FURP.ORG / PUBLIC DATA EXPLORER

CENTRACARE HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CENTRACARE HEALTH SYSTEM (EIN 41-1813221)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-01
IRS object ID
201301219349301350
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-01T15:42:04-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12901 DOUGLAS BLVDAddressLine1
CityROSEVILLECity
StateCAState
ZIP Code95661ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411813221EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% GREG KLUGHERZInCareOfName
Name ControlCENTNameControl
Phone3202512700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11406 6TH AVENUE NORTHAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG KLUGHERZName
TitleVP & CFOTitle
Date Signed2013-04-29DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9162181900Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERENCE R PLADSON MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11406 6TH AVE NORTHAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts52770118GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CENTRACARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTHE CENTRACARE HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees350TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI608668TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47854342ProgramServiceRevenuePriorYear
Program Service Revenue CY52144324ProgramServiceRevenueCY
Investment Income Prior Year1096534InvestmentIncomePriorYear
Investment Income Current Year508400InvestmentIncomeCurrentYear
Other Revenue Prior Year-20266OtherRevenuePriorYear
Other Revenue Current Year-9581OtherRevenueCurrentYear
Total Revenue Prior Year48930610TotalRevenuePriorYear
Total Revenue Current Year52643143TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12914818SalariesEtcPriorYear
Salaries Etc Current Year13329663SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year42658714OtherExpensePriorYear
Other Expenses Current Year46309487OtherExpensesCurrentYear
Total Expenses Prior Year55573532TotalExpensesPriorYear
Total Expenses Current Year59639150TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6642922RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6996007RevenuesLessExpensesCY
Total Assets BOY79041233TotalAssetsBOY
Total Assets EOY72290197TotalAssetsEOY
Total Liabilities BOY48557140TotalLiabilitiesBOY
Total Liabilities EOY50337911TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY30484093NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21952286NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE CENTRACARE HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense42506046Expense
Grants0Grants
Revenue51535656Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense42506046TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees350NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGREG KLUGHERZNamePerson
Telephone Number3202512700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11406 6TH AVE NORTHAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TERENCE R PLADSON MD
PRESIDENT/CEO40.0XX9484770213721
TOM LEITHER MD
DIRECTOR2.0X150040020144080
KEITH LEAVELL MD
DIRECTOR2.0X150043190065819
CHRISTOPHER COBORN
DIRECTOR2.0X000
DAVID AGERTER MD
DIRECTOR2.0X000
GENE WINDFELDT
DIRECTOR - CHAIR2.0X400000
ROBERT WHITE
DIRECTOR - VICE CHAIR2.0X150000
DENISE ROSIN
DIRECTOR2.0X000
MIKE BENUSA
DIRECTOR2.0X150000
GARY MARSDEN
DIRECTOR2.0X150000
MOHAMED YASSIN MD
DIRECTOR2.0X150000
MARY JO WILLIAMSON
DIRECTOR2.0X000
GREG KLUGHERZ
CHIEF FINANCIAL OFFICER0.0X0524194103652
PAUL HARRIS
VICE PRESIDENT40.0X307893083406
JIM DAVIS
VICE PRESIDENT40.0380588036682X
JOSEPH BLONSKI MD
PHYSICIAN40.0272510043338X
MARK LARKIN
VICE PRESIDENT40.0243272059232X
MARK BECKER
PHYSICIAN40.0207125029274X
DAN SWENSON
ADMINISTRATOR0.0216883048786X
GERRY GILBERTSON
ADMINISTRATOR0.0253488045876X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2843236TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1356295TotalReportableCompFrmRltdOrgs
Total Other Compensation773866TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ST CLOUD PATHOLOGISTS PA
1406 6TH AVE NORTHSt CloudMN56303PATHOLOGY SERVICES470658
THE ADVISORY BOARD COMPANY
PO BOX 79461BaltimoreMD21279CONSULTING SERVICES298900
LITTLER MENDELSON PC
PO BOX 45547SAN FRANCISCOCA94145LEGAL SERVICES126750
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PROGRAM FEES5413802423147023622802608668
PROGRAM RENTAL INCOME53200047938274793827
CORPORATE ALLOC OF O/H CHARGES90009926849902684990
CORPORATE ALLOC OF INFO SYSTEMS9000991449968114499681
CORPORATE ALLOC OF LEGAL900099844884844884

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5089472TotalRevenueColumn
Related Or Exempt Function Income5089472RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue52144324TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real73108Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real82689Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-9581Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-9581TotalRevenueColumn
Exclusion-$9,581ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities552686Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other44286Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities552686Securities
Other-44286Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column508400TotalRevenueColumn
Exclusion$508,400ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column52643143TotalRevenueColumn
Related Or Exempt Function Income51535656RelatedOrExemptFunctionIncome
Unrelated Business Revenue608668UnrelatedBusinessRevenue
