CENTRACARE HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CENTRACARE HEALTH SYSTEM (EIN 41-1813221)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201941359349308759
Schema version: 2017v2.3
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 K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T14:05:32-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	801 NICOLLET MALL WEST TOWER STE	AddressLine1Txt
Address Line2	1100	AddressLine2Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554022526	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	411813221	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRACARE HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	3202512700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1406 6TH AVENUE NORTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56303	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GREGORY R KLUGHERZ	PersonNm
Person Title	VICE PRESIDENT/CFO	PersonTitleTxt
Phone	3202512700	PhoneNum
Signature	2019-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TODD JACKSON	PreparerPersonNm
PTIN	P00092672	PTIN
Phone	6123324300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	66.98.98.9	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-13	IPDt
IP Tm	17:15:59	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C0F43978DBA0C0105C9EC865D2B1B55C6AA9D490	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B56786F7D21A8F39D00ED83C272556B8DDCB8C36	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KENNETH D HOLMEN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1406 6TH AVENUE NORTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56303	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$316,156,326	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	1995	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	CENTRACARE HEALTH WORKS TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2987	TotalEmployeeCnt
Total Volunteers	1560	TotalVolunteersCnt
Total Gross UBI	$3,781,119	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$64,586	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,214,113	PYContributionsGrantsAmt
CY Contributions Grants	$1,867,541	CYContributionsGrantsAmt
PY Program Service Revenue	$206,045,833	PYProgramServiceRevenueAmt
CY Program Service Revenue	$292,511,337	CYProgramServiceRevenueAmt
PY Investment Income	$2,091,866	PYInvestmentIncomeAmt
CY Investment Income	$4,234,522	CYInvestmentIncomeAmt
PY Other Revenue	$4,887,876	PYOtherRevenueAmt
CY Other Revenue	$8,858,624	CYOtherRevenueAmt
PY Total Revenue	$214,239,688	PYTotalRevenueAmt
CY Total Revenue	$307,472,024	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,477	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$344,074	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$113,617,042	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$161,364,843	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$105,772,114	PYOtherExpensesAmt
CY Other Expenses	$142,537,613	CYOtherExpensesAmt
PY Total Expenses	$219,409,633	PYTotalExpensesAmt
CY Total Expenses	$304,246,530	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,169,945	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,225,494	CYRevenuesLessExpensesAmt
Total Assets BOY	$243,270,436	TotalAssetsBOYAmt
Total Assets EOY	$431,777,761	TotalAssetsEOYAmt
Total Liabilities BOY	$139,293,816	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$280,015,582	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$103,976,620	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$151,762,179	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF CENTRACARE HEALTH SYSTEM (CCHS) IS TO OPERATE AN INTEGRATED MULTI-ORGANIZATIONAL HEALTH CARE SYSTEM DESIGNED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES AT AN AFFORDABLE PRICE.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$131,730,448	ExpenseAmt
Grant	$60,761	GrantAmt
Revenue	$127,552,106	RevenueAmt
Desc	CENTRACARE HEALTH SYSTEM (CCHS) IS AN INTEGRATED HEALTH SYSTEM, COMPRISED OF FIVE CRITICAL ACCESS HOSPITALS, ONE ACUTE CARE HOSPITAL, A MULTI-SPECIALTY CLINIC, SURGICAL CENTER, RETAIL PHARMACY NETWORK, NURSING HOME AND A FOUNDATION. CCHS SERVES ITS PATIENTS IN 4 MAIN AREAS:MONTICELLO HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. MONTICELLO HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL AND ALSO OPERATES A 10 BED ACUTE GERIATRIC PSYCHIATRIC UNIT. IN FISCAL YEAR 2018, THEY HAD 6,322 PATIENT DAYS, 35,472 OUTPATIENT VISITS AND 12,757 EMERGENCY ROOM VISITS' WHICH GENERATED $127,552,106 OF PROGRAM REVENUE AND $131,730,448 OF PROGRAM EXPENSES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$59,491,150	ExpenseAmt
Grant	$256,596	GrantAmt
Revenue	$68,647,293	RevenueAmt
Desc	AS OF JANUARY 1, 2018 CARRIS HEALTH, LLC IS CONSIDERED A DISREGARDED ENTITY OF CCHS FOR PURPOSES OF 990 REPORTING, THUS THE SHORT PERIOD OF 1/1/18 - 6/30/18 IS INCLUDED WITH THIS 990 FILING. CARRIS HEALTH, LLC INCLUDES THE SUBSIDIARY CARRIS HEALTH - RICE MEMORIAL HOSPITAL, WHICH HAS 136 LICENSED BEDS. DURING THE PERIOD JANUARY 1 - JUNE 30, 2018 RICE MEMORIAL HOPSITAL CARED FOR 1,835 INPATIENT ADMISSIONS WITH 5,941 ASSOCIATED PATIENT DAYS. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL CARE, BIRTHING SERVICES, PEDIATRIC SERVICES, BEHAVIORAL HEALTH CARE SERVICES, AND REHABILITATION SERVICES. OUTPATIENT ENCOUNTERS DURING FISCAL YEAR 2018 WERE 41,149 AND INCLUDED EMERGENCY ROOM SERVICES, DIALYSIS, IMAGING, RESPIRATORY THERAPY, A REHABILITATION CENTER, SAME DAY SURGERY AND OTHER AMBULATORY CARE SERVICES. CARRIS HEALTH - RICE MEMORIAL HOSPITAL JOINED CENTRACARE JANUARY OF 2018 IN CREATING AN INNOVATIVE CARE DELIVERY MODEL THAT WOULD BENEFIT COMMUNITIES IN CENTRAL, SOUTHWEST AND WEST CENTRAL MINNESOTA TO PROVIDE CARE CLOSER TO HOME. CARRIS HEALTH ALSO OFFERS A CERTIFIED SKILLED NURSING FACILITY LOCATED IN WILLMAR, MN, THE FACILITY HAS 78 LICENSED BEDS AND HAS REALIZED 8,469 RESIDENT DAYS IN THE LONG-TERM CARE PORTION OF THE FACILITY AND 4,365 RESIDENT DAYS IN THE SHORT-TERM THERAPY SUITES AREA DURING JANUARY THROUGH JUNE 2018. CARRIS HEALTH ALSO OFFERS A BRAND NEW (MAY 2018) ACCREDITED AMBULATORY SURGICAL CENTER LOCATED IN WILLMAR, MN. THE CARRIS HEALTH SURGICAL CENTER WILLMAR IS UTILIZED BY 30+ PHYSICIANS AND IN ITS FIRST MONTH OF OPERATIONS COMPLETED 645 OUTPATIENT (SAME DAY) PROCEDURES. CARRIS HEALTH ALSO OFFERS A DURABLE MEDICAL EQUIPMENT PROVIDER, RICE HOME MEDICAL. RICE HOME MEDICAL IS A LEADING RETAIL PROVIDER OF MEDICAL EQUIPMENT AND SUPPLIES THROUGHOUT WESTERN MINNESOTA. RICE HOME MEDICAL WAS FOUNDED IN 1988 AND IS HEADQUARTERED IN WILLMAR, MN. RICE HOME MEDICAL OFFERS MEDICAL EQUIPMENT AND SUPPLIES FOR RESPIRATORY, MOBILITY, COMPLEX MOBILITY, WOMEN'S HEALTH, INDEPENDENT LIVING, HOME MODIFICATIONS AND OTHER HEALTHCARE RELATED EQUIPMENT AND SERVICES. RICE HOME MEDICAL HAS LOCATIONS IN WILLMAR, ALEXANDRIA, REDWOOD AND MADISON, MN. EACH YEAR IT SERVES MORE THAN 20,000 PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$34,520,912	ExpenseAmt
Grant	$26,717	GrantAmt
Revenue	$39,920,694	RevenueAmt
Desc	CENTRACARE HEALTH - PAYNESVILLE HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. CENTRACARE HEALTH - PAYNESVILLE HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. IN FISCAL YEAR 2018 THEY HAD 2,498 PATIENT DAYS, 41,458 OUTPATIENT VISITS AND 3,768 EMERGENCY ROOM VISITS. IN FISCAL YEAR 2018, PAYNESVILLE GENERATED $39,920,694 OF PROGRAM REVENUE AND $34,520,912 OF PROGRAM EXPENSE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$36,151,573	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$56,391,244	RevenueAmt
