2024-05-14T23:37:09-05:00 2023-06-30 861065772 DELOITTE TAX LLP 111 S WACKER DRIVE CHICAGO IL 60606 990 2022-07-01 411924645 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CENT 3207322141 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 JOY PLAMANN CHIEF OPERATING OFFICER, SR VP 3207322141 2024-05-08 1 JOY PLAMANN 999009999 0 MONIKA YADAV P01473820 3124861000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CENTRACARE HEALTH - LONG PRAIRIE DR KENNETH D HOLMEN 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 48120991 0 X WWW.CENTRACARE.COM X 1999 MN WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 13 8 0 47 0 0 1255041 262337 43024389 40496238 481549 183811 478355 407846 45239334 41350232 15078 6679 0 0 26853932 23054846 0 0 0 19193985 17598699 46062995 40660224 -823661 690008 57443957 48575937 42808282 33111300 14635675 15464637 X WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 1 22734060 6679 30242984 CCH - LONG PRAIRIE IS PART OF A LARGER INTEGRATED HEALTH CARE DELIVERY SYSTEM KNOWN AS CENTRACARE HEALTH, A SYSTEM RECOGNIZED FOR BEING A LEADER IN PROVIDING HIGH-QUALITY, COMPREHENSIVE CARE THROUGHOUT THE REGION. CCH - LONG PRAIRIE IS A 25 BED CRITICAL ACCESS HOSPITAL THAT PROVIDES ACUTE CARE SERVICES IN THE AREAS OF MEDICAL, SURGICAL, DIAGNOSTIC, AND OBSTETRICS ALONG WITH OTHER SERVICES OF 24 HOUR EMERGENCY ROOM, IMAGING, LABORATORY, REHABILITATION, AND CHEMOTHERAPY TO THE COMMUNITY OF LONG PRAIRIE AND THE SURROUNDING AREA. THERE WERE 529 ADMISSIONS, 2,701 INPATIENT DAYS, 34,291 OUTPATIENT VISITS, AND 4,995 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2023. 6052693 8210295 CCH - LONG PRAIRIE OPERATES THE LONG PRAIRIE CLINIC WHICH IS CONVENIENTLY CONNECTED TO THE LONG PRAIRIE HOSPITAL FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. LONG PRAIRIE CLINIC PROVIDES HEALTH CARE THROUGH A MIXTURE OF PHYSICIANS AND MIDLEVEL PROVIDERS. THERE WERE 20,144 CLINIC VISITS DURING FISCAL YEAR 2023. 2657325 1855508 THE CCH - LONG PRAIRIE CARE CENTER IS AN ATTACHED 70 BED SKILLED NURSING FACILITY THAT PROVIDES QUALITY, COMPASSIONATE CARE WITH AN EMPHASIS ON ENHANCING EACH RESIDENT'S PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL WELL-BEING. THE SKILLED NURSING FACILITY WAS SOLD IN NOVEMBER OF 2022. THERE WERE 5,695 RESIDENT DAYS DURING FISCAL YEAR 2023. 1485648 187451 CCH - LONG PRAIRIE BUILT AN ASSISTED LIVING BUILDING IN MID-AUGUST OF 2017 AND SOLD THE BUILDING AND PROGRAM IN NOVEMBER OF 2022. THE BUILDING CONSISTED OF 24 ASSISTED LIVING APARTMENTS AND 16 MEMORY CARE APARTMENTS. THERE WERE 3,091 ASSISTED LIVING OCCUPIED UNIT DAYS AND 1,981 MEMORY CARE OCCUPIED UNIT DAYS FOR FISCAL YEAR 2023. 