2013-05-01T10:33:01-05:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2011-07-01 411806657 CENTRACARE CLINIC CENT 3202525131 1200 6TH AVENUE NORTH ST CLOUD MN 56303 DAVID J TILSTRA MD 3202525131 2013-04-22 1 KOREY BOELTER P00775161 6123764500 2011 2016-03-07 17:11:31Z DAVID J TILSTRA MD 1200 6TH AVENUE NORTH ST CLOUD MN 56303 166586370 0 X WWW.CENTRACARE.COM X 1995 MN WE ARE DEDICATED TO PROVIDING EXCELLENT SERVICE AND THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE. 10 4 965 4 0 0 17110663 14780171 144014296 151571465 50414 54771 165962 179963 161341335 166586370 6214 9200 0 0 112072711 118820961 0 0 0 46142671 45759744 158221596 164589905 3119739 1996465 36058547 35897814 26100503 23943305 9958044 11954509 X WE ARE DEDICATED TO PROVIDING EXCELLENT SERVICE AND THE HIGHEST QUALITY OF CARE TO THOSE WE SERVE. 0 0 156602754 9200 151571465 THE ORGANIZATION PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY. THIS INCLUDES HEALTHCARE EDUCATION AND RESEARCH, AS WELL AS PROVIDING HEALTH SERVICES TO THE UNINSURED AND UNDERINSURED. THE ORGANIZATION SUPPORTS PATIENTS WHO EXPRESS A WILLINGNESS TO PAY BUT ARE UNABLE TO DO SO DUE TO SOCIOECONOMIC FACTORS. THE ORGANIZATION PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY MEDICAL SERVICES THROUGH AN INTEGRATED MULTI-SPECIALITY CLINIC STRUCTURE.PATIENT ACTIVITIES FOR THE YEAR ENDED JUNE 30, 2012:LABORATORY: 583,971IMMUNIZATION & INJECTION: 576,113CLINIC VISITS: 298,303SURGICAL: 134,962HOSPITAL VISITS: 136,054PROFESSIONAL INTERPRETATION: 49,781RADIOLOGY: 27,574SURGERY (MINOR): 28,847SPECIAL PROCEDURES: 48,502RADIATION ONCOLOGY: 12,773NURSING HOME VISITS: 5,329 156602754 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 99 0 965 1 0 0 0 0 0 0 0 0 0 0 X 10 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X THOMAS FELDHEGE 3202402152 1200 SIXTH AVENUE NORTH ST CLOUD MN 56303 GLENN FORBES MD 1.00 X 0 0 0 GENE WINDFELDT 1.00 X 0 0 0 DENISE ROSIN 1.00 X 0 0 0 BYRON JOHN MD 1.00 X 0 0 0 THOMAS W LEITHER MD 40.00 X X 400201 1500 44080 DEBORAH L MCCARL MD 40.00 X 294744 0 56862 DAVID ROBERTS MD 40.00 X 608540 0 43573 KEITH LEAVELL MD 40.00 X 431900 1500 65819 KATHLEEN KULUS MD 40.00 X 246381 0 39363 ALLEN E HORN MD 40.00 X X 587816 0 114083 THOMAS M FELDHEGE 40.00 X 202551 0 53695 MARK MURPHY 40.00 X 256576 0 61679 DAVID TILSTRA MD 40.00 X 328662 0 77235 BERNARD R ERICKSON MD 40.00 X 836197 0 41642 HANI S AL-KHATIB MD 40.00 X 877668 0 45867 RANDY C SALIARES MD 40.00 X 984192 0 44300 MARK JOHNSON MD 40.00 X 1024607 0 57989 EITAN MEDINI MD 40.00 X 856720 0 57778 7936755 3000 803965 237 0 1 0 DERMATOPATHOLOGY ASSOCIATES 7205 UNIVERSITY AVE NE MINNEAPOLIS MN 55540 LABORATORY SERVICES 677459 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 564797 REGIONAL DIAGNOSTICS 1990 CONNECTICUT AVE S STE 100 ST CLOUD MN 56377 RADIOLOGY SERVICES 212950 THE BLACKHAWK CONSULTING GROUP 25650 NETWORK PLACE CHICAGO IL 60673 PROCESSING SERVICES 152953 ENVIROTECH