Desc	CENTRACARE LABORATORY SERVICES ALL HOSPITALS UNDER ITS UMBRELLA AS WELL AS CENTRACARE CLINIC. IT ALSO PERFORMS TESTS FOR VARIOUS FACILITIES IN THE REGION. CENTRACARE LABORATORY PERFORMED 2,215,255 TESTS IN FISCAL YEAR 2018. IN FISCAL YEAR 2018 CENTRACARE LABORATORY GENERATED $45,300,905 IN PROGRAM REVENUE AND INCURRED $26,816,500 OF EXPENSES. CENTRACARE SURGICAL CENTER PROVIDES ELECTIVE SURGERY PROCEDURES TO PATIENTS IN THE CENTRAL MN REGION. IN FY 2018, THE CENTER PERFORMED 5,434 SURGERIES AND GENERATED $11,090,339 OF PROGRAM REVENUE AND $9,335,073 OF PROGRAM EXPENSE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$36,151,573	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$56,391,244	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$261,894,083	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	308	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2987	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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	GREGORY R KLUGHERZ	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3202512700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1406 SIXTH AVENUE NORTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56303	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 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
KENNETH D HOLMEN MD
PRESIDENT/CEO	21.00	19.00	Yes (X)	Yes (X)	$1,588,645	$0	$33,551
MIKE BENUSA
DIRECTOR, CHAIR	2.00		Yes (X)	Yes (X)	$0	$0	$0
STEVE LARAWAY
DIRECTOR, VICE CHAIR	2.00		Yes (X)	Yes (X)	$0	$0	$0
CHRISTIAN SCHMIDT MD
DIRECTOR & SURGEON	2.00	38.00	Yes (X)		$0	$758,602	$45,661
ROBERT STOCKER MD
DIRECTOR & OB/GYN	2.00	38.00	Yes (X)		$0	$571,016	$20,850
CHRISTOPHER COBORN
DIRECTOR	2.00		Yes (X)		$0	$0	$0
DENISE ROSIN
DIRECTOR	2.00		Yes (X)		$0	$0	$0
TERESA BOHNEN
DIRECTOR	2.00		Yes (X)		$0	$0	$0
JOSEPH UPHUS
DIRECTOR	2.00		Yes (X)		$0	$0	$0
DAVID ANFINSON
DIRECTOR	2.00		Yes (X)		$0	$0	$0
TIM HEBL MD
DIRECTOR	2.00		Yes (X)		$0	$0	$0
DONALD JURGENS MD
DIRECTOR/PHYSICIAN	2.00	38.00	Yes (X)		$0	$851,518	$44,661
DONALD KETTLER JCL
DIRECTOR	2.00		Yes (X)		$0	$0	$0
SHARON RUGGIERO MD
DIRECTOR/PHYSICIAN	2.00	38.00	Yes (X)		$0	$270,005	$29,686
RICHARD WEHLSER MD
DIRECTOR/PHYSICIAN	2.00	38.00	Yes (X)		$0	$0	$0
TIM WENSMAN
DIRECTOR	2.00		Yes (X)		$0	$0	$0
JEFF GAU
DIRECTOR	2.00		Yes (X)		$0	$0	$0
GREGORY R KLUGHERZ
TREASURER/CFO	25.00	15.00		Yes (X)	$841,851	$0	$32,906
PAUL R HARRIS ESQ
CORPORATE SECRETARY	25.00	15.00		Yes (X)	$548,527	$0	$110,529
AMY M PORWOLL
VICE PRESIDENT	20.00	20.00			$565,952	$0	$94,229	Yes (X)
DUANE A RASUMUSSON
VICE PRESIDENT	20.00	20.00			$559,220	$0	$38,827	Yes (X)
THOMAS SCHRUP MD
VICE PRESIDENT	20.00	20.00			$430,118	$0	$76,093	Yes (X)
KURT OTTO MD
VICE PRESIDENT	20.00	20.00			$355,398	$0	$81,237	Yes (X)
JOY PLAMANN
VICE PRESIDENT	20.00	20.00			$288,822	$0	$82,921	Yes (X)
KELLY MACKEN-MARBLE
VICE PRESIDENT	20.00	20.00			$433,421	$0	$72,202	Yes (X)
NELSON L ADAMSON MD
PHYSICIAN	40.00	0.00			$0	$572,511	$48,132		Yes (X)
LAWRENCE G STRATE MD
PHYSICIAN	40.00	0.00			$0	$404,201	$38,763		Yes (X)
RANDALL J ZIMMERMAN MD
PHYSICIAN	40.00	0.00			$0	$425,088	$45,728		Yes (X)
KURT A HABBEN MD
PHYSICIAN	40.00	0.00			$0	$368,852	$43,383		Yes (X)
TIMOTHY L MALLING MD
PHYSICIAN	40.00	0.00			$0	$417,887	$42,140		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,611,954	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,639,680	TotReportableCompRltdOrgAmt
Total Other Compensation	$981,499	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	142	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
CENTRACARE CLINIC
1200 6TH AVE NORTH	ST CLOUD	MN	56303	PHYSICIAN SERVICES	$7,284,431
MAYO MEDICAL LABORATORIES
PO BOX 4100	ROCHESTER	MN	559034100	LABORATORY SERVICES	$3,851,041
NORTH MEMORIAL
3300 OAKDALE AVE N	ROBBINSDALE	MN	554222926	MEDICAL PROFESSIONAL SERVICES	$3,398,834
METRO ANESTHESIA CONSULTANT
9855 AETNA AVE NE	MONTICELLO	MN	55362	ANESTHESIA SERVICES	$3,116,592
CENTRAL MINNESOTA EMERGENCY PHYSICIANS
1200 6TH AVE N	ST CLOUD	MN	56303	EMERGENY COVERAGE	$2,076,494

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Related Organizations	$21,932	RelatedOrganizationsAmt
Government Grants	$581,313	GovernmentGrantsAmt
All Other Contributions	$1,264,296	AllOtherContributionsAmt
Total Contributions	$1,867,541	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT & SERVICE REVENUE	621110	$236,872,327	$236,872,327
HEALTH INSURANCE PREMIUM CREDIT	621110	$31,716,723	$31,716,723
SHARED/LEGAL SYSTEM REVENUE	621110	$23,917,547	$23,917,547
CORPORATE REVENUE	621110	$4,740	$4,740

Field	Value	IRS element (for citing)
Total Program Service Revenue	$292,511,337	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,138,081	TotalRevenueColumnAmt
Exclusion	$4,138,081	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,337,719	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,380,072	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,957,647	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,957,647	TotalRevenueColumnAmt
Exclusion	$1,957,647	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$96,441	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	$96,441	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$96,441	TotalRevenueColumnAmt
Exclusion	$96,441	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,617,067	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$304,230	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,312,837	TotalRevenueColumnAmt
Exclusion	$1,312,837	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ALL OTHER REVENUE	900099	$5,438,021	$3,781,119	$1,656,902
REVENUE FROM JOINT VENTURES	900099	$150,119		$150,119

Field	Value	IRS element (for citing)
Other Revenue Total	$5,588,140	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,472,024	TotalRevenueColumnAmt
Related Or Exempt Func Income	$292,511,337	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,781,119	UnrelatedBusinessRevenueAmt
Exclusion	$9,312,027	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$263,096	TotalAmt
Program Services	$263,096	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$80,978	TotalAmt
Program Services	$80,978	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,301,026	TotalAmt
Program Services	$4,437,626	ProgramServicesAmt
Management And General	$863,400	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$90,958,369	TotalAmt
Program Services	$76,143,596	ProgramServicesAmt
Management And General	$14,814,773	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,480,201	TotalAmt
Program Services	$7,936,121	ProgramServicesAmt
Management And General	$1,544,080	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$44,213,720	TotalAmt
Program Services	$37,012,445	ProgramServicesAmt
Management And General	$7,201,275	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,411,527	TotalAmt
Program Services	$9,552,883	ProgramServicesAmt
Management And General	$1,858,644	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$968,700	TotalAmt
Program Services	$810,924	ProgramServicesAmt
Management And General	$157,776	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$195,446	TotalAmt
Program Services	$163,613	ProgramServicesAmt
Management And General	$31,833	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,788	TotalAmt
Program Services	$86,788	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$52,049	TotalAmt
Management And General	$52,049	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$62,568,328	TotalAmt
Program Services	$52,377,560	ProgramServicesAmt
Management And General	$10,190,768	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$692,757	TotalAmt
Program Services	$579,925	ProgramServicesAmt
Management And General	$112,832	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,097,468	TotalAmt
Program Services	$1,755,845	ProgramServicesAmt
Management And General	$341,623	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,802,659	TotalAmt
Program Services	$2,346,178	ProgramServicesAmt
Management And General	$456,481	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$334,601	TotalAmt
Program Services	$280,103	ProgramServicesAmt
Management And General	$54,498	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,813,885	TotalAmt
Program Services	$1,518,450	ProgramServicesAmt
Management And General	$295,435	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,700,595	TotalAmt
Program Services	$3,934,989	ProgramServicesAmt
Management And General	$765,606	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,040,286	TotalAmt
Program Services	$11,753,485	ProgramServicesAmt
