CENTRACARE HEALTH SYSTEM: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CENTRACARE HEALTH SYSTEM (EIN 41-1813221)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-08
- IRS object ID
- 201501289349300900
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-08T07:43:23-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NICOLLET MALL SUITE 1100 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | ST CLOUD | City |
| State | MN | State |
| ZIP Code | 56303 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY R KLUGHERZ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3202512700 | PhoneNum |
| Signature | 2015-04-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD A JACKSON | PreparerPersonNm |
| PTIN | P00092672 | PTIN |
| Phone | 6123324300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERENCE R PLADSON MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1406 6TH AVENUE NORTH | AddressLine1 |
| City | ST CLOUD | City |
| State | MN | State |
| ZIP Code | 56303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $178,492,147 | 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 | THE CENTRACARE HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1284 | TotalEmployeeCnt |
| Total Volunteers | 349 | TotalVolunteersCnt |
| Total Gross UBI | $422,632 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$43,599 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $39,006,808 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,811,966 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,795,293 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $157,331,689 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,446,528 | PYInvestmentIncomeAmt |
| CY Investment Income | $692,785 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,543,184 | PYOtherRevenueAmt |
| CY Other Revenue | $733,069 | CYOtherRevenueAmt |
| PY Total Revenue | $115,791,813 | PYTotalRevenueAmt |
| CY Total Revenue | $172,569,509 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,751 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,761,867 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $70,142,368 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $688,664 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,510,057 | PYOtherExpensesAmt |
| CY Other Expenses | $93,329,433 | CYOtherExpensesAmt |
| PY Total Expenses | $88,271,924 | PYTotalExpensesAmt |
| CY Total Expenses | $163,481,552 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $27,519,889 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,087,957 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $143,227,013 | TotalAssetsBOYAmt |
| Total Assets EOY | $176,582,230 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $77,796,813 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,797,825 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $65,430,200 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $85,784,405 | 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 | $53,032,858 | ExpenseAmt |
| Grant | $9,751 | GrantAmt |
| Revenue | $60,002,976 | RevenueAmt |
| Desc | CENTRACARE HEALTH SYSTEM (CCHS) IS AN INTEGRATED HEALTH SYSTEM, COMPRISED OF FOUR 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 REHAB UNIT. IN FISCAL YEAR 2014, THEY HAD 4,554 PATIENT DAYS, 25,267 OUTPATIENT VISITS AND 10,815 EMERGENCY ROOM VISITS; WHICH GENERATED $63,503,196 OF PROGRAM REVENUE AND $57,289,207 OF PROGRAM EXPENSE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,301,434 | ExpenseAmt |
| Revenue | $27,371,138 | 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 2014, THEY HAD 1,729 PATIENT DAYS, 3,818 OUTPATIENT VISITS AND 2,295 EMERGENCY ROOM VISITS; WHICH GENERATED $27,371,138 OF PROGRAM REVENUE AND $22,301,434 OF PROGRAM EXPENSE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,250,714 | ExpenseAmt |
| Revenue | $25,706,485 | 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 1.7 MILLION TESTS IN FISCAL YEAR 2014; WHICH GENERATED $31,739,156 IN PROGRAM REVENUE AND INCURRED $22,250,714 OF EXPENSES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,405,454 | ExpenseAmt |
| Revenue | $44,567,093 | RevenueAmt |
| Desc | THE OTHER MAIN ACTIVITY OF CENTRACARE HEALTH SYSTEM IS THE INFORMATION TECHNOLOGY SERVICES PROVIDED TO ALL ENTITIES WITHIN THE CENTRACARE UMBRELLA. ACTIVITIES INCLUDE FIELDING HELP DESK CALLS, INSTALLING SOFTWARE AND HARDWARE, MAINTAINING THE SERVERS, AND OTHER RELATED INFORMATION SYSTEM TASKS. THE REVENUE GENERATED FROM THIS ACTIVITY IN FISCAL YEAR 2014 WAS $38,992,238 AND GENERATED EXPENSES OF $10,744,688CENTRACARE SURGICAL CENTER (CCSC) PROVIDES SURGICAL SERVICES TO THE COMMUNITY IT SERVES. IN FISCAL YEAR 2014 THERE WERE 3,413 SURGERIES PERFORMED. CCSC GENERATED $5,574,855 OF REVENUE AND $5,660,766 OF EXPENSE FOR AN OPERATING LOSS OF $85,911. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $16,405,454 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $44,567,093 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $113,990,460 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | Yes (1) | 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 | 155 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1284 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3202512700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1406 SIXTH AVENUE NORTH | AddressLine1 |
