CENTRACARE HEALTH SYSTEM-LONG PRAIRIE: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CENTRACARE HEALTH SYSTEM-LONG PRAIRIE (EIN 41-1924645)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202511339349309716
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-13T20:45:03-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH SIXTH STREET | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411924645 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE HEALTH SYSTEM - LONG PRAIRIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 3207322141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 CENTRACARE DRIVE | AddressLine1Txt |
| City | LONG PRAIRIE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56347 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOY PLAMANN | PersonNm |
| Person Title | CHIEF OPERATING OFFICER, SVP | PersonTitleTxt |
| Phone | 3207322141 | PhoneNum |
| Signature | 2025-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MESKIMEN | PreparerPersonNm |
| PTIN | P01314196 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE HEALTH - LONG PRAIRIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR KENNETH D HOLMEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 CENTRACARE DRIVE | AddressLine1Txt |
| City | LONG PRAIRIE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56347 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,432,597 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CENTRACARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 41 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $262,337 | PYContributionsGrantsAmt |
| CY Contributions Grants | $133,799 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $40,496,238 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,090,800 | CYProgramServiceRevenueAmt |
| PY Investment Income | $183,811 | PYInvestmentIncomeAmt |
| CY Investment Income | $342,162 | CYInvestmentIncomeAmt |
| PY Other Revenue | $407,846 | PYOtherRevenueAmt |
| CY Other Revenue | $590,986 | CYOtherRevenueAmt |
| PY Total Revenue | $41,350,232 | PYTotalRevenueAmt |
| CY Total Revenue | $37,157,747 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,679 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,362 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,054,846 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,085,434 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,598,699 | PYOtherExpensesAmt |
| CY Other Expenses | $16,003,218 | CYOtherExpensesAmt |
| PY Total Expenses | $40,660,224 | PYTotalExpensesAmt |
| CY Total Expenses | $36,100,014 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $690,008 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,057,733 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,575,937 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,766,923 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,111,300 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,062,274 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,464,637 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,704,649 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE'RE HERE FOR YOUR WHOLE LIFE TO LISTEN, THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $24,982,741 | ExpenseAmt |
| Grant | $11,362 | GrantAmt |
| Revenue | $31,148,123 | RevenueAmt |
| Desc | 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 493 ADMISSIONS, 2,701 INPATIENT DAYS, 32,663 OUTPATIENT VISITS, AND 5,404 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2024. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,813,564 | ExpenseAmt |
| Revenue | $4,942,677 | RevenueAmt |
| Desc | 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 19,849 CLINIC VISITS DURING FISCAL YEAR 2024. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $29,796,305 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL BLAIR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3202512700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1406 6TH AVENUE N | AddressLine1Txt |
| City | ST CLOUD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56303 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH HOLMEN | ||||||||||
| PRESIDENT/CEO | 6.50 | 33.50 | Yes (X) | Yes (X) | $0 | $1,554,927 | $74,447 | |||
| CHRISTIAN SCHMIDT | ||||||||||