Management And General	$2,286,801	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,832,408	TotalAmt
Program Services	$1,533,956	ProgramServicesAmt
Management And General	$298,452	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS/MEDICAL SUPPLIES	$36,076,938	$36,076,938
BAD DEBT	$4,233,313	$4,233,313
MEDICAID SURCHARGE/MN C	$3,741,324	$3,741,324
MINOR EQUIPMENT	$431,596	$361,300	$70,296

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,868,472	TotalAmt
Program Services	$4,912,647	ProgramServicesAmt
Management And General	$955,825	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$304,246,530	TotalAmt
Program Services	$261,894,083	ProgramServicesAmt
Management And General	$42,352,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,371,703	BOYAmt
EOY	$17,182,374	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,336,626	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,034,698	BOYAmt
EOY	$79,128,689	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,128,411	BOYAmt
EOY	$6,661,489	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,183,185	BOYAmt
EOY	$8,532,848	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$351,289,634	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$130,686,565	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$138,670,030	BOYAmt
EOY	$220,603,069	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$33,112,025	BOYAmt
EOY	$62,073,005	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,447,239	BOYAmt
EOY	$10,347,142	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,986,519	BOYAmt
EOY	$27,249,145	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$243,270,436	BOYAmt
EOY	$431,777,761	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$44,230,431	BOYAmt
EOY	$82,134,870	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$13,865	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,375,867	BOYAmt
EOY	$61,766,795	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$15,015,541	BOYAmt
EOY	$65,495,756	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,671,977	BOYAmt
EOY	$70,604,296	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$139,293,816	BOYAmt
EOY	$280,015,582	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$103,976,620	BOYAmt
EOY	$132,866,179	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$15,297,527	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$3,598,473	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$103,976,620	BOYAmt
EOY	$151,762,179	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$243,270,436	BOYAmt
EOY	$431,777,761	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,225,494	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,257,243	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$45,817,308	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

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	$86,788	OtherActivitiesAmt
Total Lobbying Expenditures	$86,788	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 HEALTH SYSTEM PAID $86,788 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,002,176	OtherCostOrOtherBasisAmt
Book Value	$16,002,176	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$252,342,079	OtherCostOrOtherBasisAmt
Depreciation	$82,468,922	DepreciationAmt
Book Value	$169,873,157	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,551	OtherCostOrOtherBasisAmt
Depreciation	$24,327	DepreciationAmt
Book Value	$222,224	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,855,786	OtherCostOrOtherBasisAmt
Depreciation	$48,167,468	DepreciationAmt
Book Value	$25,688,318	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,843,042	OtherCostOrOtherBasisAmt
Depreciation	$25,848	DepreciationAmt
Book Value	$8,817,194	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$220,603,069	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FUNDS HELD BY TRUSTEE UNDER BOND INDENTURES	$10,520,967	C
FUNDS HELD BY BOARD FOR FUTURE PROPERTY & EQUIP REPLACEMENT/EXPANSION	$36,590,370	C
INVESTMENT IN JOINT VENTURES	$1,720,289	C
INVESTMENT IN MUTUAL SERVICE CORP	$957,280	C
INVESTMENT IN OTHER	$12,284,099	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$62,073,005	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$3,764,524
DUE FROM AFFILIATES	$23,484,621

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$27,249,145	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION ACCRUAL	$158,255
ASSET RETIREMENT OBLIGATION	$1,539,564
DUE TO AFFILIATES	$68,906,477

Field	Value	IRS element (for citing)
Total Liability	$70,604,296	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

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	$479,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$479,505	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,462,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,227,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,235,203	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,941,884	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,227,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,714,708	NetCommunityBenefitExpnsAmt
Total Expense	0.04220	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,595	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,595	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$217,007	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$217,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$218,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,160,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,227,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,933,310	NetCommunityBenefitExpnsAmt
Total Expense	0.04410	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,164,114	BadDebtExpenseAmt
Reimbursed By Medicare	$54,631,519	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$55,485,400	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$853,881	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	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
CENTRACARE HEALTH - MONTICELLO
1	1013 HART BLVD	MONTICELLO	MN	55362	WWW.CENTRACARE.COM/LOCATIONS/MONTICELL	Yes (X)	Yes (X)	Yes (X)	Yes (X)	DISTINCT PART REHAB
CENTRACARE HEALTH - PAYNESVILLE
2	200 WEST FIRST STREET	PAYNESVILLE	MN	56362	WWW.CENTRACARE.COM/LOCATIONS/PAYNESVIL	Yes (X)	Yes (X)	Yes (X)	Yes (X)
RICE MEMORIAL HOSPITAL
3	301 BECKER AVE SW	WILLMAR	MN	56201	WWW.RICEHOSPITAL.COM/	Yes (X)	Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Insurance Status CriteriaInsuranceStatusCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Legal Judicial ProcessPermitLegalJudicialProcessInd	Permit Other ActionsPermitOtherActionsInd	Collection ActivitiesCollectionActivitiesInd	Engaged Legal Judicial ProcessEngagedLegalJudicialProcessInd	Other ActionsOtherActionsInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Provided Written NoticeProvidedWrittenNoticeInd
CENTRACARE HEALTH - MONTICELLO
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	Yes (X)	Yes (1)	15	Yes (1)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
CENTRACARE HEALTH - PAYNESVILLE
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	Yes (X)	Yes (1)	15	Yes (1)	SEE SECTION C SUPPLEMENTAL INFORMATION FOR PART V, SECTION B	0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	WWW.CENTRACARE.COM/PRICING-FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0	Yes (X)
RICE MEMORIAL HOSPITAL