Exclusion$498,819ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2893121Total
Program Services2893121ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7517545Total
Program Services7517545ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2501945Total
Program Services2501945ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total417052Total
Program Services417052ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total265204Total
Management And General265204ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28615Total
Management And General28615ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total497760Total
Management And General497760ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total536627Total
Program Services536627ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total165677Total
Program Services120995ProgramServices
Management And General44682ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1854546Total
Program Services1854546ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total9869Total
Program Services1951ProgramServices
Management And General7918ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total133540Total
Program Services20953ProgramServices
Management And General112587ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1581110Total
Management And General1581110ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total29798244Total
Program Services8131295ProgramServices
Management And General21666949ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1262986Total
Program Services1262963ProgramServices
Management And General23ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total146675Total
Program Services15098ProgramServices
Management And General131577ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES34053373405337
ADMIN SVCS FROM AFFILIATE999216999216
CONTRACTED SERVICES214825214825
MEDICAL SUPPLIES89282628928262

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-3519006Total
Program Services3684315ProgramServices
Management And General-7203321ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59639150Total
Program Services42506046ProgramServices
Management And General17133104ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1635845BOY
EOY946773EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11901364BOY
EOY12226526EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1695072BOY
EOY2821717EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1772003BOY
EOY1667033EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY980096BOY
EOY963058EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY379668BOY
EOY379558EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis62673349LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24020443LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40513809BOY
EOY38652906EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4852935BOY
EOY2469309EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY151385BOY
EOY101266EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3708039BOY
EOY3324435EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11451017BOY
EOY8737616EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY79041233BOY
EOY72290197EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15979153BOY
EOY17653610EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY30570107BOY
EOY30321590EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2007880BOY
EOY2362711EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY48557140BOY
EOY50337911EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY30484093BOY
EOY21952286EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30484093BOY
EOY21952286EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79041233BOY
EOY72290197EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6996007ReconcilationRevenueExpenses
Reconcilation Other Changes-1535800ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
SAINT CLOUD HOSPITAL
41069559603truetruetrue$24,257,975
CENTRACARE CLINIC
41180665703truetruetrue$6,630,316
CENTRACARE HEALTH SYSTEM - MELROSE
41186531503truetruetrue$991,146
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
41192464503truetruetrue$951,913
CENTRAL MINNESOTA EMERGENCY PHYSICIANS
41170814203truetruetrue$462,262
CENTRACARE HEALTH FOUNDATION
41185517303truetruetrue$95,767
FieldValueIRS element (for citing)
Total Number Of Supported Orgs6TotalNumberOfSupportedOrgs
Sum Of Amounts33389379SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2791960OtherCostOrOtherBasis
Book Value2791960BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis43127435OtherCostOrOtherBasis
Depreciation10793129Depreciation
Book Value32334306BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis16753954OtherCostOrOtherBasis
Depreciation13227314Depreciation
Book Value3526640BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38652906TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED DEBT ACQUISITION COST322007
DUE FROM AFFILIATES6530527
INVEST IN MUTUAL SERVICE CORP1885082
FieldValueIRS element (for citing)
Total Book Value Other Assets8737616TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
EXECUTIVE BENEFIT ACCRUAL$1,885,082
LT SETTLEMENT RESERVES$225,000
PENSION ACCRUAL$252,629
FieldValueIRS element (for citing)
Total Of Amounts2362711TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TERENCE R PLADSON MD
7459620191627010888019498601873501162198000
TOM LEITHER MD
150034305205536201787018375025705150044428100
KEITH LEAVELL MD
150036950706002902364034875030944150049771900
JIM DAVIS
27899005288404871401538002130204172700427940
PAUL HARRIS
250007055565023210471720362340391299000
GREG KLUGHERZ