| City | ST CLOUD | City |
| State | MN | State |
| ZIP Code | 56303 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 |
|---|---|---|---|---|---|---|---|---|---|
| TERENCE R PLADSON MD | |||||||||
| PRESIDENT/CEO | 40.00 | 4.00 | Yes (X) | Yes (X) | $1,357,426 | $0 | $251,324 | ||
| GENE WINDFELDT | |||||||||
| DIRECTOR, CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $5,000 | $0 | $0 | ||
| ROBERT WHITE | |||||||||
| DIRECTOR, VICE CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $2,500 | $0 | $0 | ||
| THOMAS W LEITHER MD | |||||||||
| DIRECTOR & NEPHROLOGIST | 2.00 | 40.00 | Yes (X) | $0 | $410,968 | $40,376 | |||
| CHRISTOPHER COBORN | |||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $2,000 | $0 | $0 | |||
| DAVID AGERTER MD | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| DENISE ROSIN | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $2,000 | $0 | $0 | |||
| MIKE BENUSA | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $2,500 | $0 | $0 | |||
| GARY MARSDEN | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $2,000 | $0 | $0 | |||
| MOHAMED YASSIN MD | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $2,500 | $0 | $0 | |||
| MARY JO WILLIAMSON | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $1,500 | $0 | $0 | |||
| ROBERT STOCKER MD | |||||||||
| DIRECTOR & OB/GYN | 2.00 | 38.00 | Yes (X) | $0 | $536,750 | $19,125 | |||
| JOSEPH UPHUS | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| GREGORY R KLUGHERZ | |||||||||
| TREASURER/CFO | 14.00 | 27.00 | Yes (X) | $0 | $628,226 | $126,100 | |||
| PAUL R HARRIS | |||||||||
| CORPORATE SECRETARY | 25.00 | 16.00 | Yes (X) | $434,166 | $0 | $77,979 | |||
| JAMES R DAVIS | |||||||||
| VICE PRESIDENT | 25.00 | 15.00 | $386,595 | $0 | $26,538 | Yes (X) | |||
| ERIC M LOHN | |||||||||
| REGIONAL CFO | 8.00 | 32.00 | $161,181 | $0 | $14,414 | Yes (X) | |||
| GERRY G GILBERTSON | |||||||||
| ADMINISTRATOR-MELROSE | 0.50 | 39.50 | $258,228 | $0 | $41,761 | Yes (X) | |||
| DANIEL J SWENSON | |||||||||
| ADMINISTRATOR-LONG PRAIRIE | 0.50 | 39.50 | $240,472 | $0 | $50,657 | Yes (X) | |||
| DELANO A CHRISTANSON | |||||||||
| ADMINISTRATOR - SAUK CENTRE | 0.50 | 39.50 | $156,451 | $0 | $48,011 | Yes (X) | |||
| MARY E WELLS | |||||||||
| ADMINISTRATOR - MONTICELLO | 40.00 | 0.50 | $201,942 | $0 | $7,261 | Yes (X) | |||
| JOSEPH D HELLIE | |||||||||
| VICE PRESIDENT | 1.00 | 39.00 | $0 | $175,619 | $35,458 | Yes (X) | |||
| JOSEPH M BLONSKI MD | |||||||||
| PHYSICIAN | 40.00 | $287,371 | $0 | $40,107 | Yes (X) | ||||
| MARK J LARKIN | |||||||||
| VICE PRESIDENT OF DEVELOPMENT | 40.00 | $284,177 | $0 | $64,499 | Yes (X) | ||||
| MARY V PHIPPS | |||||||||
| DIRECTOR | 40.00 | $217,665 | $0 | $40,295 | Yes (X) | ||||
| KEVIN R SWITZER | |||||||||
| ASSOCIATE DIRECTOR | 40.00 | $208,741 | $0 | $31,215 | Yes (X) | ||||
| JIMMIE L BROWNING | |||||||||
| ASSOCIATE DIRECTOR | 40.00 | $206,908 | $0 | $582 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,423,323 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,751,563 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $915,702 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CENTRAL MINNESOTA EMERGENCY PHYSICIANS | |||||
| 1406 6TH AVE NORTH | ST CLOUD | MN | 56303 | EMERGENCY COVERAGE | $4,398,498 |
| MAYO MEDICAL LABORATORIES | |||||
| PO BOX 4100 | ROCHESTER | MN | 559034100 | LABORATORY SERVICES | $3,601,500 |
| CENTRACARE CLINIC | |||||
| 1200 6TH AVE N | ST CLOUD | MN | 56303 | PHYSICIAN SERVICES | $2,097,531 |
| METRO ANESTHESIA CONSULTANT | |||||
| 9855 AETNA AVE NE | MONTICELLO | MN | 55362 | ANESTHESIA SERVICES | $1,427,367 |
| CENTRAL MINNESOTA DIAGNOSTIC INC | |||||
| 150 10TH STREET NW | MILACA | MN | 56353 | RADIOLOGY SERVICES | $1,403,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $13,730,043 | RelatedOrganizationsAmt |
| Government Grants | $52,066 | GovernmentGrantsAmt |
| All Other Contributions | $29,857 | AllOtherContributionsAmt |
| Noncash Contributions | $13,730,043 | NoncashContributionsAmt |
| Total Contributions | $13,811,966 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT & SERVICE REVENUE | 900099 | $118,496,478 | $118,073,846 | $422,632 |
| CORPORATE REVENUE | 900099 | $20,673,639 | $20,673,639 | |
| HEALTH INSURANCE PREMIUM CREDIT | 900099 | $10,724,143 | $10,724,143 | |
| SHARED/LEGAL SYSTEM REVENUE | 900099 | $4,621,370 | $4,621,370 | |
| OTHER REVENUE | 900099 | $1,736,796 | $1,736,796 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,079,263 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,079,263 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $157,331,689 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $671,369 | TotalRevenueColumnAmt |
| Exclusion | $671,369 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,856,545 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,856,545 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $52,801 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $31,385 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $21,416 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,416 | TotalRevenueColumnAmt |
