, PRIMARILY THE D SERIES, E SERIES AND M SERIES. PART III, LINE 9B: THE COLLECTION POLICIES AT THE ORGANIZATION REQUIRE COLLECTION STAFF TO OFFER CHARITY TO PATIENTS WHO INDICATE THAT PAYMENT MAY BE AN ISSUE. IF A PATIENT DOES QUALIFY FOR FULL CHARITY, ALL OTHER COLLECTION EFFORTS MUST CEASE. IF A PATIENT QUALIFIES FOR PARTIAL CHARITY, COLLECTION EFFORTS WILL CONTINUE ON THE BALANCE OF THE ACCOUNT. THESE PROVISIONS APPLY TO BOTH HOSPITAL EMPLOYED COLLECTION STAFF AND COLLECTION AGENCY STAFF. NO PATIENTS, WHETHER THEY QUALIFY FOR CHARITY OR NOT, ARE REPORTED TO CREDIT REPORTING AGENCIES. PART VI, LINE 2: CENTRACARE LONG PRAIRIE ASSESSES COMMUNITY HEALTH NEEDS BY USING A FORMAL CHNA PROCESS THAT COMBINES QUANTITATIVE DATA AND COMMUNITY INPUT, ALIGNING WITH LEGAL AND PUBLIC HEALTH STANDARDS FOR COMPREHENSIVE ASSESSMENT, EXPLORING SOCIAL DETERMINANTS OF HEALTH AND HEALTHCARE RESOURCE GAPS, ENGAGING STATEHOLDERS AND COMMUNITY MEMBERS INIDENTIFYING PRIORITIES, AND TRANSLATING THOSE PRIORITIES INTO A IMPLEMENTIION STRATEGY TO ADDRESS NEEDS TO SHARE ONGOING COMMUNITY HEALTH IMPROVEMENT EFFORTS. THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATION COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES. PART VI, LINE 3: INPATIENTS WHO ARE SELF-PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF-PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF-PAY RECEIVE AN AUTOMATIC SELF-PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO, ALL PRE-COLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: CENTRACARE LONG PRAIRIE OPENED IN 1956 AND SERVES A POPULATION OF OVER 25,000 RESIDENTS THROUGHOUT TODD COUNTY WITH PRIMARY MARKET AREA IN THE COMMUNITIES OF LONG PRAIRIE, BROWERVILLE, CLARISSA AND EAGLE BEND. CENTRACARE LONG PRAIRIE MEDICAL CAMPUS IS LOCATED ON THE EASTERN EDGE OF THE CITY OF LONG PRAIRIE, WHICH IS THE COUNTY SEAT OF TODD COUNTY, IN A LOW-INCOME HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AS DESIGNATED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES.U.S. CENSUS DEMOGRAPHIC INFORMATION FOR 2020 INDICATES THE SENIOR POPULATION (65 YEARS AND OLDER) MAKES UP 22.1% OF THE TOTAL MARKET POPULATION; THIS COMPARES TO A STATEWIDE AVERAGE OF 17.9%. ADDITIONALLY, THE POPULATION PER SQUARE MILE FOR THE MARKET AREA IS 26.7 COMPARED TO 71.7% FOR THE STATE OF MINNESOTA AS A WHOLE WITH A GROWTH RATE OF ABOUT 2% SINCE 2020. THE MEDIAN HOUSEHOLD INCOME OF RESIDENTS IS DEPRESSED AT $63,216 COMPARED TO A STATE AVERAGE OF $87,556.ACCORDING TO THE MINNESOTA STATE DEMOGRAPHIC CENTER, TODD CO.'S POPULATION IS EXPECTED TO GROW FROM 2025 TO 2035, WITH A RATE OF CHANGE THAT IS FASTER THAN THE PROJECTED STATEWIDE GROWTH RATE (3.7%). IN ADDITION TO THE OVERALL GROWTH, THE NUMBER OF PEOPLE AGED 65 YEARS AND OLDER IS EXPECTED TO INCREASE OVER THE NEXT DECADE.THE RACIAL AND ETHNIC MAKEUP OF THE CITY OF LONG PRAIRIE, AND ITS SURROUNDING COUNTRYSIDE, IS RAPIDLY DIVERSIFYING. SINCE 2013, THE NUMBER OF PEOPLE OF OTHER RACES INCREASED. ACCORDING TO DEED TODD COUNTY 2024 REPORT, HISPANIC POPULATION REPRESENTS 9.8% OF THE POPULATION OF TODD COUNTY COMPARED TO 6.2% IN MINNESOTA. THERE IS A 37.5% INCREASE SINCE 2013 SIGNALING A DRAMATIC INCREASE. THERE ARE ALSO FOUR DISTINCT AMISH COMMUNITIES IN THE OUTSKIRTS OF TOWN AS WELL AS HAITIAN POPULATION INCREASE. PART VI, LINE 5: THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS MONTHLY TO REVIEW VARIOUS ASPECTS OF THE FACILITY AND PROVIDE INPUT ON THOSE ASPECTS FROM A COMMUNITY PERSPECTIVE. A MAJORITY OF THE COMMITTEE IS COMPRISED OF PEOPLE WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA THAT ARE NOT EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION AND ARE NOT FAMILY MEMBERS THEREOF. THE ORGANIZATION PARTICIPATES IN THE COMMUNITY BLOOD DRIVES BY PROVIDING FOOD AND SUPPLIES FOR BOTH THE WORKERS AND BLOOD DONORS. THE FACILITY ALSO SPONSORS A HEALTH FAIR ON AN ANNUAL BASIS FOR THE LOCAL AND SURROUNDING COMMUNITIES. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS OR SPECIALTIES AND FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH. PART VI, LINE 6: THE ORGANIZATION IS PART OF CENTRACARE HEALTH SYSTEM (CCHS) WHICH PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO THE PATIENTS OF CENTRAL MINNESOTA. CCHS IS DEDICATED TO IMPROVING THE HEALTH OF PEOPLE LIVING AND WORKING IN THE COMMUNITIES IT SERVES. TO ACCOMPLISH ITS GOALS, IT WORKS ACTIVELY WITH ITS AFFILIATE HEALTH CARE ORGANIZATIONS. CCHS CONTINUES TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE AND ON REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 0 1 0 0 0 0 0 1 0 KENNETH HOLMEN PRESIDENT/CEO 0 1275014 0 305083 0 341048 0 10350 0 38034 0 1969529 0 318062 JOY PLAMANN CHIEF OPERATING OFFICER/SR VP 0 764018 0 141253 0 74309 0 167430 0 27913 0 1174923 0 53269 MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREAS 0 582015 0 251104 0 164090 0 128404 0 28207 0 1153820 0 85554 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY 0 462381 0 251135 0 161460 0 105106 0 31799 0 1011881 0 69200 THOMAS SCHRUP CHIEF PHYSICIAN OFFICER/EVP 0 623207 0 111782 0 104302 0 134657 0 22407 0 996355 0 102322 CINDY SMITH FORMER KEY EMPLOYEE 0 607298 0 94768 0 163180 0 9240 0 24134 0 898620 0 0 JACOB LYONS DIRECTOR (START 07.01.2024) 0 684422 0 38154 0 300 0 10350 0 28114 0 761340 0 0 AMY PORWOLL CHIEF INFORMATION SYSTEM OFFICER/SR 0 447379 0 71245 0 108479 0 90320 0 24247 0 741670 0 84189 BRYAN ROLPH DIRECTOR 0 547561 0 23764 0 1290 0 8475 0 43332 0 624422 0 0 SAMUEL BURNS PHYSICIAN 0 327066 0 18712 0 54614 0 9996 0 25278 0 435666 0 0 LEAH BRYAN PHYSICIAN 0 366312 0 0 0 28906 0 1625 0 24466 0 421309 0 0 RICHARD WEHSELER DIRECTOR 0 367730 0 14309 0 834 0 7712 0 30431 0 421016 0 0 ANTHONY GARDNER FORMER KEY EMPLOYEE 0 315931 0 0 0 27370 0 4391 0 11385 0 359077 0 0 RENE ELDIDY PHYSICIAN 0 282793 0 16571 0 14679 0 6996 0 28299 0 349338 0 0 STEVEN FUGLESTAD PHYSICIAN 0 308518 0 17745 0 1645 0 7903 0 12413 0 348224 0 0 BOBBIE BERTRAM DIRECTOR 0 243745 0 24499 0 36949 0 3503 0 35274 0 343970 0 0 KIMBERLY EGAN CHIEF HUMAN RESOURCES OFFICER/SR VP 0 234822 0 50000 0 3462 0 52063 0 3428 0 343775 0 0 JOSE ALBA HOSPITAL PRESIDENT 0 227210 0 21626 0 17286 0 6811 0 1565 0 274498 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: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRED NON-QUALIFIED INVESTMENT ACCOUNTS. THESE PLANS MAY PROVIDE, BUT ARE NOT CERTAIN TO PROVIDE, FOR PAYMENT OF TAX DEFERRED COMPENSATION TO THESE EXECUTIVES AT SOME TIME IN THE FUTURE. THE EXECUTIVES HAVE NO LEGAL RIGHT TO THESE DOLLARS UNTIL, AND UNLESS, CERTAIN FUTURE EVENTS OCCUR. IN ACCORDANCE WITH THE INSTRUCTIONS TO FORM 990, THE AMOUNTS LISTED IN PART VII AND SCHEDULE J, PART II, COLUMN C REFLECT TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON THE FORM 990. ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: AMY PORWOLL - PAID $84,189 JOY PLAMANN - PAID $53,269 KENNETH HOLMEN - PAID $318,062 MICHAEL BLAIR - PAID $85,554 SANTO CRUZ - PAID $69,200 THOMAS SCHRUP - PAID $102,322 PART I, LINE 7 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS. 1. STEWARDSHIP, THROUGH A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR ST CLOUD HOSPITAL AND/OR CENTRACARE HEALTH SYSTEM AS WELL THROUGH ACHIEVING METRICS FOR AN IDENTIFIED COST REDUCTION PROGRAM. 2. QUALITY, THROUGH ACHIEVING ST CLOUD HOSPITAL AND SYSTEM QUALITY METRICS. 