03687640762300792000872970195380631029074990
JOSEPH BLONSKI MD
257006050890104150184920248460315848000
MARK LARKIN
18716204199501411502850103073103025040122450
MARK BECKER
173832036920296010125810166930236399000
DAN SWENSON
16418103625601644602349202529402656690148170
GERRY GILBERTSON
1639410362560532910372980857802993640497810

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OFFICERS COMPENSATION EXPLANATIONFORM 990, PART VII AND SCHEDULE J, PART I, LINE 4BFURTHER EXPLANATION OF THE OFFICERS' COMPENSATION LISTED IN SECTION VII OF FORM 990 AND ON SCHEDULE J. 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. TERENCE PLADSON RECEIVED $0 ACCRUED $176,611 JIM DAVIS RECEIVED $42,794 ACCRUED $0 PAUL HARRIS RECEIVED $0 ACCRUED $37,166 GREG KLUGHERZ RECEIVED $74,990 ACCRUED $75,047 MARK LARKIN RECEIVED $12,245 ACCRUED $11,566 DAN SWENSON RECEIVED $14,817 ACCRUED $14,306 GERRY GILBERTSON RECEIVED $49,781 ACCRUED $27,188
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINE 6BTHE 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 PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE, HOWEVER NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE INCENTIVE COMPENSATION IS PAID.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
THE CITY OF ST CLOUD MN
41600551578916VBB52009-08-10201078369HEALTH CARE REVENUE BONDS 2008Dfalsefalsefalse
THE CITY OF ST CLOUD MN
41600551578916VBX72010-02-03187558690HEALTH CARE RESERVE BONDS 2010ABfalsefalsefalse
THE CITY OF ST CLOUD MN
4160055152011-12-2810000000HEALTH CARE RESERVE BONDS 2011Afalsefalsefalse
THE CITY OF ST CLOUD MN
4160055152011-12-2831445000HEALTH CARE RESERVE BONDS 2011Bfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindYear Of Subst CompletionYearOfSubstCompletion
30000000201078369140827700195459600000truefalsefalsetrue
001875586901177676300207666200000truefalsetruetrue2013
001000000000015000000101467608835324falsefalsefalsetrue
00314450000000000314450000truefalsetruetrue2012

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruefalsetruetrue00.013700.01370true
falsetruefalsetruetrue0.000000.023200.02320true
falsefalsefalsefalse0.015000.000000.01500true
falsefalsetruetrue0.019200.000000.01920true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsetruefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse
0
falsetruefalsefalse0falsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PRIMARY EXEMPT PURPOSEFORM 990, PART III, LINE 4A - ORGANIZATION'S PRIMARY EXEMPT PURPOSE**TO OPERATE AN INTEGRATED MULTI-ORGANIZATIONAL HEALTH CARE SYSTEM DES DESIGNED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES AT AN AFFORDABLE PRICE. ** TO MANAGE AN INTEGRATED MULTI-ORGANIZATIONAL HEALTH CARE SYSTEM THAT IS COMMITTED TO OPERATE THE ST CLOUD HOSPITAL AS A CATHOLIC HOSPITAL IN ACCORDANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES AS APPROVED OR REVISED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS AND AS RECOMMENDED BY THE BISHOP OF THE DIOCESE OF ST CLOUD. THE INTEGRATED MULTI-ORGANIZATIONAL HEALTH CARE SYSTEM RECOGNIZES THAT RESOURCES WILL BE NECESSARY TO FULFILL ITS CATHOLIC MISSION AND WILL CONTINUE TO ALLOCATE REASONABLE RESOURCES, WITHIN THE CAPABILITIES OF THE SYSTEM, TO ALLOW THE ST CLOUD HOSPITAL TO CONTINUE ITS CATHOLIC MISSION AND TO PROVIDE FOR THAT MISSION IN ITS PLANNING AND OPERATIONS. ** TO PROMOTE THE INTERESTS OF THE ST CLOUD HOSPITAL, CENTRACARE CLINIC, CENTRACARE HEALTH SYSTEM - LONG PRAIRIE AND CENTRACARE HEALTH SYSTEM - MELROSE, MINNESOTA NONPROFIT CORPORATIONS, IN THEIR ACTIVITIES RELATING TO HEALTH CARE, HEALTH EDUCATION AND TRAINING, SCIENTIFIC RESEARCH, HEALTH FACILITIES, HEALTH MANAGEMENT AND IN OTHER RELATED HEALTH CARE FIELDS. ** TO PROMOTE THE INTERESTS OF ANY NONPROFIT AND FEDERALLY TAX-EXEMPTED ORGANIZATIONS THAT ARE AFFILIATED WITH CENTRACARE HEALTH SYSTEM, THE PURPOSES OF SUCH ORGANIZATIONS WHICH ARE NOT INCONSISTENT WITH THOSE OF THE CORPORATION. ** TO PROVIDE INPATIENT, OUTPATIENT, AND OTHER NECESSARY SERVICES EXCEPT FOR ABORTION AND ACTIVE EUTHANASIA WITHIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. ** TO PROVIDE METHODS OF MEASURING HEALTH AND QUALITY HEALTH CARE. ** TO PROVIDE HEALTH EDUCATION. ** TO PROVIDE HEALTH AND MEDICAL RESEARCH. ** TO PROVIDE EDUCATION FOR HEALTH CARE PROFESSIONALS. ** TO PROMOTE AND FURTHER THE PROVISION OF HEALTH AND MEDICAL CARE SERVICES TO INDIVIDUALS WITH LIMITED OR NO FINANCIAL ABILITY TO PAY FOR SUCH SERVICES. ** TO ASSUME RISK FOR DELIVERING THE HEALTH SERVICES TO A DEFINED POPULATION AND TO PROVIDE SUCH OTHER SERVICES AND PROGRAMS AS MAY, FROM TIME TO TIME, BE APPROPRIATE TO ACCOMPLISH THE CORPORATION'S CHARITABLE PURPOSE. AUDITED FINANCIAL STATEMENTS FORM 990, PART IV, LINE 12B CENTRACARE HEALTH SYSTEM IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CENTRACARE HEALTH SYSTEM WHICH WERE PREPARED IN ACCORDANCE WITH GAAP. THESE FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AND THE CONSOLIDATED FINANCIAL STATEMENTS RECEIVED AN UNQUALIFIED OPINION FROM THE ACCOUNTING FIRM.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11BANNUALLY AT THE BOARD'S APRIL MEETING, PRIOR TO FILING, 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.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cTHE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICTS OF INTEREST QUESTIONNAIRE ON A BI-ANNUAL 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 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 OR HERSELF FROM THE DECISION MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT ISSUES MAY ARISE.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINES 15A AND 15BTHE 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.