| DIRECTOR | 0.25 | 41.75 | Yes (X) | $0 | $497,014 | $82,227 | ||||
| BRYAN ROLPH | ||||||||||
| DIRECTOR | 0.25 | 41.75 | Yes (X) | $0 | $535,377 | $39,024 | ||||
| RICHARD WEHSELER | ||||||||||
| DIRECTOR | 0.25 | 41.75 | Yes (X) | $0 | $379,031 | $59,114 | ||||
| BOBBIE BERTRAM | ||||||||||
| DIRECTOR | 0.25 | 41.75 | Yes (X) | $0 | $217,428 | $57,377 | ||||
| DAVID ANFINSON | ||||||||||
| CHAIR | 0.25 | 1.75 | Yes (X) | Yes (X) | $0 | $33,000 | $0 | |||
| TIM WENSMAN | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $12,500 | $0 | ||||
| JEFF GAU | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $12,000 | $0 | ||||
| MICHELLE JOHNSON | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $10,000 | $0 | ||||
| RENEE FRAUENDIENST | ||||||||||
| DIRECTOR | 0.25 | 3.75 | Yes (X) | $0 | $10,000 | $0 | ||||
| DAN ABDUL | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $8,000 | $0 | ||||
| JAMES HEBL | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $6,000 | $0 | ||||
| CARRIE HENNING-SMITH | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $4,000 | $0 | ||||
| FATHER TOM KNOBLACH | ||||||||||
| DIRECTOR | 0.25 | 1.75 | Yes (X) | $0 | $0 | $0 | ||||
| JOY PLAMANN | ||||||||||
| CHIEF OPERATING OFFICER/SR VP | 6.50 | 33.50 | Yes (X) | $0 | $801,092 | $49,364 | ||||
| MICHAEL BLAIR | ||||||||||
| CHIEF FINANCIAL OFFICER/SR VP/ TREASURER | 6.50 | 33.50 | Yes (X) | $0 | $754,895 | $79,410 | ||||
| SANTO CRUZ | ||||||||||
| CHIEF LEGAL OFFICER/SR VP/ SECRETARY | 6.50 | 33.50 | Yes (X) | $0 | $567,364 | $53,699 | ||||
| AMY PORWOLL | ||||||||||
| CHIEF INFORMATION SYSTEM OFFICER/SR VP | 8.00 | 32.00 | $0 | $514,086 | $63,189 | Yes (X) | ||||
| ANTHONY GARDNER | ||||||||||
| CHIEF MARKETING & COMMUNICATIONS OFFICER/SR VP | 8.00 | 32.00 | $0 | $360,511 | $45,575 | Yes (X) | ||||
| SAMUEL BURNS | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $405,884 | $52,519 | Yes (X) | ||||
| STEVEN FUGLESTAD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $357,160 | $51,291 | Yes (X) | ||||
| CYBILL ORAGWU | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $344,399 | $48,772 | Yes (X) | ||||
| RENE ELDIDY | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $306,094 | $77,429 | Yes (X) | ||||
| DARON GERSCH | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $259,677 | $50,203 | Yes (X) | ||||
| CINDY SMITH | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $716,391 | $78,002 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,666,830 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $961,642 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEST CENTRAL ANESTHESIA PC | |||||
| 36497 230TH AVE | ALBANY | MN | 56307 | ANESTHESIA SERVICE | $458,040 |
| MEDLINE INDUSTRIES LP | |||||
| DEPT CH 14400 | PALATINE | IL | 60055 | MEDICAL SUPPLIES | $303,152 |
| HORIZON VIRTUAL | |||||
| 1550 45TH AVENUE SE SUITE 2 | SAINT CLOUD | MN | 56304 | PHYSICIAN FEES | $253,320 |
| AYA HEALTHCARE | |||||
| PO BOX 674907 | DALLAS | TX | 75267 | STAFFING AGENCY | $243,142 |
| WAYNE CARSTENSEN | |||||
| 26947 CO RD 16 | BROWERVILLE | MN | 56438 | SNOW REMOVAL | $101,046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,760 | RelatedOrganizationsAmt |
| Government Grants | $65,710 | GovernmentGrantsAmt |
| All Other Contributions | $66,329 | AllOtherContributionsAmt |
| Total Contributions | $133,799 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT & RESIDENT REV | 622110 | $35,562,847 | $35,562,847 |
| OTHER PROGRAM REVENUE | 622110 | $418,921 | $418,921 |
| SENIOR HOUSING REVENUE | 623311 | $109,032 | $109,032 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,090,800 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $322,249 | TotalRevenueColumnAmt |
| Exclusion | $322,249 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $19,913 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $19,913 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,913 | TotalRevenueColumnAmt |
| Exclusion | $19,913 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $857,470 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $274,850 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $582,620 | TotalRevenueColumnAmt |
| Exclusion | $582,620 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC NON-OPERATING INC | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,366 | TotalRevenueColumnAmt |