PO BOX 931 ST CLOUD MN 56302 HOUSEKEEPING SERVICES 149860 9 14743421 36750 14780171 PATIENT REVENUES 621110 130719885 130719885 OTHER REVENUE 900099 20851580 20851580 151571465 54771 54771 179963 0 179963 179963 179963 166586370 151571465 0 234734 9200 9200 4025070 2602218 1422852 94269394 93022578 1246816 4837479 4816722 20757 11054092 10863752 190340 4634926 4517993 116933 406308 406308 34160 34160 8995271 7728795 1266476 314736 178585 136151 2103188 1518707 584481 2029803 2029803 6443426 6443418 8 304543 304543 851606 851606 1551706 1483309 68397 MEDICAL SUPPLIES 14532828 14532788 40 BAD DEBT EXPENSE 3122581 3122581 MN CARE TAX 1649019 1649019 REPAIRS & MAINTENANCE 1486327 1439759 46568 1934242 1517181 417061 164589905 156602754 7987151 0 5682 5724 11211434 11576116 14575217 13115328 1172028 937861 1067713 1256910 457507 458056 17618661 14366982 2549878 3251679 5019088 5296140 36058547 35897814 20080801 19640845 6019702 4302460 26100503 23943305 X 9958044 11954509 9958044 11954509 36058547 35897814 1996465 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3258 3258 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: CENTRACARE CLINIC PAID $3,258 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF AS A MEMBER OF THE ASSOCIATIONS. 3136968 1174562 1962406 14481693 13192420 1289273 3251679 FUNDS HELD BY TRUSTEE 2242348 DUE FROM RELATED ORGANIZATIONS 3053792 5296140 DEFERRED COMPENSATION PLAN OBLIGATIONS 2242348 DUE TO RELATED ORGANIZATIONS 2060112 4302460 166586370 164589905 1996465 1996465 152336508 0 152336508 14249862 14249862 166586370 164589905 0 164589905 0 164589905 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR EVALUATING UNCERTAIN TAX POSITIONS. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST AND INVESTMENT INCOME 54,771. EQUITY TRANSFER FROM AFFILIATE 14,195,091. 1 X PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: CENTRACARE HEALTH SYSTEM IS A NOT-FOR-PROFIT CORPORATION 501(C)(3)THAT PROVIDES A COMPREHENSIVE PROGRAM OF HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL MINNESOTA. AS PART OF THIS HEALTHFOCUSED MISSION, CENTRACARE HEALTH SYSTEM PROVIDES A LIMITED NUMBER OF CHARITABLE CONTRIBUTIONS TO ORGANIZATIONS THAT IMPROVE THE HEALTH OF CENTRAL MINNESOTANS. THE MAJORITY OF CONTRIBUTIONS ARE MADE IN THE FORM OF GRANTS THROUGH THE CENTRACARE HEALTH FOUNDATION. THE FOUNDATION'S GRANTS COMMITTEE REVIEWS FUNDING APPLICATIONS FROM PROGRAMS THROUGHOUT THE REGION. HOWEVER, THE CENTRACARE CONTRIBUTIONS COMMITTEE FUNCTIONS TO STREAMLINE HEALTH-RELATED CHARITABLE CONTRIBUTIONS THAT DO NOT FALL WITHIN THE FOUNDATION'S GUIDELINES. THIS POLICY OUTLINES THE PROCEDURES TO BE FOLLOWED AND THE CRITERIA TO BE CONSIDERED IN EVALUATING REQUESTS FOR FUNDING. CONTRIBUTIONS MUST BE IN KEEPING WITH THE MISSION OF CENTRACARE HEALTH SYSTEM, 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 SYSTEM CONTRIBUTIONS COMMITTEE IS MADE UP OF: ONE REPRESENTATIVE FROM CENTRACARE HEALTH FOUNDATION; ONE REPRESENTATIVE FROM ST. CLOUD HOSPITAL HUMAN RESOURCES; THE DIRECTOR OF CENTRACARE HEALTH SYSTEM'S COMMUNICATIONS DEPARTMENT AND THE COMMUNICATIONS/MARKETING SPECIALIST RESPONSIBLE FOR CENTRACARE CLINIC; THE DIRECTOR OF CENTRACARE HEALTH SYSTEM'S MARKETING/PLANNING DEPARTMENT; THE DIRECTOR OF ST. CLOUD HOSPITAL VOLUNTEER SERVICES; AND SI. 