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CENTRACARE HEALTH SYSTEM OF MELROSE: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CENTRACARE HEALTH SYSTEM OF MELROSE (EIN 41-1865315)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-12
IRS object ID
202621329349302842
Schema version
2024v5.5
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-12T10:16:51-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 SOUTH SIXTH STREETAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411865315EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE HEALTH SYSTEM - MELROSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone3202564231PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1525 MAIN STREET WESTAddressLine1Txt
CityMELROSECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56352ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOY PLAMANNPersonNm
Person TitleCHIEF OPERATING OFFICER, SVPPersonTitleTxt
Phone3202564231PhoneNum
Signature2026-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMORGAN SEVERSONPreparerPersonNm
PTINP02279974PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE MELROSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDR KENNETH HOLMENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1525 MAIN STREET WESTAddressLine1Txt
CityMELROSECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56352ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,598,987GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CENTRACARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionWE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$111,840PYContributionsGrantsAmt
CY Contributions Grants$205,756CYContributionsGrantsAmt
PY Program Service Revenue$50,090,265PYProgramServiceRevenueAmt
CY Program Service Revenue$49,341,878CYProgramServiceRevenueAmt
PY Investment Income$607,133PYInvestmentIncomeAmt
CY Investment Income$3,565,059CYInvestmentIncomeAmt
PY Other Revenue$617,101PYOtherRevenueAmt
CY Other Revenue$723,771CYOtherRevenueAmt
PY Total Revenue$51,426,339PYTotalRevenueAmt
CY Total Revenue$53,836,464CYTotalRevenueAmt
PY Grants And Similar Paid$877,950PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,598,147CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,104,294PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,948,785CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,969,138PYOtherExpensesAmt
CY Other Expenses$17,521,011CYOtherExpensesAmt
PY Total Expenses$45,951,382PYTotalExpensesAmt
CY Total Expenses$43,067,943CYTotalExpensesAmt
PY Revenues Less Expenses$5,474,957PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,768,521CYRevenuesLessExpensesAmt
Total Assets BOY$69,907,565TotalAssetsBOYAmt
Total Assets EOY$80,514,761TotalAssetsEOYAmt
Total Liabilities BOY$6,171,109TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,352,680TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$63,736,456NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$75,162,081NetAssetsOrFundBalancesEOYAmt
MissionWE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$30,361,848ExpenseAmt
Grant$1,598,147GrantAmt
Revenue$42,940,924RevenueAmt
DescCENTRACARE - MELROSE 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 - MELROSE IS A 14 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 STEARNS COUNTY. THERE WERE 481 INPATIENT VISITS, 2,381 INPATIENT DAYS WITH 46,144 OUTPATIENT VISITS, AND 4,880 EMERGENCY ROOM VISITS IN FISCAL YEAR 2025.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,477,402ExpenseAmt
Revenue$6,746,615RevenueAmt
DescCENTRACARE - MELROSE OPERATES THE MELROSE CLINIC, WHICH IS CONVENIENTLY CONNECTED TO THE MELROSE HOSPITAL FOR THE HEALTH NEEDS OF THE COMMUNITY. MELROSE CLINIC PROVIDES SERVICES OF GENERAL SURGERY, NEUROLOGY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, ORTHOPEDICS, AND UROLOGY. THERE WERE 30,060 CLINIC VISITS DURING FISCAL YEAR 2025.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$35,839,250TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL BLAIRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3202512700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11406 6TH AVENUE NAddressLine1Txt
CityST CLOUDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56303ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KENNETH HOLMEN
PRESIDENT/CEO6.5033.50Yes (X)Yes (X)$0$1,921,145$48,384
JACOB LYONS
DIRECTOR (START 07.01.2024)0.2539.75Yes (X)$0$722,876$38,464
BRYAN ROLPH
DIRECTOR0.2539.75Yes (X)$0$572,615$51,807
RICHARD WEHSELER
DIRECTOR0.2539.75Yes (X)$0$382,873$38,143
BOBBIE BERTRAM
DIRECTOR0.2539.75Yes (X)$0$305,193$38,777
DAVID ANFINSON
CHAIR0.251.75Yes (X)Yes (X)$0$32,000$0
TIM WENSMAN
DIRECTOR (END 06.30.2025)0.251.75Yes (X)$0$10,000$0
JEFF GAU
DIRECTOR0.251.75Yes (X)$0$9,000$0
CARRIE HENNING-SMITH
DIRECTOR0.251.75Yes (X)$0$8,000$0
DAN ABDUL
DIRECTOR0.251.75Yes (X)$0$8,000$0
RENEE FRAUENDIENST
DIRECTOR0.253.75Yes (X)$0$8,000$0
JAMES HEBL
DIRECTOR0.251.75Yes (X)$0$6,000$0
MICHELLE JOHNSON
DIRECTOR0.251.75Yes (X)$0$6,000$0
FATHER TOM KNOBLACH
DIRECTOR0.251.75Yes (X)$0$0$0
JOY PLAMANN
CHIEF OPERATING OFFICER/SR VP6.5033.50Yes (X)$0$979,580$195,343
MICHAEL BLAIR
CHIEF FINANCIAL OFFICER/SR VP/ TREASURER6.5033.50Yes (X)$0$997,209$156,611
SANTO CRUZ