| Exclusion | $21,416 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $29,142 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $34,708 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,566 | TotalRevenueColumnAmt |
| Exclusion | -$5,566 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REVENUE FROM JOINT VENTURES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $738,635 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $738,635 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $738,635 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $172,569,509 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $157,647,692 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $422,632 | UnrelatedBusinessRevenueAmt |
| Exclusion | $687,219 | 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 | $9,751 | TotalAmt |
| Program Services | $9,751 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,678,475 | TotalAmt |
| Management And General | $3,678,475 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,311,454 | TotalAmt |
| Program Services | $51,968,892 | ProgramServicesAmt |
| Management And General | $1,322,389 | ManagementAndGeneralAmt |
| Fundraising | $20,173 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,743,149 | TotalAmt |
| Program Services | $2,585,464 | ProgramServicesAmt |
| Management And General | $136,380 | ManagementAndGeneralAmt |
| Fundraising | $21,305 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,116,946 | TotalAmt |
| Program Services | $6,643,245 | ProgramServicesAmt |
| Management And General | $473,701 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,292,344 | TotalAmt |
| Program Services | $2,925,700 | ProgramServicesAmt |
| Management And General | $273,244 | ManagementAndGeneralAmt |
| Fundraising | $93,400 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,029 | TotalAmt |
| Program Services | $8,194 | ProgramServicesAmt |
| Management And General | $830,284 | ManagementAndGeneralAmt |
| Fundraising | $551 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,803 | TotalAmt |
| Program Services | $4,054 | ProgramServicesAmt |
| Management And General | $113,749 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,169,811 | TotalAmt |
| Program Services | $17,428,744 | ProgramServicesAmt |
| Management And General | $1,493,542 | ManagementAndGeneralAmt |
| Fundraising | $247,525 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,519 | TotalAmt |
| Program Services | $113,768 | ProgramServicesAmt |
| Management And General | $198,859 | ManagementAndGeneralAmt |
| Fundraising | $91,892 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,157,837 | TotalAmt |
| Program Services | $1,533,524 | ProgramServicesAmt |
| Management And General | $567,589 | ManagementAndGeneralAmt |
| Fundraising | $56,724 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,655,546 | TotalAmt |
| Management And General | $34,655,546 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,427 | TotalAmt |
| Program Services | $541,418 | ProgramServicesAmt |
| Fundraising | $9 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,177 | TotalAmt |
| Program Services | $21,261 | ProgramServicesAmt |
| Management And General | $28,664 | ManagementAndGeneralAmt |
| Fundraising | $11,252 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,872 | TotalAmt |
| Program Services | $283,422 | ProgramServicesAmt |
| Management And General | $131,131 | ManagementAndGeneralAmt |
| Fundraising | $22,319 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,004,137 | TotalAmt |
| Program Services | $251,726 | ProgramServicesAmt |
| Management And General | $1,752,410 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,920,941 | TotalAmt |
| Program Services | $3,188,979 | ProgramServicesAmt |
| Management And General | $729,250 | ManagementAndGeneralAmt |
| Fundraising | $2,712 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,128,945 | TotalAmt |
| Program Services | $286,997 | ProgramServicesAmt |
| Management And General | $840,374 | ManagementAndGeneralAmt |
| Fundraising | $1,574 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES/DRUGS | $15,385,583 | $15,356,363 | $29,181 | $39 |
| BAD DEBT | $3,062,479 | $3,062,479 | ||
| MEDICAID SURCHARGE/MN C | $1,896,420 | $1,896,420 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,546,907 | TotalAmt |
| Program Services | $5,880,059 | ProgramServicesAmt |
| Management And General | $1,547,660 | ManagementAndGeneralAmt |
| Fundraising | $119,188 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,481,552 | TotalAmt |
| Program Services | $113,990,460 | ProgramServicesAmt |
| Management And General | $48,802,428 | ManagementAndGeneralAmt |
| Fundraising | $688,664 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,231,691 | BOYAmt |
| EOY | $15,715,128 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,265,272 | BOYAmt |
| EOY | $496,690 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,634,313 | BOYAmt |