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 SYSTEM - LONG PRAIRIE, CENTRACARE HEALTH SYSTEM - MELROSE, AND ST BENEDICT'S SENIOR COMMUNITY 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 FROM THE CENTRACARE HEALTH SYSTEM EXECUTIVE COUNCIL. INDIVIDUALS AND DEPARTMENTS FROM THROUGHOUT ST CLOUD HOSPITAL AND THE CENTRACARE CLINIC SITES IN ST. CLOUD 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 THEIR REQUEST IN WRITING. X X X X X 0 1 0 0 0 1 1 0 0 THOMAS W LEITHER MD 343052 1500 55362 0 1787 0 18375 0 25705 0 444281 1500 0 0 DEBORAH L MCCARL MD 245665 0 46717 0 2362 0 33762 0 23100 0 351606 0 0 0 DAVID ROBERTS MD 540270 0 64823 0 3447 0 18375 0 25198 0 652113 0 0 0 KEITH LEAVELL MD 369507 1500 60029 0 2364 0 34875 0 30944 0 497719 1500 0 0 KATHLEEN KULUS MD 210969 0 35136 0 276 0 17469 0 21894 0 285744 0 0 0 ALLEN E HORN MD 357539 0 94541 0 135736 0 86878 0 27205 0 701899 0 0 0 THOMAS M FELDHEGE 180160 0 21552 0 839 0 31395 0 22300 0 256246 0 0 0 MARK MURPHY 211601 0 42407 0 2568 0 36547 0 25132 0 318255 0 0 0 DAVID TILSTRA MD 243864 0 65778 0 19020 0 51534 0 25701 0 405897 0 0 0 BERNARD R ERICKSON MD 764818 0 67906 0 3473 0 18375 0 23267 0 877839 0 0 0 HANI S AL-KHATIB MD 798945 0 74227 0 4496 0 18375 0 27492 0 923535 0 0 0 RANDY C SALIARES MD 538672 0 64323 0 381197 0 18375 0 25925 0 1028492 0 0 0 MARK JOHNSON MD 796857 0 70102 0 157648 0 34875 0 23114 0 1082596 0 0 0 EITAN MEDINI MD 482088 0 57502 0 317130 0 34875 0 22903 0 914498 0 0 0 PART I, LINE 4B 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: RANDY C. SALIARES, MD - $378,593 MARK JOHNSON, MD - $155,541 EITAN MEDININ, MD - $312,843 ALLEN E. HORN, MD - $73,055 PART I, LINE 6 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR CENTRACARE CLINIC OR CENTRACARE HEALTH SYSTEM; ACHIEVEMENT OF IMPROVEMENT IN PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS; ACHIEVEMENT OF IMPROVEMENT IN OVERALL EMPLOYMENT ENGAGEMENT SCORES; AND ACHIEVEMENT OF UP TO THREE INDIVIDUAL GOALS WHICH ARE TIED TO THE CENTRACARE SYSTEM'S STRATEGIC PLAN. FORM 990, PART VI, SECTION A, LINE 1 THE BUSINESS AND AFFAIRS OF OF CENTRACARE CLINIC SHALL BE MANAGED BY A BOARD OF TEN DIRECTORS CONSISITING OF FOUR SEPARATE CLASSES, OF WHICH HAVE DIFFERENT VOTING RIGHTS AS FOLLOWS: (I) TWO MEMBERS WHO ARE DESIGNATED AS THE PRIMARY CARE PHYSICIAN DIRECTORS EACH WITH A VOTING POWER OF ONE VOTE. (II) TWO MEMBERS WHO ARE DESIGNATED AS THE SPECIALIST PHYSICIAN DIRECTORS EACH WITH A VOTING POWER OF ONE VOTE. (III) ONE MEMBER WHO IS DESIGNATED AS THE AT LARGE PHYSICIAN DIRECTOR WITH A VOTING POWER OF ONE. (IV) FOUR