CHIEF LEGAL OFFICER/SR VP/ SECRETARY6.5033.50Yes (X)$0$874,976$136,905
KIMBERLY EGAN
CHIEF HUMAN RESOURCES OFFICER/SR VP6.5033.50Yes (X)$0$288,284$55,491
THOMAS SCHRUP
CHIEF PHYSICIAN OFFICER/EVP4.0036.00$0$839,291$157,064Yes (X)
AMY PORWOLL
CHIEF INFORMATION SYSTEM OFFICER/SR VP8.0032.00$0$627,103$114,567Yes (X)
PATRICK HELLER
PHYSICIAN40.000.00$0$650,812$38,131Yes (X)
MICHAEL BESTE
PHYSICIAN40.000.00$0$461,821$36,828Yes (X)
LINDSEY CHMIELEWSKI
PHYSICIAN40.000.00$0$435,684$40,605Yes (X)
JULIE KLASEN
PHYSICIAN40.000.00$0$306,196$39,331Yes (X)
JENNIFER TSCHIDA
HOSPITAL PRESIDENT40.000.00$0$297,117$36,994Yes (X)
CINDY SMITH
FORMER KEY EMPLOYEE0.0040.00$0$865,246$33,374Yes (X)
ANTHONY GARDNER
FORMER KEY EMPLOYEE8.0032.00$0$343,301$15,776Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,958,322TotReportableCompRltdOrgAmt
Total Other Compensation$1,272,595TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEST CENTRAL ANESTHESIA PC
36497 230TH AVEALBANYMN56307ANESTHESIA SERVICE$846,319
AVEL ECARE LLC
4500 N LEWIS AVESIOUX FALLSSD57104TELEMEDICINE$317,544
AYA HEALTHCARE INC
5930 CORNERSTONE CRT W STE 300SAN DIEGOCA92121STAFFING AGENCY$189,385
CURA OF MELROSE
525 MAIN ST WMELROSEMN56352PROPERTY RENTAL$111,252
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$23,477RelatedOrganizationsAmt
Government Grants$177,450GovernmentGrantsAmt
All Other Contributions$4,829AllOtherContributionsAmt
Total Contributions$205,756TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT & RESIDENT REV622110$48,990,247$48,990,247
SENIOR HOUSING REVENUE623311$305,142$305,142
OTHER PROGRAM REVENUE622110$46,489$46,489
FieldValueIRS element (for citing)
Total Program Service Revenue$49,341,878TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,565,059TotalRevenueColumnAmt
Exclusion$3,565,059ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,621,362GrossSalesOfInventoryAmt
Cost Of Goods Sold$762,523CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$858,839TotalRevenueColumnAmt
Exclusion$858,839ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
GAIN/LOSS ON JOINT VEN900099$345,661$345,661
LOSS ON SALE OF A/R900099-$480,729-$480,729
FieldValueIRS element (for citing)
Other Revenue Total-$135,068OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,836,464TotalRevenueColumnAmt
Related Or Exempt Func Income$49,687,539RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,943,169ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,597,147TotalAmt
Program Services$1,597,147ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$1,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,263,308TotalAmt
Program Services$985,380ProgramServicesAmt
Management And General$277,928ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,223,976TotalAmt
Program Services$13,434,701ProgramServicesAmt
Management And General$3,789,275ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$537,084TotalAmt
Program Services$418,926ProgramServicesAmt
Management And General$118,158ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,225,397TotalAmt
Program Services$3,295,810ProgramServicesAmt
Management And General$929,587ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$699,020TotalAmt
Program Services$545,236ProgramServicesAmt
Management And General$153,784ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,049TotalAmt
Program Services$3,158ProgramServicesAmt
Management And General$891ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,135,214TotalAmt
Program Services$1,425,904ProgramServicesAmt
Management And General-$290,690ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,035TotalAmt
Program Services$6,267ProgramServicesAmt
Management And General$1,768ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,854TotalAmt
Program Services$10,026ProgramServicesAmt
Management And General$2,828ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,273,097TotalAmt
Program Services$3,333,016ProgramServicesAmt
Management And General$940,081ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$579,481TotalAmt
Program Services$451,995ProgramServicesAmt
Management And General$127,486ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,133TotalAmt
Program Services$25,064ProgramServicesAmt
Management And General$7,069ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$71,951TotalAmt
Program Services$56,122ProgramServicesAmt
Management And General$15,829ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$778,617TotalAmt
Program Services$607,321ProgramServicesAmt
Management And General$171,296ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,530,841TotalAmt
Program Services$1,974,056ProgramServicesAmt
Management And General$556,785ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$214,014TotalAmt
Program Services$166,931ProgramServicesAmt
Management And General$47,083ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS/MEDICAL SUPPLIES$4,560,556$4,560,556
EQUIPMENT RENT & MAINT.$1,557,556$1,214,894$342,662
IMPLICIT PRICE CONCES.$838,844$838,844
MEDICAID & MNCARE$756,170$756,170

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$167,599TotalAmt
Program Services$130,726ProgramServicesAmt
Management And General$36,873ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,067,943TotalAmt
Program Services$35,839,250ProgramServicesAmt