3	0	Yes (1)	0																				0	Yes (1)	Yes (X)	175.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.RICEHOSPITAL.COM/BILLING-INSURANCE/DOCUMENTS-AND-RESOURCES/	Yes (X)	WWW.RICEHOSPITAL.COM/BILLING-INSURANCE/DOCUMENTS-AND-RESOURCES/	Yes (X)	WWW.RICEHOSPITAL.COM/BILLING-INSURANCE/DOCUMENTS-AND-RESOURCES/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0		Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 3J: CCH'S CHNA PRIMARY NEEDS WERE IDENTIFIED USING THE CENTER FOR DISEASE CONTROL'S COMMUNITY HEALTH STATUS INDICATORS (CHSI). THE PROCESS ALSO CONSIDERED SECONDARY DATA FROM THE DARTMOUTH ATLAS, ROBERT WOOD JOHNSON, MINNESOTA DEPARTMENT OF HEALTH, US CENSUS BUREAU, MINNESOTA HOSPITAL ASSOCIATION, AND PUBLIC HEALTH DEPARTMENTS FROM APPROPRIATE COUNTIES AND ADDITIONAL FEDERAL AND STATE ENTITIES. THE CHNA WAS INFORMED BY A COLLABORATIVE AND ONGOING COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH A NUMBER OF AREA COUNTIES WHO WERE JOINTLY CONDUCTING COMMUNITY SURVEYS TO INFORM THEIR COMMUNITY HEALTH ASSESSMENTS IN SUPPORT OF DEVELOPMENT OF THEIR COMMUNITY HEALTH IMPROVEMENT PLANS.LACK OF CURRENT PUBLIC HEALTH DATA WAS A SIGNIFICANT INFORMATION GAP IN THE CHNA AS THE SURVEY COULD NOT BE COMPLETED IN TIME TO INCLUDE ITS DATA IN THE CCH CHNA. CCH HAS COMMITTED TO A CONTINUING EFFORT WITH PUBLIC HEALTH OFFICIALS TO JOINTLY DEVELOP PRIORITIES WITH THE COUNTIES AS A PART OF ITS ACTION PLANS.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 3J: CCH'S CHNA PRIMARY NEEDS WERE IDENTIFIED USING THE CENTER FOR DISEASE CONTROL'S COMMUNITY HEALTH STATUS INDICATORS (CHSI). THE PROCESS ALSO CONSIDERED SECONDARY DATA FROM THE DARTMOUTH ATLAS, ROBERT WOOD JOHNSON, MINNESOTA DEPARTMENT OF HEALTH, US CENSUS BUREAU, MINNESOTA HOSPITAL ASSOCIATION, AND PUBLIC HEALTH DEPARTMENTS FROM APPROPRIATE COUNTIES AND ADDITIONAL FEDERAL AND STATE ENTITIES. THE CHNA WAS INFORMED BY A COLLABORATIVE AND ONGOING COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND MANAGED WITH A NUMBER OF AREA COUNTIES WHO WERE JOINTLY CONDUCTING COMMUNITY SURVEYS TO INFORM THEIR COMMUNITY HEALTH ASSESSMENTS IN SUPPORT OF DEVELOPMENT OF THEIR COMMUNITY HEALTH IMPROVEMENT PLANS.LACK OF CURRENT PUBLIC HEALTH DATA WAS A SIGNIFICANT INFORMATION GAP IN THE CHNA AS THE SURVEY COULD NOT BE COMPLETED IN TIME TO INCLUDE ITS DATA IN THE CCH CHNA. CCH HAS COMMITTED TO A CONTINUING EFFORT WITH PUBLIC HEALTH OFFICIALS TO JOINTLY DEVELOP PRIORITIES WITH THE COUNTIES AS A PART OF ITS ACTION PLANS.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 5: DATA WAS OBTAINED FROM LOCAL COUNTY PUBLIC HEALTH DEPARTMENTS, INCLUDING THEIR MOST RECENT HEALTH ASSESSMENTS AND COMMUNITY REPORTS. IN ADDITION, HEALTH-RELATED INFORMATION WAS COLLECTED FROM AREA NONPROFIT ORGANIZATIONS THAT REGULARLY CONDUCT ASSESSMENTS AND EVALUATIONS OF THE SERVICES THEY PROVIDE AND THEIR TARGETED DEMOGRAPHICS. USEFUL MATERIAL WAS GATHERED FROM THE LOCAL UNITED WAY, CATHOLIC CHARITIES, THE CENTRAL MINNESOTA COUNCIL ON AGING, AND THE TRI-COUNTY ACTION PROGRAM (TRI-CAP). THESE ORGANIZATIONS SUPPORT A BROAD RANGE OF CONSTITUENTS WITH DIVERSE HEALTH-RELATED NEEDS; THEY REPRESENT DEMOGRAPHICS THAT ARE STATISTICALLY MORE LIKELY TO ENCOUNTER HEALTH-RELATED BARRIERS. CCH ALSO CONDUCTED A SERIES OF FOCUS GROUPS THAT INFORMED ITS CHNA. SPECIFICALLY, THE FOCUS GROUPS REPRESENTED POPULATIONS OF COLOR, RECENT IMMIGRANT POPULATIONS, CULTURAL MINORITIES, THOSE WHO WERE AUDIBLY CHALLENGED AND OTHERS WHO WERE DEEMED TO BE UNDER-REPRESENTED OR UNDER-SERVED.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 5: DATA WAS OBTAINED FROM LOCAL COUNTY PUBLIC HEALTH DEPARTMENTS, INCLUDING THEIR MOST RECENT HEALTH ASSESSMENTS AND COMMUNITY REPORTS. IN ADDITION, HEALTH-RELATED INFORMATION WAS COLLECTED FROM AREA NONPROFIT ORGANIZATIONS THAT REGULARLY CONDUCT ASSESSMENTS AND EVALUATIONS OF THE SERVICES THEY PROVIDE AND THEIR TARGETED DEMOGRAPHICS. USEFUL MATERIAL WAS GATHERED FROM THE LOCAL UNITED WAY, CATHOLIC CHARITIES, THE CENTRAL MINNESOTA COUNCIL ON AGING, AND THE TRI-COUNTY ACTION PROGRAM (TRI-CAP). THESE ORGANIZATIONS SUPPORT A BROAD RANGE OF CONSTITUENTS WITH DIVERSE HEALTH-RELATED NEEDS; THEY REPRESENT DEMOGRAPHICS THAT ARE STATISTICALLY MORE LIKELY TO ENCOUNTER HEALTH-RELATED BARRIERS. CCH ALSO CONDUCTED A SERIES OF FOCUS GROUPS THAT INFORMED ITS CHNA. SPECIFICALLY, THE FOCUS GROUPS REPRESENTED POPULATIONS OF COLOR, RECENT IMMIGRANT POPULATIONS, CULTURAL MINORITIES, THOSE WHO WERE AUDIBLY CHALLENGED AND OTHERS WHO WERE DEEMED TO BE UNDER-REPRESENTED OR UNDER-SERVED.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 6A: CCH CONDUCTED ITS CHNA JOINTLY WITH ALL OF ITS 501(C)(3) HOSPITALS AS OF THE BEGINNING OF ITS FISCAL 2016. THOSE FACILITIES INCLUDED ST. CLOUD HOSPITAL, CENTRACARE HEALTH - MELROSE, CENTRACARE HEALTH - LONG PRAIRIE, CENTRACARE HEALTH - SAUK CENTRE, CENTRACARE HEALTH - MONTICELLO AND CENTRACARE HEALTH - PAYNESVILLE.EACH HOSPITAL PREPARED INDIVIDUAL ACTION PLANS TO THE CHNA BASED ON SPECIFIC INPUT FROM THOSE COMMUNITIES.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 6A: CCH CONDUCTED ITS CHNA JOINTLY WITH ALL OF ITS 501 C 3 HOSPITALS AS OF THE BEGINNING OF ITS FISCAL 2016. THOSE FACILITIES INCLUDED ST. CLOUD HOSPITAL, CENTRACARE HEALTH MELROSE, CENTRACARE HEALTH LONG PRAIRIE, CENTRACARE HEALTH SAUK CENTRE, CENTRACARE HEALTH - MONTICELLO AND CENTRACARE HEALTH - PAYNESVILLE.EACH HOSPITAL PREPARED INDIVIDUAL ACTION PLANS TO THE CHNA BASED ON SPECIFIC INPUT FROM THOSE COMMUNITIES.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 7D: IN ADDITION TO MAKING ITS CHNA AVAILABLE TO THE PUBLIC ON ITS WEB SITE AND AT ITS BUSINESS OFFICE, CCH HAS SHARED COPIES OF THE CHNA WITH COUNTY PUBLIC HEALTH OFFICIALS AND, INTERNALLY, WITH INDIVIDUALS WORKING ON QUALITY IMPROVEMENT AND COMMUNITY HEALTH INITIATIVES.CCH HAS ALSO PUBLISHED CONTACT INFORMATION FOR ITS DIRECTOR OF COMMUNITY & GOVERNMENT RELATIONS TO RESPOND TO QUESTIONS OR CONCERNS ABOUT THE CHNA. THE DIRECTOR HAS ALSO PRESENTED RESULTS OF THE CHNA TO COMMUNITY GROUPS AND TO REPRESENTATIVES OF LOCAL FUNDING GROUPS.
RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 2: RICE MEMORIAL HOSPITAL WAS ACQUIRED BY CENTRACARE HEALTH AS OF JANUARY 1, 2018. PRIOR TO THE ACQUISITION RICE MEMORIAL HOSPITAL WAS A GOVERNMENTAL HOSPITAL.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED BY THE CHNA ARE CURRENTLY IN ORGANIZATIONAL WORK PLANS AND ARE UNDER IMPLEMENTATION. TO PRIORITIZE IDENTIFIED NEEDS, CHNA ADVISORY TASK FORCE MEMBERS DEVISED A SET OF CRITERIA. THE CRITERIA USED WERE: COMMUNITY IMPACT, POTENTIAL FOR CHANGE, ECONOMIC FEASIBILITY, COMMUNITY ASSETS, AND VALUE AND MISSION. THE PRIORITIZATION PROCESS IDENTIFIED PROCESS IDENTIFIED THE FOLLOWING SIX, BROAD COMMUNITY HEALTH ISSUES: 1 - ADULT OBESITY2 - ADULT DIABETES3 - OLDER ADULT PREVENTABLE HOSPITALIZATIONS4 - STROKE DEATHS5 - CORONARY HEART DISEASE DEATHS6 - CANCER DEATHSCENTRACARE HEALTH WILL MAINTAIN ITS ENGAGEMENTS WITH THE CHNA ADVISORY TASK FORCE TO ENSURE EFFECTIVE COLLABORATION AND COMMUNICATION WITH THE OTHER CENTRACARE HOSPITALS. THE CHNA ADVISORY TASK FORCE WILL CONTINUE TO MEET DURING THE THREE-YEAR PERIOD IN WHICH THE IMPLEMENTATION STRATEGY WILL UNFOLD. DURING THIS TIME THE GROUP WILL:- IDENTIFY WHAT OTHER COMMUNITY ORGANIZATION ARE DOING IN REGARD TO HEALTH PRIORITY AREAS;- DEVELOP SPECIFIC GOALS AND METRICS TO MONITOR AND MEASURE PROGRESS AND OUTCOMES;- COMMUNICATE SHORT-TERM AND LONG-TERM RESULTS OF ACTION PLANS WITHIN THE COMMUNITY.BASED ON THE FINDINGS AND PRIORITIES ESTABLISHED BY THE CHNA, AND AFTER HAVING REVIEWED THE COMMUNITY BENEFITS ACTIVITIES THAT CURRENTLY EXIST, ST. CLOUD HOSPITAL WILL CONTINUE TO SUPPORT THE SYSTEM-WIDE INITIATIVES OUTLINED BELOW AND WILL PARTICIPATE IN LOCALIZED ADAPTIONS (AS DESCRIBED IN THE ACTION STEPS) OF THESE PROGRAMS WITH REGARD TO THE SPECIFIC NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. TO SEE THE SPECIFIC ACTION PLAN FOR EACH OF THE SIX PRIORITY HEALTH AREAS SEE THE FULL IMPLEMENTATION STRATEGY FOR FISCAL YEAR 2016 - 2018 LOCATED ON THE WEBSITE AT HTTP://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/5221/COMMUNITY-HEALTH-NEEDS-ASSESSMENT---CENTRACARE-HEALTH-SYSTEM.PDFPER GUIDANCE FROM THE IRS, REGULATION 1.501(R)-3(C), THE CHNA FOR CCH ELECTED NOT TO DIRECTLY ADDRESS SEVERAL DETERMINANTS OF HEALTH THAT IT IDENTIFIED IN ITS PROCESS WHICH WERE NOT WITHIN THE ORGANIZATION'S CAPABILITIES OR CORE COMPETENCIES. EXAMPLES OF ISSUES NOT SPECIFICALLY ADDRESSED IN THE CHNA ACTION PLANS INCLUDE HIGH SCHOOL GRADUATION RATES, AFFORDABLE HOUSING OR SUPPORTED HOUSING. (CCH DID SUPPORT AN EFFORT OF THE CITY OF ST. CLOUD TO CONDUCT A HOUSING ASSESSMENT AS A RESULT OF THE CHNA PROCESS AND IS ALREADY THE LARGEST AREA PROVIDER OF SUPPORTED HOUSING DUE TO ITS EXTENSIVE CHEMICAL DEPENDENCY PROGRAMS AND SENIOR HOUSING PROGRAMS.)