MEMBERS DESIGNATED AS CORPORATE DIRECTORS EACH WITH A VOTING POWER OF TWO VOTES. IN ADDITION NO PHYSICIAN DIRECTOR MAY VOTE ON COMPENSATION PAID TO, OR COMPENSATION PLANS OR PROGRAMS BENEFITTING, PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS CENTRACARE HEALTH SYSTEM, A MINNESOTA NONPROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A PHYSICAN AND CORPORATE DIRECTORS SHALL BE ELECTED OR APPOINTED AS FOLLOWS: (A) PRIMARY CARE PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE PRIMARY CARE PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (B) SPECIALIST PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE SPECIALIST PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (C) THE AT LARGE PHYSICIAN DIRECTOR SHALL BE ELECTED BY THE PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (D) THE CORPORATE DIRECTORS ARE APPOINTED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS ARE RESERVED TO THE SOLE MEMBER, CENTRACARE HEALTH SYSTEM WHICH SHALL BE TAKEN BY A VOTE APPROVED BY AT LEAST 75% OF THE BOARD OF DIRECTORS OF CENTRACARE HEALTH SYSTEM: (1) ADOPT AMENDMENTS TO THE ARTICLES OF CENTRACARE CLINIC. (2) APPROVE AMENDMENTS TO THE BYLAWS OF CENTRACARE CLINIC WHICH AFFECT ANY POWERS OR FUNCTIONS RESERVED TO THE SOLE MEMBER. THE FOLLOWING MATTERS ARE RESERVED TO CENTRACARE HEALTH SYSTEM WHICH SHALL BE TAKEN BY A VOTE APPROVED BY AT LEAST 51% OF THE BOARD OF DIRECTORS OF THE CENTRACARE HEALTH SYSTEM: (1) REVIEW AND APPROVE THE FOLLOWING: (I) THE ANNUAL OPERATING AND CAPITAL BUDGETS, (II) ANY CAPITAL EXPENDITURE IN EXCESS OF $1.0 $2.0 MILLION WHETHER BUDGETED OR NOT BUDGETED, AND (III) ANY DEBTS TO BE INCURRED. (2) APPROVE ANY ENCUMBRANCE OF THE ASSETS OF CENTRACARE CLINIC. (3) REVIEW AND APPROVE ALL STRATEGIC PLANS OF CENTRACARE CLINIC. (4) REVIEW AND APPROVE ALL MEDICAL STAFF DEVELOPMENT PLANS FOR AN INTEGRATED DELIVERY SYSTEM OF CENTRACARE CLINIC. (5) REVIEW AND APPROVE ALL THIRD PARTY CONTRACTS WHICH ARE FIRST APPROVED BY THE BOARD OF DIRECTORS OF CENTRACARE CLINIC. (6) APPROVE THE APPOINTMENT OF THE PRESIDENT OF CENTRACARE CLINIC. (7) APPROVE CENTRACARE CLINIC'S ANNUAL BUDGET FOR ALL PROFESSIONAL COMPENSATION AND APPROVE ALL COMPENSATION POLICIES AND PLANS FOR PHYSICIANS EMPLOYED BY CENTRACARE CLINIC. (8) OVERSEE AND MONITOR ALL COMPLIANCE AND RISK MANAGEMENT PRACTICES OF CENTRACARE CLINIC. (9) REVIEW AND APPROVE ANY TRANSACTION OF CENTRACARE CLINIC WHICH MAY AFFECT (I) THE CORPORATION'S STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXATION OR (II) THE TAX EXEMPT STATUS OF ANY FINANCING OF CENTRACARE CLINIC. (10) APPROVE ANY USE OF ANY TRADE NAMES OR ANY INTELLECTUAL PROPERTY OF CENTRACARE CLINIC. (11) THE DETERMINATION OF THE DISSOLUTION OF OR THE DISCONTINUATION OF BUSINESS OF CENTRACARE CLINIC. (12) THE MERGERS WITH, THE ACQUISITION OF, OR THE AFFILIATION WITH ANY HOSPITAL, CLINIC OR PHYSICIAN PROVIDER GROUP. (13) OVERSEE AUDITING AND ACCOUNTING PRACTICES OF CENTRACARE CLINIC. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WAS REVIEWED IN DETAIL BY MANAGEMENT AND LEGAL COUNSEL. IN ADDITION, THE FULL BOARD HAD AN OPPORTUNITY TO REVIEW THE FORM 990 WITH STAFF, TO ASK QUESTIONS AND SEEK CLARIFICATIONS, AND TO APPROVE THE FINAL DOCUMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICTS OF INTEREST QUESTIONNAIRE ON A TWICE-PER-YEAR BASIS. 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 THAT INCLUDES INTERNAL MEMBERS AND OUTSIDE COUNSEL). THE RESPONSES TO THE QUESTIONNAIRES ARE REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE CENTRACARE HEALTH SYSTEM 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- OR HERSELF 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 PRESIDENT AND THE VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO BIENNIAL FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES BY AN OUTSIDE, INDEPENDENT CONSULTANT. THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR COMMITTEE AND BOARD REVIEW. THE LAST FULL REVIEW WAS DONE IN 2012; THE LAST COMPENSATION REVIEW IN 2012. THE ORGANIZATION'S EMPLOYED PRACTICING PHYSICIANS ARE SUBJECT TO ANNUAL FULL COMPENSATION AND BENEFITS REVIEWS THROUGH COMPARABILITY STUDIES BY AN OUTSIDE, INDEPENDENT CONSULTANT USING NATIONAL AND REGIONAL DATA FROM MULTIPLE SOURCES. THIS STUDY IS REVIEWED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE COMMITTEE AND THE BOARD. THE LAST FULL REVIEW WAS COMPLETED IN APRIL 2012. THE VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO BIENNIAL FULL COMPENSATION AND BENEFITS COMPARABILITY STUDIES PERFORMED BY AN OUTSIDE, INDEPENDENT CONSULTANT. THE COMPENSATION PORTION OF THE STUDY IS REVIEWED ANNUALLY BY THE CONSULTANT AND UPDATED FOR THE COMMITTEE AND BOARD REVIEW. THE LAST FULL REVIEW WAS DONE IN 2012; THE LAST COMPENSATION REVIEW IN 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT OPEN TO THE PUBLIC. AVERAGE WEEKLY HOURS FORM 990, PART VII, SECTION A THE COMPENSATED OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES OF CENTRACARE CLINIC SERVE MULTIPLE RELATED ORGANIZATIONS. EACH INDIVIDUAL WORKS APPROXIMATELY 40 HOURS PER WEEK ACROSS THE RELATED ORGANIZATIONS. CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 HEALTH CARE MN 501(C)(3) 11 - TYPE 3 FI N/A 0 CENTRACARE HEALTH SERVICES - MELROSE 11 NORTH 5TH AVENUE WEST MELROSE MN 56352 411865315 ACUTE & LONG-TERM CARE MN 501(C)(3) 3 CCHS & CCHS-LP 0 CENTRACARE HEALTH SERVICES - LONG PRAIRIE 20 SOUTHEAST 9TH STREET LONG PRAIRIE MN 56347 411924645 ACUTE & LONG-TERM CARE MN 501(C)(3) 3 CCHS & CCHS-MELROSE 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 N/A 0 CENTRAL MINNESOTA EMERGENCY PHYSICIANS 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411708142 EMERGENCY PHYSICIAN PRACTICE MN 501(C)(3) 3 N/A 0 CENTRACARE PHARMACY SERVICES INC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411620618 RETAIL PHARMACY MN N/A C 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0