Management And General$7,228,693ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,005BOYAmt
EOY$1,005EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,681,078BOYAmt
EOY$1,161,928EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,115,613BOYAmt
EOY$7,350,859EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$200,448BOYAmt
EOY$235,761EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$62,368BOYAmt
EOY$118,925EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,949,628LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,278,044LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,955,661BOYAmt
EOY$21,671,584EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$34,380,428BOYAmt
EOY$38,251,325EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$966,764BOYAmt
EOY$911,699EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$544,200BOYAmt
EOY$10,811,675EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$69,907,565BOYAmt
EOY$80,514,761EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,476,959BOYAmt
EOY$4,011,458EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,694,150BOYAmt
EOY$1,341,222EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,171,109BOYAmt
EOY$5,352,680EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,736,456BOYAmt
EOY$75,162,081EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,736,456BOYAmt
EOY$75,162,081EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,907,565BOYAmt
EOY$80,514,761EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$10,768,521ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$657,104NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,265OtherActivitiesAmt
Total Lobbying Expenditures$1,265TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCENTRACARE - MELROSE 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$517,250OtherCostOrOtherBasisAmt
Book Value$517,250BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,196,367OtherCostOrOtherBasisAmt
Depreciation$23,302,066DepreciationAmt
Book Value$18,894,301BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$134,118OtherCostOrOtherBasisAmt
Depreciation$132,047DepreciationAmt
Book Value$2,071BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,101,893OtherCostOrOtherBasisAmt
Depreciation$13,843,931DepreciationAmt
Book Value$2,257,962BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,671,584TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTSDesc
Book Value$38,251,325BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$38,251,325TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$271,994
OPERATING LEASED ASSETS$547,267
DUE FROM AFFILIATES$9,992,414
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,811,675TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
THIRD PARTY PAYOR SETTLEMENTS$511,332
LEASE LIABILITIES$547,266
ASSET RETIREMENT OBLIGATION$282,624
FieldValueIRS element (for citing)
Total Liability$1,341,222TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$145,457TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$145,457NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,765,020TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,298,952DirectOffsettingRevenueAmt
Net Community Benefit Expns$466,068NetCommunityBenefitExpnsAmt
Total Expense0.01100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,910,477TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,298,952DirectOffsettingRevenueAmt
Net Community Benefit Expns$611,525NetCommunityBenefitExpnsAmt
Total Expense0.01440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$124,348TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,471NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,207,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,678,268DirectOffsettingRevenueAmt
Net Community Benefit Expns$529,542NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,597,147TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,597,147NetCommunityBenefitExpnsAmt
Total Expense0.03780TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,929,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,709,145DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,220,160NetCommunityBenefitExpnsAmt
Total Expense0.05250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,839,782TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,008,097DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,831,685NetCommunityBenefitExpnsAmt
Total Expense0.06690TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,466TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,466NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,466TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,466NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$838,844BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,268,311ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,322,233CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$53,922MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE HEALTH - MELROSEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1525 MAIN STREET WESTAddressLine1Txt
CityMELROSECityNm
State AbbreviationMNStateAbbreviationCd
ZIP56352ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CENTRACARE.COM/LOCATIONS/MELROSE/WebsiteAddressTxt