| Exclusion | $8,366 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,366 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,157,747 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,090,800 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $933,148 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,362 | TotalAmt |
| Program Services | $11,362 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,189 | TotalAmt |
| Program Services | $650,026 | ProgramServicesAmt |
| Management And General | $194,163 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,740,216 | TotalAmt |
| Program Services | $11,349,966 | ProgramServicesAmt |
| Management And General | $3,390,250 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,897 | TotalAmt |
| Program Services | $374,911 | ProgramServicesAmt |
| Management And General | $111,986 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,338,130 | TotalAmt |
| Program Services | $2,570,360 | ProgramServicesAmt |
| Management And General | $767,770 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,002 | TotalAmt |
| Program Services | $520,522 | ProgramServicesAmt |
| Management And General | $155,480 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,638 | TotalAmt |
| Program Services | $22,051 | ProgramServicesAmt |
| Management And General | $6,587 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,475,698 | TotalAmt |
| Program Services | $1,576,366 | ProgramServicesAmt |
| Management And General | -$100,668 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,257 | TotalAmt |
| Program Services | $9,438 | ProgramServicesAmt |
| Management And General | $2,819 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,946 | TotalAmt |
| Program Services | $16,128 | ProgramServicesAmt |
| Management And General | $4,818 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,097,277 | TotalAmt |
| Program Services | $1,614,903 | ProgramServicesAmt |
| Management And General | $482,374 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,986 | TotalAmt |
| Program Services | $415,019 | ProgramServicesAmt |
| Management And General | $123,967 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,027 | TotalAmt |
| Program Services | $37,751 | ProgramServicesAmt |
| Management And General | $11,276 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,477 | TotalAmt |
| Program Services | $41,177 | ProgramServicesAmt |
| Management And General | $12,300 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $943,328 | TotalAmt |
| Program Services | $726,363 | ProgramServicesAmt |
| Management And General | $216,965 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,255,708 | TotalAmt |
| Program Services | $1,736,895 | ProgramServicesAmt |
| Management And General | $518,813 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,520 | TotalAmt |
| Program Services | $179,040 | ProgramServicesAmt |
| Management And General | $53,480 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS/MEDICAL SUPPLIES | $4,812,939 | $4,812,939 | |
| IMPLICIT PRICE CONCES. | $1,471,141 | $1,471,141 | |
| EQUIPMENT RENT & MAINT. | $1,287,273 | $991,200 | $296,073 |
| MEDICAID & MNCARE | $483,768 | $483,768 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,235 | TotalAmt |
| Program Services | $184,979 | ProgramServicesAmt |
| Management And General | $55,256 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,100,014 | TotalAmt |
| Program Services | $29,796,305 | ProgramServicesAmt |
| Management And General | $6,303,709 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,385 | BOYAmt |
| EOY | $1,385 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,142,257 | BOYAmt |
| EOY | $9,487,454 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,479,539 | BOYAmt |
| EOY | $5,191,671 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $295,494 | BOYAmt |
| EOY | $225,188 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,188 | BOYAmt |
| EOY | $21,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,572,834 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,235,698 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,774,506 | BOYAmt |
| EOY | $26,337,136 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,464,010 | BOYAmt |
