2019-05-15T14:05:32-05:00 2018-06-30 420714325 RSM US LLP 801 NICOLLET MALL WEST TOWER STE 1100 MINNEAPOLIS MN 554022526 990 2017-07-01 411806657 CENTRACARE CLINIC CENT 3202525131 1200 6TH AVENUE NORTH ST CLOUD MN 56303 KENNETH D HOLMEN PRESIDENT 3202525131 2019-05-11 1 TODD JACKSON P00092672 6123324300 66.98.98.9 2019-05-11 10:23:14 CD P C0F43978DBA0C0105C9EC865D2B1B55C6AA9D490 5E2816976E916D1ACF3067D2ABE408046D5680CE 2017 2019-02-21 02:37:17Z KENNETH D HOLMEN 1200 6TH AVENUE NORTH ST CLOUD MN 56303 264421304 0 X WWW.CENTRACARE.COM X 1995 MN WE ARE DEDICATED TO PROVIDING EXCELLENT SERVICE AND THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE. 5 0 1541 6 2545105 -105644 1060659 667837 180218994 234493579 182073 236055 32164026 28285214 213625752 263682685 1150 552 0 0 197833782 249514485 0 0 0 51781564 62366567 249616496 311881604 -35990744 -48198919 44178993 71924828 41857730 53620484 2321263 18304344 X CENTRACARE CLINIC WILL BE THE LEADER IN MINNESOTA FOR QUALITY, SAFETY, SERVICE AND VALUE. 0 0 178063469 552 234493579 MEDICAL PROFESSIONAL SERVICES CENTRACARE CLINIC (CCC) PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY MEDICAL SERVICES THROUGH A MULTI-SPECIALTY CLINIC STRUCTURE AS THE PHYSICIAN COMPONENT OF CENTRACARE HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. CCC'S FORMALLY ADOPTED CORE VALUES ARE: PATIENT CENTERED: SERVING PATIENTS ABOVE ALL.INTEGRITY: ADHERING TO HONEST AND ETHICAL PRACTICES.COLLABORATION: WORKING JOINTLY WITH OTHERS TO IMPROVE HEALTH AND HEALTH CARE.COMPASSION: SERVING ALL WHO SEEK OUR CARE WITH KINDNESS, DIGNITY AND RESPECT.STEWARDSHIP: ENSURING RESPONSIBLE USE OF ALL RESOURCES TO BEST SERVE OUR COMMUNITIES. CCC ACHIEVES THESE VALUES THROUGH SERVICES PROVIDED BY A TEAM OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES, DIETICIANS, EDUCATORS AND OTHER HEALTH CARE PROFESSIONALS. MANY SERVICES ARE PROVIDED TO THE GROWING DIVERSE POPULATION IN CENTRAL MINNESOTA. CCC ALSO PROVIDES THE PROFESSIONAL STAFFING FOR DESIGNATED RURAL HEALTH CLINICS AND HEALTH MANPOWER SHORTAGE AREAS SERVED BY CENTRACARE HEALTH IN RURAL MINNESOTA.A SUMMARY OF THE MAJOR ACTIVITIES ACCOMPLISHED FOR THE YEAR ENDED JUNE 30, 2018:CLINIC VISITS - 435,725 HOSPITAL VISITS - 170,880 NURSING HOME VISITS -6,860 SURGICAL -234,234 LABORATORY -711,899 IMMUNIZATION/INJECTION - 896,888 RADIOLOGY TESTS - 31,192 PROFESSIONAL INTERPRETATION - 65,539 SURGICAL-MINOR - 42,117 RADIATION ONCOLOGY - 719 SPECIAL PROCEDURES - 44,394 82604776 CCC PARTICIPATES IN A WIDE VARIETY OF GOVERNMENTAL HEALTHCARE PROGRAMS INCLUDING: MEDICARE, MEDICAID, MINNESOTA CARE, MINNESOTA GENERAL ASSISTANCE AND PROGRAMS FOR MILITARY, VETERANS AND THEIR FAMILIES. FOR THE YEAR ENDED JUNE 30, 2018, CCC INCURRED COSTS OF $86,604,776 IN EXCESS OF PAYMENTS RECEIVED FOR SERVICES TO PATIENTS COVERED UNDER THESE PROGRAMS AND TAXES AND FEES RELATING TO THESE PROGRAMS. GOVERNMENTAL HEALTHCARE PROGRAMS PROVIDER REIMBURSEMENT AMOUNTS ARE BELOW THE COSTS THE PROVIDER INCURS TO PROVIDE THESE SERVICES.MEDICARE COSTS IN EXCESS OF PAYMENTS $53,222,730MEDICAID COSTS IN EXCESS OF PAYMENTS $23,310,249SURCHARGES, FEES AND MINNESOTACARE TAX $2,759,152MILITARY COSTS IN EXCESS OF PAYMENTS $3,312,645 3124168 CCC SUPPORTS A WIDE VARIETY OF