1485648 187451 32929726 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X ADAM PAULSON 3207327240 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 KENNETH HOLMEN PRESIDENT/CEO 6.50 33.50 X X 0 1695149 66805 CHRISTIAN SCHMIDT DIRECTOR 1.00 39.00 X 0 533299 75411 BRYAN ROLPH DIRECTOR 1.00 39.00 X 0 536482 2519 RICHARD WEHSELER DIRECTOR 1.00 39.00 X 0 415417 53982 DAVID ANFINSON VICE CHAIR 0.25 1.75 X X 0 33500 0 STEVE LARAWAY BOARD CHAIR 0.25 1.75 X X 0 31500 0 TIM WENSMAN DIRECTOR 0.25 1.75 X 0 14638 0 JEFF GAU DIRECTOR 0.25 1.75 X 0 12000 0 MICHELLE JOHNSON DIRECTOR 0.25 1.75 X 0 10000 0 RENEE FRAUENDIENST DIRECTOR 0.25 3.75 X 0 10000 0 DAN ABDUL DIRECTOR 0.25 1.75 X 0 8000 0 JAMES HEBL DIRECTOR 0.25 1.75 X 0 4000 0 FATHER TOM KNOBLACH DIRECTOR 0.25 1.75 X 0 0 0 JOY PLAMANN COO/SR VP 6.50 33.50 X 0 820436 40069 MICHAEL BLAIR CFO/SR VP/ TREASURER 6.50 33.50 X 0 707279 73386 SANTO CRUZ CLO/SR VP/ SECRETARY 6.50 33.50 X 0 534452 51904 AMY PORWOLL CISO/SR VP 8.00 32.00 X 0 570663 46279 ANTHONY GARDNER CMCO/SR VP 8.00 32.00 X 0 393247 38169 SAMUEL BURNS PHYSICIAN 40.00 0.00 X 0 453473 47524 CYBILL ORAGWU PHYSICIAN 40.00 0.00 X 0 340222 47477 LIONEL MCINTOSH PHYSICIAN 40.00 0.00 X 0 364078 15003 RENE ELDIDY PHYSICIAN 40.00 0.00 X 0 293727 64925 DEBORAH RASMUSSEN PHYSICIAN 40.00 0.00 X 0 260205 41350 CRAIG BROMAN FORMER OFFICER 0.00 0.00 X 0 384531 0 CINDY FIRKINS SMITH FORMER KEY EMPLOYEE 0.00 40.00 X 0 760562 56068 0 9186860 720871 0 1 1 0 WEST CENTRAL ANESTHESIA PC 10382 AUGUSTA DR SAUK CENTRE MN 56378 ANESTHISIA SERVICE 463185 MEDLINE INDUSTRIES LP DEPT CH 14400 PALATINE IL 600554400 MEDICAL SUPPLIES 337911 HORIZON VIRTUAL 3333 WEST DIVISION ST SUITE 500 ST CLOUD MN 56301 PHYSICIAN FEES 244678 HILLTOP HEALTH CARE CENTER 410 LUELLA ST WATKINS MN 55389 HOSPICE SERVICES 138295 WAYNE CARSTENSEN 26947 CO RD 16 BROWERVILLE MN 56438 SNOW REMOVAL 106488 5 107668 54205 100464 262337 PATIENT & RESIDENT REV 622110 39355930 39355930 OTHER PROGRAM REVENUE 622110 595799 595799 SENIOR HOUSING REVENUE 623311 544509 544509 40496238 163309 163309 6589418 6568916 20502 20502 20502 609689 201843 407846 407846 41350232 40496238 0 591657 6679 6679 1900883 1436911 463972 458484 346576 111908 15297185 11563406 3733779 595066 449821 145245 3985220 3012497 972723 818008 618346 199662 24874 18803 6071 2328605 2345748 -17143 16868 12751 4117 38872 29384 9488 1944035 1469530 474505 986325 745580 240745 34483 26066 8417 59516 44989 14527 1089093 823264 265829 2777532 2099584 677948 75483 57059 18424 DRUGS/MEDICAL SUPPLIES 4585964 4585964 IMPLICIT PRICE CONCES. 1497323 1497323 EQUIPMENT RENT & MAINT. 