| EOY | $2,525,513 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $513,468 | BOYAmt |
| EOY | $596,183 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $794,090 | BOYAmt |
| EOY | $381,264 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,575,937 | BOYAmt |
| EOY | $44,766,923 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,665,631 | BOYAmt |
| EOY | $2,460,613 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,445,669 | BOYAmt |
| EOY | $25,601,661 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,111,300 | BOYAmt |
| EOY | $28,062,274 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,464,637 | BOYAmt |
| EOY | $16,704,649 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,464,637 | BOYAmt |
| EOY | $16,704,649 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,575,937 | BOYAmt |
| EOY | $44,766,923 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,057,733 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $182,279 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,762 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,762 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $268,933 | OtherCostOrOtherBasisAmt |
| Book Value | $268,933 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,584,803 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,491,578 | DepreciationAmt |
| Book Value | $24,093,225 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,541,068 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,330,620 | DepreciationAmt |
| Book Value | $210,448 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,178,030 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,413,500 | DepreciationAmt |
| Book Value | $1,764,530 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,337,136 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS | Desc |
| Book Value | $2,525,513 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,525,513 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $574,271 |
| LEASE LIABILITIES | $791,751 |
| DUE TO AFFILIATES | $23,589,410 |
| THIRD PARTY PAYOR SETTLEMENTS | $646,229 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,601,661 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $488,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $488,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,705,691 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,754,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $950,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,194,464 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,754,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,439,605 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04160 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $492,802 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $153,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $339,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,006 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $565,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $175,606 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $390,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,760,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,930,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,829,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05290 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,440 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,471,141 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,310,886 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,333,201 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,315 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE HEALTH - LONG PRAIRIE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 CENTRACARE DRIVE | AddressLine1Txt |
| City | LONG PRAIRIE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56347 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR | WebsiteAddressTxt |