3. PATIENT EXPERIENCE, THROUGH ACHIEVEMENT OF PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS. 4. PEOPLE/EMPLOYEES, THROUGH ACHIEVEMENT OF SPECIFIED EMPLOYMENT SATISFACTION GOALS AND HIRING; AND/OR RETENTION GOALS. THE INCENTIVE COMPENSATION PAID OUT IS NOT A PORTION OR PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE. HOWEVER, NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE THE INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS CENTRACARE HEALTH SYSTEM, A MINNESOTA NON-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A ALL BOARD MEMBERS ARE APPOINTED BY CENTRACARE HEALTH SYSTEM, THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED FOR ACTION BY CENTRACARE HEALTH SYSTEM, THE SOLE MEMBER: 1. ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS. 2. APPOINTMENT OF DIRECTORS AND OFFICERS. 3. APPROVAL OF THE CORPORATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY DEBTS TO BE INCURRED. 4. APPROVAL OF ALL STRATEGIC PLANS. 5. DETERMINATION OF THE DISSOLUTION OF OR THE DISCONTINUATION OF THE BUSINESS OF THE CORPORATION. 6. APPROVAL OF ANY TRANSACTION WHICH MAY AFFECT THE CORPORATION'S STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED THE APPROVAL AUTHORITY OF THE FORM 990 TO THE AUDIT COMMITTEE. ANNUALLY, AT THE AUDIT COMMITTEE MEETING, PRIOR TO FILING WITH THE IRS, THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990. A COPY OF THE FORM 990 IS THEN PROVIDED FOR THE FULL BOARD TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT-OF-INTEREST QUESTIONNAIRE TWICE A YEAR. ALL STAFF SIGN A CONFLICT-OF-INTEREST FORM ON AN ANNUAL BASIS. THE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AS WELL AS THE CORPORATE COMPLIANCE GROUP (A COMPLIANCE COMMITTEE WHICH INCLUDES INTERNAL MEMBERS AND EXTERNAL COUNSEL). THE RESPONSES TO THE QUESTIONNAIRES ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICT-OF-INTEREST RELATED TO THE BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT-OF-INTEREST ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HERSELF FROM THE DECISION-MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS THE BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT-OF-INTEREST MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENT ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPATIBILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2025. THE THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THE SERVICES. THE COMPENSATION AND BENEFITS OF THE VICE-PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED ON JUNE 12, 2025. THE THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT-OF-INTEREST POLICY AVAILABLE TO THE PUBLIC. THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES PROVIDE AN ANNUAL REPORT TO THE COMMUNITY IN WHICH FINANCIAL RESULTS ARE REPORTED TO AND DISCUSSED WITH THE PUBLIC. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 INTEGRATED HEALTH SYSTEM MN 501(C)(3) 3 N/A 0 ST CLOUD HOSPITAL 1406 6TH AVENUE NORTH ST CLOUD MN 56303 410695596 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE CLINIC 1200 6TH AVENUE NORTH ST CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH SYSTEM - MELROSE 525 MAIN STREET WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH SYSTEM - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD MN 56303 416019335 SUPPORT FOR CENTRACARE RICE MEMORIAL HOSPITAL MN 501(C)(3) 12A, I CENTRACARE RICE MEMORIAL HOSPITAL 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 CENTRAL IMAGING LLC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 822580688 IMAGING SERVICES MN N/A 0 0 MONTICELLO CANCER CENTER LLC 1001 HART BOULEVARD SUITE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A 0 0 CENTRACARE PHARMACY SERVICES LLC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411620618 PHARMACY SERVICES MN N/A 0 1 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 410850702 INVESTMENTS MN N/A C 0 CENTRACARE HOLDINGS INC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 472688595 INVESTMENTS MN N/A C 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0