State License419631StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherRURAL HEALTH CLINIC, NURSING HOMEOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE HEALTH - MELROSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION C SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION C SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENTALFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTALFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SUPPLEMENTALFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CENTRACARE HEALTH - MELROSEPART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE NAACHOP MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP) 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 A 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 - MELROSEPART V, SECTION B, LINE 5: THE CENTRAL MN ALLIANCE (CMA), CONSISTING OF CENTRACARE, STEARNS COUNTY PUBLIC HEALTH, BENTON COUNTY PUBLIC HEALTH, AND SHERBURNE COUNTY PUBLIC HEALTH, HAS USED THE MAPP 2.0 FRAMEWORK DEVELOPED BY NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS TO GUIDE ITS WORK.THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SERVES AS A ROADMAP FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). USING THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) 2.0 FRAMEWORK, THE CMA IDENTIFIED ROOT CAUSES AND TOP COMMUNITY PRIORITIES TO FOCUS EFFORTS ON IMPROVING REGIONAL HEALTH OUTCOMES. THIS CHNA INFORMS THE CHIP IMPLEMENTATION PHASE RUNNING FROM JULY 1, 2025, THROUGH JUNE 30, 2028, AND REPRESENTS THE THIRD COLLABORATIVE CHNA AND CHIP COMPLETED BY THE ALLIANCE.THROUGHOUT THE CHNA PROCESS, CENTRACARE AND ITS CMA PARTNERS INCORPORATED BROAD COMMUNITY INPUT THROUGH A STRUCTURED AND COLLABORATIVE APPROACH. COMMUNITY ENGAGEMENT INCLUDED WIDELY DISTRIBUTED PAPER AND ELECTRONIC SURVEYS (WITH TRANSLATED VERSIONS TO INCREASE ACCESSIBILITY), STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND PLANNING SESSIONS DESIGNED TO CAPTURE PERSPECTIVES ACROSS THE SERVICE AREA. PARTICIPANTS INCLUDED LOCAL PUBLIC HEALTH OFFICIALS, COUNTY HEALTH AND HUMAN SERVICES REPRESENTATIVES, LEADERS OF COMMUNITY-BASED ORGANIZATIONS, BEHAVIORAL HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, EDUCATORS, AND OTHER CROSS-SECTOR PARTNERS. SPECIAL EFFORT WAS MADE TO ENGAGE INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THIS COMPREHENSIVE ENGAGEMENT PROCESS ENSURED THAT IDENTIFIED PRIORITIES AND IMPLEMENTATION STRATEGIES REFLECT COMMUNITY-IDENTIFIED NEEDS AND ARE INFORMED BY BOTH LIVED EXPERIENCE AND PROFESSIONAL EXPERTISE.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED THROUGH THREE CONSECUTIVE ASSESSMENTS CONDUCTED BETWEEN JULY 2024 AND JANUARY 2025: THE COMMUNITY PARTNERS ASSESSMENT, THE COMMUNITY STATUS ASSESSMENT, AND THE COMMUNITY CONTEXT ASSESSMENT. STAFF FROM ALL FOUR CMA MEMBER AGENCIES PARTICIPATED IN EACH ASSESSMENT COMMITTEE, REFLECTING THE PARTNERSHIP'S MULTI-LAYERED STRUCTURE, WHICH INCLUDES VARYING LEVELS OF INVOLVEMENT ACROSS AGENCIES.IN 2024, CMA ALSO ESTABLISHED AN ASSESSMENT DESIGN TEAM (ADT) THAT INCLUDED COMMUNITY PARTNER REPRESENTATIVES TO STRENGTHEN COLLABORATION AND ENGAGEMENT. WHILE ALL THREE ASSESSMENTS INFORMED THE CHNA, PARTICULAR EMPHASIS WAS PLACED ON FINDINGS FROM THE COMMUNITY PARTNERS AND COMMUNITY CONTEXT ASSESSMENTS, WITH LESS WEIGHT GIVEN TO THE QUANTITATIVE DATA FROM THE COMMUNITY STATUS ASSESSMENT. AN OVERVIEW OF EACH ASSESSMENT IS INCLUDED BELOW.COMMUNITY PARTNERS ASSESSMENT (CPA)THE CPA IS AN ASSESSMENT PROCESS THAT ALLOWS ALL COMMUNITY PARTNERS INVOLVED IN MAPP TO CRITICALLY LOOK AT 1) THEIR OWN INDIVIDUAL SYSTEMS, PROCESSES AND CAPACITIES AND 2) THEIR COLLECTIVE CAPACITY AS A NETWORK/ACROSS ALL COMMUNITY PARTNERS TO ADDRESS HEALTH INEQUITIES. THIS TOOL HELPS IDENTIFY THE RANGE OF ACTIONS THAT ARE CURRENTLY BEING TAKEN AND COULD BE TAKEN MOVING FORWARD TO ADDRESS HEALTH INEQUITY AT THE INDIVIDUAL TO SYSTEMIC AND STRUCTURAL LEVELS. THE CPA CONSISTED OF AN ONLINE SURVEY AVAILABLE APRIL THROUGH AUGUST 2025 AND A COMMUNITY PARTNER MEETING IN APRIL 2024. MORE THAN 35 ORGANIZATIONS PARTICIPATED IN THE CPA IN SOME WAY. SOME PARTICIPATED IN THE SURVEY, SOME ATTENDED THE MEETING, AND OTHERS PARTICIPATED IN BOTH.COMMUNITY STATUS ASSESSMENT (CSA)THE CSA IS ABOUT QUANTITATIVE DATA. IT COLLECTS "THE NUMBERS" ON THE STATUS OF OUR COMMUNITY SUCH AS DEMOGRAPHICS, HEALTH STATUS, AND DIFFERENCES IN HEALTH OUTCOMES. THE CSA HELPS A COMMUNITY MOVE "UPSTREAM AND IDENTIFY HEALTH DIFFERENCES BEYOND HEALTH BEHAVIORS AND OUTCOMES, INCLUDING THEIR ASSOCIATION WITH SOCIAL DRIVERS OF HEALTH, SYSTEMS, AND INSTITUTION POLICIES AND PROCESSES. LOCAL PRIMARY DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COLLECTED THROUGH THE 2024 CENTRAL MN ADULT COMMUNITY HEALTH SURVEY. THE SURVEY INSTRUMENT WAS DEVELOPED BY THE 2024 CENTRAL MN COMMUNITY HEALTH SURVEY INSTRUMENT COMMITTEE, WHICH MET FROM JUNE 18 TO AUGUST 6, 2024. THE SURVEY WAS ADMINISTERED FROM AUGUST 6 THROUGH OCTOBER 6, 2024, WITH WRIGHT COUNTY PARTICIPATING IN THE INSTRUMENT DEVELOPMENT AND CONDUCTING A SIMILAR SURVEY DURING THE SAME TIMEFRAME. STEARNS COUNTY SUPPORTED THE SURVEY'S ELECTRONIC DEVELOPMENT USING ARCGIS SURVEY123, COORDINATED SPANISH AND SOMALI TRANSLATIONS, AND CREATED A DASHBOARD TO MONITOR