1465057 1107462 357595 MEDICAID/MNCARE 499783 499783 174886 132200 42686 40660224 32929726 7730498 0 1790 1385 7591971 9142257 5465401 4479539 286689 295494 237413 111188 55849621 25075115 39803600 30774506 2377762 2464010 410488 513468 1268843 794090 57443957 48575937 3812310 2665631 117098 23176 38855698 30445669 42808282 33111300 X 14635675 15464637 14635675 15464637 57443957 48575937 690008 138954 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 1570 1570 0 PART II-B, LINE 1: CENTRACARE - LONG PRAIRIE PAID MEMBERSHIP DUES TO STATE AND NATIONAL ASSOCIATIONS. A PORTION OF THE MEMBERSHIP DUES ARE ALLOCATED FOR THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS. 0 0 271522 271522 43408868 15154243 28254625 2063225 1515300 547925 10106006 8405572 1700434 30774506 INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS 2464010 F 2464010 DUE TO AFFILIATED ORGANIZATIONS 28299359 THIRD PARTY SETTLEMENTS 921917 ASSET RETIREMENT OBLIGATION 567516 LEASE LIABILITIES 656877 30445669 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 378474 378474 0.00970 9033801 8303945 729856 0.01860 9412275 8303945 1108330 0.02830 77500 77500 0.00200 81605 59926 21679 0.00060 159105 59926 99179 0.00260 9571380 8363871 1207509 0.03090 500 500 0.00000 1600 1600 0.00000 2100 2100 0.00000 1 1497323 0 6847940 6833318 14622 X 1 1 1 1 CENTRACARE HEALTH - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 414797 X X X X RURAL HEALTH CLINIC, NURSING HOME CENTRACARE HEALTH - LONG PRAIRIE 1 0 0 1 X X X X X X X X X X 22 1 1 1 1 X SEE SECTION C SUPPLEMENTAL INFORMATION X 1 22 1 SEE SECTION C SUPPLEMENTAL INFORMATION 0 1 X 175.000000000000 250.000000000000 X X 1 1 X X X 1 X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X X 1 X 0 0 CENTRACARE HEALTH - LONG PRAIRIE 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 THE PRIOR CHNA PROCESS WHERE PUBLIC HEALTH DATA WAS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WAS A COLLABORATIVE EFFORT EXECUTED WITH TODD COUNTY HEALTH AND HUMAN SERVICES, MORRISON COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH. THE RESULT WAS A JOINT CHNA AND CHIP. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 5: TODD-MORRISON-WADENA CHNA COLLABORATIVE (MTW CHB) AGREED TO UTILIZE THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) PROCESS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE THE IMPLEMENTATION STRATEGY.THIS GROUP MEETS BI-MONTHLY TO DEDICATE TIME IN COMPLETING THE MAPP PROCESS. IN ADDITION TO THE COLLABORATIVE GROUP'S EFFORTS OF COMPLETING A FORCES OF CHANGE ASSESSMENT, COMMUNITY INPUT WILL BE REPRESENTED THROUGH A COMMUNITY HEALTH SURVEY (GOAL IS 400 COMPLETED SURVEYS PER COUNTY), COMMUNITY STAKEHOLDER INTERVIEWS (FOLLOWING THE 12 SECTOR MODEL, EACH COUNTY WILL SELECT 20-30 NAMES FOR INTERVIEWS), AND ANECDOTAL SELF-REPORTED DATA COLLECTION WITHIN OUR TARGETED POPULATION (IDENTIFIED THROUGH ASSESSMENT IN OUR PMAP). OTHER SOURCES OF DATA COLLECTION INCLUDE LOCAL ELECTRONIC MEDICAL RECORD DATA, IHP AND HEALTH EQUITY DATA, COUNTY DATA TABLES, MINNESOTA STUDENT SURVEYS AND RESULTS FROM THE 2013, 2016 AND 2019 REGIONAL COMMUNITY HEALTH SURVEY DATA.EACH ORGANIZATION WILL WORK ON THE 2022 COMMUNITY HEALTH PRIORITIES INDEPENDENTLY, AS WELL AS