PATIENTS WHO EXPRESS A WILLINGNESS TO PAY BUT ARE UNABLE TO DO SO DUE TO SOCIOECONOMIC FACTORS. ADDITIONALLY CCC RECORDS BAD DEBT AT TIMES WHEN IT IS UNABLE TO RECEIVE PAYMENT FOR SERVICES PROVIDED. FOR THE ENDED JUNE 30, 2018, $3,124,168 OF UNCOMPENSATED CARE WAS PROVIDED. $683,517 OF CHARITY CARE WAS PROVIDED UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM PROVIDES PATIENTS WILLING, BUT UNABLE TO PAY, TO HAVE PATIENT BALANCES OTHERWISE DUE, REDUCED OR WAIVED. THE FINANCIAL ASSISTANCE PROGRAM ENSURES THE PATIENT S OF THE COMMUNITIES SERVED BY CCC HAVE ACCESS TO QUALITY MEDICAL CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. CCC PROVIDES SERVICES TO ALL IN NEED AND AT TIMES PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT, THESE BAD DEBT AMOUNT FOR THE YEAR ENDED JUNE 30, 2018 TOTALED $2,440,651. 263792413 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 150 0 1 1541 1 1 1 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X GREGORY R KLUGHERZ 3202402152 1200 SIXTH AVENUE NORTH ST CLOUD MN 56303 KENNETH D HOLMEN MD PRESIDENT/CEO 1.00 39.00 X X 0 1588645 33551 DAVID J TILSTRA MD CPE VICE PRESIDENT 37.00 3.00 X X 621862 0 125447 GREGORY R KLUGHERZ TREASURER/CFO 1.00 39.00 X X 0 841851 32906 PAUL R HARRIS SECRETARY 2.00 38.00 X X 0 548527 110529 CRAIG J BROMAN DIRECTOR 1.00 39.00 X 0 1142484 36506 GEORGE A MORRIS MD MEDICAL DIRECTOR 40.00 X 381765 0 70517 CHRISTOPHER D LEVILLE MD VASCULAR SURGEON 40.00 X 952358 0 42311 JEFFREY S GERDES MD NEUROSURGEON 40.00 X 1592941 0 45661 DAREN S DANIELSON MD CARDIOVASCULAR SURGEON 40.00 X 1013870 0 44661 JERONE D KENNEDY MD NEUROSURGEON 40.00 X 1186195 0 45661 NATHANIEL J CASTRO MD CARDIOVASCULAR SURGEON 40.00 X 960652 0 20250 6709643 4121507 608000 372 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 LOCUM FEES 861321 HAYES HEALTHCARE LLC 6700 N ANDREWS AVE STE 600 FORT LAUDERDALE FL 33309 LOCUM FEES 719703 UNIVERSITY OF MN PHYSICIANS SDS 12-1562 PO BOX 86 MINNEAPOLIS MN 554861562 LOCUM FEES 321069 REGIONAL DIAGNOSTIC RADIOLOGY 1900 CONNECTICUT AVENUE SOUTH SUIT SARTELL MN 56377 RADIOLOGY FEES 230746 AURORA DIAGNOSTICS PO BOX 281177 ATLANTA GA 303841177 LAB FEES 181517 6 145208 522629 667837 PATIENT & RESIDENT SERVICE REVENU 621110 201308290 201308290 OTHER PROGRAM REVENUE 900099 32583247 30038142 2545105 QUALITY & TECH INCENTIVE 900099 333155 333155 SCHOOL REVENUE 900099 268887 268887 234493579 235255 235255 800 0 800 800 800 1890745 738619 1152126 1152126 SHARED EXPENSE REIMBURSEMENT 900099 26931848 26931848 OTHER MISC REVENUE 900099 201240 201240 27133088 263682685 231948474 2545105 28521269 552 552 4672548 3911510 761038 209738167 175577227 34160940 8845587 7404869 1440718 17262338 14450748 2811590 8995845 7530654 1465191 52404 43869 8535 18250 15278 2972 22708957 19010253 3698704 249751 209073 40678 1118439 936274 182165 12095457 10125419 1970038 302992 253642 49350 1622495 1358232 264263 36715 30735 5980 2354735 1971209 383526 1944927 1628149 316778 SUPPLIES 11459116 11459116 MEDICAID/MN CARE 2729152 2729152 BAD DEBT EXPENSE 2440659 2440659 3232518 2705793 526725 311881604 263792413 48089191 0 8366 11602 5372894 18302335 20386054 26252902 1707649 1990646 1001745 1639178 508646 871526 23919024 12773424 7761109 11145600 