| State License | 414797 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | RURAL HEALTH CLINIC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE HEALTH - LONG PRAIRIE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C SUPPLEMENTAL INFORMATION | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C SUPPLEMENTAL INFORMATION | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.CENTRACARE.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2022 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 IDENTIFIED 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 HEALTH 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 ACTIVITY 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 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 MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT |
| CENTRACARE HEALTH - LONG PRAIRIE | PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF-PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS. |
| CENTRACARE HEALTH - LONG PRAIRIE | PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT. |
| PART V, SECTION B, LINE 7A: | THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/9BDD1A26-B859-4316-8272-CB47EC7B7B72/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-UPDATED-6.29.22.PDF |
| PART V, SECTION B, LINE 10A: | THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/9BDD1A26-B859-4316-8272-CB47EC7B7B72/CENTRACARE-LONG-PRAIRIE-CHNA-AND-IMPLEMENTATION-STRATEGY-UPDATED-6.29.22.PDF |
| PART V, SECTION B, LINE 22B: | THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 SECTION 7 REGARDING SCHEDULE H, PART V, LINE 22B.CENTRACARE HEALTH SYSTEM - LONG PRAIRIE ("CENTRACARE") IDENTIFIED AN ERROR REGARDING AN OMISSION OF AN ELEMENT REQUIRED TO BE DISCLOSED IN FINANCIAL ASSISTANCE POLICY PURSUANT TO IRC SECTION 501(R)(4). AS REQUIRED, CENTRACARE'S FINANCIAL ASSISTANCE POLICY DID STATE THE PERCENTAGE OF THE AMOUNTS GENERALLY BILLED ("AGB"). THE POLICY DID NOT PROVIDE AN EXPLANATION OF HOW THE AGB PERCENTAGE WAS CALCULATED. THIS OMISSION WAS DISCOVERED DURING A REVIEW OF THE POLICY IN MARCH 2025. THIS ERROR WAS MINOR AND INADVERTENT. ONCE THE ERROR WAS DISCOVERED, CENTRACARE TOOK IMMEDIATE ACTION TO CORRECT THE ERRORS BY UPDATING THE POLICY TO INCLUDE THE REQUIRED LANGUAGE. NO INDIVIDUAL WHO WAS ELIGIBLE UNDER CENTRACARE'S FINANCIAL ASSISTANCE POLICY WAS BILLED INCORRECT AMOUNTS OR OTHERWISE IMPACTED BY THESE ERRORS.CENTRACARE CONSIDERS THESE ERRORS TO BE "MINOR" OMISSIONS AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE IRC SECTION 501(R) REGULATIONS AND INTERPRETATIONS, DUE TO THE FACTORS NOTED ABOVE. CENTRACARE IS CHOOSING 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 HAS CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR OMISSIONS AND ERRORS ON THIS FORM 990. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - LONG PRAIRIE CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 CENTRACARE DRIVE | AddressLine1Txt |
| City | LONG PRAIRIE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56347 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS. |
| PART I, LINE 7: | THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MNCARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE FINANCIAL ASSISTANCE ON LINE 7A. MEDICAID COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES ON LINE 7B ARE REPORTED AT COST. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ON LINE 7E ARE REPORTED AT COST. HEALTH PROFESSIONALS EDUCATION AND DIRECT OFFSETTING REVENUES ON LINE 7F ARE REPORTED AT COST. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,471,141. |
| 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 "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: | 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 PRE-COLLECTION 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 2024 POPULATION SHOWS 7,232 RESIDENTS WITH AN ESTIMATED SLIGHT INCREASE TO 7,428 BY 2029. THE PROJECTED CHANGE BY AGE BRACKET FROM 2024 TO 2029 IS AS FOLLOWS: 0-17: 1.00%, 18-44: 6.59%, 45-64: -7.88%, 65+: 10.52%. THE ESTIMATED 2024 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 68.00%, AFRICAN AMERICAN: 0.58%, ASIAN: 1.63%, HISPANIC: 28.32%, OTHER: 1.47%. THE ESTIMATED 2024 AVERAGE INCOME IS $79,631. THE ESTIMATED MEDICAL UNDERSERVICE SCORE IS 53.90. |
| 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| COMMUNITY EVENTS/SPONSORSHIPS | 11 | $11,282 |
| CNA/NURSING ASSISTANT TRAINING | 1 | $80 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH HOLMEN | ||||||||||||||
| PRESIDENT/CEO | $0 | $1,241,865 | $0 | $0 | $0 | $313,062 | $0 | $39,768 | $0 | $34,679 | $0 | $1,629,374 | $0 | $311,826 |