COLLECTIVELY WHEN POSSIBLE. IDENTIFYING PRIORITIES TOGETHER ALLOWS THE OPPORTUNITY TO MAKE GREATER STRIDES THROUGHOUT OUR AREA, CREATING A REGIONAL APPROACH RATHER THAN ORGANIZATIONAL APPROACH. EACH ORGANIZATION HAS THE FREEDOM TO DECIDE HOW THEY CAN MOST AFFECT EACH PRIORITY BASED ON THEIR RESOURCES ALLOTTED TO THIS WORK. THE COLLABORATIVE GROUP WILL CONTINUE TO MEET TO REVIEW GOALS AND STRATEGIES AND UPDATE CURRENT EFFORTS AND MEASURES OF SUCCESS OVER THE DESIGNATED COMMUNITY HEALTH NEEDS ASSESSMENT PERIOD.THE ASSESSMENTS GATHER QUALITATIVE AND QUANTITATIVE DATA TO DRIVE THE PRIORITY SELECTION PROCESS. TO COMPLETE THE ASSESSMENTS, TODD AND WADENA COUNTIES FOLLOWED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE MAPP PROCESS IS A COMMUNITY-DRIVEN STRATEGIC PLANNING TOOL THAT INCLUDES COMMUNITY VISIONING, CONDUCTING FOUR ASSESSMENTS (COMMUNITY THEMES AND STRENGTHS, ORGANIZATION CAPACITY AND PERFORMANCE, COMMUNITY HEALTH, AND FORCES OF CHANGE), PRIORITIZING ISSUES, SELECTING GOALS AND STRATEGIES, AND DEVELOPING AN ACTION PLAN. THE CHB'S COMMUNITY HEALTH ASSESSMENT RESULTS INCLUDE: WRITTEN/EMAIL SURVEY, ONLINE SURVEY, SECONDARY DATA SOURCES, DIRECTORY LISTING OF HEALTH SYSTEM CAPABILITIES, SUMMARY AND CONCLUSIONS, AND THREE-YEAR ACTION PLAN.THE SURVEY INSTRUMENT CONTENT WAS LARGELY TAKEN FROM A SIMILAR SURVEY CONDUCTED BY THESE SAME COUNTIES IN 2016 AND 2019. MODIFICATIONS TO THE SURVEY QUESTIONS WERE MADE BY LOCAL PUBLIC HEALTH STAFF WITH TECHNICAL ASSISTANCE FROM THE MINNESOTA DEPARTMENT OF HEALTH. A TWO-STAGE SAMPLING STRATEGY WAS USED FOR OBTAINING PROBABILITY SAMPLES OF ADULTS LIVING IN EACH OF THE THREE COUNTIES. A SEPARATE SAMPLE WAS DRAWN FOR EACH COUNTY. ADDITIONAL SAMPLES WERE DRAWN IN EACH OF FOUR CITIES IN THE REGION (LITTLE FALLS, LONG PRAIRIE, STAPLES AND WADENA).COMPLETED SURVEYS WERE RECEIVED FROM 1,270 ADULT RESIDENTS OF THE THREE COUNTIES. COUNTY LEVEL RESPONSE RATES WERE 19.3% (MORRISON), 19.7% (TODD) AND 20.5% (WADENA). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6A: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH LAKEWOOD HEALTH SYSTEM, TRI-COUNTY HEALTHCARE, AND CHI ST. GABRIEL'S HEALTH. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 6B: CENTRACARE HEALTH SYSTEM - LONG PRAIRIE CONDUCTED THE CHNA WITH MORRISON TODD WADENA COMMUNITY HEALTH BOARD (MORRISON COUNTY PUBLIC HEALTH, TODD COUNTY PUBLIC HEALTH, AND WADENA COUNTY PUBLIC HEALTH). CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 11: AFTER COMPLETING THE 2021 COMMUNITY HEALTH SURVEY AND AFTER REVIEWING ADDITIONAL DATA SOURCES FROM EMERGENCY ROOM STATISTICS TO THE STATE'S STUDENT SURVEY TO THE U.S. CENSUS BUREAU INFORMATION, AND MANY OTHER SOURCES, THE CHNA TEAM BEGAN TO WORK TO DEVELOP GOALS, INITIATIVES AND STRATEGIES TO ADDRESS TODD COUNTY'S THREE TOP HEALTH NEEDS AS IDENITIFED BY SURVEY