RESPONSES AND GUIDE OUTREACH EFFORTS. THE SURVEY TIMELINE WAS EXTENDED TO OCTOBER 6TH AT THE REQUEST OF A COMMUNITY PARTNER TO BETTER REACH TARGET POPULATIONS. AN ADDITIONAL OPTION OFFERED FOR THIS SURVEY WAS SPOKEN VIDEOS IN ENGLISH, SPANISH, AND SOMALI VIA YOUTUBE.AMERICORPS MEMBERS FROM BENTON, SHERBURNE, AND STEARNS COUNTIES PLAYED A KEY ROLE IN OUTREACH, DOCUMENTING 548 DISTRIBUTION EFFORTS. EMAIL OUTREACH THROUGH ESTABLISHED PARTNER NETWORKS PROVED MORE EFFECTIVE THAN POSTERS WITH QR CODES. A TOTAL OF 893 RESPONSES WERE RECEIVED, INCLUDING 814 FROM THE THREE-COUNTY REGION, REFLECTING STRONG COMMUNITY PARTICIPATION AND TRUST.COMMUNITY CONTEXT ASSESSMENT (CCA)THE CCA IS A QUALITATIVE TOOL TO ASSESS AND COLLECT DATA. IT COLLECTS THE INSIGHTS, EXPERTISE, AND VIEWS OF PEOPLE AND COMMUNITIES AFFECTED BY SOCIAL SYSTEMS TO IMPROVE THE FUNCTIONING AND IMPACT OF THOSE SYSTEMS. THE CCA MOVES BEYOND INTERVENTIONS THAT RELY ON PERCEIVED COMMUNITY NEEDS TO UNDERSTAND A COMMUNITY'S STRENGTHS, ASSETS, AND CULTURE. THE CCA CENTERS ON PEOPLE AND COMMUNITIES WITH LIVED EXPERIENCES AND LIVED EXPERTISE. IT FOCUSES ON THE VIEWS, INSIGHTS, VALUES, CULTURES, AND PRIORITIES OF THOSE EXPERIENCING AVOIDABLE GAPS FIRSTHAND. ALL COMMUNITIES HAVE A VIBRANCY THAT MUST BE NURTURED AND SUPPORTED IN COMMUNITY IMPROVEMENT.EACH ASSESSMENT WAS CONDUCTED BY A COMMITTEE WITH REPRESENTATIVES FROM THE FOUR CMA MEMBER ORGANIZATIONS. A SMALL GROUP OF CMA LEADERS FORMED AN ASSESSMENT DESIGN TEAM (ADT) WITH REPRESENTATIVES FROM EACH CMA AGENCY AND SEVERAL COMMUNITY PARTNERS, INCLUDING CENTRAL MN COMMUNITY EMPOWERMENT ORGANIZATION, CITY OF ST. CLOUD, WHITNEY SENIOR CENTER, INDEPENDENT SCHOOL DISTRICT 742, CREDENT CARE HOME CARE SERVICES, UNITED WAY OF CENTRAL MN, AND THE STEARNS COUNTY PUBLIC HEALTH TASK FORCE. THE ADT MET MONTHLY FROM JUNEDECEMBER 2024, AND MANY MEMBERS ALSO PARTICIPATED IN A JANUARY 2025 ASSESSMENT TRIANGULATION PROCESS.IN JANUARY 2025, THE CMA LEADERSHIP GROUP HELD A MAPP 2.0 ASSESSMENT TRIANGULATION MEETING ATTENDED BY LEADERSHIP, ADT MEMBERS, AND ADDITIONAL PARTNERS, INCLUDING RESEARCHERS FROM ST. CLOUD STATE UNIVERSITY CENTER FOR HEALTH OUTCOMES AND POLICY RESEARCH (CHOPR), CMA LOCAL PUBLIC HEALTH MEDICAL DIRECTORS, A MINNESOTA DEPARTMENT OF HEALTH PUBLIC HEALTH SYSTEM CONSULTANT, AND MEMBERS OF GRANITE TABLE AND ITS PARTNER ORGANIZATIONS. DURING THE MEETING, ASSESSMENT FINDINGS WERE SHARED, AND PARTICIPANTS IDENTIFIED CROSS-CUTTING THEMES USING MENTIMETER. THE QUALITATIVE DATA WERE ANALYZED WITH CHATGPT, RESULTING IN NINE PRIORITY THEMES RANKED BY CONCERN: MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, HOUSING, FINANCIAL INSTABILITY, SOCIAL CONNECTION AND BELONGING, CHILDCARE, FOOD SECURITY, EQUITY, AND ACCESS TO HEALTHCARE.FURTHER DISCUSSION GROUPED THESE INTO THREE BROADER CATEGORIES:1.MENTAL HEALTH, CONNECTION, BELONGING, AND SUBSTANCE USE2.FINANCIAL INSTABILITY, HOUSING, CHILDCARE, AND FOOD INSECURITY3.ACCESS TO HEALTHCARETHE PROCESS MANAGERS CREATED A BRAINSTORMING WORKSHEET TO IDENTIFY NAMES FOR THE GROUPINGS ABOVE. BY FEBRUARY 2025, THE CMA STEERING COMMITTEE FINALIZED THE TOP THREE COMMUNITY HEALTH PRIORITIES FOR 20252028 AS: COMMUNITY CONNECTION, COMMUNITY STABILITY, AND COMMUNITY ACCESS (CONNECTION, STABILITY, ACCESS).
CENTRACARE HEALTH - MELROSEPART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - MELROSE CONDUCTED THE CHNA WITH CENTRACARE- PAYNESVILLE, CENTRACARE- SAUK CENTRE, AND ST. CLOUD HOSPITAL.
CENTRACARE HEALTH - MELROSEPART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - MELROSE CONDUCTED THE CHNA WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH AND STEARNS COUNTY PUBLIC HEALTH.
CENTRACARE HEALTH - MELROSEPART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSESING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH IMPLEMENTATION OF THE 20252028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS PLAN BUILDS UPON THE FOUNDATION ESTABLISHED IN THE 20192022 CHIP AND FURTHER STRENGTHENED THROUGH THE 20232025 CYCLE. WHILE EARLIER CHIP EFFORTS EMPHASIZED PARTNER ENGAGEMENT AND HEALTH EQUITY, THE 20252028 CHIP INTEGRATES LESSONS LEARNED FROM PRIOR COLLABORATIONS AND REFLECTS EVOLVING COMMUNITY NEEDS, ENSURING A MORE COORDINATED AND EQUITY-FOCUSED RESPONSE.FOLLOWING PRESENTATION OF THE CHNA FINDINGS, ASSESSMENT COMMITTEE MEMBERS PARTICIPATED IN A STRUCTURED PRIORITIZATION PROCESS TO IDENTIFY CROSS-CUTTING THEMES ACROSS THE THREE ASSESSMENTS. NINE THEMES WERE INITIALLY IDENTIFIED AND RANKED BY LEVEL OF CONCERN. THESE THEMES WERE FURTHER REFINED INTO TEN SIGNIFICANT NEEDS: MENTAL HEALTH; SOCIAL CONNECTION; BELONGING; SUBSTANCE USE; HOUSING; FINANCIAL INSECURITY; CHILDCARE; FOOD INSECURITY; HEALTH CARE ACCESS; AND HEALTH CARE TRANSPORTATION. THE CMA ASSESSMENT COMMITTEES REVIEWED THESE NEEDS AND ORGANIZED THEM INTO THREE DISTRICT-WIDE PRIORITY AREAS WITH DEFINED GOALS AND MEASURABLE OBJECTIVES TO COMPREHENSIVELY ADDRESS THE IDENTIFIED NEEDS AND ADVANCE HEALTH EQUITY.THE FIRST PRIORITY AREA, COMMUNITY CONNECTION, FOCUSES ON MENTAL HEALTH, SOCIAL CONNECTION, BELONGING, AND SUBSTANCE USE. GOALS INCLUDE INCREASING OVERALL MENTAL WELLBEING AND REDUCING DRUG USE AMONG RESIDENTS OF BENTON, SHERBURNE, AND STEARNS COUNTIES. STRATEGIES EMPHASIZE PREVENTION, EARLY