60667 5262586 7371863 6448453 44178993 71924828 33221728 39562433 699324 8636002 13358727 41857730 53620484 X 2321263 18304344 2321263 18304344 44178993 71924828 X -48198919 64182000 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 1172 1172 0 PART II-B, LINE 1: CENTRACARE CLINIC PAID $1,172 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS. 9076018 2818148 6257870 14843006 9955276 4887730 11145600 FUNDS HELD BY TRUSTEE 2421232 LONG TERM PREPAID EXPENSES 1020556 DUE FROM AFFILIATES 3006665 6448453 DEFERRED COMPENSATION PLAN OBLIGATIONS 1019385 LT SETTLEMENT RESERVE 1275000 EXECUTIVE BENEFIT ACCRUAL 196847 DUE TO AFFILIATES 10867495 13358727 X PART X, LINE 2: CENTRACARE, THE CORPORATION, THE CLINIC, CCH-MELROSE, CCH-LONG PRAIRIE, CCH-SAUK CENTRE AND THE FOUNDATION HAVE BEEN DETERMINED TO QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CCH-MONTICELLO, CCH-PAYNESVILLE AND CARRIS HEALTH, AS DISREGARDED LIMITED LIABILITY COMPANIES (LLCS) UNDER INTERNAL REVENUE SERVICE REGULATIONS, ACHIEVE TAX-EXEMPT TREATMENT BASED ON THE EXEMPT STATUS OF THEIR PARENT, CENTRACARE HEALTH SYSTEM. AT JUNE 30, 2018 AND 2017, THERE WERE NO UNCERTAIN TAX POSITIONS. X X X X X 0 1 0 0 0 0 1 0 0 KENNETH D HOLMEN MD PRESIDENT/CEO 0 1095784 0 273662 0 219199 0 16195 0 23317 0 1628157 0 185139 DAVID J TILSTRA MD CPE VICE PRESIDENT 411991 0 108773 0 101098 0 98536 0 31872 0 752270 0 66768 0 GREGORY R KLUGHERZ TREASURER/CFO 0 595405 0 120905 0 125541 0 16200 0 22684 0 880735 0 105613 PAUL R HARRIS SECRETARY 0 385014 0 89704 0 73809 0 83771 0 31592 0 663890 0 58526 CRAIG J BROMAN DIRECTOR 0 786856 0 171344 0 184284 0 20250 0 22651 0 1185385 0 140722 GEORGE A MORRIS MD MEDICAL DIRECTOR 296191 0 71574 0 14000 0 45857 0 25782 0 453404 0 586 0 CHRISTOPHER D LEVILLE MD VASCULAR SURGEON 927185 0 24903 0 270 0 20250 0 25014 0 997622 0 0 0 JEFFREY S GERDES MD NEUROSURGEON 1559302 0 32525 0 1114 0 20250 0 29241 0 1642432 0 0 0 DAREN S DANIELSON MD CARDIOVASCULAR SURGEON 951928 0 21725 0 40217 0 20250 0 27282 0 1061402 0 0 0 JERONE D KENNEDY MD NEUROSURGEON 1073370 0 94051 0 18774 0 20250 0 26108 0 1232553 0 0 0 NATHANIEL J CASTRO MD CARDIOVASCULAR SURGEON 938513 0 21725 0 414 0 20250 0 3124 0 984026 0 0 0 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 EXECUTIVE HAS 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 FORM 990 - ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: DAVID TILSTRA, MD - PAID $66,768; ACCRUED $78,286 GEORGE MORRIS, MD - PAID $586; ACCRUED $25,575 PART I, LINE 6 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: STEWARDSHIP, THROUGH A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR SAINT CLOUD HOSPITAL AND/OR CENTRACARE HEALTH SYSTEM AS WELL THROUGH ACHIEVING METRICS FOR AN IDENTIFIED COST REDUCTION PROGRAM; QUALITY, THROUGH ACHIEVING SAINT CLOUD HOSPITAL AND SYSTEM QUALITY METRICS; PATIENT EXPERIENCE, THROUGH ACHIEVEMENT OF PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS; AND PEOPLE/EMPLOYEES, THROUGH ACHIEVEMENT OF SPECIFIED EMPLOYMENT SATISFACTION GOALS AND HIRING AND/OR RETENTION GOALS. THE INCENTIVE COMPENSATION PAID OUT IS NOT A PORTION OR PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE, HOWEVER NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE THE INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION 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 RETURN IS REVIEWED IN DETAIL BY MANAGEMENT AND LEGAL COUNSEL. IN ADDITION, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW FORM 990 WITH STAFF, ASK QUESTIONS, SEEK CLARIFICATIONS, AND APPROVE THE FINAL RETURN 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 CONFLICTS OF INTEREST FORMS 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 OUTSIDE COUNSEL). THE RESPONSES TO THE QUESTIONNAIRE ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICTS OF INTERESTS RELATED TO BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HER SELF FROM THE DECISION MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT ISSUES MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND 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 COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS DONE MAY 2017. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. COULD HOSPITAL TO PERFORM SERVICES. THE ORGANIZATION'S EMPLOYED PRACTICING PHYSICIANS ARE SUBJECT TO ANNUAL FULL COMPENSATION AND BENEFITS REVIEW THROUGH COMPARABILITY STUDIES BY AN OUTSIDE, INDEPENDENT CONSULTANT USING NATIONAL AND REGIONAL DATA FROM MULTIPLE SOURCES. THIS STUDY IS REVIEWED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE COMMITTEE AND THE BOARD. THE LAST FULL REVIEW WAS COMPLETED IN MAY 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT OPEN TO PUBLIC DISCLOSURE. FORM 990, PART XI, LINE 9: NET EQUITY TRANSFERS FROM AFFILIATES 64,182,000. ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD MN 56303 410695596 ACUTE/LT CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRAL MINNESOTA EMERGENCY PHYSICIANS 1406 6TH AVE N ST CLOUD MN 56303 411708142 EMERGENCY PHYSICIANS MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 INTEGRATED HEALTH SYSTEM MN 501(C)(3) LINE 3 N/A 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) LINE 7 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH-MELROSE 11 NORTH 5TH AVE WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 1 CENTRACARE HEALTH-LONG PRAIRIE 20 SE 9TH STREET LONG PRAIRIE MN 56347 411924645 ACUTE/LT CARE MN 501(C)(3) LINE 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) LINE 3 CENTRACARE HEALTH SYSTEM 1 RICE HEALTH FOUNDATION 301 BECKER AVE SW WILLMAR MN 56201 411611555 SUPPORT FOR RICE MEMORIAL HOSPITAL MN 501(C)(3) LINE 12A, I RICE MEMORIAL HOSPITAL 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD MN 56303 416019335 SUPPORT FOR RICE MEMORIAL HOSPITAL MN 501(C)(3) LINE 12A, I RICE MEMORIAL HOSPITAL 0 MONTICELLO CANCER CENTER 1001 HART BLVD STE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A MONTICELLO SURGERY CENTER 1013 HART BLVD MONTICELLO MN 55362 813593057 AMBULATORY SURGERY CENTER MN N/A BENSON MEDICAL LLC 1228 ATLANTIC AVENUE BENSON MN 56215 203149203 HEALTHCARE MN N/A CENTRACARE HOLDINGS INC 1406 6TH AVE N ST CLOUD MN 56303 472688595 HOLDING COMPANY/PHARMACY MN N/A C 1 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVE SW WILLMAR MN 56201 410850702 HEALTH CARE SYSTEM MN N/A C 0 AFFILIATED COMMUNITY HEALTH NETWORK INC 101 WILLMAR AVE SW WILLMAR MN 56201 HEALTH NETWORK MN N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1