2018-05-15T08:24:22-05:00 2017-06-30 420714325 RSM US LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2016-07-01 411806657 CENTRACARE CLINIC CENT 3202525131 1200 6TH AVENUE NORTH ST CLOUD MN 56303 DAVID TILSTRA TREASURER & CFO 3202525131 2018-05-10 1 TODD A JACKSON P00092672 6123324300 108.171.131.171 2018-05-10 17:21:14 CD P 5AB5DFEC54AF030231DDAA57F2AFD57D98013E0B 46503DA264ECF0362741A52CFD0686219AC4FE5C 2016 2021-01-29 14:40:06Z KENNETH D HOLMEN MD 1200 6TH AVENUE NORTH ST CLOUD MN 56303 214007719 0 X WWW.CENTRACARE.COM X 1995 MN WE ARE DEDICATED TO PROVIDING EXCELLENT SERVICE AND THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE. 10 4 1194 13 0 -50572 1286692 1060659 181683318 180218994 141829 182073 23047866 32164026 206159705 213625752 6636 1150 0 0 173029113 197833728 0 0 0 58305987 51781564 231341736 249616442 -25182031 -35990690 46872944 44178993 37730810 41857730 9142134 2321263 X CENTRACARE CLINIC WILL BE THE LEADER IN MINNESOTA FOR QUALITY, SAFETY, SERVICE AND VALUE. 0 0 131105185 1150 211751847 MEDICAL PROFESSIONAL SERVICES - CENTRACARE CLINIC (CCC) PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY MEDICAL SERVICES THROUGH A MULTI-SPECIALTY CLINIC STRUCTURE AS THE PHYSICIAN COMPONENT OF CENTRACARE HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. CCC'S FORMALLY ADOPTED CORE VALUES ARE: PATIENT CENTERED: SERVING PATIENTS ABOVE ALL.INTEGRITY: ADHERING TO HONEST AND ETHICAL PRACTICES.COLLABORATION: WORKING JOINTLY WITH OTHERS TO IMPROVE HEALTH AND HEALTH CARE.COMPASSION: SERVING ALL WHO SEEK OUR CARE WITH KINDNESS, DIGNITY AND RESPECT.STEWARDSHIP: ENSURING RESPONSIBLE USE OF ALL RESOURCES TO BEST SERVE OUR COMMUNITIES. CCC ACHIEVES THESE VALUES THROUGH SERVICES PROVIDED BY A TEAM OF PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES, DIETICIANS, EDUCATORS AND OTHER HEALTH CARE PROFESSIONALS. MANY SERVICES ARE PROVIDED TO THE GROWING DIVERSE POPULATION IN CENTRAL MINNESOTA. CCC ALSO PROVIDES THE PROFESSIONAL STAFFING FOR DESIGNATED RURAL HEALTH CLINICS AND HEALTH MANPOWER SHORTAGE AREAS SERVED BY CENTRACARE HEALTH IN RURAL MINNESOTA.A SUMMARY OF THE MAJOR ACTIVITIES ACCOMPLISHED FOR THE YEAR ENDED JUNE 30, 2017:CLINIC VISITS - 316,412HOSPITAL VISITS - 161,726NURSING HOME VISITS - 5,830SURGICAL SERVICES - 168,966LABORATORY TESTS - 534,904IMMUNIZATION/INJECTION - 917,049RADIOLOGY TESTS - 25,520PROFESSIONAL INTERPRETATIONS - 59,498SURGICAL, MINOR - 33,378RADIATION ONCOLOGY - 3,307SPECIAL PROCEDURE - 35,016 69702607 CCC PARTICIPATES IN A WIDE VARIETY OF GOVERNMENTAL HEALTHCARE PROGRAMS INCLUDING: MEDICARE, MEDICAID, MINNESOTA CARE, MINNESOTA GENERAL ASSISTANCE AND PROGRAMS FOR MILITARY, VETERANS AND THEIR FAMILIES. FOR THE YEAR ENDED JUNE 30, 2017, CCC INCURRED COSTS OF $69,702,607 IN EXCESS OF PAYMENTS RECEIVED FOR SERVICES TO PATIENTS COVERED UNDER THESE PROGRAMS AND TAXES AND FEES RELATING TO THESE PROGRAMS. GOVERNMENTAL HEALTHCARE PROGRAMS PROVIDER REIMBURSEMENT AMOUNTS ARE BELOW THE COSTS THE PROVIDER INCURS TO PROVIDE THESE SERVICES.MEDICARE COSTS IN EXCESS OF PAYMENTS $45,814,703MEDICAID COSTS IN EXCESS OF PAYMENTS $19,160,632SURCHARGES, FEES AND MINNESOTACARE TAX $2,015,018MILITARY COSTS IN EXCESS OF PAYMENTS $2,712,254 3390881 CCC SUPPORTS A WIDE VARIETY OF PATIENTS WHO EXPRESS A WILLINGNESS TO PAY BUT ARE UNABLE TO DO SO DUE TO SOCIOECONOMIC FACTORS. ADDITIONALLY CCC RECORDS BAD DEBT AT TIMES WHEN IT IS UNABLE TO RECEIVE PAYMENT FOR SERVICES PROVIDED. FOR THE ENDED JUNE 30, 2017, $3,390,881 OF UNCOMPENSATED CARE WAS PROVIDED. $663,388 OF CHARITY CARE WAS PROVIDED UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE PROGRAM PROVIDES PATIENTS WILLING, BUT UNABLE TO PAY, TO HAVE PATIENT BALANCES OTHERWISE DUE, REDUCED OR WAIVED. THE FINANCIAL ASSISTANCE PROGRAM ENSURES THE PATIENTS OF THE COMMUNITIES SERVED BY CCC HAVE ACCESS TO QUALITY MEDICAL CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. CCC PROVIDES SERVICES TO ALL IN NEED AND AT TIMES PATIENT ACCOUNT BALANCES GO UNPAID, KNOWN AS BAD DEBT, THESE BAD DEBT AMOUNT FOR THE YEAR ENDED JUNE 30, 2017 TOTALED $2,727,493. 204198673 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 133 0 1 1194 1 1 1 0 0 0 0 0 0 0 0 0 X 10 4 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X THOMAS FELDHEGE 3202402152 1200 SIXTH AVENUE NORTH ST CLOUD MN 56303 DAVID J TILSTRA MD CPE DIRECTOR & PRESIDENT 37.00 3.00 X X 563499 0 90054 DAVID ROBERTS MD DIRECTOR, CHAIR & GASTROENTEROLOGIST 38.00 2.00 X X 656652 0 61195 ROBERT STOCKER MD DIRECTOR & OBGYN 38.00 2.00 X 529415 0 29925 SHARON J RUGGIERO MD DIRECTOR & INTERNIST 30.00 X 214962 0 25928 DONALD J JURGENS MD DIRECTOR & ONCOLOGIST 40.00 X 693724 0 60869 CHRISTIAN P SCHMIDT MD DIRECTOR & SURGEON 38.00 2.00 X 529710 0 57691 DAVID AGERTER MD DIRECTOR 2.00 2.00 X 0 0 0 FREDERIC ENGMAN MD DIRECTOR 2.00 X 0 0 0 PATRICK LYNCH DIRECTOR 2.00 X 0 0 0 BRIDGET FABER DIRECTOR 2.00 X 0 0 0 THOMAS M FELDHEGE TREASURER & CFO 35.00 5.00 X 0 241817 18525 GEORGE A MORRIS MD MEDICAL DIRECTOR 40.00 X 386020 0 61382 WADE T SCHMIDT MD INTERVENTIONAL CARDIOLOGIST 40.00 X 941814 0 58701 JEFFREY S GERDES MD NEUROSURGEON 40.00 X 1826602 0 62051 JOHN A SCHOENHARD EP CARDIOLOGIST 40.00 X 982470 0 62375 JERONE D KENNEDY MD NEUROSURGEON 40.00 X 1184085 0 44089 RACHEL L SCHUNEMAN DERMATOLOGIST 40.00 X 966468 0 48215 9475421 241817 681000 387 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 LOCUM FEES 1398393 ARIF SOMANI 5210 UPLAND LANE NORTH PLYMOUTH MN 55446 LOCUM FEES 321353 UNIVERSITY OF MINNESOTA SDS 12-1562 PO BOX 86 MINNEAPOLIS MN 554861562 LOCUM FEES 260678 REGIONAL DIAGNOSTIC RADIOLOGY 1990 CONNECTICUT AVENUE SOUTH SUIT SARTELL MN 56377 RADIOLOGY FEES 196972 AURORA DIAGNOSTICS PO BOX 281177 ATLANTA GA 303841177 LAB FEES 179804 11 438498 267032 355129 1060659 PATIENT SERVICE REVENUE 621110 159388728 159388728 OTHER PROGRAM REVENUE 900099 20359469 20330613 28856 QUALITY & TECH INCENTIVE 900099 266638 266638 SCHOOL REVENUE 900099 204159 204159 180218994 175021 175021 7052 0 7052 7052 7052 1013140 381967 631173 631173 SHARED EXPENSE REIMBURSEMENT 900099 31532853 31532853 31532853 213625752 211722991 0 842102 1150 1150 3975759 3193276 782483 165484699 132915072 32569627 6946742 5579529 1367213 14245271 11441609 2803662 7181257 5767888 1413369 93298 74936 18362 17408 13982 3426 1158 1158 15714832 12621941 3092891 195746 157221 38525 637369 511926 125443 9641264 7743733 1897531 221750 178107 43643 1327280 1066053 261227 1479635 1188423 291212 1641208 1318196 323012 SUPPLIES 14106131 14106131 BAD DEBT EXPENSE 2727494 2727494 MEDICAID/MN CARE 2015018 2015018 1961973 1575830 386143 249616442 204198673 45417769 0 6266 8366 11814261 5372894 21784805 20386054 1645522 1707649 1175823 1001745 531079 508646 17680424 9919315 5241614 7761109 60667 4673574 7371863 46872944 44178993 33652235 33221728 4078575 8636002 37730810 41857730 X 9142134 2321263 9142134 2321263 46872944 44178993 X -35990690 29169819 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1158 1158 0 PART II-B, LINE 1: CENTRACARE CLINIC PAID $1,158 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATIONS. 5629944 2215278 3414666 12050480 7704037 4346443 7761109 FUNDS HELD BY TRUSTEE 3214080 LONG TERM PREPAID EXPENSES 1093889 DUE FROM AFFILIATES 3063894 7371863 DEFERRED COMPENSATION PLAN OBLIGATIONS 1100208 LT SETTLEMENT RESERVE 2043000 EXECUTIVE BENEFIT ACCRUAL 195872 DUE TO AFFILIATES 5276922 LITIGATION ACCRUAL 20000 8636002 X PART X, LINE 2: CENTRACARE, THE CORPORATION, THE CLINIC, CCH - MELROSE, CCH - LONG PRAIRIE, CCH - SAUK CENTRE, AND THE FOUNDATION HAVE BEEN DETERMINED TO QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CCH - MONTICELLO AND CCH - PAYNESVILLE, AS DISREGARDED LLCS UNDER INTERNAL REVENUE SERVICE REGULATIONS, ACHIEVE TAX-EXEMPT TREATMENT BASED ON THE EXEMPT STATUS OF THEIR PARENT, CENTRACARE HEALTH SYSTEM. AT JUNE 30, 2017 AND 2016, THERE WERE NO UNCERTAIN TAX POSITIONS. X X X X X 0 1 0 0 0 1 1 0 0 DAVID J TILSTRA MD CPE DIRECTOR & PRESIDENT 390396 0 101271 0 71832 0 65629 0 29254 0 658382 0 53652 0 DAVID ROBERTS MD DIRECTOR, CHAIR & GASTROENTEROLOGIST 601936 0 33549 0 21167 0 34920 0 29238 0 720810 0 0 0 ROBERT STOCKER MD DIRECTOR & OBGYN 466228 0 62199 0 988 0 29425 0 