INTERVENTION, STRENGTHENING COMMUNITY-BASED PARTNERSHIPS, AND PROMOTING INITIATIVES THAT FOSTER CONNECTION AND A SENSE OF BELONGING.THE SECOND PRIORITY AREA, COMMUNITY STABILITY, ADDRESSES HOUSING, FINANCIAL INSECURITY, CHILDCARE, AND FOOD INSECURITY. GOALS INCLUDE SUPPORTING THE DEVELOPMENT AND IMPLEMENTATION OF FAMILY RESOURCE CENTERS AND PROMOTING THE USE AND ANALYSIS OF DATA TO BETTER UNDERSTAND ROOT CAUSES, PRIORITIZING COMMUNITIES AND GROUPS MOST IMPACTED. EFFORTS FOCUS ON UPSTREAM SOCIAL DETERMINANTS OF HEALTH INTERVENTIONS, CROSS-SECTOR COLLABORATION, AND TARGETED STRATEGIES TO REDUCE DISPARITIES AND IMPROVE LONG-TERM STABILITY FOR FAMILIES.THE THIRD PRIORITY AREA, COMMUNITY ACCESS, ADDRESSES HEALTH CARE ACCESS, INCLUDING TRANSPORTATION, INSURANCE, AND SERVICE AVAILABILITY. GOALS INCLUDE PROMOTING PREVENTIVE CARE AND ENHANCING AND EXPANDING MOBILE CLINIC OFFERINGS IN RURAL AND UNDERSERVED AREAS FOR ACUTE CARE, PRIMARY CARE, SCREENINGS, AND VACCINATIONS. STRATEGIES INCLUDE EXPANDING OUTREACH SERVICES, STRENGTHENING TRANSPORTATION PARTNERSHIPS, AND IMPROVING NAVIGATION SUPPORT TO ENSURE INDIVIDUALS CAN ACCESS TIMELY AND APPROPRIATE CARE.AT THIS TIME, THE HOSPITAL FACILITY IS ADDRESSING ALL TEN SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THROUGH ALIGNMENT WITHIN THESE THREE PRIORITY AREAS. WHILE CERTAIN UPSTREAM FACTORSSUCH AS HOUSING DEVELOPMENT AND CHILDCARE INFRASTRUCTUREREQUIRE MULTI-SECTOR LEADERSHIP BEYOND THE HOSPITAL'S DIRECT CONTROL, THE HOSPITAL SUPPORTS THESE EFFORTS THROUGH PARTNERSHIP, CONVENING, ADVOCACY, DATA ANALYSIS, AND RESOURCE ALIGNMENT. THROUGH THIS STRUCTURED AND COLLABORATIVE APPROACH, THE 20252028 CHIP COMPREHENSIVELY ADDRESSES THE NEEDS IDENTIFIED IN THE CHNA IN ALIGNMENT WITH REGULATORY REQUIREMENTS AND COMMUNITY PRIORITIES.
CENTRACARE HEALTH - MELROSEPART 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 - MELROSEPART 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 - MELROSEPART 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/A4622694-073F-4383-8820-BCB2B80A1B15/2025-2028-CMA-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-AND-NEEDS-ASSESSMENT.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/A4622694-073F-4383-8820-BCB2B80A1B15/2025-2028-CMA-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-AND-NEEDS-ASSESSMENT.PDF
PART V, SECTION B, LINE 16AHTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/0093F50D-7846-41F1-88FA-B01DEF0825ED/FINANCIAL-ASSISTANCE-POLICY-ENGLISH.PDF
PART V, SECTION B, LINE 16BHTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/4C3FF34C-7205-4138-B43E-B1913AC8562B/FINANCIAL-ASSISTANCE-APPLICATION-2024.PDF
PART V, SECTION B, LINE 16CHTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/44362464-4F68-4C78-8452-A3D22ABB223F/CENTRACARE-FA-SUMMARY-ENGLISH.PDF
PART V, SECTION B, LINE 22BTHE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 SECTION 7 REGARDING SCHEDULE H, PART V, LINE 22B.CENTRACARE HEALTH SYSTEM MELROSE ("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). ASREQUIRED, 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.
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Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 838,844.
PART II, COMMUNITY BUILDING ACTIVITIES:THE ORGANIZATION'S COMMUNITY-BUILDING ACTIVITIES PROMOTED HEALTH BY CREATING STRONG PARTNERSHIPS AND FOSTERING ENGAGEMENT ACROSS SECTORS TO ADDRESS ROOT CAUSES OF HEALTH INEQUITIES. THROUGH THE CENTRAL MN ALLIANCE, HOSPITALS COLLABORATED WITH LOCAL PUBLIC HEALTH, SCHOOLS, NONPROFITS, AND FAITH-BASED GROUPS TO IMPLEMENT STRATEGIES FOCUSED ON BUILDING FAMILIES AND MENTAL HEALTH. ACTIVITIES INCLUDED HOSTING EDUCATIONAL CLASSES ON CHILDBIRTH, BREASTFEEDING, DIABETES, AND CAR SEAT SAFETY; SUPPORTING MENTAL HEALTH INITIATIVES LIKE THE BOUNCE BACK PROJECT; AND PROVIDING CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH PROMOTION MATERIALS. HOSPITALS ALSO OPENED THEIR FACILITIES FOR COMMUNITY USE, PARTNERED ON BROADBAND ADVOCACY TO IMPROVE TELEHEALTH ACCESS, AND WORKED WITH ORGANIZATIONS TO ADDRESS SOCIAL DETERMINANTS SUCH AS FOOD INSECURITY AND SENIOR WELLNESS. THESE EFFORTS STRENGTHENED SOCIAL CONNECTIONS, INCREASED ACCESS TO PREVENTIVE CARE, AND ENHANCED RESILIENCE, ULTIMATELY IMPROVING HEALTH OUTCOMES AND EQUITY IN THE COMMUNITIES SERVED.
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:IN ADDITION TO THE FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS CONDUCTED THROUGH THE COLLABORATIVE WORK OF CENTRACARE AND THE CENTRAL MINNESOTA ALLIANCE, THE ORGANIZATION CONTINUOUSLY ASSESSES COMMUNITY HEALTH NEEDS THROUGH ONGOING ENGAGEMENT WITH COMMUNITY PARTNERS, PUBLIC HEALTH AGENCIES, CLINICAL TEAMS, AND SOCIAL SERVICE ORGANIZATIONS. CENTRACARE MONITORS POPULATION HEALTH TRENDS, SERVICE UTILIZATION DATA, AND SOCIAL DRIVERS OF HEALTH SCREENING INFORMATION, AND GATHERS FEEDBACK THROUGH COMMUNITY PARTNERSHIPS, OUTREACH PROGRAMS, AND STAKEHOLDER DISCUSSIONS TO BETTER UNDERSTAND EMERGING NEEDS. THESE ADDITIONAL ASSESSMENT ACTIVITIES HELP INFORM PROGRAM PLANNING, RESOURCE ALLOCATION, AND STRATEGY DEVELOPMENT BEYOND THE PERIODIC CHNA CYCLE, ENSURING THE ORGANIZATION MAINTAINS AWARENESS OF EVOLVING COMMUNITY HEALTH CONDITIONS AND CAN RESPOND TO CHANGING HEALTH PRIORITIES OVER TIME.