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED BY THE CHNA ARE CURRENTLY IN ORGANIZATIONAL WORK PLANS AND ARE UNDER IMPLEMENTATION. TO PRIORITIZE IDENTIFIED NEEDS, CHNA ADVISORY TASK FORCE MEMBERS DEVISED A SET OF CRITERIA. THE CRITERIA USED WERE: COMMUNITY IMPACT, POTENTIAL FOR CHANGE, ECONOMIC FEASIBILITY, COMMUNITY ASSETS, AND VALUE AND MISSION. THE PRIORITIZATION PROCESS IDENTIFIED PROCESS IDENTIFIED THE FOLLOWING SIX, BROAD COMMUNITY HEALTH ISSUES: 1 - ADULT OBESITY2 - ADULT DIABETES3 - OLDER ADULT PREVENTABLE HOSPITALIZATIONS4 - STROKE DEATHS5 - CORONARY HEART DISEASE DEATHS6 - CANCER DEATHSCENTRACARE HEALTH WILL MAINTAIN ITS ENGAGEMENTS WITH THE CHNA ADVISORY TASK FORCE TO ENSURE EFFECTIVE COLLABORATION AND COMMUNICATION WITH THE OTHER CENTRACARE HOSPITALS. THE CHNA ADVISORY TASK FORCE WILL CONTINUE TO MEET DURING THE THREE-YEAR PERIOD IN WHICH THE IMPLEMENTATION STRATEGY WILL UNFOLD. DURING THIS TIME THE GROUP WILL:- IDENTIFY WHAT OTHER COMMUNITY ORGANIZATION ARE DOING IN REGARD TO HEALTH PRIORITY AREAS;- DEVELOP SPECIFIC GOALS AND METRICS TO MONITOR AND MEASURE PROGRESS AND OUTCOMES;- COMMUNICATE SHORT-TERM AND LONG-TERM RESULTS OF ACTION PLANS WITHIN THE COMMUNITY.BASED ON THE FINDINGS AND PRIORITIES ESTABLISHED BY THE CHNA, AND AFTER HAVING REVIEWED THE COMMUNITY BENEFITS ACTIVITIES THAT CURRENTLY EXIST, ST. CLOUD HOSPITAL WILL CONTINUE TO SUPPORT THE SYSTEM-WIDE INITIATIVES OUTLINED BELOW AND WILL PARTICIPATE IN LOCALIZED ADAPTIONS (AS DESCRIBED IN THE ACTION STEPS) OF THESE PROGRAMS WITH REGARD TO THE SPECIFIC NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. TO SEE THE SPECIFIC ACTION PLAN FOR EACH OF THE SIX PRIORITY HEALTH AREAS SEE THE FULL IMPLEMENTATION STRATEGY FOR FISCAL YEAR 2016 - 2018 LOCATED ON THE WEBSITE AT HTTP://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/5221/COMMUNITY-HEALTH-NEEDS-ASSESSMENT---CENTRACARE-HEALTH-SYSTEM.PDFPER GUIDANCE FROM THE IRS, REGULATION 1.501(R)-3(C), THE CHNA FOR CCH ELECTED NOT TO DIRECTLY ADDRESS SEVERAL DETERMINANTS OF HEALTH THAT IT IDENTIFIED IN ITS PROCESS WHICH WERE NOT WITHIN THE ORGANIZATION'S CAPABILITIES OR CORE COMPETENCIES. EXAMPLES OF ISSUES NOT SPECIFICALLY ADDRESSED IN THE CHNA ACTION PLANS INCLUDE HIGH SCHOOL GRADUATION RATES, AFFORDABLE HOUSING OR SUPPORTED HOUSING. (CCH DID SUPPORT AN EFFORT OF THE CITY OF ST. CLOUD TO CONDUCT A HOUSING ASSESSMENT AS A RESULT OF THE CHNA PROCESS AND IS ALREADY THE LARGEST AREA PROVIDER OF SUPPORTED HOUSING DUE TO ITS EXTENSIVE CHEMICAL DEPENDENCY PROGRAMS AND SENIOR HOUSING PROGRAMS.)
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE. FOR ALL HOSPITALS OF CENTRACARE WITH FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS WILL NOT BE CHARGED MORE FOR EMERGENT AND MEDICALLY NECESSARY CARE, USING THE LOOK BACK METHOD OF (AVERAGE GENERALLY BILLED) AGB AS DESCRIBED IN THE 501R REGULATIONS THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WITH INSURANCE COVERING EMERGENCY AND MEDICALLY NECESSARY CARE.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE. PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOM OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT
RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: A NON-CITIZEN CAN BE DENIED CARE IF THEY CAME TO THE US SPECIFICALLY TO RECEIVE FREE CARE. PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOM OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT
CENTRACARE HEALTH - MONTICELLO	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 - PAYNESVILLE	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 - MONTICELLO	PART V, SECTION B, LINE 18E: THE ORGANIZATION EMPLOYS THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE GARNISHMENTS & LAWSUITS AS WELL. ALL LEGAL ACTIONS ARE REVIEWED & APPROVED BY CCH MANAGEMENT PRIOR TO INITIATING.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 18E: THE ORGANIZATION EMPLOYS THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE GARNISHMENTS & LAWSUITS AS WELL. ALL LEGAL ACTIONS ARE REVIEWED & APPROVED BY CCH MANAGEMENT PRIOR TO INITIATING.
RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 18E: THE ORGANIZATION EMPLOYS THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE GARNISHMENTS & LAWSUITS AS WELL. ALL LEGAL ACTIONS ARE REVIEWED & APPROVED BY CARRIS HEALTH MANAGEMENT PRIOR TO INITIATING.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 19E: THE ORGANIZATION EMPLOYS THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE GARNISHMENTS & LAWSUITS AS WELL. ALL LEGAL ACTIONS ARE REVIEWED & APPROVED BY CCH MANAGEMENT PRIOR TO INITIATING.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 19E: THE ORGANIZATION EMPLOYS THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE GARNISHMENTS & LAWSUITS AS WELL. ALL LEGAL ACTIONS ARE REVIEWED & APPROVED BY CCH MANAGEMENT PRIOR TO INITIATING.
RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 19E: THE ORGANIZATION EMPLOYS THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE GARNISHMENTS & LAWSUITS AS WELL. ALL LEGAL ACTIONS ARE REVIEWED & APPROVED BY CARRIS HEALTH MANAGEMENT PRIOR TO INITIATING.
CENTRACARE HEALTH - MONTICELLO:	PART V, SECTION B, LINE 7A: THE HOSPTIAL'S CHNA CAN BE FOUND ON IT'S WEBSITE AT WWW.CENTRACARE.COM/APP/FILES/PUBLIC/3004/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-MONTICELLO.PDF.
CENTRACARE HEALTH - PAYNESVILLE:	PART V, SECTION B, LINE 7A: THE HOSPTIAL'S CHNA CAN BE FOUND ON IT'S WEBSITE AT WWW.CENTRACARE.COM/APP/FILES/PUBLIC/5220/COMMUNITY-HEALTH-NEEDS-ASSESSMENT---PAYNESVILLE.PDF.
CENTRACARE HEALTH - MONTICELLO:	PART V, SECTION B, LINE 10A: THE HOSPTIAL'S ACTION PLAN CAN BE FOUND ON IT'S WEBSITE AT WWW.CENTRACARE.COM/APP/FILES/PUBLIC/3004/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-MONTICELLO.PDF.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MONTICELLO CARE CENTER
1104 EAST RIVER STREET	MONTICELLO	MN	55362	SKILLED NURSING FACILITY
2 - MONTICELLO CLINIC
1001 HART BLVD STE 100	MONTICELLO	MN	55362	CLINIC
3 - KORONIS MANOR CARE CENTER
200 WEST FIRST STREET	PAYNESVILLE	MN	56362	SKILLED NURSING FACILITY
4 - CCH PAYNESVILLE- BELGRADE CLINIC
505 NELSON AVENUE	BELGRADE	MN	56312	CLINIC
5 - CCH PAYNESVILLE - COLD SPRING CLINIC
308 FIFTH AVENUE SOUTH	COLD SPRING	MN	56320	CLINIC
6 - CCH PAYNESVILLE - EDEN VALLEY CLINIC
405 MEEKER AVENUE	EDEN VALLEY	MN	56362	CLINIC
7 - CCH PAYNESVILLE - PAYNESVILLE CLINIC
200 WEST FIRST STREET	PAYNESVILLE	MN	56362	CLINIC
8 - CCH PAYNESVILLE - RICHMOND CLINIC
130 FIRST STREET NE	RICHMOND	MN	56368	CLINIC
9 - RICE CARE CENTER
1801 WILLMAR AVE SW	WILLMAR	MN	56201	SKILLED NURSING FACILITY
10 - RICE HOME MEDICAL
1033 19TH AVE SW	WILLMAR	MN	56201	DURABLE MEDICAL EQUIPMENT PROVIDER
11 - CARRIS HEALTH SURGERY CENTER WILLMAR
1310 1ST STREET S	WILLMAR	MN	56201	AMBULATORY SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (12 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 HOSPITALS' TOTAL EXPENSES (NET OF BAD DEBT) WERE REDUCED BY OTHER OPERATING REVENUE (NET OF HER INCENTIVE REVENUE) AND ALSO BY MEDICAID SURCHARGE AND TAXES, AND THEN DIVIDED BY TOTAL PATIENT REVENUE TO DETERMINE COST TO CHARGE RATIO.
