2026-05-12T10:16:51-05:00 2025-06-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2024-07-01 411865315 CENTRACARE HEALTH SYSTEM - MELROSE CENT 3202564231 525 MAIN STREET WEST MELROSE MN 56352 JOY PLAMANN CHIEF OPERATING OFFICER, SVP 3202564231 2026-05-08 1 0 MORGAN SEVERSON P02279974 6123974000 2024 2025-03-06 01:10:19Z CENTRACARE MELROSE DR KENNETH HOLMEN 525 MAIN STREET WEST MELROSE MN 56352 54598987 0 X WWW.CENTRACARE.COM X 1997 MN WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 14 9 0 9 0 0 111840 205756 50090265 49341878 607133 3565059 617101 723771 51426339 53836464 877950 1598147 0 0 25104294 23948785 0 0 0 19969138 17521011 45951382 43067943 5474957 10768521 69907565 80514761 6171109 5352680 63736456 75162081 WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 30361848 1598147 42940924 CENTRACARE - 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. 5477402 6746615 CENTRACARE - 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. 35839250 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 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 PATRICK HELLER PHYSICIAN 40.00 0.00 X 0 650812 38131 MICHAEL BESTE PHYSICIAN 40.00 0.00 X 0 461821 36828 LINDSEY CHMIELEWSKI PHYSICIAN 40.00 0.00 X 0 435684 40605 JULIE KLASEN PHYSICIAN 40.00 0.00 X 0 306196 39331 JENNIFER TSCHIDA HOSPITAL PRESIDENT 40.00 0.00 X 0 297117 36994 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 11958322 1272595 0 1 1 0 WEST CENTRAL ANESTHESIA PC 36497 230TH AVE ALBANY MN 56307 ANESTHESIA SERVICE 846319 AVEL ECARE LLC 4500 N LEWIS AVE SIOUX FALLS SD 57104 TELEMEDICINE 317544 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W STE 300 SAN DIEGO CA 92121 STAFFING AGENCY 189385 CURA OF MELROSE 525 MAIN ST W MELROSE MN 56352 PROPERTY RENTAL 111252 5 23477 177450 4829 205756 PATIENT & RESIDENT REV 622110 48990247 48990247 SENIOR HOUSING REVENUE 623311 305142 305142 OTHER PROGRAM REVENUE 622110 46489 46489 49341878 3565059 3565059 1621362 762523 858839 858839 GAIN/LOSS ON JOINT VEN 900099 345661 345661 LOSS ON SALE OF A/R 900099 -480729 -480729 -135068 53836464 49687539 0 3943169 1597147 1597147 1000 1000 1263308 985380 277928 17223976 13434701 3789275 537084 418926 118158 4225397 3295810 929587 699020 545236 153784 4049 3158 891 1135214 1425904 -290690 8035 6267 1768 12854 10026 2828 4273097 3333016 940081 579481 451995 127486 32133 25064 7069 71951 56122 15829 778617 607321 171296 2530841 1974056 556785 214014 166931 47083 DRUGS/MEDICAL SUPPLIES 4560556 4560556 EQUIPMENT RENT & MAINT. 1557556 1214894 342662 IMPLICIT PRICE CONCES. 838844 838844 MEDICAID & MNCARE 756170 756170 167599 130726 36873 43067943 35839250 7228693 0 1005 1005 3681078 1161928 6115613 7350859 200448 235761 62368 118925 58949628 37278044 23955661 21671584 34380428 38251325 966764 911699 544200 10811675 69907565 80514761 3476959 4011458 2694150 1341222 6171109 5352680 X 63736456 75162081 0 0 63736456 75162081 69907565 80514761 10768521 657104 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 1265 1265 0 PART II-B, LINE 1: CENTRACARE - 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. 517250 517250 42196367 23302066 18894301 134118 132047 2071 16101893 13843931 2257962 21671584 INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS 38251325 F 38251325 OTHER RECEIVABLES 271994 OPERATING LEASED ASSETS 547267 DUE FROM AFFILIATES 9992414 10811675 THIRD PARTY PAYOR SETTLEMENTS 511332 LEASE LIABILITIES 547266 ASSET RETIREMENT OBLIGATION 282624 1341222 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 145457 145457 0.00340 5765020 5298952 466068 0.01100 5910477 5298952 611525 0.01440 124348 30877 93471 0.00220 15207810 14678268 529542 0.01250 1597147 1597147 0.03780 16929305 14709145 2220160 0.05250 22839782 20008097 2831685 0.06690 4466 4466 0.00010 4466 4466 0.00010 1 838844 0 6268311 6322233 -53922 X 1 1 1 1 CENTRACARE HEALTH - MELROSE 525 MAIN STREET WEST MELROSE MN 56352 WWW.CENTRACARE.COM/LOCATIONS/MELROSE/ 419631 X X X X RURAL HEALTH CLINIC, NURSING HOME CENTRACARE HEALTH - MELROSE 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 CENTRACARE HEALTH - MELROSE PART 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 - MELROSE PART 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 - MELROSE PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - MELROSE CONDUCTED THE CHNA WITH CENTRACARE- PAYNESVILLE, CENTRACARE- SAUK CENTRE, AND ST. CLOUD HOSPITAL. CENTRACARE HEALTH - MELROSE PART 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 - MELROSE PART 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 - MELROSE 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 - MELROSE 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 - MELROSE 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/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 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 PART V, SECTION B, LINE 22B THE 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. 1 1 - MELROSE CLINIC 525 MAIN STREET WEST MELROSE MN 56352 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 $ 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 STATES MN 1 DOUGLAS COUNTY HOSPITAL 610 30TH AVE W ALEXANDRIA MN 56308 411410148 GOVERMENT ENTITY 1593497 0 COMMUNITY BENEFITS IN THE ALEXANDRIA AREA 0 1 PART I, LINE 2: THE 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. 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 PATRICK HELLER PHYSICIAN 0 605124 0 44398 0 1290 0 10350 0 27781 0 688943 0 0 BRYAN ROLPH DIRECTOR 0 547561 0 23764 0 1290 0 8475 0 43332 0 624422 0 0 MICHAEL BESTE PHYSICIAN 0 429019 0 32532 0 270 0 6371 0 30457 0 498649 0 0 LINDSEY CHMIELEWSKI PHYSICIAN 0 387886 0 24516 0 23282 0 6977 0 33628 0 476289 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 JULIE KLASEN PHYSICIAN 0 288365 0 17567 0 264 0 7464 0 31867 0 345527 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 JENNIFER TSCHIDA HOSPITAL PRESIDENT 0 235148 0 18112 0 43857 0 5179 0 31815 0 334111 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 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 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 - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRIAIRE MN 56347 411924645 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 0 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 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0