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 MELROSE HOSPITAL SERVES THE CITY OF MELROSE AND THE SURROUNDING RURAL COMMUNITIES OF WESTERN STEARNS COUNTY IN CENTRAL MINNESOTA. THE HOSPITAL FUNCTIONS AS A CRITICAL ACCESS POINT FOR A SMALL CITY POPULATION AND NEARBY TOWNSHIP RESIDENTS WHO OFTEN RELY ON LOCAL SERVICES FOR BOTH ROUTINE AND URGENT CARE DUE TO GEOGRAPHIC DISTANCE FROM LARGER URBAN MEDICAL CENTERS, INCLUDING ST. CLOUD. AS A RURAL HEALTHCARE HUB, THE HOSPITAL SUPPORTS A COMMUNITY WITH HEALTHCARE NEEDS CENTERED ON PRIMARY CARE ACCESS, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND SENIOR HEALTH SERVICES.STEARNS COUNTY HAS A TOTAL POPULATION OF 160,977 RESIDENTS, REFLECTING STEADY GROWTH OVER RECENT YEARS. APPROXIMATELY 65% OF THE POPULATION IS BETWEEN THE AGES OF 18 AND 64, WITH THE LARGEST COHORT IN THE 2029-YEAR-OLD RANGE. AT THE SAME TIME, THE REGION REFLECTS CHARACTERISTICS OF RURAL CENTRAL MINNESOTA, INCLUDING A RELATIVELY STABLE BUT AGING POPULATION, INCREASING THE DEMAND FOR SERVICES THAT ADDRESS CHRONIC CONDITIONS AND AGE-RELATED HEALTH NEEDS. THE GENDER DISTRIBUTION IS 51% MALE AND 49% FEMALE.THE POPULATION IS PREDOMINANTLY WHITE (83%), WITH 17% IDENTIFYING AS PEOPLE OF COLOR. APPROXIMATELY 8% IDENTIFY AS BLACK OR AFRICAN AMERICAN, 1.9% AS ASIAN OR PACIFIC ISLANDER, LESS THAN 1% AS NATIVE AMERICAN OR ALASKA NATIVE, AND 2.9% AS MULTIRACIAL. HISPANIC RESIDENTS REPRESENT 3.8% OF THE POPULATION. THESE DEMOGRAPHIC TRENDS HIGHLIGHT THE IMPORTANCE OF CULTURALLY RESPONSIVE CARE AND EQUITABLE ACCESS TO SERVICES ACROSS THE SERVICE AREA.SOCIOECONOMIC INDICATORS DEMONSTRATE OVERALL STABILITY WITH AREAS OF ONGOING NEED. THE MEDIAN HOUSEHOLD INCOME IS $74,709, AND THE MEDIAN HOME VALUE IS $256,500, WITH 69% OF HOMES OWNER-OCCUPIED. ABOUT 11.2% OF RESIDENTS LIVE BELOW THE POVERTY LINE, INCLUDING 13% OF INDIVIDUALS UNDER AGE 18 AND 12% OF ADULTS AGE 65 AND OLDER. THE COUNTY'S UNEMPLOYMENT RATE IS APPROXIMATELY 4.5%, WITH NEARLY 86,000 INDIVIDUALS EMPLOYED ACROSS MORE THAN 4,600 BUSINESSES. EDUCATIONAL ATTAINMENT IS STRONG, WITH A 94.2% HIGH SCHOOL GRADUATION RATE AND 30.2% OF RESIDENTS HOLDING A BACHELOR'S DEGREE OR HIGHER.MOST RESIDENTS COMMUTE BETWEEN 10 AND 19 MINUTES DAILY, WITH A MEAN TRAVEL TIME OF 23.2 MINUTES, REINFORCING THE IMPORTANCE OF ACCESSIBLE LOCAL HEALTHCARE SERVICES. AS A RURAL HEALTHCARE CENTER, CENTRACARE MELROSE HOSPITAL PLAYS A VITAL ROLE IN ENSURING THAT RESIDENTS OF MELROSE AND WESTERN STEARNS COUNTY HAVE TIMELY ACCESS TO PREVENTIVE CARE, ACUTE SERVICES, AND ONGOING MANAGEMENT OF CHRONIC CONDITIONS CLOSE TO HOME.