PART III, LINE 2:	THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
PART III, LINE 4:	THE FOLLOWING IS FROM THE "ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 OF THE ORGANIZATION'S AUDITED FINANCIALS."PATIENT AND RESIDENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS, CONSIDERING HISTORICAL NET COLLECTION, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANYMODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CENTRACARE FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY CENTRACARE."
PART III, LINE 8:	THE SHORTFALL OF $853,881 IN TREATING MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT IN ITS ENTIRETY. THE HOSPITALS PROVIDE AN EXCELLENT LEVEL OF CARE TO THE PEOPLE IN THE COMMUNITY. DESPITE THE SHORTFALL IN REIMBURSEMENT FORM MEDICARE, THE HOSPITALS CONTINUE TO PROVIDE ESSENTIAL HEALTHCARE SERVICES TO THE POPULATION. THE AMOUNT ON LINE 6 OF PART III WAS DETERMINED BY UTILIZING THE MEDICARE COST REPORT UTILIZING KEY SECTIONS OF THAT REPORT, PRIMARILY THE D SERIES AND E SERIES.
PART III, LINE 9B:	THE COLLECTION POLICIES AT THE HOSPITALS 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 RATING AGENCIES.
PART VI, LINE 2:	THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATING COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES.
PART VI, LINE 3:	INPATIENTS WHO ARE SELF PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF PAY DISCOUNT AND SCREENS THE PATIENT FOR ELIGIBILITY FOR ANY STATE OR FEDERAL PROGRAMS. THEY ALSO ASSIST THE PATIENT WITH ANY PAPERWORK REQUIRED TO APPLY FOR SUCH PROGRAMS. OUTPATIENTS WHO ARE SELF PAY RECEIVE AN AUTOMATIC SELF PAY DISCOUNT. IF THE PATIENT DOES NOT REMIT PAYMENT, COLLECTION STAFF ATTEMPT TO REACH THE PATIENT BY PHONE. PATIENTS ARE TOLD ABOUT THE CHARITY PROGRAM. FOR BOTH INPATIENTS AND OUTPATIENTS, ALL STATEMENTS CONTAIN A LETTER REGARDING THE AVAILABILITY OF CHARITY CARE. ALSO ALL PRECOLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE.
PART VI, LINE 4:	CENTRACARE HEALTH - MONTICELLO IS LOCATED IN CENTRAL MINNESOTA IN WRIGHT COUNTY. THE ESTIMATED 2018 CENSUS SHOWS A POPULATION OF 19,439, WITH A PROJECTED 2023 GROWTH PERCENTAGE OF 4.7% TO 20,344 POPULATION LEVEL. THIS AREA OF THE STATE IS SHOWING A SIGNIFICANT INCREASE IN POPULATION AND IS EXPECTED TO CONTINUE INTO THE FUTURE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2018 TO 2023 IS AS FOLLOWS: 0-17: 1.7%, 18-44: 1.2%, 45-64: 5.7%, 65+: 19.6%. THE ESTIMATED 2018 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 89.6%, AFRICAN AMERICAN: 1.4%, ASIAN: 1.2%, HISPANIC: 5.3%, OTHER: 2.5%. CENTRACARE HEALTH - PAYNESVILLE IS LOCATED IN CENTRAL MINNESOTA IN STEARNS COUNTY. THE ESTIMATED 2018 CENSUS SHOWS A POPULATION OF 6,236 AND IS PROJECTED TO INCREASE SLIGHTLY TO 6,319 BY 2023 WHICH REPRESENTS A 1.30% INCREASE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2018 TO 2023 IS AS FOLLOWS: 0-17: 1.5%, 18-44: 3.9%, 45-64: -8.1%, 65+: 8.3%. THE ESTIMATED 2018 ETHNIC MIX IS AS FOLLOWS: CAUCASIAN: 95.9%, AFRICAN AMERICAN: .3%, ASIAN: .4%, HISPANIC: 2.3%, OTHER: 1.1%. CARRIS HEALTH - RICE MEMORIAL HOSPITAL IS LOCATED IN WILLMAR, MINNESOTA IN KANDIYOHI COUNTY. THE ESTIMATED 2017 CENSUS SHOWS A POPULATION OF 42,743 AND IS PROJECTED TO INCREASE SLIGHTLY TO XXXX BY 2023 WHICH REPRESENTS A X.XX% INCREASE. THE PROJECTED GROWTH BY AGE BRACKET FROM 2018 TO 2023 IS AS FOLLOWS:
PART VI, LINE 5:	THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IN SEVERAL IMPORTANT WAYS. ONE OF THESE WAYS IS THROUGH THE COMMUNITY COLLABORATION COMMITTEE (CCC), A STANDING COMMITTEE OF THE CENTRACARE HEALTH FOUNDATION. THE CCC HAS A MEMBERSHIP OF OVER 30 PERSONS REPRESENTING HEALTHCARE AND COMMUNITY NEEDS ACROSS CENTRAL MINNESOTA. THE CCC MEETS MONTHLY TO DISCUSS WAYS TO ADDRESS TYPICAL HEALTH ISSUES THROUGH AWARENESS BUILDING, EDUCATION AND/OR AN INTERVENTION PROJECT. THERE ARE SEVERAL COMMUNITY HEALTH OUTREACH INITIATIVES THAT THE FOUNDATION IS INVOLVED WITH. THESE INITIATIVES INCLUDE: 1) BLEND CHILDHOOD OBESITY COALITION OF CENTRAL MINNESOTA, 2) SMOKE FREE COMMUNITIES (CONTINUED EFFORTS TO CREATE CLEAN INDOOR AND OUTDOOR AIR FOR ALL), 3) TOBACCO CESSATION SERVICES CLINICS (COLLABORATION WITH CLINIC), 4) CENTRACARE CLINIC TEAM BASED CARE PILOT, 5) ST. CLOUD HOSPITAL - TRANSITION OF CARE PILOT (CREATE MORE SEAMLESS INTEGRATION FROM CARE SETTING TO CARE SETTING, AND 6) CLINIC - DIVERSITY AND CULTURAL COMPETENCY TRAINING.
PART VI, LINE 6:	THE ORGANIZATION IS PART OF CENTRACARE HEALTH SYSTEM (CCHS) WHICH PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO THE PATIENTS OF CENTRAL MINNESOTA. CCHS IS DEDICATED TO IMPROVING THE HEALTH OF PEOPLE LIVING AND WORKING IN THE COMMUNITIES IT SERVES. TO ACCOMPLISH ITS GOALS IT WORKS ACTIVELY WITH ITS AFFILIATE HEALTH CARE ORGANIZATIONS. CCHS CONTINUES TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE AND IN REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLOUD STATE UNIVERSITY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 FOURTH AVE SOUTH	AddressLine1Txt
City	ST CLOUD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56301	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	411687554	RecipientEIN
IRC Section	STATE GOVERNMENT	IRCSectionDesc
Cash Grant	$5,600	CashGrantAmt
Purpose Of Grant	WORKPLACE & PATIENT DIVERSITY	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	22	RecipientCnt
Cash Grant	$80,978	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	CENTRACARE HEALTH SYSTEM HAS THE FOLLOWING POLICY REGARDING CHARITABLE CONTRIBUTIONS: CONTRIBUTIONS MUST BE IN KEEPING WITH THE MISSION OF CENTRACARE HEALTH, WHICH IS TO WORK TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. CONTRIBUTIONS WILL BE MADE TO ORGANIZATIONS RATHER THAN TO INDIVIDUALS WITHIN THE CENTRAL MINNESOTA REGION. CENTRACARE'S CHARITABLE FUNDS MAY NOT BE USED TO SUPPORT ANY ORGANIZATION OR EVENT THAT WOULD RESULT IN BENEFITS OF ANY KIND TO AN EMPLOYEE OF THE HEALTH SYSTEM OR A MEMBER OF THE VARIOUS BOARDS OF DIRECTORS, EITHER DIRECTLY OR INDIRECTLY. ONE EXCEPTION EXISTS TO THE GUIDELINE REGARDING BENEFIT TO EMPLOYEES: WE WILL SUPPORT, VIA SCHOLARSHIPS AND THE PURCHASE OF SUPPLIES, THE MEDICAL MISSION WORK OF OUR STAFF AND PHYSICIANS. THE CENTRACARE HEALTH CONTRIBUTIONS COMMITTEE IS MADE UP OF: ONE REPRESENTATIVE FROM CENTRACARE HEALTH FOUNDATION; ONE REPRESENTATIVE FROM ST. CLOUD HOSPITAL HUMAN RESOURCES/DIVERSITY COMMITTEE; THE DIRECTOR OF CENTRACARE HEALTH'S COMMUNICATION DEPARTMENT AND THE COMMUNICATIONS/MARKETING FOR ST. BENEDICT'S SENIOR COMMUNITY; THE DIRECTOR OF CENTRACARE HEALTH'S MARKETING DEPARTMENT; THE DIRECTOR OF ST. CLOUD HOSPITAL VOLUNTEER SERVICES; AND ST. CLOUD HOSPITAL'S DIRECTOR OF MISSION & SPIRITUAL CARE. THE COMMITTEE MEETS MONTHLY TO ENSURE A STREAMLINED, COORDINATED PROCESS OF REVIEWING REQUESTS AND DETERMINING FUNDING. THE COMMITTEE MAINTAINS A DATABASE TO TRACK ALL CONTRIBUTIONS. OTHER CENTRACARE ENTITIES, INCLUDING CENTRACARE HEALTH - LONG PRAIRIE, MELROSE, MONTICELLO, PAYNESVILLE AND SAUK CENTRE, MAY DEVELOP A BUDGET FOR APPROVAL AND IMPLEMENT THEIR OWN CONTRIBUTIONS DECISIONS WITHIN THE GUIDELINES OF THIS DOCUMENT. CONTRIBUTIONS MAY NOT EXCEED THE STATED BUDGET AND NO MULTI-YEAR COMMITMENTS TO ORGANIZATIONS MAY BE MADE WITHOUT APPROVAL FORM THE CENTRACARE HEALTH EXECUTIVE COUNCIL. INDIVIDUALS AND DEPARTMENTS FORM THROUGHOUT ST. CLOUD HOSPITAL AND CENTRACARE CLINIC SHOULD FORWARD ALL OUTSIDE FUNDING REQUESTS TO A MEMBER OF THE COMMITTEE FOR THE FULL GROUP'S CONSIDERATION. THOSE REQUESTING FUNDS SHOULD BE ASKED TO SUBMIT REQUESTS IN WRITING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (1)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 D HOLMEN MD
PRESIDENT/CEO	$1,095,784	$0	$273,662	$0	$219,199	$0	$16,195	$0	$23,317	$0	$1,628,157	$0	$185,139	$0
CHRISTIAN SCHMIDT MD
DIRECTOR & SURGEON	$0	$706,748	$0	$33,080	$0	$18,774	$0	$20,250	$0	$28,293	$0	$807,145	$0	$0
ROBERT STOCKER MD
DIRECTOR & OB/GYN	$0	$503,855	$0	$66,387	$0	$774	$0	$20,250	$0	$3,838	$0	$595,104	$0	$0
DONALD JURGENS MD
DIRECTOR/PHYSICIAN	$0	$809,438	$0	$21,725	$0	$20,355	$0	$20,250	$0	$26,611	$0	$898,379	$0	$0
SHARON RUGGIERO MD
DIRECTOR/PHYSICIAN	$0	$222,436	$0	$28,807	$0	$18,762	$0	$19,120	$0	$11,261	$0	$300,386	$0	$0
GREGORY R KLUGHERZ
TREASURER/CFO	$595,405	$0	$120,905	$0	$125,541	$0	$16,200	$0	$22,684	$0	$880,735	$0	$105,613	$0
PAUL R HARRIS ESQ
CORPORATE SECRETARY	$385,014	$0	$89,704	$0	$73,809	$0	$83,771	$0	$31,592	$0	$663,890	$0	$58,526	$0
AMY M PORWOLL
VICE PRESIDENT	$335,336	$0	$69,076	$0	$161,540	$0	$70,071	$0	$27,654	$0	$663,677	$0	$147,600	$0
DUANE A RASUMUSSON
VICE PRESIDENT	$349,812	$0	$73,018	$0	$136,390	$0	$21,471	$0	$21,473	$0	$602,164	$0	$118,265	$0
THOMAS SCHRUP MD
VICE PRESIDENT	$341,240	$0	$77,840	$0	$11,038	$0	$54,032	$0	$25,013	$0	$509,163	$0	$0	$0
KURT OTTO MD
VICE PRESIDENT	$249,586	$0	$54,655	$0	$51,157	$0	$56,279	$0	$27,052	$0	$438,729	$0	$32,743	$0
JOY PLAMANN
VICE PRESIDENT	$228,841	$0	$47,798	$0	$12,183	$0	$56,622	$0	$30,421	$0	$375,865	$0	$0	$0
KELLY MACKEN-MARBLE
VICE PRESIDENT	$294,718	$0	$97,031	$0	$41,672	$0	$57,445	$0	$45,878	$0	$536,744	$0	$0	$0
NELSON L ADAMSON MD
PHYSICIAN	$0	$521,598	$0	$31,725	$0	$19,188	$0	$20,250	$0	$31,457	$0	$624,218	$0	$0
LAWRENCE G STRATE MD
PHYSICIAN	$0	$381,697	$0	$21,730	$0	$774	$0	$17,111	$0	$25,661	$0	$446,973	$0	$0
RANDALL J ZIMMERMAN MD
PHYSICIAN	$0	$381,520	$0	$30,824	$0	$12,744	$0	$20,817	$0	$28,440	$0	$474,345	$0	$0
KURT A HABBEN MD
PHYSICIAN	$0	$338,651	$0	$30,039	$0	$162	$0	$21,322	$0	$24,261	$0	$414,435	$0	$0
TIMOTHY L MALLING MD
PHYSICIAN	$0	$387,611	$0	$29,897	$0	$379	$0	$21,306	$0	$23,953	$0	$463,146	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRRED 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 THE FORM 990, THE AMOUNTS LISTED IN SECTION VII AND IN SCHEDULE J REFLECT THIS TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON THE FORM 990. ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF IT IS PAID TO THE EXECUTIVE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: KENNETH D HOLMEN - PAID $199,538; ACCRUED $0 GREGORY R KLUGHERZ - PAID $105,613; ACCRUED $0 PAUL R HARRIS - PAID $58,526; ACCRUED $67,163 AMY M PORWOLL - PAID $147,600; ACCRUED $49,307 DUANE A RASMUSSEN - PAID $118,265; ACCRUED $0 KURT OTTO - PAID $32,743; ACCRUED $38,659 THOMAS SCHRUP - PAID $0; ACCRUED $33,070 JOY PLAMANN - PAID $0; ACCRUED $34,509 KELLY MACKEN-MARBLE - PAID $0; ACCRUED $48,750

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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE CITY OF ST CLOUD
A	416005515	2011-12-28	$10,000,000	HEALTH CARE REVENUE BONDS 2011A	0	0	0
THE CITY OF ST CLOUD
B	416005515	2011-12-28	$31,445,000	HEALTH CARE REVENUE BONDS 2011B	0	0	0
THE CITY OF ST CLOUD
C	416005515	2014-11-19	$48,876,925	HEALTH CARE REVENUE BONDS 2014B	0	0	0	78916VCZ1
THE CITY OF ST CLOUD
D	416005515	2014-08-01	$128,310,000	HEALTH CARE REVENUE BONDS 2014	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$10,000,000	$150,000	$9,850,000	2015	0	0	Yes (1)	Yes (1)
B	$31,445,000			2012	Yes (1)	0	Yes (1)	Yes (1)	$31,445,000
C	$48,876,925	$550,981		2010	0	Yes (1)	Yes (1)	Yes (1)	$48,325,944
D	$128,310,000		$15,000,000	2016	Yes (1)	0	Yes (1)	Yes (1)	$113,310,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	0	Yes (1)	Yes (1)	0.01480	0.01480	Yes (1)
B	0	0			0.00680	Yes (1)	0.00680
C	Yes (1)	Yes (1)	Yes (1)		0.02400	Yes (1)	0.02400
D	Yes (1)	0			0.00600	Yes (1)	0.00600

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)	0	Yes (1)
C	0	Yes (1)	Yes (1)	0	Yes (1)
D	Yes (1)	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 02/23/2017 ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 02/23/2017 ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 07/19/2017	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE CITY OF ST CLOUD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	416005515	BondIssuerEIN
CUSIP	78916VDR8	CUSIPNum
Bond Issued	2016-05-12	BondIssuedDt
Issue Price	$216,598,436	IssuePriceAmt
Purpose	HEALTH CARE REVENUE BONDS 2016A	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$216,598,436	TotalProceedsAmt
Refunding Escrow	$161,480,506	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,760,260	IssuanceCostsFromProceedsAmt
Capital Expenditures	$53,357,670	CapitalExpendituresAmt
Substantial Completion	2017	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	Yes (1)	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Concerning UBI	0.03260	PrivateBusConcerningUBIPct
Total Private Business Use	0.03260	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	AS OF JANUARY 1, 2018 CARRIS HEALTH, LLC IS PART OF CENTRACARE HEALTH SYSTEM. CARRIS HEALTH, LLC INCLUDES THE SUBSIDIARY CARRIS HEALTH - RICE MEMORIAL HOSPITAL, WHICH HAS 136 LICENSED BEDS, AND PROVIDES INPATIENT AND OUTPATIENT SERVICES. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL CARE, BIRTHING SERVICES, PEDIATRIC SERVICES, BEHAVIORAL HEALTH CARE SERVICES, AND REHABILITATION SERVICES. OUTPATIENT SERVICES INCLUDE EMERGENCY ROOM SERVICES, DIALYSIS, IMAGING, RESPIRATORY THERAPY, A REHABILITATION CENTER, SAME DAY SURGERY AND OTHER AMBULATORY CARE SERVICES. CARRIS HEALTH ALSO OFFERS A CERTIFIED SKILLED NURSING FACILITY LOCATED IN WILLMAR, MN WITH 78 LICENSED BEDS AND AS OF MAY 2018 A BRAND NEW ACCREDITED AMBULATORY SURGICAL CENTER LOCATED IN WILLMAR, MN. THE CARRIS HEALTH SURGICAL CENTER WILLMAR IS UTILIZED BY 30+ PHYSICIANS. CARRIS HEALTH ALSO OFFERS A DURABLE MEDICAL EQUIPMENT PROVIDER, RICE HOME MEDICAL. RICE HOME MEDICAL IS A LEADING RETAIL PROVIDER OF MEDICAL EQUIPMENT AND SUPPLIES THROUGHOUT WESTERN MINNESOTA. RICE HOME MEDICAL WAS FOUNDED IN 1988 AND IS HEADQUARTERED IN WILLMAR, MN. RICE HOME MEDICAL OFFERS MEDICAL EQUIPMENT AND SUPPLIES FOR RESPIRATORY, MOBILITY, COMPLEX MOBILITY, WOMEN'S HEALTH, INDEPENDENT LIVING, HOME MODIFICATIONS AND OTHER HEALTHCARE RELATED EQUIPMENT AND SERVICES. RICE HOME MEDICAL HAS LOCATIONS IN WILLMAR, ALEXANDRIA, REDWOOD AND MADISON, MN. EACH YEAR IT SERVES MORE THAN 20,000 PATIENTS.