| JOY PLAMANN | ||||||||||||||
| CHIEF OPERATING OFFICER/SR VP | $0 | $754,410 | $0 | $0 | $0 | $46,682 | $0 | $17,550 | $0 | $31,814 | $0 | $850,456 | $0 | $46,268 |
| MICHAEL BLAIR | ||||||||||||||
| CHIEF FINANCIAL OFFICER/SR VP/ TREAS | $0 | $668,440 | $0 | $0 | $0 | $86,455 | $0 | $52,500 | $0 | $26,910 | $0 | $834,305 | $0 | $85,681 |
| CINDY SMITH | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $620,355 | $0 | $0 | $0 | $96,036 | $0 | $48,000 | $0 | $30,002 | $0 | $794,393 | $0 | $94,848 |
| SANTO CRUZ | ||||||||||||||
| CHIEF LEGAL OFFICER/SR VP/ SECRETARY | $0 | $516,575 | $0 | $0 | $0 | $50,789 | $0 | $23,700 | $0 | $29,999 | $0 | $621,063 | $0 | $50,609 |
| CHRISTIAN SCHMIDT | ||||||||||||||
| DIRECTOR | $0 | $475,305 | $0 | $20,521 | $0 | $1,188 | $0 | $49,814 | $0 | $32,413 | $0 | $579,241 | $0 | $0 |
| AMY PORWOLL | ||||||||||||||
| CHIEF INFORMATION SYSTEM OFFICER/SR | $0 | $452,945 | $0 | $0 | $0 | $61,141 | $0 | $43,000 | $0 | $20,189 | $0 | $577,275 | $0 | $60,367 |
| BRYAN ROLPH | ||||||||||||||
| DIRECTOR | $0 | $513,572 | $0 | $21,391 | $0 | $414 | $0 | $0 | $0 | $39,024 | $0 | $574,401 | $0 | $0 |
| SAMUEL BURNS | ||||||||||||||
| PHYSICIAN | $0 | $399,514 | $0 | $6,168 | $0 | $202 | $0 | $21,112 | $0 | $31,407 | $0 | $458,403 | $0 | $0 |
| RICHARD WEHSELER | ||||||||||||||
| DIRECTOR | $0 | $371,248 | $0 | $7,042 | $0 | $741 | $0 | $30,000 | $0 | $29,114 | $0 | $438,145 | $0 | $0 |
| STEVEN FUGLESTAD | ||||||||||||||
| PHYSICIAN | $0 | $338,918 | $0 | $17,420 | $0 | $822 | $0 | $44,377 | $0 | $6,914 | $0 | $408,451 | $0 | $0 |
| ANTHONY GARDNER | ||||||||||||||
| CHIEF MARKETING & COMMUNICATIONS OFF | $0 | $305,965 | $0 | $0 | $0 | $54,546 | $0 | $30,000 | $0 | $15,575 | $0 | $406,086 | $0 | $53,358 |
| CYBILL ORAGWU | ||||||||||||||
| PHYSICIAN | $0 | $344,237 | $0 | $0 | $0 | $162 | $0 | $18,228 | $0 | $30,544 | $0 | $393,171 | $0 | $0 |
| RENE ELDIDY | ||||||||||||||
| PHYSICIAN | $0 | $286,059 | $0 | $18,636 | $0 | $1,399 | $0 | $43,000 | $0 | $34,429 | $0 | $383,523 | $0 | $0 |
| DARON GERSCH | ||||||||||||||
| PHYSICIAN | $0 | $244,210 | $0 | $14,693 | $0 | $774 | $0 | $21,086 | $0 | $29,117 | $0 | $309,880 | $0 | $0 |
| BOBBIE BERTRAM | ||||||||||||||
| DIRECTOR | $0 | $215,295 | $0 | $1,979 | $0 | $154 | $0 | $22,500 | $0 | $34,877 | $0 | $274,805 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $60,367 ANTHONY GARDNER - PAID $53,358 CINDY SMITH - PAID $94,848 JOY PLAMANN - PAID $46,268 KENNETH HOLMEN - PAID $311,826 MICHAEL BLAIR - PAID $85,681 SANTO CRUZ - PAID $50,609 |
| 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANET WENSMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE IS A BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $39,937 | TransactionAmt |
| Transaction | WAGES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. 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 2024. 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 IN JUNE 2024. 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE CLINIC | |||||||||||
| 1200 6TH AVENUE NORTH | ST CLOUD | MN | 56303 | 411806657 | MULTI-SPECIALTY | MN | 501(C)(3) | 3 | Yes (1) | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE HEALTH - MELROSE | |||||||||||
| 525 MAIN STREET WEST | MELROSE | MN | 56352 | 411865315 | ACUTE/LT CARE | MN | 501(C)(3) | 3 | Yes (1) | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE HEALTH - SAUK CENTRE | |||||||||||
| 425 ELM STREET NORTH | SAUK CENTRE | MN | 56378 | 452438973 | ACUTE/LT CARE | MN | 501(C)(3) | 3 | Yes (1) | CENTRACARE HEALTH SYSTEM | |
| CENTRACARE HEALTH FOUNDATION | |||||||||||
| 1406 6TH AVENUE NORTH | ST CLOUD | MN | 56303 | 411855173 | FUNDRAISING | MN | 501(C)(3) | 7 | 0 | CENTRACARE HEALTH SYSTEM | |
| 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 | 0 | CENTRACARE RICE MEMORIAL HOSPITAL | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL IMAGING LLC | |||||||||
| 1406 6TH AVENUE NORTH | ST CLOUD | MN | 56303 | 822580688 | IMAGING SERVICES | MN | N/A | 0 | 0 |
| MONTICELLO CANCER CENTER | |||||||||
| 1001 HART BOULEVARD SUITE 50 | MONTICELLO | MN | 55362 | 261909519 | RADIATION & ONCOLOGY SERVICES | MN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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