| EOY | $36,583,201 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,499,031 | BOYAmt |
| EOY | $1,437,263 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,087,353 | BOYAmt |
| EOY | $2,676,939 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,362,576 | BOYAmt |
| EOY | $1,386,050 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $184,140,855 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $98,096,239 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,626,884 | BOYAmt |
| EOY | $86,044,616 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,899,853 | BOYAmt |
| EOY | $31,747,194 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,040 | BOYAmt |
| EOY | $495,149 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,227,013 | BOYAmt |
| EOY | $176,582,230 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,776,918 | BOYAmt |
| EOY | $33,618,221 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,109 | BOYAmt |
| EOY | $138,928 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,688,542 | BOYAmt |
| EOY | $42,425,678 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,634,889 | BOYAmt |
| EOY | $8,903,231 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,290,355 | BOYAmt |
| EOY | $5,711,767 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,796,813 | BOYAmt |
| EOY | $90,797,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,430,200 | BOYAmt |
| EOY | $85,784,405 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,430,200 | BOYAmt |
| EOY | $85,784,405 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,227,013 | BOYAmt |
| EOY | $176,582,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,087,957 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $212,245 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $11,054,003 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Certification | Yes (X) | CertificationInd |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (7 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| ST CLOUD HOSPITAL | |||||
| 410695596 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $85,339,151 |
| CENTRACARE CLINIC | |||||
| 411806657 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $21,220,438 |
| CENTRACARE HEALTH SYSTEM - MELROSE | |||||
| 411865315 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $3,123,891 |
| CENTRACARE HEALTH SYSTEM - LONG PRAIRIE | |||||
| 411924645 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $3,020,766 |
| CENTRAL MINNESOTA EMERGENCY PHYSICIANS | |||||
| 411708142 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $1,575,476 |
| CENTRACARE HEALTH FOUNDATION | |||||
| 411855173 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $286,798 |
| CENTRACARE HEALTH SYSTEM - SAUK CENTRE | |||||
| 452438973 | 501(C)(3) | Yes (1) | Yes (1) | Yes (1) | $3,276,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 7 | SupportedOrganizationsTotalCnt |
| Support Sum | $117,842,942 | SupportSumAmt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,534 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,534 | 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 | CCHS PAYS DUES TO THE MINNESOTA HOSPITAL ASSOCIATION (MHA) AND AMERICAN MEDICAL GROUP, A PORTION OF WHICH RELATES TO LOBBYING ACTIVITIES. FOR FY2014, MHA HAS DETERMINED THAT 3.8% OR $5,784 OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. THE AMERICAN MEDICAL GROUP HAS DETERMINED THAT 20% OR $2,750 OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. THE TOTAL LOBBYING EXPENSES FOR FY14 TOTALED $8,534. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,777,911 | OtherCostOrOtherBasisAmt |
| Book Value | $8,777,911 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $123,546,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,210,098 | DepreciationAmt |
| Book Value | $66,335,978 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,317,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,886,141 | DepreciationAmt |
| Book Value | $10,431,760 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $498,967 | OtherCostOrOtherBasisAmt |
| Book Value | $498,967 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $86,044,616 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| FUNDS HELD BY TRUSTEE UNDER BOND INDENTURES | $14,718,440 | C |
| FUNDS HELD BY BOARD FOR FUTURE PROPERTY & EQUIP REPLACEMENT/EXPANSION | $8,420,539 | C |
| INVESTMENT IN JOINT VENTURES | $5,707,930 | C |
| INVEST IN MUTUAL SERVICE CORP | $2,900,285 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $31,747,194 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| EXECUTIVE BENEFIT ACCRUAL | $2,900,285 |
| LT SETTLEMENT RESERVES | $1,151,751 |
| PENSION ACCRUAL | $278,853 |