3725 0 562565 0 0 0 SHARON J RUGGIERO MD DIRECTOR & INTERNIST 192403 0 21739 0 820 0 15469 0 11107 0 241538 0 0 0 DONALD J JURGENS MD DIRECTOR & ONCOLOGIST 659474 0 16062 0 18188 0 35593 0 27463 0 756780 0 0 0 CHRISTIAN P SCHMIDT MD DIRECTOR & SURGEON 491348 0 19137 0 19225 0 31415 0 29145 0 590270 0 0 0 THOMAS M FELDHEGE TREASURER & CFO 0 194492 0 20619 0 26706 0 17775 0 1288 0 260880 0 0 GEORGE A MORRIS MD MEDICAL DIRECTOR 319038 0 56789 0 10193 0 38456 0 25473 0 449949 0 9560 0 WADE T SCHMIDT MD INTERVENTIONAL CARDIOLOGIST 803489 0 135302 0 3023 0 35775 0 25715 0 1003304 0 0 0 JEFFREY S GERDES MD NEUROSURGEON 1783364 0 23040 0 20198 0 35775 0 29832 0 1892209 0 0 0 JOHN A SCHOENHARD EP CARDIOLOGIST 702757 0 276239 0 3474 0 35775 0 29969 0 1048214 0 0 0 JERONE D KENNEDY MD NEUROSURGEON 1057743 0 88010 0 38332 0 19875 0 24898 0 1228858 0 0 0 RACHEL L SCHUNEMAN DERMATOLOGIST 924891 0 23040 0 18537 0 35775 0 14989 0 1017232 0 0 0 PART I, LINE 4B THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRED NON-QUALIFIED INVESTMENT ACCOUNTS. THESE PLANS MAY PROVIDE, BUT ARE NOT CERTAIN TO PROVIDE, FOR PAYMENT OF TAX DEFERRED COMPENSATION TO THESE EXECUTIVES AT SOME TIME IN THE FUTURE. THE EXECUTIVE HAS NO LEGAL RIGHT TO THESE DOLLARS UNTIL, AND UNLESS, CERTAIN FUTURE EVENTS OCCUR. IN ACCORDANCE WITH THE INSTRUCTIONS TO FORM 990, THE AMOUNTS LISTED IN PART VII AND SCHEDULE J, PART II, COLUMN C, REFLECT TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON FORM 990 - ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: DAVID TILSTRA, MD - PAID $53,652; ACCRUED $35,053 GEORGE MORRIS, MD - PAID $9,560; ACCRUED $12,532 PART I, LINE 6 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR CENTRACARE CLINIC OR CENTRACARE HEALTH SYSTEM; ACHIEVEMENT OF IMPROVEMENT IN PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS; ACHIEVEMENT OF IMPROVEMENT IN OVERALL EMPLOYMENT ENGAGEMENT SCORES; AND ACHIEVEMENT OF UP TO THREE INDIVIDUAL GOALS WHICH ARE TIED TO THE CENTRACARE SYSTEM'S STRATEGIC PLAN. 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 INCENTIVE COMPENSATION IS PAID. FORM 990, PART VI, SECTION A, LINE 4 CENTRACARE CLINIC AMENDED ITS BYLAWS TO INCREASE THE CENTRACARE HEALTH (CCH) BOARD AUTHORITY AND CONTROL TO OPERATE THE INTEGRATED HEALTH SYSTEM. THE CENTRACARE CLINIC (CCC) BOARD WAS ELIMINATED; THE CURRENT FOUR EMPLOYED PHYSICIANS WERE TRANSFERRED TO THE CCH BOARD, AND NEW BYLAWS WERE ADOPTED TO APPOINT THE INTERNAL CCH BOARD AS THE NEW CCC BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS CENTRACARE HEALTH SYSTEM, A MINNESOTA NON-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A PHYSICIAN AND CORPORATE DIRECTORS SHALL BE ELECTED OR APPOINTED AS FOLLOWS: (A) PRIMARY CARE PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE PRIMARY CARE PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (B) SPECIALIST PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE SPECIALIST PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (C) THE AT LARGE DIRECTORS SHALL BE ELECTED BY THE PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (D) THE CORPORATE DIRECTORS ARE APPOINTED BY THE SOLE MEMBER, CENTRACARE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED TO THE SOLE MEMBER, CENTRACARE HEALTH SYSTEM, WHICH SHALL BE TAKEN BY A VOTE APPROVED BY AT LEAST 75% OF THE BOARD OF DIRECTORS OF CENTRACARE HEALTH SYSTEM: 1. ADOPTION OF AMENDMENTS TO THE ARTICLES OF CENTRACARE CLINIC. 2. APPROVE AMENDMENTS TO THE BYLAWS OF CENTRACARE CLINIC WHICH MAY AFFECT ANY POWERS OF FUNCTIONS RESERVED TO THE SOLE MEMBER. THE FOLLOWING MATTERS ARE RESERVED TO CENTRACARE HEALTH SYSTEM, WHICH SHALL BE TAKEN BY A VOTE APPROVED BY AT LEAST 51% OF THE BOARD OF DIRECTORS OF CENTRACARE HEALTH SYSTEM: 1. REVIEW AND APPROVE THE FOLLOWING: (I) THE ANNUAL OPERATING AND CAPITAL BUDGETS, (II) ANY CAPITAL EXPENDITURES IN EXCESS OF $1.0 MILLION WHETHER BUDGETED OR NOT BUDGETED, (III) ANY DEBTS TO BE INCURRED. 2. APPROVE ANY ENCUMBRANCE OF THE ASSETS OF CENTRACARE CLINIC. 3. REVIEW AND APPROVE ALL STRATEGIC PLANS OF CENTRACARE CLINIC. 4. REVIEW AND APPROVE ALL MEDICAL STAFF DEVELOPMENT PLANS FOR AN INTEGRATED DELIVERY STEM OF CENTRACARE CLINIC. 5. REVIEW AND APPROVE ALL THIRD PARTY CONTRACTS WHICH ARE FIRST APPROVED BY THE BOARD OF DIRECTORS OF CENTRACARE CLINIC. 6. APPROVE ANY APPOINTMENT OF THE PRESIDENT OF CENTRACARE CLINIC. 7. APPROVE CENTRACARE CLINIC'S ANNUAL BUDGET FOR ALL PROFESSIONAL COMPENSATION AND APPROVE ALL COMPENSATION POLICIES AND PLANS FOR PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. 8. OVERSEE AND MONITOR ALL COMPLIANCE AND RISK MANAGEMENT PRACTICES OF CENTRACARE CLINIC. 9. REVIEW AND APPROVE ANY TRANSACTION OF CENTRACARE CLINIC WHICH MAY AFFECT (I) THE CORPORATION'S STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION OR (II) THE TAX EXEMPT STATUS OF ANY FINANCING OF CENTRACARE CLINIC. 10. APPROVE ANY USE OF ANY TRADE NAMES OR ANY INTELLECTUAL PROPERTY OF CENTRACARE CLINIC. 11. THE DETERMINATION OF THE DISSOLUTION OF OR THE DISCONTINUATION OF BUSINESS OF CENTRACARE CLINIC. 12. THE MERGERS WITH, THE ACQUISITION OF, OR THE AFFILIATION WITH ANY HOSPITAL, CLINIC, OR PHYSICIAN PROVIDER GROUP. 13. OVERSEE AUDITING AND ACCOUNTING PRACTICES OF CENTRACARE CLINIC. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED IN DETAIL BY MANAGEMENT AND LEGAL COUNSEL. IN ADDITION, THE FULL BOARD HAS AN OPPORTUNITY TO REVIEW FORM 990 WITH STAFF, ASK QUESTIONS, SEEK CLARIFICATIONS, AND APPROVE THE FINAL RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE TWICE A YEAR. ALL STAFF SIGN CONFLICTS OF INTEREST FORMS ON AN ANNUAL BASIS. THE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AS WELL AS THE CORPORATE COMPLIANCE GROUP (A COMPLIANCE COMMITTEE WHICH INCLUDES INTERNAL MEMBERS AND OUTSIDE COUNSEL). THE RESPONSES TO THE QUESTIONNAIRE ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICTS OF INTERESTS RELATED TO BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HER SELF FROM THE DECISION MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT ISSUES MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES CONDUCTED BIENNIALLY BY A THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT. HOWEVER, THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS DONE MAY 2017. THE THIRD PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. COULD HOSPITAL TO PERFORM SERVICES. THE ORGANIZATION'S EMPLOYED PRACTICING PHYSICIANS ARE SUBJECT TO ANNUAL FULL COMPENSATION AND BENEFITS REVIEW THROUGH COMPARABILITY STUDIES BY AN OUTSIDE, INDEPENDENT CONSULTANT USING NATIONAL AND REGIONAL DATA FROM MULTIPLE SOURCES. THIS STUDY IS REVIEWED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE COMMITTEE AND THE BOARD. THE LAST FULL REVIEW WAS COMPLETED IN MAY 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT OPEN TO PUBLIC DISCLOSURE. FORM 990, PART XI, LINE 9: NET EQUITY TRANSFERS FROM CENTRACARE HEALTH SYSTEM 29,169,819. FORM 990, PART I, LINE 6 CENTRACARE CLINIC HAD 13 VOLUNTEERS DURING FY17 WHO DONATED A TOTAL OF APPROXIMATELY 636 HOURS TO VARIOUS DEPARTMENTS. CENTRACARE HEALTH SYSTEM 1406 6TH AVE N ST CLOUD MN 56303 411813221 HEALTH CARE MN 501(C)(3) 11- TYPE 3 FI N/A 0 CENTRACARE HEALTH SYSTEM - MELROSE 11 NORTH 5TH AVE WEST MELROSE MN 56352 411865315 ACUTE & LONG-TERM CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 20 SOUTHEAST 9TH STREET LONG PRAIRIE MN 56347 411924645 ACUTE & LONG-TERM CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) LINE 7 CENTRACARE HEALTH SYSTEM 0 CENTRAL MINNESOTA EMERGENCY PHYSICIANS 1406 6TH AVE N ST CLOUD MN 56303 411708142 EMERGENCY PHYSICIAN PRACTICE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD MN 56303 410695596 ACUTE & LONG-TERM CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SYSTEM - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE CARE MN 501(C)(3) LINE 3 CENTRACARE HEALTH SYSTEM 0 MONTICELLO SURGERY CENTER LLC 1013 HART BOULEVARD MONTICELLO MN 55362 813593057 AMBULATORY SURGERY CENTER MN N/A CENTRACARE HOLDINGS INC 1406 6TH AVE NORTH ST CLOUD MN 56303 472688595 INVESTING MN N/A C 0 ST CLOUD MEDICAL GROUP PA 1406 6TH AVE NORTH S CLOUD MN 56303 PHYSICIAN SERVICES MN N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1