FORM 990, PART VI, SECTION B, LINE 11B	ANNUALLY AT THE BOARD'S APRIL MEETING, PRIOR TO FILING WITH THE IRS, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW THE IRS FORM 990 WITH THE STAFF, TO ASK QUESTIONS AND SEEK CLARIFICATIONS, AND TO APPROVE THE FINAL DOCUMENT.
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 QUESTIONNAIRES ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTEE 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 THE VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT REQUIRED BY LAW TO BE MADE AVAILABLE TO THE PUBLIC AND CENTRACARE HEALTH SYSTEM DOES NOT MAKE THEM AVAILABLE.
FORM 990, PART IX, LINE 11G	MEDICAL/OTHER FEES: PROGRAM SERVICE EXPENSES 10,619,737. MANAGEMENT AND GENERAL EXPENSES 2,066,215. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,685,952. CONTRACTED SERVICES/PURCH SVCS: PROGRAM SERVICE EXPENSES 41,757,823. MANAGEMENT AND GENERAL EXPENSES 8,124,553. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,882,376.
FORM 990, PART XI, LINE 9:	PENSION PLAN ADJUSTMENT 92,565. NET EQUITY TRANSFERS BTWN RELATED ORGS 46,619,895. NON-CONTROLLING INTEREST NET INCOME -2,570,598. ACQUISITION OF CARRIS HEALTH 685,122. OTHER ADJUSTMENTS 990,324.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRACARE SURGERY CENTER LLC
1406 6TH AVE N	ST CLOUD	MN	56303	611514974	SURGICAL CENTER	MN	$11,235,305	$4,342,669	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH - MONTICELLO
1013 HART BLVD	MONTICELLO	MN	55362	461584944	HEALTHCARE	MN	$72,670,260	$64,007,478	CENTRACARE HEALTH SYSTEM
CENTRACARE HEALTH - PAYNESVILLE
200 W200 WEST FIRST STREET	PAYNESVILLE	MN	56362	433298651	HEALTHCARE	MN	$43,341,238	$27,393,615	CENTRACARE HEALTH SYSTEM
CENTRAL MINNESOTA HEALTH NETWORK LLC (FKA CIN LLC)
1406 6TH AVE N	ST CLOUD	MN	56303	473924684	CLINICAL INEGRATED NETWORK	MN	$0	-$966,580	CENTRACARE HEALTH SYSTEM
CENTRAL MINNESOTA ACO LLC
1406 6TH AVE N	ST CLOUD	MN	56303	474591476	ACCREDITED CARE ORGANIZATION	MN	$5,464	-$568,139	CENTRACARE HEALTH SYSTEM
CARRIS HEALTH LLC
301 BECKER AVE SW	WILLMAR	MN	56201	823166379	HEALTH CARE SYSTEM	MN	$74,926,839	$144,468,560	CENTRACARE HEALTH SYSTEM
CENTRAL MINNESOTA IHP LLC
1406 6TH AVE NORTH	ST CLOUD	MN	56303		HEALTHCARE	MN			CENTRACARE HEALTH SYSTEM
ALBANY CLINIC PROPERTY LLC
1406 6TH AVE NORTH	ST CLOUD	MN	56303		HEALTHCARE	MN			CENTRACARE HEALTH SYSTEM
CENTRACARE PROVIDER SERVICES LLC
1406 6TH AVE NORTH	ST CLOUD	MN	56303		HEALTHCARE	MN			CENTRACARE HEALTH SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ST CLOUD HOSPITAL
1406 6TH AVE N	ST CLOUD	MN	56303	410695596	ACUTE/LT CARE	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE HEALTH-MELROSE
11 NORTH 5TH AVE WEST	MELROSE	MN	56352	411865315	ACUTE/LT CARE	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (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	Yes (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	Yes (1)
CENTRAL MINNESOTA EMERGENCY PHYSICIANS
1406 6TH AVE N	ST CLOUD	MN	56303	411708142	EMERGENCY PHYSICIANS	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE CLINIC
1200 6TH AVE NORTH	ST CLOUD	MN	56303	411806657	MULTI-SPECIALTY	MN	501(C)(3)	LINE 3	CENTRACARE HEALTH SYSTEM	Yes (1)
CENTRACARE HEALTH FOUNDATION
1406 6TH AVE N	ST CLOUD	MN	56303	411855173	FUNDRAISING	MN	501(C)(3)	LINE 7	CENTRACARE HEALTH SYSTEM	Yes (1)
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
RICE HEALTH FOUNDATION
301 BECKER AVE SW	WILLMAR	MN	56303	411611555	SUPPORT FOR RICE MEMORIAL HOSPITAL	MN	501(C)(3)	LINE 12A, I	RICE MEMORIAL HOSPITAL	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MONTICELLO CANCER CENTER
1001 HART BLVD STE 50	MONTICELLO	MN	55362	261909519	RADIATION & ONCOLOGY SERVICES	MN	CENTRACARE HEALTH SYSTEM - MONTICELLO	RELATED	$8,385,593	$9,350,727	0	Yes (1)	0.60000
MONTICELLO SURGERY CENTER
1013 HART BLVD	MONTICELLO	MN	55362	813593057	AMBULATORY SURGERY CENTER	MN	CENTRACARE HEALTH SYSTEM	RELATED	$1,190,689	$870,336	0	Yes (1)	0.37630
BENSON MEDICAL LLC
1228 ATLANTIC AVENUE	BENSON	MN	56215	203149203	HEALTHCARE	MN	AFFILIATED COMMUNITY HEALTH NETWORK INC	RELATED			0	Yes (1)	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CENTRACARE HOLDINGS INC
1406 6TH AVE N	ST CLOUD	MN	56303	472688595	INVESTMENTS/PHARMACY	MN	CENTRACARE HEALTH SYSTEM	C	$6,945,650	$6,263,320	1.00000	Yes (1)
AFFILIATED COMMUNITY MEDICAL CENTERS PA
301 BECKER AVE SW	WILLMAR	MN	56201		HEALTH CARE SYSTEM	MN	CARRIS HEALTH LLC	C	$60,820,240	$160,927,024	1.00000	0
AFFILIATED COMMUNITY HEALTH NETWORK INC
101 WILLMAR AVE SW	WILLMAR	MN	56201		HEALTH NETWORK	MN	CARRIS HEALTH LLC	C			1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	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	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRACARE HEALTH - LONG PRAIRIE
A	$117,706	ARMS LENGTH
CENTRACARE PHARMACY SERVICES INC
A	$70,473	ARMS LENGTH
CENTRACARE CLINIC
A	$6,547,836	ARMS LENGTH
ST CLOUD HOSPITAL
A	$147,228	ARMS LENGTH
CENTRACARE HEALTH - LONG PRAIRIE
D	$1,965,534	ARMS LENGTH
ST CLOUD HOSPITAL
O	$370,320	ARMS LENGTH
CENTRACARE CLINIC
P	$8,426,114	ARMS LENGTH
ST CLOUD HOSPITAL
P	$1,911,768	ARMS LENGTH
CENTRACARE HEALTH - LONG PRAIRIE
Q	$2,958,609	ARMS LENGTH
CENTRACARE HEALTH - MELROSE
Q	$3,201,809	ARMS LENGTH
CENTRACARE HEALTH - SAUK CENTRE
Q	$3,066,574	ARMS LENGTH
CENTRACARE PHARMACY SERVICES INC
Q	$235,462	ARMS LENGTH
CENTRACARE CLINIC
Q	$30,037,324	ARMS LENGTH
ST CLOUD HOSPITAL
Q	$75,189,452	ARMS LENGTH
CENTRACARE CLINIC
R	$64,182,053	ARMS LENGTH
CENTRACARE PHARMACY SERVICES INC
R	$1,194,588	ARMS LENGTH
CMEP
R	$100,731	ARMS LENGTH
CENTRACARE HEALTH - LONG PRAIRIE
S	$1,546,514	ARMS LENGTH
CENTRACARE HEALTH - SAUK CENTRE
S	$2,982,614	ARMS LENGTH
CENTRACARE HEALTH - MELROSE
S	$6,888,550	ARMS LENGTH
ST CLOUD HOSPITAL
S	$95,564,918	ARMS LENGTH
CENTRACARE HEALTH FOUNDATION
S	$325,324	ARMS LENGTH