| CONTINGENT CONSIDERATION | $1,380,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,711,767 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $466,299 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $466,299 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,360,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,215,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,145,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01250 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,826,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,215,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,611,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,398 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,667 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,065 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,860,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,215,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,645,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,911,312 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,674,704 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,845,544 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$170,840 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 MONTICELLO CANCER CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | RADIATION & ONCOLOGY SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.60000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|
| CENTRACARE HEALTH - MONTICELLO | |||||||||
| 1 | 1013 HART BLVD | MONTICELLO | MN | 55362 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | DISTINCT PART REHAB |
| CENTRACARE HEALTH - PAYNESVILLE | |||||||||
| 2 | 200 WEST FIRST STREET | PAYNESVILLE | MN | 56362 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Other Needs AddressedOtherNeedsAddressedInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Attached To InvoiceAttachedToInvoiceInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit LawsuitPermitLawsuitInd | Permit Other ActionsPermitOtherActionsInd | Collection ActivitiesCollectionActivitiesInd | LawsuitLawsuitInd | Other ActionsOtherActionsInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRACARE HEALTH - MONTICELLO | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.CENTRACARE.COM | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 175.000000000000 | Yes (1) | 250.000000000000 | Yes (1) | Yes (X) | Yes (1) | Yes (1) | 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 | Yes (1) | Yes (1) | 175.000000000000 | Yes (1) | 250.000000000000 | Yes (1) | Yes (X) | Yes (1) | Yes (1) | 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 | |||||||||||||||||||||
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 1J: CCH'S CHNA PROCESS ALSO CONSIDERED SECONDARY DATA FROM THE DARTMOUTH ATLAS, ROBERT WOOD JOHNSON, MINNESOTA DEPARTMENT OF HEALTH, US CENSUS BUREAU, MINNESOTA HOSPITAL ASSOCIATION, ST. CLOUD AREA UNITED WAY, CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD, MINNESOTA SENIOR FEDERATION, 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 1J: CENTRACARE HEALTH - PAYNESVILLE BECAME PART OF THE CENTRACARE HEALTH SYSTEM (CCHS) GROUP ON OCTOBER 1, 2013. CCHS CONDUCTED ITS MOST RECENT CHNA JOINTLY WITH ALL OF ITS 501(C)(3) HOSPITALS AS OF THE BEGINNING OF ITS FISCAL YEAR 2013 (7/1/2012). BECAUSE PAYNESVILLE WAS NOT PART OF THE CCH GROUP AS OF 7/1/2012 IT WAS NOT INCLUDED IN THE MOST RECENT CHNA. |
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 3: 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 4: CCH CONDUCTED ITS CHNA JOINTLY WITH ALL OF ITS 501(C)(3) HOSPITALS AS OF THE BEGINNING OF ITS FISCAL 2013. THOSE FACILITIES INCLUDED ST. CLOUD HOSPITAL, CENTRACARE HEALTH MELROSE, CENTRACARE HEALTH LONG PRAIRIE, CENTRACARE HEALTH SAUK CENTRE AND CENTRACARE HEALTH - MONTICELLO.EACH HOSPITAL PREPARED INDIVIDUAL ACTION PLANS TO THE CHNA BASED ON SPECIFIC INPUT FROM THOSE COMMUNITIES. |
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 5D: 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. |
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 6I: THE NEEDS IDENTIFIED BY THE CHNA ARE CURRENTLY IN ORGANIZATIONAL WORK PLANS AND ARE UNDER IMPLEMENTATION. |
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 7: PER 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 16E: THE ORGANIZATION EMPLOYES THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE LAWSUITS AS WELL. |
| CENTRACARE HEALTH - PAYNESVILLE | PART V, SECTION B, LINE 16E: THE ORGANIZATION EMPLOYES THE USE OF COLLECTION AGENCIES TO COLLECT A PATIENT'S BALANCE. AFTER THOSE EFFORTS ARE EXHAUSTED, THE ORGANIZATION DOES UTILIZE LAWSUITS AS WELL. |
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 17E: THE ORGANIZATION CONTRACTS WITH SEVERAL COLLECTION AGENCIES TO ATTEMPT TO COLLECT PATIENT BALANCES. |
| CENTRACARE HEALTH - PAYNESVILLE | PART V, SECTION B, LINE 17E: THE ORGANIZATION CONTRACTS WITH SEVERAL COLLECTION AGENCIES TO ATTEMPT TO COLLECT PATIENT BALANCES. |
| CENTRACARE HEALTH - MONTICELLO | PART V, SECTION B, LINE 20D: PER AGREEMENT WITH THE MINNESTOA ATTORNEY GENERAL, THE ORGANIZATION PROVIDES A DISCOUNT TO THE UNINSURED EQUAL TO THE AVERAGE DISCOUNT OF OUR LARGEST (BY VOLUME) NON-GOVERNMENTAL PAYOR. |
| CENTRACARE HEALTH - PAYNESVILLE | PART V, SECTION B, LINE 20D: PER AGREEMENT WITH THE MINNESTOA ATTORNEY GENERAL, THE ORGANIZATION PROVIDES A DISCOUNT TO THE UNINSURED EQUAL TO THE AVERAGE DISCOUNT OF OUR LARGEST (BY VOLUME) NON-GOVERNMENTAL PAYOR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| MONTICELLO CARE CENTER | ||||