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 STATESMN

Schedule I IRS990ScheduleI

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Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

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Recipient Business Name RecipientBusinessName

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Business Name Line1DOUGLAS COUNTY HOSPITALBusinessNameLine1Txt

US Address USAddress

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CityALEXANDRIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56308ZIPCd
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Recipient EIN411410148RecipientEIN
IRC SectionGOVERMENT ENTITYIRCSectionDesc
Cash Grant$1,593,497CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantCOMMUNITY BENEFITS IN THE ALEXANDRIA AREAPurposeOfGrantTxt
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Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CLASSES ARE POSTED AS "POSITIONS" ON THE WEBSITE THAT PEOPLE CAN APPLY TO. THE APPLICATIONS ARE SCREENED BY RECRUITMENT AND IF SELECTED, SET UP FOR AN INTERVIEW WITH THE HIRING MANAGER AT THE SITE. IF THE HIRING MANAGER WISHES TO PROCEED, THEY ARE OFFERED A POSITION BY THE RECRUITER TO TAKE THE CNA CLASS BUT THEN ALSO TO TAKE A PART TIME OR FULL TIME POSITION AS A CNA IN ONE OF OUR ENTITIES ONCE THEY COMPLETE THE CLASS, SKILLS, AND TEST. ANYONE THAT APPLIES AND IS NOT SELECTED, THE RECRUITMENT TEAM WOULD HAVE NOTES AND TRACKING ITEMS FOR THIS IN ORACLE.ExplanationTxt

Schedule J IRS990ScheduleJ

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Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH HOLMEN
PRESIDENT/CEO$0$1,275,014$0$305,083$0$341,048$0$10,350$0$38,034$0$1,969,529$0$318,062
JOY PLAMANN
CHIEF OPERATING OFFICER/SR VP$0$764,018$0$141,253$0$74,309$0$167,430$0$27,913$0$1,174,923$0$53,269
MICHAEL BLAIR
CHIEF FINANCIAL OFFICER/SR VP/ TREAS$0$582,015$0$251,104$0$164,090$0$128,404$0$28,207$0$1,153,820$0$85,554
SANTO CRUZ
CHIEF LEGAL OFFICER/SR VP/ SECRETARY$0$462,381$0$251,135$0$161,460$0$105,106$0$31,799$0$1,011,881$0$69,200
THOMAS SCHRUP
CHIEF PHYSICIAN OFFICER/EVP$0$623,207$0$111,782$0$104,302$0$134,657$0$22,407$0$996,355$0$102,322
CINDY SMITH
FORMER KEY EMPLOYEE$0$607,298$0$94,768$0$163,180$0$9,240$0$24,134$0$898,620$0$0
JACOB LYONS
DIRECTOR (START 07.01.2024)$0$684,422$0$38,154$0$300$0$10,350$0$28,114$0$761,340$0$0
AMY PORWOLL
CHIEF INFORMATION SYSTEM OFFICER/SR$0$447,379$0$71,245$0$108,479$0$90,320$0$24,247$0$741,670$0$84,189
PATRICK HELLER
PHYSICIAN$0$605,124$0$44,398$0$1,290$0$10,350$0$27,781$0$688,943$0$0
BRYAN ROLPH
DIRECTOR$0$547,561$0$23,764$0$1,290$0$8,475$0$43,332$0$624,422$0$0
MICHAEL BESTE
PHYSICIAN$0$429,019$0$32,532$0$270$0$6,371$0$30,457$0$498,649$0$0
LINDSEY CHMIELEWSKI
PHYSICIAN$0$387,886$0$24,516$0$23,282$0$6,977$0$33,628$0$476,289$0$0
RICHARD WEHSELER
DIRECTOR$0$367,730$0$14,309$0$834$0$7,712$0$30,431$0$421,016$0$0
ANTHONY GARDNER
FORMER KEY EMPLOYEE$0$315,931$0$0$0$27,370$0$4,391$0$11,385$0$359,077$0$0
JULIE KLASEN
PHYSICIAN$0$288,365$0$17,567$0$264$0$7,464$0$31,867$0$345,527$0$0
BOBBIE BERTRAM
DIRECTOR$0$243,745$0$24,499$0$36,949$0$3,503$0$35,274$0$343,970$0$0
KIMBERLY EGAN
CHIEF HUMAN RESOURCES OFFICER/SR VP$0$234,822$0$50,000$0$3,462$0$52,063$0$3,428$0$343,775$0$0
JENNIFER TSCHIDA
HOSPITAL PRESIDENT$0$235,148$0$18,112$0$43,857$0$5,179$0$31,815$0$334,111$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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 4BTHE 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 7THE 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER IS CENTRACARE HEALTH SYSTEM, A MINNESOTA NON-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AALL BOARD MEMBERS ARE APPOINTED BY CENTRACARE HEALTH SYSTEM, THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11BTHE 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 12CTHE 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 15THE 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 ON JUNE 12, 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 19THE 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRACARE HEALTH SYSTEM
1406 6TH AVENUE NORTHST CLOUDMN56303411813221INTEGRATED HEALTH SYSTEMMN501(C)(3)3N/A0
ST CLOUD HOSPITAL
1406 6TH AVENUE NORTHST CLOUDMN56303410695596ACUTE/LT CAREMN501(C)(3)30CENTRACARE HEALTH SYSTEM
CENTRACARE CLINIC
1200 6TH AVENUE NORTHST CLOUDMN56303411806657MULTI-SPECIALTYMN501(C)(3)3Yes (1)CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
50 CENTRACARE DRIVELONG PRIAIREMN56347411924645ACUTE/LT CAREMN501(C)(3)3Yes (1)CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH SYSTEM - SAUK CENTRE
425 ELM STREET NORTHSAUK CENTREMN56378452438973ACUTE/LT CAREMN501(C)(3)3Yes (1)CENTRACARE HEALTH SYSTEM
CUSHMAN ALBERT RICE TRUST
1100 WEST ST GERMAIN STREETST CLOUDMN56303416019335SUPPORT FOR CENTRACARE RICE MEMORIAL HOSPITALMN501(C)(3)12A, I0CENTRACARE RICE MEMORIAL HOSPITAL
CENTRACARE HEALTH FOUNDATION
1406 6TH AVENUE NORTHST CLOUDMN56303411855173FUNDRAISINGMN501(C)(3)70CENTRACARE HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CENTRAL IMAGING LLC
1406 6TH AVENUE NORTHST CLOUDMN56303822580688IMAGING SERVICESMNN/A00
MONTICELLO CANCER CENTER LLC
1001 HART BOULEVARD SUITE 50MONTICELLOMN55362261909519RADIATION & ONCOLOGY SERVICESMNN/A00
CENTRACARE PHARMACY SERVICES LLC
1406 6TH AVENUE NORTHST CLOUDMN56303411620618PHARMACY SERVICESMNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
AFFILIATED COMMUNITY MEDICAL CENTERS PA
301 BECKER AVENUE SOUTHWESTWILLMARMN56201410850702INVESTMENTSMNN/AC0
CENTRACARE HOLDINGS INC
1406 6TH AVENUE NORTHST CLOUDMN56303472688595INVESTMENTSMNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd