2024-05-15T00:48:22-05:00 2023-06-30 861065772 DELOITTE TAX LLP 111 S WACKER DRIVE CHICAGO IL 60606 990 2022-07-01 410695596 ST CLOUD HOSPITAL STCL 3202512700 1406 SIXTH AVENUE NORTH ST CLOUD MN 563031901 MICHAEL A BLAIR CFO/TREASURER 3202512700 2024-05-08 1 MICHAEL BLAIR 999009999 0 MONIKA YADAV P01473820 3124861000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOY PLAMANN 1406 SIXTH AVENUE NORTH ST CLOUD MN 563031901 1087365516 0 X WWW.CENTRACARE.COM X 1962 MN WE'RE HERE FOR YOUR WHOLE LIFE - TO LISTEN THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 15 9 0 594 1519862 0 18568380 7605701 965988723 982965931 117921118 16102986 38567603 36454405 1141045824 1043129023 625924 524398 0 0 548979557 558652442 0 0 0 435340514 439136778 984945995 998313618 156099829 44815405 1344826189 1302999611 377329095 265711645 967497094 1037287966 X WE'RE HERE FOR YOUR WHOLE LIFE - TO LISTEN THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 784215258 524398 950548432 CENTRACARE HEALTH IS PRIMARILY ENGAGED IN SUPPORTING AND DIRECTING HEALTHCARE DELIVERY THROUGH ITS AFFILIATED ENTITIES. CENTRACARE OPERATES AS THE PARENT CORPORATION TO THE SAINT CLOUD HOSPITAL WHICH STRIVES TO IMPROVE THE QUALITY AND EXPAND THE CLINICAL SCOPE OF, ENHANCE ACCESS TO, AND ASSURE AFFORDABILITY OF, HEALTH SERVICES FOR RESIDENTS IN THE ST. CLOUD AREA AND CENTRAL MINNESOTA. THESE AIMS ARE SUPPORTED BY CENTRACARE'S COMMITMENT TO ADVANCE MEDICAL EDUCATION, TRAINING AND RESEARCH. AS A HIGH QUALITY REGIONAL MEDICAL CENTER, ST CLOUD HOSPITAL PROVIDES A BROAD RANGE OF ACUTE INPATIENT SERVICES. WITH 489 LICENSED INPATIENT BEDS, ST CLOUD HOSPITAL CARED FOR 23,138 INPATIENT ADMISSIONS WITH 111,328 ASSOCIATED PATIENT DAYS DURING FISCAL 2023. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL CARE, BIRTHING SERVICES, CHILDREN'S SERVICES INCLUDING NEONATAL INTENSIVE CARE AND PEDIATRIC INTENSIVE CARE, BEHAVIORAL HEALTH CARE SERVICES FOR ADULTS AND ADOLESCENTS, ALONG WITH SPECIALIZED CARE IN CARDIOLOGY, NEUROSCIENCES, NEUROSURGERY, ORTHOPEDICS AND REHABILITATION SERVICES. 32438133 32417499 AS PART OF THE ST CLOUD HOSPITAL, ST BENEDICTS SENIOR COMMUNITY PROVIDES RESIDENTIAL HEALTH CARE SERVICES INCLUDING INDEPENDENT LIVING, ASSISTED LIVING AND SHORT AND LONG TERM SKILLED NURSING SERVICES. IN FISCAL 2023 THERE WERE 198 SKILLED STAFFED BEDS AND RESIDENT DAYS OF 37,656. SHORT STAY SKILLED SERVICES INCLUDE AN EXTENSIVE REHABILITATIVE CARE PROGRAM WITH THE GOAL OF ENABLING RESIDENTS TO RETURN TO THEIR HOMES. IN FISCAL 2023 THERE WERE 383 HOUSING UNITS AND TENANT DAYS OF 127,230. ASSISTED LIVING AND INDEPENDENT LIVING COMMUNITIES ARE DESIGNATED AS HOUSING WITH SERVICES. HOMECARE SERVICES ARE PROVIDED TO THESE TENANTS ON A BASE RATE PLUS POINTS SYSTEM. AS A HIGH QUALITY REGIONAL MEDICAL CENTER, ST CLOUD HOSPITAL PROVIDES A BROAD RANGE OF OUTPATIENT SERVICES. OUTPATIENT ENCOUNTERS DURING FISCAL YEAR 2023 WERE 362,801 AND INCLUDED EMERGENCY ROOM SERVICES, BEHAVIORAL HEALTH CARE, CANCER TREATMENT, DIALYSIS, IMAGING PROCEDURES, DIAGNOSTIC HEART PROCEDURES, REHABILITATION THERAPY, SAME DAY SURGERY AND OTHER AMBULATORY CARE SERVICES. 816653391 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 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 NORTH ST CLOUD MN 563031901 KENNETH HOLMEN PRESIDENT/CEO 7.00 33.00 X X 0 1695149 66805 JACOB EILER DIRECTOR 2.00 38.00 X 0 753661 68665 EDWARD MARTIN-CHAFFEE DIRECTOR 2.00 38.00 X 0 681455 76089 SHANNON CABRERA DIRECTOR 40.00 0.00 X 0 466118 48155 ALBERT MERCURI DIRECTOR 2.00 38.00 X 0 427665 37105 NATHAN LEE DIRECTOR 2.00 38.00 X 0 387178 35941 RENEE FRAUENDIENST CHAIR 2.00 0.00 X X 0 10000 0 EILEEN DAUER DIRECTOR 2.00 0.00 X 0 1875 0 BOB THUERINGER DIRECTOR 2.00 0.00 X 0 0 0 COLLEEN QUINLIVAN DIRECTOR 2.00 0.00 X 0 0 0 JOE BERGSTROM DIRECTOR 2.00 0.00 X 0 0 0 MARY JEPPERSON DIRECTOR 2.00 0.00 X 0 0 0 PATRICIA SNIEZEK DIRECTOR 2.00 0.00 X 0 0 0 RYAN DANIEL DIRECTOR 2.00 0.00 X 0 0 0 SHONDA CRAFT DIRECTOR 2.00 0.00 X 0 0 0 JOY PLAMANN PRESIDENT 7.00 33.00 X 0 820436 40069 MICHAEL BLAIR CFO/SR VP/TREASURER 7.00 33.00 X 0 707279 73386 SANTO CRUZ CLO/SR VP/ SECRETARY 7.00 33.00 X 0 534452 51904 THOMAS SCHRUP CPO/EVP 20.00 20.00 X 0 778663 56287 JOSEPH KALKMAN CAO/SR VP 20.00 20.00 X 0 695205 75913 MARK MATTHIAS VICE PRESIDENT 22.00 18.00 X 0 605760 54008 CATHERINE GREENLEE VICE PRESIDENT 20.00 20.00 X 0 300398 41032 JEFFREY GERDES PHYSICIAN 40.00 0.00 X 0 1536843 58062 JERONE KENNEDY PHYSICIAN 40.00 0.00 X 0 1058778 78714 NATHANIEL CASTRO PHYSICIAN 40.00 0.00 X 0 998854 22679 GILBERT CADENA PHYSICIAN 40.00 0.00 X 0 955270 50999 CHRISTOPHER LEVILLE PHYSICIAN 40.00 0.00 X 0 961173 28348 CRAIG BROMAN FORMER OFFICER 0.00 0.00 X 0 384531 0 0 14760743 964161 0 1 1 0 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 753123519 TRAVEL NURSES 34334236 MEDLINE INDUSTRIES LP DEPT CH 14400 PALATINE IL 600554400 MEDICAL SUPPLIES 22627507 MCGOUGH CONSTRUCTION CO LLC 2737 FAIRVIEW AVE N ST PAUL MN 55113 CONSTRUCTION/REPAIR 7206691 SHIELDS HEALTH SOLUTIONS PO BOX 844023 BOSTON MA 02284 MANAGEMENT SERVICES 4031510 MARCO TECHNOLOGIES LLC PO BOX 1450 MINNEAPOLIS MN 55485 OFFICE EQUIPMENT 987818 42 1159958 4742706 1703037 7605701 PATIENT & SVC REVENUE 621110 974058074 974058074 FOOD SALES 621110 4631770 4631770 OTHER PROGRAM REVENUE 621110 4276087 2756225 1519862 982965931 15897116 15897116 3792812 3792812 0 0 400220 194350 205870 205870 205870 68495712 40249331 28246381 28246381 GAIN ON INT RATE SWAP 900099 8208024 8208024 8208024 1043129023 981446069 1519862 52557391 483461 483461 40937 40937 8036945 6075266 1961679 433942286 328024469 105917817 16586697 12538171 4048526 76155330 57567129 18588201 23931184 18089995 5841189 70795 53515 17280 51 39 12 83872420 71694292 12178128 123207 93134 30073 1445509 1092685 352824 39411739 29792014 9619725 8171082 6176662 1994420 1100051 831548 268503 522207 394745 127462 12856397 9718373 3138024 48718605 36827235 11891370 3109455 2350491 758964 DRUGS/MEDICAL SUPPLIES 188970020 188970020 EQUIPMENT RENT & MAINT. 16290572 12314325 3976247 MEDICAID/MNCARE 15664375 15664375 IMPLICIT PRICE CONCES. 14919058 14919058 3891235 2941452 949783 998313618 816653391 181660227 0 20232 20232 22454751 21239100 150114519 138654421 26544075 25389285 8916495 5752496 1136502165 705685416 442047036 430816749 676824651 410959790 170000 170000 17734430 269997538 1344826189 1302999611 106910379 87251050 238922 346398 115692601 113310000 154487193 64804197 377329095 265711645 X 967497094 1037287966 967497094 1037287966 1344826189 1302999611 X 44815405 25403671 -428204 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 26276 26276 0 PART II-B, LINE 1: ST. CLOUD HOSPITAL AND ST. BENEDICTS SENIOR COMMUNITY PAID $26,276 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE SAID ASSOCIATIONS. 17172374 17172374 703839057 375247793 328591264 1934006 1131368 802638 413556728 329306255 84250473 430816749 DUE FROM AFFILIATES 243967395 OPERATING LEASED ASSETS 13644635 OTHER ASSETS 1924054 OTHER RECEIVABLES 10461454 269997538 THIRD PARTY PAYOR SETTLEMENTS 5329601 INTEREST RATE SWAP AGREEMENTS 11556880 ACCRUED PENSION LIABILITY 30003887 EXECUTIVE BENEFIT ACCRUAL 184548 ASSET RETIREMENT OBLIGATION 1074366 SETTLEMENTS RESERVE 2594088 OPERATING LEASE LIABILITY 14060827 64804197 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 2132888 2132888 0.00220 164853142 124235554 40617588 0.04130 166986030 124235554 42750476 0.04350 1690228 18401 1671827 0.00170 9150617 3138849 6011768 0.00610 11853 7212 4641 0.00000 557328 276798 280530 0.00030 226250 226250 0.00020 11636276 3441260 8195016 0.00830 178622306 127676814 50945492 0.05180 9024 9024 0.00000 5384 5384 0.00000 168556 168556 0.00020 182964 182964 0.00020 1 14919058 0 222175934 218123284 4052650 X 1 1 1 1 ST CLOUD HOSPITAL 1406 6TH AVENUE NORTH ST CLOUD MN 563031901 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 414907 X X X X REHAB, PSYCH, HOME HEALTH, HOSPICE, AND RENAL DIALYSIS ST CLOUD HOSPITAL 1 0 0 1 X X X X X X X X X X 21 1 1 1 1 X SEE PART V, PAGE 8 X 1 21 1 SEE SECTION C SUPPLEMENTAL DISCLOSURES 0 1 X 175.000000000000 250.000000000000 X X 1 1 X X X 1 X WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X X 1 X 0 0 ST. CLOUD HOSPITAL PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE CHNA AND PREPARE THE IMPLEMENTATION STRATEGY WHICH WE CALLED THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDES A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND SEVERAL COMMUNITY MEETINGS TO GATHER INFORMATION ON FORCES THAT CREATE HEALTH, TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO OVERCOME BARRIERS TO HEALTHY LIVING. THE CHNA INCLUDED A HEALTH EQUITY ASSESSMENT AND INFORMATION ON NATIONAL, STATE, AND OTHER LOCAL PLANNING PROCESSES RELATED TO HEALTH.AS A FOLLOW UP TO 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. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 5: CENTRACARE POPULATION HEALTH CONDUCTED SPECIFIC AND COMPREHENSIVE EVALUATION OF ZIP CODE 56304 THAT HAS THE WORST HEALTH OUTCOMES IN THE THREE COUNTIES INCLUDED IN THE CHNA AND CHIP. THIS EVALUATION INCLUDED DATA EVALUATION, KEY INFORMANT INTERVIEWS, AND HEALTH INDICATORS FOR MINORITY GROUPS. THE CENTRAL MN ALLIANCE ALSO COMPLETED SEVERAL SURVEYS AND ASSESSMENTS TO GET INPUT FROM MULTIPLE SECTORS OF EACH COMMUNITY REPRESENTING DIFFERENT POPULATIONS IN ORDER TO COMPILE A LIST OF TOP PRIORITIES IN THE REGION:THREE ASSESSMENTS WERE COMPLETED FROM JULY 2021 THROUGH FEBRUARY 2022: COMMUNITY STATUS, COMMUNITY CONTEXT AND COMMUNITY PARTNERS. IT WAS A GOAL TO IMPART MORE EMPHASIS ON WHAT RESULTED FROM THE COMMUNITY CONTEXT AND COMMUNITY PARTNER ASSESSMENTS THAN FROM THE QUANTITATIVE DATA WITHIN THE STATUS ASSESSMENT.THE COMMUNITY CONTEXT ASSESSMENT BUILDS ON THE FORMER COMMUNITY THEMES AND STRENGTHS ASSESSMENT, DIGGING DEEPER TO UNDERSTAND INEQUITIES, FILL IN DATA GAPS FROM THE COMMUNITY STATUS ASSESSMENT, AND EXPLORES THE CONTEXT OF THE COMMUNITY THROUGH THE LENS OF THOSE WITH LIVED EXPERIENCE. THIS ASSESSMENT IS DESIGNED TO MOVE BEYOND PERCEIVED COMMUNITY NEEDS AND PERPETUATION OF DEPENDENCY ON PROGRAMS AND SERVICES TO UNDERSTANDING A COMMUNITY'S STRENGTHS, ASSETS, AND CULTURE, RECOGNIZING THAT ALL COMMUNITIES HAVE A VIBRANCY THAT MUST BE LEVERAGED IN COMMUNITY IMPROVEMENT.COMMITTEE MEMBERS REFLECTED ON THE ABOVE AREAS AND GATHERED INFORMATION FOR EACH OF THEIR RESPECTIVE AGENCIES TO ASSESS THE CONTEXT OF OUR COMMUNITIES WITHIN EACH OF THE DOMAIN AREAS, COMPLETING A CONTEXT COMMITTEE ASSESSMENT, ONE FOR EACH OF THE CMA MEMBERS OF BENTON, STEARNS, SHERBURNE AND CENTRACARE. THIS ASSESSMENT TOOL COMPLETION WAS DEVELOPED THROUGH INFORMATION GATHERING, PARTNERSHIP, COMMUNITY CONVERSATIONS, INDIVIDUAL CONVERSATIONS, AND OBSERVATIONS OF COMMUNITY NEEDS. CMA MEMBERS BROUGHT EACH OF THEIR CONTEXT ASSESSMENT TOOLS BACK TO THE CONTEXT COMMITTEE. THE CONTEXT COMMITTEE IDENTIFIED SHARED FINDINGS, TRENDS, GAPS AND UNIQUE FEATURES FOR EACH OF THE DOMAINS FOR THE REGION. THE CONTEXT COMMITTEE THEN PRESENTED TO THE LARGER LEADERSHIP GROUP WHERE THE GROUP HAD AN OPPORTUNITY TO ASK QUESTIONS, CLARIFY CONCERNS, AND MAKE RECOMMENDATIONS. FOLLOWING THE LEADERSHIP GROUP MEETING, THE CONTEXT COMMITTEE UPDATED THE CONTEXT ASSESSMENT TOOL THAT CAPTURED THE MOST SIGNIFICANT FINDINGS AMONG OUR CMA REGION. THE COMMITTEE TOOK THE FEEDBACK GAINED FROM THE LARGER LEADERSHIP GROUP BACK TO THE CONTEXT COMMITTEE AND COMPLETED AN IMPORTANCE/RELEVANCE PRIORITIZATION ACTIVITY TO IDENTIFY THE TOP DOMAINS WITHIN OUR CENTRAL MINNESOTA ALLIANCE.REPLACING THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA), THE COMMUNITY PARTNER ASSESSMENT PROVIDES STRUCTURE FOR ALL COMMUNITY PARTNERS TO LOOK CRITICALLY WITHIN THEIR OWN SYSTEMS AND PROCESSES, REFLECT ON THEIR ROLE IN THE COMMUNITY'S HEALTH AND WELL-BEING, AND UNDERSTAND THE DEGREE TO WHICH THEY ARE ADDRESSING OR PERPETUATING HEALTH INEQUITIES ACROSS A SPECTRUM OF ACTION RANGING FROM THE INDIVIDUAL TO SYSTEMIC AND STRUCTURAL LEVELS. IT WILL OFFER AN ASSESSMENT INSTRUMENT WHICH, IN CONTRAST TO THE LPHSA, WILL BE INCLUSIVE OF BUT NOT GROUNDED IN THE 10 ESSENTIAL PUBLIC HEALTH SERVICES TO BROADEN ITS RELEVANCE TO COMMUNITY PARTNERS OUTSIDE OF THE HEALTH AND HUMAN SERVICES SECTOR. SINCE THE ASSESSMENT TOOL WAS NOT AVAILABLE FOR OUR GROUP TO UTILIZE DURING THIS TIME FRAME, WE ADAPTED BY CREATING A TABLE WITH THE DOMAIN AREAS. EACH CMA MEMBER WAS RESPONSIBLE TO "ASSESS" PARTNERS IN THEIR GEOGRAPHIC OR SERVICE AREA BY THE 9 DOMAIN AREAS. MEMBERS ATTENDED MEETINGS, RESEARCHED WEBSITES, OBSERVED PARTNERS WITHIN THE COMMUNITY, REVIEWED STRATEGIC DOCUMENTS, COMPLETED SURVEYS, ENGAGED IN ONE-ON-ONE CONVERSATIONS WITH COMMUNITY RESIDENTS AND/OR WITH PARTNERS ON BEHALF OF A COMMUNITY, PROVIDED LIVED EXPERIENCES, AND ATTENDED EVENTS THAT EXEMPLIFIED THE WORK AND MISSION OF THE PARTNER. ONCE THE CMA MEMBERS COMPLETED THEIR ASSESSMENTS, THE GROUP THEN SHARED FINDINGS AND IDENTIFIED TRENDS, GAPS AND UNIQUE FEATURES FOR EACH OF THE DOMAINS. THIS WAS THEN PRESENTED TO THE LARGER CMA LEADERSHIP GROUP WHERE THE GROUP HAD AN OPPORTUNITY TO ASK QUESTIONS, CLARIFY CONCERNS AND MAKE RECOMMENDATIONS. FOLLOWING THE CMA LEADERSHIP GROUP MEETING, WE UPDATED THE REGIONAL DOCUMENT THAT CAPTURED THE MOST SIGNIFICANT FINDINGS AMONG OUR CMA MEMBERS, PARTNERS, AND GEOGRAPHIC AREAS.THE COMMUNITY STATUS ASSESSMENT COMMITTEE CONDUCTED A MODIFIED ASSESSMENT BY CONTINUING THE TRENDING OF THE TOP DATA POINTS OF CONCERN FROM THE 2019-2022 PROCESS AS WELL AS ANALYZING NEW COMMUNITY DATA. THE COMMITTEE REVIEWED THE LIST OF DATA SOURCES TO EXPLORE AND EACH COMMITTEE MEMBER IDENTIFIED A SOURCH FOR WHICH THEY FELT INTEREST AND THEY EXPLORED THAT DATA.THE THIRD ITERATION OF THE CENTRAL MN COMMUNITY HEALTH SURVEY WAS CONDUCTED IN 2021. THE SURVEY INSTRUMENT WAS DEVELOPED FROM 9/16/20 THROUGH 4/1/21. THE CMA WORKED WITH THE MN DEPARTMENT OF HEALTH AND VENDOR SSI INC. TO CONDUCT A STATISTICALLY DESIGNED RANDOM SAMPLE MAILED SURVEY; IT WAS IN THE FIELD FROM 4/1/21 THROUGH 6/18/21. THE SAME INSTRUMENT WAS CONVERTED TO A WEBBASED SURVEY USING ARCGIS SURVEY 123 AND THAT WAS IN THE FIELD FROM 5/18/21 THROUGH 9/30/21 AND WAS AVAILABLE VIA CONVENIENCE SAMPLE.IN ORDER TO BETTER ENGAGE INDIVIDUALS OR ORGANIZATIONS WITH A PERSPECTIVE OF AT-RISK POPULATIONS, A HEALTH EQUITY ASSESSMENT WAS ALSO COMPLETED. INTERVIEWS WITH ELEVEN COMMUNITY LEADERS REPRESENTING THE DIVERSITY OF THE EAST ST. CLOUD NEIGHBORHOOD REVEALED MAJOR THEMESE RELEVANT TO COMMUNITY HEALTH IN THE 56304 - ZIP CODE AREA. THE 56304 QUANITITATIVE SUTDY HIGHLIGHTED THE IMPORTANCE OF THE INTERCONNECTEDNESS OF HEALTH AND SOCIOECONOMIC ISSUES. CONCERNS ABOUT HEALTH WERE FOCUSED ON POVERTY AND LACK OF ACCESS TO HEALTH FOOD AND MENTAL AND BEHAVIORAL HEALTH.THE FOCUS OF THE 2022-2025 CMA CHIP WILL BE THE FOLLOWING DRIVERS OF INEQUITIES: DATA ACCESS & SYSTEMS, STRUCTURAL RACISM, LIVED EXPERIENCE AND HISTORICAL CONTEXT. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 6A: ST. CLOUD HOSPITAL CONDUCTED THE CHNA WITH CENTRACARE- PAYNESVILLE, CENTRACARE- SAUK CENTRE, AND CENTRACARE - MELROSE. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 6B: ST. CLOUD HOSPITAL CONDUCTED THE CHNA WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH AND STEARNS COUNTY PUBLIC HEALTH. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 11: AFTER THE DRIVERS OF INEQUITIES HAD BEEN IDENTIFIED, THE CMA LEADERSHIP GROUP STARTED WORK ON DEVELOPING POTENTIAL GOALS AND ACTION STEPS THAT WOULD FIT UNDER EACH CATEGORY. MEMBERS OF THE LEADERSHIP GROUP USED A GOALS AND ACTION STEPS WORKSHEET STORED ON MICROSOFT TEAMS TO COLLABORATIVELY, PREPARE A LIST OF GOALS AND ACTION STEPS. THIS WAS DISCUSSED AT THE JANUARY 27TH, FEBRUARY 10TH, AND FEBRUARY 22ND LEADERSHIP MEETINGS. TO KEEP THE CHIP AT A WORKABLE LEVEL, IT WAS DECIDED THAT WE WOULD TRY TO IDENTIFY ONE GOAL WITH ACTION STEPS TO INCLUDE IN THE CHIP. ON MARCH 25TH, A PRIORITIZATION EXERCISE WAS COMPLETED USING MIRO.COM TO IDENTIFY THE GOAL WITH ACTION STEPS THAT WOULD BE INCLUDED IN THE CHIP DOCUMENT. JUST BECAUSE THE GOAL WAS NOT INCLUDED IN THE CHIP, DOES NOT MEAN THAT THE CMA WILL NOT WORK ON IT.IT IS THE INTENTION OF THE CMA MEMBERS THAT THE CHIP WILL BE A LIVING DOCUMENT AND AS MORE CONVERSATIONS TAKE PLACE WITH COMMUNITY PARTNERS, THE GOALS AND ACTION STEPS MAY CHANGE. THE CHANGES TO THE DOCUMENT WILL BE REPORTED AT LEAST ANNUALLY WHEN LOCAL PUBLIC HEALTH IS REQUIRED TO REPORT ON CHIP WORK.THE PRIORITIES IDENTIFIED WERE AS FOLLOWS IN COMMUNITY INFORMED RANKING: 1) BUILDING FAMILIES, 2) MENTAL HEALTH, 3) ENCOURAGING SOCIAL CONNECTION, 4) ADVERSE CHILDHOOD EXPERIENCES (ACES), 5) TOBACCO/NICOTINE USE, 6) HEALTH CARE, 7) RISKY YOUTH BEHAVIOR, 8) FINANCIAL STRESS, 9) TRAUMA, AND 10) EDUCATING POLICY MAKERS AND KEY COMMUNITY STAKEHOLDERS. DUE TO THE NEWNESS OF THE COLLABORATION ON THIS WORK, A DECISION WAS MADE TO FOCUS ON THE TOP TWO PRIORITIES (BUILDING FAMILIES AND MENTAL HEALTH) FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIES ENCOURAGING SOCIAL CONNECTION, ADVERSE CHILDHOOD EXPERIENCES (ACES), TOBACCO/NICOTINE USE, HEALTH CARE, RISKY YOUTH BEHAVIOR, FINANCIAL STRESS, TRAUMA, AND EDUCATING POLICY MAKERS AND KEY COMMUNITY STAKEHOLDERS WILL NOT SPECIFICALLY BE ADDRESSED THROUGH ACTION PLANNING OR MEASUREMENT DUE TO FINANCIAL AND STAFFING RESTRAINTS, HOWEVER, THERE ARE WAYS MANY OF THESE PRIORITIES ARE BEING ADDRESSED EITHER WITHIN THE TOP TWO PRIORITIES OR THE COMMUNITY. IN THE FUTURE, THE GROUP WILL ASSESS THE CAPACITY TO EXPAND THE NUMBER OF PRIORITIES BEING ADDRESSED AND MEASURED. ALTHOUGH NOT DIRECTLY ADDRESSED IN THE PLAN, CENTRACARE DOES ACTIVELY SUPPORT OTHER ORGANIZATIONS WITHIN THE COMMUNITY WHO ARE WORKING ON DETERMINANTS OF HEALTH IDENTIFIED DURING THE CHNA PROCESS LIKE ACES, TOBACCO, TRAUMA, EDUCATING POLICYMAKERS, ETC.THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS THE ACTION PLAN THAT USES GUIDING PRINCIPLES AND STRATEGIES TO ADDRESS THE COMMUNITY PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THE TOP PRIORITIES ARE BUILDING FAMILIES AND MENTAL HEALTH. WE WILL USE THE GUIDING PRINCIPLES OF COMMUNITY COLLABORATION, AWARENESS, RESILIENCE, EQUITY, EDUCATION, AND HEALTH ORGANIZATIONS TO DRIVE OUR STRATEGIES.THE ST. CLOUD HOSPITAL, CENTRACARE- MELROSE HOSPITAL, CENTRACARE- SAUK CENTRE, AND CENTRACARE- PAYNESVILLE WILL MAINTAIN THEIR ENGAGEMENTS WITH THE CENTRAL MN ALLIANCE AND FOLLOW THE MAPP LEADERSHIP STRUCTURE TO CARRY OUT THE STRATEGIES OUTLINED IN THE CHIP. THERE WILL BE MEETINGS AS OUTLINED IN THE CHIP UNDER LEADERSHIP SYSTEM & PROCESS FOR MONITORING AND REVISION. TO SEE THE FULL CHIP GO TO THE CENTRACARE WEBSITE AT HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE. PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN: (A) PATIENT IS HOMELESS (B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT ST. CLOUD HOSPITAL 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. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY CARE INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST A PATIENT. PART V, SECTION B, LINE 7A: THE HOSPITAL'S CHNA AND STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF PART V, SECTION B, LINE 10A: THE HOSPITAL'S CHNA AND STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRAL-MN-ALLIANCE-CHIP-CHNA-2022-2025-VERSION-1-UPDATED-6.29.22.PDF 28 1 - SAINT BENEDICT'S SENIOR COMMUNITY 990 19TH ST SOUTH SARTELL MN 56377 SKILLED NURSING FACILITY 2 - COBORN CANCER CENTER 1900 CENTRACARE CIRCLE ST CLOUD MN 56303 OUTPATIENT CANCER 3 - CENTRACARE FAMILY HEALTH CENTER 1555 NORTHWAY DR STE 200 ST CLOUD MN 56303 CLINIC SERVICES 4 - ST CLOUD HOSPITAL BEHAVIOR HEALTH 166 19TH ST S STE 201 ST CLOUD MN 56303 OUTPATIENT CLINIC 5 - RECOVERY PLUS 713 ANDERSON AVE ST CLOUD MN 56303 OUTPATIENT SERVICES 6 - DIAGNOSTIC CENTER 1900 CENTRACARE CIRCLE ST CLOUD MN 56303 OUTPATIENT RADIOLOGY 7 - ST CLOUD SLEEP CENTER 1586 COUNTY RD 134 ST CLOUD MN 56303 OUTPATIENT SERVICES 8 - ST CLOUD PHYSICAL THERAPY 12800 ROLLING ROCK RIDGE RD BECKER MN 55308 PHYSICAL THERAPY 9 - SARTELL PSYCHOLOGY 166 19TH ST S SARTELL MN 56377 BEHAVIORAL HEALTH 10 - PASSAGE HOME 121 PARK AVE SO ST CLOUD MN 56301 SUBSTANCE ABUSE 11 - JOURNEY HOME 1485 10TH AVE NE SAUK RAPIDS MN 56379 SUBSTANCE ABUSE 12 - CLARA'S HOUSE 1564 COUNTY ROAD 134 ST CLOUD MN 56303 ADOLESCENT MENTAL HEALTH 13 - ST CLOUD HOSPITAL WOUND CARE CENTER 2035 15TH ST NORTH SUITE 130 ST CLOUD MN 56303 WOUND CARE 14 - ST CLOUD HOSPITAL PHYSICAL THERAPY 320 3RD AVE ALBANY MN 56307 PHYSICAL THERAPY 15 - RECOVERY PLUS RESIDENTIAL - ADOLESCENT 1572 CO RD 134 ST CLOUD MN 563030346 BEHAVIORAL HEALTH 16 - RECOVERY PLUS WOMEN'S OUTPATIENT SERV 1428 2ND ST N SAUK RAPIDS MN 563792533 BEHAVIORAL HEALTH 17 - DIALYSIS - LITCHFIELD 520 HWY 12 E SUITE 6 LITCHFIELD MN 55355 DIALYSIS 18 - DIALYSIS - STAPLES 403 PRAIRIE AVE NE STAPLES MN 56479 DIALYSIS 19 - DIALYSIS - BRAINERD 2024 6TH STREET BRAINERD MN 56401 DIALYSIS 20 - DIALYSIS - ALEXANDRIA 111 17TH AVE E ALEXANDRIA MN 56308 DIALYSIS 21 - DIALYSIS - PRINCETON 112 S RUM RIVER DR SUITE 10 PRINCETON MN 55371 DIALYSIS 22 - DIALYSIS - BIG LAKE 16830 198TH AVE NW BIG LAKE MN 55309 DIALYSIS 23 - DIALYSIS - LITTLE FALLS 808 3RD ST SSE LITTLE FALLS MN 56345 DIALYSIS 24 - DIALYSIS - CAMBRIDGE 520 11TH AVE SW SOUTH BLD CAMBRIDGE MN 55008 DIALYSIS 25 - DIALYSIS - OLIVIA 600 EAST PARK AVE SUITE 1 OLIVIA MN 56277 DIALYSIS 26 - CENTRACARE PLAZA REHAB 1900 CENTRACARE CIRCLE ST CLOUD MN 56303 PHYSICIAL, OCCUPATIONAL, SPEECH THERAPY 27 - CENTRACARE SOUTHWAY REHAB 1301 33RD ST S ST CLOUD MN 56301 PHYSICIAL, OCCUPATIONAL, SPEECH THERAPY 28 - DIALYSIS - AITKIN 200 BUNKER HILLS DR AITKIN MN 56431 DIALYSIS PART I, LINE 6A: CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS. PART I, LINE 7: THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MN CARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. 