| 1104 EAST RIVER STREET | MONTICELLO | MN | 55362 | SKILLED NURSING FACILITY |
| MONTICELLO CLINIC | ||||
| 1001 HART BLVD STE 100 | MONTICELLO | MN | 55362 | CLINIC |
| KORONIS MANOR CARE CENTER | ||||
| 200 WEST FIRST STREET | PAYNESVILLE | MN | 56362 | SKILLED NURSING FACILITY |
| CCH PAYNESVILLE- BELGRADE CLINIC | ||||
| 505 NELSON AVENUE | BELGRADE | MN | 56312 | CLINIC |
| CCH PAYNESVILLE - COLD SPRING CLINIC | ||||
| 308 FIFTH AVENUE SOUTH | COLD SPRING | MN | 56320 | CLINIC |
| CCH PAYNESVILLE - EDEN VALLEY CLINIC | ||||
| 405 MEEKER AVENUE | EDEN VALLEY | MN | 56362 | CLINIC |
| CCH PAYNESVILLE - PAYNESVILLE CLINIC | ||||
| 200 WEST FIRST STREET | PAYNESVILLE | MN | 56362 | CLINIC |
| CCH PAYNESVILLE - RICHMOND CLINIC | ||||
| 130 FIRST STREET NE | RICHMOND | MN | 56368 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE HOSPITALS' TOTAL EXPENSES (NET OF BAD DEBT) WERE REDUCED BY OTHER OPERATING REVENUE (NET OF EHR INCENTIVE REVENUE) AND ALSO BY MEDICAID SURCHARGE AND TAXES, AND THEN DIVIDED BY TOTAL PATIENT REVENUE TO DETERMINE COST TO CHARGE RATIO. |
| PART I, LN 7 COL(F): | THE HOSPITALS' BAD DEBT EXPENSE WAS ESTIMATED USING THE COST TO CHARGE RATIO DESCRIBED IN PART I, LINE 7 AND MULTIPLYING BY TOTAL BAD DEBTS (WHICH ARE WRITTEN OFF AT GROSS CHARGES UNLESS A SELF PAY DISCOUNT WAS TAKEN ON THE ACCOUNT PRIOR TO BEING WRITTEN OFF). |
| 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 ADEQUECY 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 ANY MODIFICATIONS 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 RESTRICITONS ON COLLECTION EFFORTS AS DETERMINED BY CENTRACARE." |
| PART III, LINE 8: | THE SHORTFALL OF $171 THOUSAND 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 7 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: | NO NEEDS ASSESSMENT WAS COMPLETED IN 2013. |
| PART VI, LINE 3: | INPATIENTS WHO ARE SELF PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE HOSPITALS' 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 2010 CENSUS SHOWS A POPULATION OF 11,553 WHICH WAS A 46.84% INCREASE OVER THE 2000 FIGURE OF 7,867. THIS AREA OF THE STATE IS SHOWING A SIGNIFICANT INCREASE IN POPULATION AND IS EXPECTED TO CONTINUE INTO THE FUTURE. THE AGE DEMOGRAPHICS OF THE REGION ARE AS FOLLOWS: 0-5: 13.34% 6-11: 10.95%, 12 TO 17: 10.01%, 18 TO 24: 9.17%, 25-34: 18.61%, 35-44: 13.77%, 45-54: 10.01%, 55-64: 6.73%, 65-74: 3.38%, 75-84: 2.50%, 85+: 1.54%.THE 2010 CENSUS DATA ETHNICITY BREAKDOWN FOR MONTICELLO, MN WAS AS FOLLOWS: CAUCASIAN: 92.47%, HISPANIC: 3.54%, ASIAN: 1.06%, AFRICAN AMERICAN: 1.03%, OTHER: 3.6%.CENTRACARE HEALTH - PAYNESVILLE IS LOCATED IN CENTRAL MINNESOTA IN STEARNS COUNTY. THE 2010 CENSUS SHOWS A POPULATION OF 2,115 WHICH WAS A 6.70% DECREASE OVER THE 2000 FIGURE OF 2,267. THIS AREA OF THE STATE IS SHOWING A SLIGHT DECREASE IN POPULATION AND IS EXPECTED TO CONTINUE INTO THE FUTURE. THE AGE DEMOGRAPHICS OF THE REGION ARE AS FOLLOWS: 0-5: 8.04% 6-11: 7.14%, 12 TO 17: 8.89%, 18 TO 24: 7.85%, 25-34: 10.07%, 35-44: 11.49%, 45-54: 13.19%, 55-64: 12.53%, 65-74: 8.18%, 75-84: 3.91%, 85+: 4.87%.THE 2010 CENSUS DATA ETHNICITY BREAKDOWN FOR PAYNESVILLE, MN WAS AS FOLLOWS: CAUCASIAN: 97.21%, HISPANIC: 2.32%, ASIAN: .38%, AND AFRICAN AMERICAN: .09%. |
| 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 (GOAL IS TO REDUCE THE INCIDENCE OF CHILDHOOD OBESITY BY 2016), 2) SMOKE FREE COMMUNITIES (CONTINUED EFFORTS TO CREATE CLEAN INDOOR AND OUTDOOR AIR FOR ALL), 3) QUITPLAN CLINICS (COLLABORATION WITH CENTRACARE CLINIC TO HELP THOSE TRYING TO QUIT SMOKING), AND 4) CENTRACARE CLINIC MEDICAL HOME PILOT. |
| PART VI, LINE 6: | THE HOSPITALS ARE 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 | PAYNESVILLE SCHOOLS | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 795 W BUSINESS HIGHWAY 23 | AddressLine1 |
| City | PAYNESVILLE | City |
| State | MN | State |
| ZIP Code | 56365 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 416004060 | RecipientEIN |
| Cash Grant | $5,000 | CashGrantAmt |
| Purpose Of Grant | SUPPORT OF THE LEAD THE WAY PROGRAM | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CENTRACARE HEALTH SYSTEM, INCLUDING ST. CLOUD HOSPITAL, 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 | 0 | 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERENCE R PLADSON MD | ||||||||||||||
| PRESIDENT/CEO | $852,388 | $0 | $268,267 | $0 | $236,771 | $0 | $235,050 | $0 | $20,959 | $0 | $1,613,435 | $0 | $225,588 | $0 |
| THOMAS W LEITHER MD | ||||||||||||||
| DIRECTOR & NEPHROLOGIST | $0 | $350,424 | $0 | $55,202 | $0 | $5,342 | $0 | $19,002 | $0 | $22,128 | $0 | $452,098 | $0 | $0 |
| ROBERT STOCKER MD | ||||||||||||||
| DIRECTOR & OB/GYN | $0 | $445,755 | $0 | $90,360 | $0 | $635 | $0 | $19,125 | $0 | $3,295 | $0 | $559,170 | $0 | $0 |
| GREGORY R KLUGHERZ | ||||||||||||||
| TREASURER/CFO | $0 | $422,200 | $0 | $96,448 | $0 | $109,578 | $0 | $110,826 | $0 | $19,039 | $0 | $758,091 | $0 | $84,515 |
| PAUL R HARRIS | ||||||||||||||
| CORPORATE SECRETARY | $300,778 | $0 | $63,000 | $0 | $70,388 | $0 | $52,913 | $0 | $33,817 | $0 | $520,896 | $0 | $67,504 | $0 |