RESULTS.WITH DATA IN HAND, JODI HILLMER, DIRECTOR OF PATIENT CARE SERVICES, WHO LED THE 2022 CHNA WORK, PRESENTED SURVEY RESULTS AND DATA TO CENTRACARE LONG PRAIRIE MEDICAL STAFF AND THE OPERATING COMMITTEE. AFTER CONVERSATIONS, THE TOP THREE PRIORITIES FOR FISCAL YEAR 2023 - 2025 WERE DETERMINED TO BE DIABETES, OBESITY AND MENTAL HEALTH TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY.THE CENTRACARE LONG PRAIRIE MEDICAL STAFF AND LEADERSHIP TEAM BUILT GOAL STATEMENTS AND PERFORMANCE MEASURES. REGIONAL, COMMUNITY WIDE STRATEGIES WERE ALSO DEVELOPED TO ADDRESS THE GOALS.ASSESSING THE NEEDS OF THE PEOPLE IT SERVES IS AN ONGOING PRIORITY OF CENTRACARE LONG PRAIRIE AND THE GREATER CENTRACARE SYSTEM OF WHICH IT IS A PART. THE PEOPLE WHO MAKE UP THE STAFF OF THIS HOSPITAL FOCUS CLOSELY ON THEIR MISSION, VISION, AND WORK CONSTANTLY TO SUPPORT THE MEDICAL NEEDS OF TODD COUNTY AND THE PEOPLE WHO LIVE IN THE SURROUNDING AREAS. FOR THEM, SEEING AN OPPORTUNITY IS A REASON TO ACT; SEEING A PROBLEM IS A REASON TO SEARCH AND IMPLEMENT SOLUTIONS. AS A RESULT THE CHNA RESPONSE, PRIORITY WILL BE PUT TOWARD THE FOLLOWING AREAS:DIABETES - IMPROVE DIABETIC CARE WITHIN THE COMMUNITY BY; ESTABLISHING RN VISITS IN THE CLINIC FOR NEW AND UNCONTROLLED DIABETIC PATIENTS, ONE ON ONE EDUCATIONAL SESSIONS FOR DIABETICS IN THE COMMUNITY, AND CONTINUING TO WORK WITH MINNESOTA PATH TO VALUE TO IMPROVE DIABETIC CARE AMONG THE HISPANIC POPULATION.OBESITY ADULT & CHILD - TO PREVENT AND REDUCE OBESITY IN ADULTS AND CHILDREN BY INCREASING HEALTH EATING AND PHYSICAL ACTIVTY OPPORTUNITIES BASED ON THE 6 DIMENSIONS OF WELLNESS BY; WORKING WITH CENTRACARE DIETICIANS AND PARTNERS TO INCREASE HEALTHY FOOD KNOWLEDGE AND FOOD PREPARATION SKILLS FOR HIGH RISK MEMBERS FOR THE COMMUNITY, ESTABLISH A WEIGHT MANAGEMENT PROGRAM WITHIN FAMILY PRACTICE, OFFER SENIOR FITNESS INTRODUCTION CLASS AND NUTRITION CLASSES, ESTABLISH CHILD AND TEEN ACTIVITY CLASSES AND SPORTS CLINICS, AND SUPPORT AND PROMOTE A COMMUNITY 5K.MENTAL HEALTH - TO IMPROVE EDUCATION, AWARENESS, AND COMMUNITY BASED INTERVENTIONS FOR MENTAL AND BEHAVIORAL HEALTH RESOURCES FOR THE COMMUNITY BY; PROMOTING AND HOSTING QUESTION, PERSUADE AND RESPOND (QPR) CLASSES FOR THE RURAL AND AGRICULTURAL COMMUNITIES, INTRODUCING WALK WITH ME CLASSES TO INCREASE SOCIAL STIMULATION, OFFER COFFEE AND CONVERSATION SESSIONS INCORPORATING MENTAL HEALTH TOPICS, ESTABLISH TELEHEALTH MENTAL HEALTH CONSULTS FOR THE HOSPITALIZED PATIENTS, AND OFFER MENTAL HEALTH SUPPORT AND ON-SITE EDUCATION FOR CENTRACARE LONG PRAIRIE STAFF.THE SOCIAL NEEDS NOT ADDRESSED SUCH AS SUBSTANCE ABUSE, CHRONIC DISEASE, DENTAL CARE, INFECTIOUS DISEASES, POVERTY, HOUSING, TRANSPORTATION AND CHILD CARE WERE NOT ADDRESSED DUE TO STAFFING AND FUNDING CONSTRAINTS. CENTRACARE HEALTH - LONG PRAIRIE 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 CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS. CENTRACARE HEALTH - LONG PRAIRIE PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT. PART V, SECTION B, LINE 7A: THE HOSPITAL'S CHNA AND STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT HTTPS://WWW.CENTRACARE.COM/DOCUMENTS/ABOUT/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-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/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-UPDATED-6.29.22.PDF 3 1 - LONG PRAIRIE CARE CENTER 20 NINTH STREET SE LONG PRAIRIE MN 56347 NURSING HOME 2 - LONG PRAIRIE CLINIC 50 CENTRACARE DRIVE LONG PRAIRIE MN 56347 CLINIC 3 - LONG PRAIRIE MEADOW PLACE 220 CENTRACARE DRIVE LONG PRAIRIE MN 56347 ASSISTED LIVING 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. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,497,323. PART II, COMMUNITY BUILDING ACTIVITIES: THE HEALTH SYSTEM PROVIDED FREE VACCINATION CLINICS, MANDATED EMPLOYEE VACCINATIONS, 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. "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 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 AND E 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: THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATING COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES. PART VI, LINE 3: INPATIENTS WHO ARE SELF PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF PAY RECEIVE AN AUTOMATIC SELF PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO ALL PRECOLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: LONG PRAIRIE IS LOCATED IN TODD COUNTY, MINNESOTA IN WHICH THERE IS 1 HOSPITAL. THE ESTIMATED 2023 POPULATION SHOWS 6,152 RESIDENTS WITH AN ESTIMATED SLIGHT DECREASE TO 6,142 BY 2028. THE PROJECTED CHANGE BY AGE BRACKET FROM 2023 TO 2028 IS AS FOLLOWS: 0-17: 1.10%, 18-44: 3.35%, 45-64: -10.91%, 65+: 4.49%. THE ESTIMATED 2023 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 77.63%, AFRICAN AMERICAN: 0.41%, ASIAN: 0.16%, HISPANIC: 20.29%, OTHER: 1.51%. THE ESTIMATED 2023 AVERAGE INCOME IS $85,356. THE ESTIMATED MEDICAL UNDERSERVICE SCORE IS 53.90. PART VI, LINE 5: THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS ON A MONTHLY BASIS 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 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 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 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 LTC SCHOLARSHIPS FOR EDUCATION 8 3023 COMMUNITY EVENTS/SPONSORSHIPS 1 2500 CNA/NURSING ASSISTANT TRAINING 7 1156 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 TIMES 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 1201731 0 191893 0 301525 0 37813 0 28992 0 1761954 0 299833 JOY PLAMANN COO/SR VP 0 692137 0 68730 0 59569 0 17550 0 22519 0 860505 0 59155 CINDY FIRKINS SMITH FORMER KEY EMPLOYEE 