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 OFFSETING REVENUES ON LINE 7F ARE REPORTED AT COST. SUBSIDIZED HEALTH SERVICES AND DIRECT OFFSETTING REVENUES ON LINE 7G ARE REPORTED AT COST TO CHARGE RATIO. RESEARCH ON LINE 7H ARE REPORTED AT COST. CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT ON LINE 7I 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 $ 14,919,058. PART II, COMMUNITY BUILDING ACTIVITIES: THE ACTIVITIES INCLUDED IN COMMUNITY BUILDING ACTIVITIES INCLUDE COMMUNITY SUPPORT WHICH CONSISTS OF SEVERAL ST. CLOUD HOSPITAL DIRECTORS PARTICIPATING IN A VARIETY OF COMMITTEES SUCH AS THE BOARD OF BIG BROTHERS/BIG SISTERS, REHAB BOARD ETC. UNDER COMMUNITY HEALTH IMPROVEMENTS ADVOCACY, EMPLOYEES PARTICIPATED WITH CREATE COMMUNITY, WHICH IS A COLLABORATION TO BUILD INCLUSION AMONGST DIVERSE POPULATION AND SEVERAL COUNTY TASK FORCES TO ADVOCATE FOR MENTAL AND CHEMICAL HEALTH. FINALLY UNDER WORKFORCE DEVELOPMENT, AN EMPLOYEE IS A BOARD MEMBER OF THE STEARNS BENTON WORKFORCE COUNCIL AND STUDENTS WERE GIVEN TOURS OF THE HOSPITAL AND ATTENDED PRESENTATIONS ON CAREERS IN HEALTHCARE.THE HEALTH SYSTEM PROVIDED DRIVE THROUGH TEST SITES, FREE VACCINATION CLINICS, MANDATED EMPLOYEE VACCINATION, TRAINING, SCREENING, PRODUCTS TO ENSURE SAFE ENVIRONMENTS, AND OTHER VARIOUS SERVICES/PRODUCTS. PART III, LINE 2: THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 4: THE FOLLOWING IS FROM THE "ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 ON PAGE 10 OF THE ORGANIZATION'S AUDITED FINANCIALS. "CENTRACARE 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 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 6 OF PART III WAS DETERMINED BY UTILIZING THE MEDICARE COST REPORT, PRIMARILY THE D SERIES AND E SERIES. PART III, LINE 9B: THE COLLECTION POLICIES AT ST. CLOUD HOSPITAL 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: ST. CLOUD HOSPITAL FOUNDATION HAS IN PLACE A COMMUNITY COLLABORATION COMMITTEE WHICH HAS A MEMBERSHIP OF OVER 30 MEMBERS. THIS COMMITTEE IS MADE UP OF COMMUNITY LEADERS FROM BOTH THE HEALTHCARE AND BUSINESS WORLD. THESE MEMBERS MEET MONTHLY TO ADDRESS COMMUNITY HEALTH ISSUES (SEE PROMOTION OF COMMUNITY HEALTH FOR MORE DETAIL). THESE IDENTIFIED HEALTH NEEDS ARE THEN COMMUNICATED TO ST. CLOUD HOSPITAL. PART VI, LINE 3: INPATIENTS WHO ARE SELF PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF PAY RECEIVE AN AUTOMATIC SELF PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO ALL PRECOLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: ST. CLOUD HOSPITAL'S SERVICE AREA CONSISTS OF 12 COUNTIES (STEARNS, BENTON, SHERBURNE, CROW WING, DOUGLAS, KANDIYOHI, MEEKER, MILLE LACS, MORRISON, POPE, TODD AND WRIGHT). THERE ARE 2 MAIN HOSPITALS WITHIN THE ST. CLOUD AREA. COLLECTIVELY THEIR ESTIMATED POPULATION IN 2023 IS 775,296 AND IS PROJECTED TO CHANGE BY 2.98% IN 2028. THE PROJECTED POPULATION CHANGE BY AGE BRACKET FOR 2023 TO 2028 IS 0-17, 0.12%; 18-44, 2.11%; 45-64, -1.73% AND 65+ 14.52%. THE ESTIMATED 2023 ETHNIC MIX IS AS FOLLOWS: CAUCASION: 85.02%, AFRICAN AMERICAN: 4.50%, ASIAN: 1.33%, HISPANIC: 4.40%, OTHER 4.75%. THE ESTIMATED 2023 AVERAGE INCOME IS $100,855. THE ESTIMATED MEDICAL UNDERSERVICE SCORE IS 58.0. PART VI, LINE 5: THE CENTRACARE FOUNDATION BOARD OF DIRECTORS HAS A MEMBERSHIP OF OVER 20 PERSONS REPRESENTING HEALTHCARE AND COMMUNITY NEEDS ACROSS CENTRAL MINNESOTA. A MAJORITY OF THE COMMITTEE IS COMPRISED OF PERSONS 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 BOARD MEETS QUARTERLY TO DISCUSS WAYS TO ADDRESS TYPICAL HEALTH ISSUES THROUGH AWARENESS BUILDING, EDUCATION AND ADVOCACY WITHIN CENTRACARE AS WELL AS THE COMMUNITY. THERE ARE SEVERAL COMMUNITY HEALTHY OUTREACH INITIATIVES THAT THE FOUNDATION HAS DEPLOYED FUNDING TOWARDS INCLUDING: ACES TRAUMA-INFORMED CARE - INCREASE AWARENESS AND INTERVENTIONS SURROUNDING ADVERSE CHILDHOOD EXPERIENCES, STATE-OF-THE-ART $2.9 MILLION SIMULATION CENTER RENOVATION AVAILABLE FOR COMMUNITY USE, ADULT AND PEDIATRIC BARIATRIC WEIGHT MANAGEMENT COLLABORATIVES, CHILD ADVOCACY CENTER HELPS CHILDREN WHO HAVE BEEN PHYSICALLY, SEXUALLY OR EMOTIONALLY ABUSED. BY WORKING CLOSELY WITH LAW ENFORCEMENT, CHILD PROTECTION, COUNTY ATTORNEYS, ADVOCATES, MENTAL HEALTH AND MEDICAL PROFESSIONALS IN ONE LOCATION, WE CAN ENSURE CHILDREN RECEIVE THE PROPER CARE AND SUPPORT DURING AND AFTER A CHILD ABUSE INVESTIGATION. 408 VICTIMS OF CHILD ABUSE FROM BENTON AND STEANS COUNTIES HAVE RECEIVED CARE IN THE FIRST TWO YEARS AT THE CAC WITH NO COST TO THEIR FAMILIES, CAREER ONE SUMMER INTERNSHIP PROGRAM FOR YOUTH. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF 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 IN REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 HELPS INTERNATIONAL 16610 DALLAS PKWY ADDISON TX 75001 751966419 501(C)(3) 40340 0 GUATEMALA MISSION TRIPS CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 501(C)(3) 428204 0 GENERAL CONTRIBUTION 2 0 LTC SCHOLARSHIP FOR EDUCATION 53 40937 PART I, LINE 2: CONTRIBUTIONS MUST BE IN KEEPING WITH THE MISSION OF CENTRACARE HEALTH, WHICH IS TO WORK TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. CONTRIBUTIONS WILL BE MADE TO ORGANIZATIONS RATHER THAN TO INDIVIDUALS WITHIN THE CENTRAL MINNESOTA REGION. CENTRACARE'S CHARITABLE FUNDS MAY NOT BE USED TO SUPPORT ANY ORGANIZATION OR EVENT THAT WOULD RESULT IN BENEFITS OF ANY KIND TO AN EMPLOYEE OF THE HEALTH SYSTEM OR A MEMBER OF THE VARIOUS BOARDS OF DIRECTORS, EITHER DIRECTLY OR INDIRECTLY. ONE EXCEPTION EXISTS TO THE GUIDELINE REGARDING BENEFIT TO EMPLOYEES: WE WILL SUPPORT, VIA SCHOLARSHIPS AND THE PURCHASE OF SUPPLIES, THE MEDICAL MISSION WORK OF OUR STAFF AND PHYSICIANS. THE CENTRACARE HEALTH CONTRIBUTIONS COMMITTEE IS MADE UP OF: ONE REPRESENTATIVE FROM CENTRACARE HEALTH FOUNDATION; ONE REPRESENTATIVE FROM ST. CLOUD HOSPITAL HUMAN RESOURCES/DIVERSITY COMMITTEE; THE DIRECTOR OF CENTRACARE HEALTH'S COMMUNICATION DEPARTMENT AND THE COMMUNICATION/MARKETING FOR ST. BENEDICT'S SENIOR COMMUNITY; THE DIRECTOR OF CENTRACARE HEALTH'S MARKETING DEPARTMENT; THE DIRECTOR OF ST. CLOUD HOSPITAL VOLUNTEER SERVICES; AND ST. CLOUD HOSPITAL'S DIRECTOR OF MISSION & SPIRITUAL CARE. THE COMMITTEE MEETS MONTHLY TO ENSURE A STREAMLINED, COORDINATED PROCESS OF REVIEWING REQUESTS AND DETERMINING FUNDING. OTHER CENTRACARE ENTITIES INCLUDING CENTRACARE HEALTH - LONG PRAIRIE, MELROSE, MONTICELLO, PAYNESVILLE, AND SAUK CENTRE, MAY DEVELOP A BUDGET FOR APPROVAL AND IMPLEMENT THEIR OWN CONTRIBUTION DECISIONS WITHIN THE GUIDELINES OF THIS DOCUMENT. CONTRIBUTIONS MAY NOT EXCEED THE STATED BUDGET AND NO MULTI-YEAR COMMITMENTS TO ORGANIZATIONS MAY BE MADE WITHOUT APPROVAL FROM THE CENTRACARE HEALTH EXECUTIVE COUNCIL. INDIVIDUALS AND DEPARTMENTS FORM THROUGHOUT ST. CLOUD HOSPITAL AND CENTRACARE CLINIC SHOULD FORWARD ALL OUTSIDE FUNDING REQUESTS TO A MEMBER OF THE COMMITTEE FOR THE FULL GROUP'S CONSIDERATION. THOSE REQUESTING FUNDS SHOULD BE ASKED TO SUBMIT REQUESTS IN WRITING. GRANTS ARE ONLY MADE TO 501(C)(3) ORGANIZATIONS AND ALL ARE UNRESTRICTED IN USE. 0 1 0 0 0 0 0 1 0 KENNETH HOLMEN PRESIDENT/CEO 0 1201731 0 191893 0 301525 0 37813 0 28992 0 1761954 0 299833 JEFFREY GERDES PHYSICIAN 0 1531967 0 3688 0 1188 0 27000 0 31062 0 1594905 0 0 JERONE KENNEDY PHYSICIAN 0 1039764 0 17826 0 1188 0 45254 0 33460 0 1137492 0 0 NATHANIEL CASTRO PHYSICIAN 0 819063 0 179017 0 774 0 20500 0 2179 0 1021533 0 0 GILBERT CADENA PHYSICIAN 0 807422 0 147668 0 180 0 20500 0 30499 0 1006269 0 0 CHRISTOPHER LEVILLE PHYSICIAN 0 939592 0 21167 0 414 0 0 0 28348 0 989521 0 0 JOY PLAMANN PRESIDENT 0 692137 0 68730 0 59569 0 17550 0 22519 0 860505 0 59155 THOMAS SCHRUP CPO/EVP 0 587778 0 71688 0 119197 0 27000 0 29287 0 834950 0 118423 JACOB EILER DIRECTOR 0 726919 0 26580 0 162 0 41000 0 27665 0 822326 0 0 MICHAEL BLAIR CFO/SR VP/TREASURER 0 618584 0 62370 0 26325 0 47500 0 25886 0 780665 0 25551 JOSEPH KALKMAN CAO/SR VP 0 535495 0 65208 0 94502 0 47500 0 28413 0 771118 0 93728 EDWARD MARTIN-CHAFFEE DIRECTOR 0 648420 0 31847 0 1188 0 47500 0 28589 0 757544 0 0 MARK MATTHIAS VICE PRESIDENT 0 491107 0 39198 0 75455 0 27000 0 27008 0 659768 0 73497 SANTO CRUZ CLO/SR VP/ SECRETARY 0 461820 0 46457 0 26175 0 24100 0 27804 0 586356 0 25995 SHANNON CABRERA DIRECTOR 0 441618 0 24230 0 270 0 20500 0 27655 0 514273 0 0 ALBERT MERCURI DIRECTOR 0 400428 0 26049 0 1188 0 8967 0 28138 0 464770 0 0 NATHAN LEE DIRECTOR 0 367496 0 19502 0 180 0 20500 0 15441 0 423119 0 0 CRAIG BROMAN FORMER OFFICER 0 0 0 0 0 384531 0 0 0 0 0 384531 0 384531 CATHERINE GREENLEE VICE PRESIDENT 0 277214 0 21965 0 1219 0 27000 0 14032 0 341430 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: CRAIG BROMAN - $384,531 JOSEPH KALKMAN - $93,728 JOY PLAMANN - $59,155 KENNETH HOLMEN - $299,833 MARK MATTHIAS - $73,497 MICHAEL BLAIR - $25,551 SANTO CRUZ - $25,995 THOMAS SCHRUP - $118,423 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. KIMBERLY MERCURI SPOUSE OF BOARD MEMBER 47742 WAGES 0 MAXIMILIAN CABRERA CHILD OF BOARD MEMBER 22412 WAGES 0 ISABELLA CABRERA CHILD OF BOARD MEMBER 11083 WAGES 0 FORM 990, PART V, LINE 15 ST. CLOUD HOSPITAL HAS PERFORMED THE CALCULATION TO DETERMINE THAT IT IS SUBJECT TO AN EXCISE TAX UNDER IRC SECTION 4960 FOR RENUMERATION PAID IN EXCESS OF ONE MILLION DOLLARS. THE FORM 4720 WILL BE FILED WITH THE IRS BY CENTRACARE HEALTH ON BEHALF OF ST. CLOUD HOSPITAL TO REPORT THE EXCISE TAX. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATE MEMBERS OF ST. CLOUD HOSPITAL ARE TWO REPRESENTATIVES OF THE SISTERS OF THE ORDER OF SAINT BENEDICT; TWO REPRESENTATIVES OF THE DIOCESE OF ST. CLOUD; AND FOUR OTHER CORPORATE MEMBERS APPOINTED BY THE FOUR REPRESENTATIVES. THE CORPORATE MEMBERS SERVE AS REPRESENTATIVES OF THE LOCAL CATHOLIC CHURCH OF SAINT CLOUD. FORM 990, PART VI, SECTION A, LINE 7A THE CENTRACARE HEALTH SYSTEM (CCHS) BOARD APPOINTS THE ST. CLOUD HOSPITAL (SCH) BOARD BASED ON RECOMMENDATION OF THE SCH JOINT NOMINATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO APPOINTING THE ST. CLOUD HOSPITAL BOARD, THE MEMBERS APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION, APPROVE DISSOLUTION OF THE HOSPITAL, AND SUPPORT AND ASSESS THE HOSPITAL'S ROMAN CATHOLIC IDENTITY AND MISSIONS. 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 COMMITTE 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 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 PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2023. 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 ALSO PAID BY A RELATED ORGANIZATION AND SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2023. 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. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS RELATED PARTY -428,204. COMMUNITY BENEFIT - COVID-19 ACTIVITIES: WHERE APPLICABLE, THE IMPACT RESULTING FROM THE COVID-19 PANDEMIC DURING THE YEAR ENDED JUNE 30, 2023, HAS BEEN CONSIDERED, SOURCES OF RELIEF INCLUDED THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT (THE "CARES ACT"), WHICH WAS ENACTED ON MARCH 27, 2020; AND THE PAYCHECK PROTECTION PROGRAM AND HEALTH CARE ENHANCEMENT ACT (THE "PPPHCE ACT"), WHICH WAS ENACTED ON APRIL 24, 2020. TOGETHER, THE CARES ACT AND THE PPHCE ACT INCLUDED $178 BILLION IN FUNDING TO BE DISTRIBUTED TO ELIGIBLE PROVIDERS THROUGH PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND (THE "PHSSEF"). IN ADDITION, THE CARES ACT PROVIDED FOR AN EXPANSION OF THE MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM WHEREBY INPATIENT ACUTE CARE HOSPITALS AND OTHER ELIGIBLE PROVIDERS MAY REQUEST ACCELERATED PAYMENT OF UP TO 100 PERCENT OF THEIR MEDICARE PAYMENT AMOUNT FOR A SIX-MONTH PERIOD TO BE REPAID THROUGH WITHHOLDING OF FUTURE MEDICARE FEE-FOR-SERVICE PAYMENTS BEGINNING 365 DAYS AFTER RECEIPT. CENTRACARE WAS THE BENEFICIARY OF THESE STIMULUS MEASURES. DURING THE YEAR ENDED JUNE 30, 2023, ST. CLOUD HOSPITAL SERVED OVER 24,000 COMMUNITY MEMBERS BY HOSTING VARIOUS EVENTS AND ACTIVITIES. SOME OF THE EVENTS AND ACTIVITIES HOSTED INCLUDED: ADVOCACY FOR COMMUNITY HEALTH, COMMUNITY HEALTH EDUCATION AND SOCIAL/ENVIRONMENTAL IMPROVEMENT ACTIVITIES. ST BENEDICTS SENIOR COMMUNITY 1810 MINNESOTA BOULEARD SE ST CLOUD MN 56304 411321978 ACUTE/LT CARE MN 32272093 -1007312 ST CLOUD HOSPITAL CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH SAINT CLOUD MN 56303 411813221 INTEGRATED HEALTHCARE SYSTEM MN 501(C)(3) 3 N/A 0 CENTRACARE HEALTH - MELROSE 11 NORTH 5TH AVENUE WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 411924645 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE CLINIC 1200 6TH AVENUE NORTH SAINT CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH SAINT CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET SAINT CLOUD MN 56303 416019335 SUPPORT FOR CARRIS HEALTH MN 501(C)(3) 12A, I CARRIS HEALTH 0 MONTICELLO CANCER CENTER 1001 HART BOULEVARD SUITE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A 0 0 CENTRAL IMAGING LLC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 852580688 IMAGING SERVICES MN N/A 0 0 CENTRACARE HOLDINGS INC 1406 6TH AVENUE NORTH SAINT CLOUD MN 56303 472688595 INVESTMENT/PHARMACY MN N/A C 0 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 410850702 HEALTHCARE SYSTEM MN N/A C 0 0 1 1 0 1 0 0 0 0 1 1 0 0 1 1 1 0 0 0 CENTRACARE HEALTH FOUNDATION B 428204 FMV CENTRACARE HEALTH FOUNDATION C 1159958 FMV