| JAMES R DAVIS | ||||||||||||||
| VICE PRESIDENT | $284,429 | $0 | $48,737 | $0 | $53,429 | $0 | $12,764 | $0 | $20,148 | $0 | $419,507 | $0 | $45,254 | $0 |
| ERIC M LOHN | ||||||||||||||
| REGIONAL CFO | $84,493 | $0 | $18,463 | $0 | $58,225 | $0 | $10,285 | $0 | $4,372 | $0 | $175,838 | $0 | $0 | $0 |
| GERRY G GILBERTSON | ||||||||||||||
| ADMINISTRATOR-MELROSE | $167,944 | $0 | $40,332 | $0 | $49,952 | $0 | $41,761 | $0 | $8,722 | $0 | $308,711 | $0 | $29,981 | $0 |
| DANIEL J SWENSON | ||||||||||||||
| ADMINISTRATOR-LONG PRAIRIE | $182,093 | $0 | $42,165 | $0 | $16,214 | $0 | $28,825 | $0 | $23,623 | $0 | $292,920 | $0 | $14,312 | $0 |
| DELANO A CHRISTANSON | ||||||||||||||
| ADMINISTRATOR - SAUK CENTRE | $151,754 | $0 | $2,481 | $0 | $2,216 | $0 | $24,455 | $0 | $25,109 | $0 | $206,015 | $0 | $0 | $0 |
| MARY E WELLS | ||||||||||||||
| ADMINISTRATOR - MONTICELLO | $198,220 | $0 | $2,622 | $0 | $1,100 | $0 | $0 | $0 | $7,666 | $0 | $209,608 | $0 | $0 | $0 |
| JOSEPH D HELLIE | ||||||||||||||
| VICE PRESIDENT | $0 | $161,975 | $0 | $6,711 | $0 | $6,933 | $0 | $12,292 | $0 | $23,771 | $0 | $211,682 | $0 | $0 |
| JOSEPH M BLONSKI MD | ||||||||||||||
| PHYSICIAN | $271,276 | $0 | $8,062 | $0 | $8,033 | $0 | $18,967 | $0 | $21,626 | $0 | $327,964 | $0 | $0 | $0 |
| MARK J LARKIN | ||||||||||||||
| VICE PRESIDENT OF DEVELOPMENT | $219,072 | $0 | $51,326 | $0 | $13,779 | $0 | $39,434 | $0 | $29,074 | $0 | $352,685 | $0 | $11,571 | $0 |
| MARY V PHIPPS | ||||||||||||||
| DIRECTOR | $189,583 | $0 | $19,669 | $0 | $8,413 | $0 | $16,230 | $0 | $24,552 | $0 | $258,447 | $0 | $0 | $0 |
| KEVIN R SWITZER | ||||||||||||||
| ASSOCIATE DIRECTOR | $198,489 | $0 | $5,931 | $0 | $4,321 | $0 | $9,976 | $0 | $21,726 | $0 | $240,443 | $0 | $0 | $0 |
| JIMMIE L BROWNING | ||||||||||||||
| ASSOCIATE DIRECTOR | $200,835 | $0 | $5,281 | $0 | $792 | $0 | $0 | $0 | $1,068 | $0 | $207,976 | $0 | $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: TERENCE R PLADSON - PAID $225,588; ACCRUED $215,925 GREGORY R KLUGHERZ - PAID $84,515; ACCRUED $98,076 PAUL R HARRIS - PAID $67,504; ACCRUED $42,880 GERRY G GILBERTSON - PAID $29,981; ACCRUED $31,077 DANIEL J SWENSON - PAID $14,312; ACCRUED $18,188 MARK J LARKIN - PAID $11,571; ACCRUED $20,137 DELANO CHRISTIANSON - PAID $0; ACCRUED $12,563 JAMES R DAVIS - PAID $45,254; ACCRUED $0 |
| 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 EMPLOYEMENT 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 PERCENTAGEOF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE, HOWEVER NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE INCENTIVE COMPENSATION IS PAID. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| THE CITY OF ST CLOUD | ||||||||
| A | 416005515 | 78916VBB5 | 2009-08-10 | $201,078,369 | HEALTH CARE REVENUE BONDS 2008D | 0 | 0 | 0 |
| THE CITY OF ST CLOUD | ||||||||
| B | 416005515 | 78916VBX7 | 2010-02-03 | $187,558,690 | HEALTH CARE REVENUE BONDS 2010AB | 0 | 0 | 0 |
| THE CITY OF ST CLOUD | ||||||||
| C | 416005515 | 2011-12-28 | $10,000,000 | HEALTH CARE REVENUE BONDS 2011A | 0 | 0 | 0 | |
| THE CITY OF ST CLOUD | ||||||||
| D | 416005515 | 2011-12-28 | $31,445,000 | HEALTH CARE REVENUE BONDS 2011B | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $73,000,000 | $201,078,369 | $1,408,277 | $1,954,596 | $192,377,062 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| B | $187,558,690 | $11,776,763 | $2,076,662 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | |||||
| C | $10,000,000 | $150,000 | 0 | 0 | 0 | Yes (1) | $8,916,874 | $933,126 | |||||
| D | $31,445,000 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | $31,445,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 0.00000 | 0.01000 | 0.01000 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | Yes (1) | Yes (1) | 0.00000 | 0.02110 | 0.02110 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | 0.01500 | 0.00000 | 0.01500 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | Yes (1) | 0.00690 | 0.00000 | 0.00690 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 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: 07/08/2014 ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2014 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 416005515 | BondIssuerEIN |
| Bond Issued | 2012-09-19 | BondIssuedDt |
| Issue Price | $64,885,000 | IssuePriceAmt |
| Purpose | HEALTH CARE REVENUE BONDS 2012 | 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 | $64,885,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $3,500 | IssuanceCostsFromProceedsAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | 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 Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00400 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00400 | 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 | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | 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 M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | NET ASSET CON | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $13,730,043 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | IN FY14 CENTRACARE HEALTH OPENED AN URGENT CARE CLINIC TO PROVIDE PATIENTS AN ALTERNATIVE TO GOING TO THE EMERGENCY ROOM. THIS CLINIC IS LOCATED AT THE PLAZA IN THE LOWER LEVEL. |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 | MISCELLANEOUS: PROGRAM SERVICE EXPENSES 7,538,003. MANAGEMENT AND GENERAL EXPENSES 358,880. FUNDRAISING EXPENSES 7,211. TOTAL EXPENSES 7,904,094. CONTRACTED SERVICES/PURCH SVCS: PROGRAM SERVICE EXPENSES 9,890,741. MANAGEMENT AND GENERAL EXPENSES 1,134,662. FUNDRAISING EXPENSES 240,314. TOTAL EXPENSES 11,265,717. |