0 611626 0 54760 0 94176 0 27000 0 29068 0 816630 0 92988 MICHAEL BLAIR CFO/SR VP/ TREASURER 0 618584 0 62370 0 26325 0 47500 0 25886 0 780665 0 25551 AMY PORWOLL CISO/SR VP 0 436278 0 43742 0 90643 0 27000 0 19279 0 616942 0 89869 CHRISTIAN SCHMIDT DIRECTOR 0 516124 0 15987 0 1188 0 47239 0 28172 0 608710 0 0 SANTO CRUZ CLO/SR VP/ SECRETARY 0 461820 0 46457 0 26175 0 24100 0 27804 0 586356 0 25995 BRYAN ROLPH DIRECTOR 0 516563 0 19505 0 414 0 0 0 2519 0 539001 0 0 SAMUEL BURNS PHYSICIAN 0 452831 0 480 0 162 0 20500 0 27024 0 500997 0 0 RICHARD WEHSELER DIRECTOR 0 399751 0 15252 0 414 0 27000 0 26982 0 469399 0 0 ANTHONY GARDNER CMCO/SR VP 0 298678 0 29892 0 64677 0 27000 0 11169 0 431416 0 63489 CYBILL ORAGWU PHYSICIAN 0 340060 0 0 0 162 0 20500 0 26977 0 387699 0 0 CRAIG BROMAN FORMER OFFICER 0 0 0 0 0 384531 0 0 0 0 0 384531 0 384531 LIONEL MCINTOSH PHYSICIAN 0 363898 0 0 0 180 0 4146 0 10857 0 379081 0 0 RENE ELDIDY PHYSICIAN 0 270553 0 21955 0 1219 0 40000 0 24925 0 358652 0 0 DEBORAH RASMUSSEN PHYSICIAN 0 238230 0 20911 0 1064 0 27000 0 14350 0 301555 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 $89,869 ANTHONY GARDNER - PAID $63,489 CINDY FIRKINS SMITH - PAID $92,988 CRAIG BROMAN - PAID $384,531 JOY PLAMANN - PAID $59,155 KENNETH HOLMEN - PAID $299,833 MICHAEL BLAIR - PAID $25,551 SANTO CRUZ - PAID $25,995 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 III, LINE 3 CCH - LONG PRAIRIE DIVESTED OF ITS SKILLED NURSING HOME AND ASSISTED LIVING FACILITY TO FOCUS MORE ON PRIMARY AND SPECIALTY CARE AT ITS HOPSITALS AND CLINICS IN NOVEMBER OF 2022. 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 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-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. 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 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. COMMUNITY BENEFIT - COVID-19 ACTIVITIES: WHERE APPLICABLE, THE IMPACT RESULTING FROM THE COVID-19 PANDEMIC DURING THE PERIOD 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, CENTRACARE HEALTH SYSTEM - LONG PRAIRIE SERVED OVER 4,700 COMMUNITY MEMBERS BY HOSTING VARIOUS EVENTS AND ACTIVITIES. SOME OF THE EVENTS AND ACTIVITIES HOSTED INCLUDED: WELLNESS PROGRAMS, INTERNSHIPS, FOOD DISTRIBUTION, NATIONAL NIGHT OUT AND OTHER HEALTH SERVICES. 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 HEALTH - MELROSE 11 NORTH 5TH AVENUE WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE CLINIC 1200 6TH AVENUE NORTH ST CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST 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 ST CLOUD MN 56303 472688595 HOLDING COMPANY/PHARMACY MN N/A C 0 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 410850702 HEALTH CARE SYSTEM MN N/A C 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 CENTRACARE HEALTH FOUNDATION C 107668 FMV