| FORM 990, PART XI, LINE 9: | PENSION PLAN ADJUSTMENT -4,976. NET EQUITY TRANSFERS BTWN RELATED ORGS 10,162,028. OTHER CHANGES 204,316. DISTRIBUTIONS -1,000,000. NON-CONTROLLING INTEREST IN MONTICELLO CANCER CENTER 1,692,635. |
| FORM 990, PART I, LINE 6 - TOTAL NUMBER OF VOLUNTEERS: | CENTRACARE HEALTH SYSTEM HAD 349 VOLUNTEERS IN FY14 THAT DONATED A TOTAL OF APPROXIMATELY 12,027 HOURS TO VARIOUS DEPARTMENTS. 119 OF THE VOLUNTEERS DONATED APPROXIMATELY 6,027 HOURS TO MONTICELLO HOSPITAL AND 230 VOLUNTEERS DONATED APPROXIMATELY 6,000 HOURS TO PAYNESVILLE HOSPITAL. |
| FORM 990, PAGE 1, LINE 11 "OTHER REVENUE" | THE AMOUNT REPORTED ON LINE 11 OF PAGE 1, "OTHER REVENUE" IS $733,069 FOR THE CURRENT YEAR AND $2,543,184 FOR THE PRIOR YEAR. THE REASON FOR THE DIFFERENCE IS DUE TO A CHANGE IN REPORTING PRESENTATION. THE HEALTH INFO TECH INCENTIVE INCOME INCLUDED IN "ALL OTHER PROGRAM SERVICE REVENUE" ON LINE 2G OF THE STATEMENT OF REVENUE WAS REPORTED ON LINE 11 AS MISCELLANEOUS INCOME ON THE 2012 (FY13) FORM 990. THE INCOME OF THESE ACTIVITIES RELATES TO THE MISSION OF THE ORGANIZATION AND IS THE REASON FOR THE CHANGE IN PRESENTATION. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CENTRACARE SURGERY CENTER LLC | |||||||||
| 1406 6TH AVE N | ST CLOUD | MN | 56303 | 611514974 | SURGICAL CENTER | MN | $5,599,175 | $3,036,396 | CENTRACARE HEALTH SYSTEM |
| CENTRACARE HEALTH - MONTICELLO | |||||||||
| 1013 HART BLVD | MONTICELLO | MN | 55362 | 461584944 | HEALTHCARE | MN | $64,702,555 | $63,412,530 | CENTRACARE HEALTH SYSTEM |
| CENTRACARE HEALTH - PAYNESVILLE | |||||||||
| 200 WEST FIRST STREET | PAYNESVILLE | MN | 56362 | 433298651 | HEALTHCARE | MN | $41,302,289 | $31,848,291 | CENTRACARE HEALTH SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 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) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTICELLO CANCER CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 HART BLVD STE 50 | AddressLine1 |
| City | MONTICELLO | City |
| State | MN | State |
| ZIP Code | 55362 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261909519 | EIN |
| Primary Activities | RADIATION & ONCOLOGY SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE HEALTH SYSTEM - MONTICELLO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $11,470,796 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $6,609,919 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.60000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE PHARMACY SERVICES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1406 6TH AVE N | AddressLine1 |
| City | ST CLOUD | City |
| State | MN | State |
| ZIP Code | 56303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411620618 | EIN |
| Primary Activities | RETAIL PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRACARE HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $2,411,073 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,658,154 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | 0 | 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 SYSTEM - LONG PRAIRIE | ||
| A | $137,381 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - MELROSE | ||
| A | $111,131 | ARMS LENGTH |
| CENTRACARE PHARMACY SERVICES INC | ||
| A | $122,118 | ARMS LENGTH |
| CENTRACARE CLINIC | ||
| A | $3,925,109 | ARMS LENGTH |
| ST CLOUD HOSPITAL | ||
| A | $16,162 | ARMS LENGTH |
| ST CLOUD HOSPITAL | ||
| O | $464,902 | ARMS LENGTH |
| CENTRACARE CLINIC | ||
| O | $450,347 | ARMS LENGTH |
| CENTRACARE CLINIC | ||
| P | $7,129,294 | ARMS LENGTH |
| ST CLOUD HOSPITAL | ||
| P | $1,532,580 | ARMS LENGTH |
| ST CLOUD HOSPITAL | ||
| Q | $40,116,817 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - MELROSE | ||
| Q | $287,284 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - LONG PRAIRIE | ||
| Q | $303,621 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - SAUK CENTRE | ||
| Q | $340,627 | ARMS LENGTH |
| CENTRACARE CLINIC | ||
| Q | $7,138,207 | ARMS LENGTH |
| CENTRACARE FOUNDATION | ||
| Q | $2,392,263 | ARMS LENGTH |
| CENTRACARE CLINIC | ||
| R | $12,080,123 | ARMS LENGTH |
| CENTRACARE PHARMACY SERVICES INC | ||
| R | $462,849 | ARMS LENGTH |
| ST CLOUD HOSPITAL | ||
| S | $21,070,000 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - MELROSE | ||
| S | $1,003,407 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - LONG PRAIRIE | ||
| S | $831,252 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - MELROSE | ||
| D | $1,947,912 | ARMS LENGTH |
| CENTRACARE HEALTH SYSTEM - LONG PRAIRIE | ||
| D | $2,384,274 | ARMS LENGTH |
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