PUBLICLY AVAILABLE DOCUMENTSFORM 990, PART VI, LINE 19GOVERNING 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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIIGREG KLUGHERZ, CHIEF FINANCIAL OFFICER OF CENTRACARE HEALTH SYSTEM, ALSO DEVOTES 20 HOURS PER WEEK TO ST. CLOUD HOSPITAL. DAN SWENSON, ADMINISTRATOR OF CENTRACARE HEALTH SYSTEM, DEVOTES 40 HOURS PER WEEK TO CENTRACARE HEALTH SYSTEM - LONG PRAIRIE HOSPITAL. GERRY GILBERTSON, ADMINISTRATOR OF CENTRACARE HEALTH SYSTEM, DEVOTES 40 HOURS PER WEEK TO CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CCHS equity transfers $(2,047,306) CCSC equity transfers $ 1,029,050 Unrealized G/L on Investments $ (339,570) Pension adjustment $ (177,974) ---------- TOTAL $(1,535,800)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TOM LEITHER, MD TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEITH LEAVELL, MD TITLE:DIRECTOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GREG KLUGHERZ TITLE:CHIEF FINANCIAL OFFICER HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAN SWENSON TITLE:ADMINISTRATOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GERRY GILBERTSON TITLE:ADMINISTRATOR HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE SURGERY CENTER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11406 6TH AVE NAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode
FieldValueIRS element (for citing)
EIN611514974EIN
Primary ActivitiesSURGICAL CTRPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Total Income5089472TotalIncome
EOY Assets2678849EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST CLOUD HOSPITAL
1406 6TH AVE NORTHST CLOUDMN56303410695596ACUTE/LT CAREMN501(C)(3)3NAtrue
CENTRACARE HEALTH SYSTEM - MELROSE
11 NORTH 5TH AVE WESTMELROSEMN56352411865315ACUTE/LT CAREMN501(C)(3)3NAtrue
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
20 SE 9TH STREETLONG PRAIRIEMN56347411924645ACUTE/LT CAREMN501(C)(3)3NAtrue
CENTRAL MINNESOTA EMERGENCY PHYSICIANS
1406 6TH AVE NORTHST CLOUDMN56303411708142EMERGENCY PHYMN501(C)(3)3NAtrue
CENTRACARE CLINIC
1200 6TH AVE NORTHST CLOUDMN56303411806657MULTI-SPECIALMN501(C)(3)3NAtrue
CENTRACARE HEALTH FOUNDATION
1406 6TH AVE NORTHST CLOUDMN56303411855173FUNDRAISINGMN501(C)(3)7NAtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BIG LAKE BLDING COBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11406 6TH AVE NAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode
FieldValueIRS element (for citing)
EIN208166381EIN
Primary ActivityMEDICAL BLDGPrimaryActivity
Legal Domicile StateMNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income78353ShareOfTotalIncome
Share Of EOY Assets2351771ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.60000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE PHARMACY SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11406 6TH AVE NORTHAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode
FieldValueIRS element (for citing)
EIN411620618EIN
Primary ActivityRETAIL PHARMACIESPrimaryActivity
Legal Domicile StateMNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income2512263ShareOfTotalIncome
Share Of EOY Assets3060581ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (41 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SYSTEM EXECUTIVES TO HEALTH SYSTEM - SCH
N419765FMV
SYSTEM EXECUTIVES TO HEALTH SYSTEM - CCC
N391080FMV
PHYSICIAN SALARIES - CENTRACARE CLINIC
O8131295FMV
PLAZA SPACE ALLOCATION - ST CLOUD HOSPITAL
O1402617FMV
PRACTICE SUPPORT - CENTRACARE CLINIC
O298260FMV
EMPLOYEE EXPENSES - CENTRACARE CLINIC
O420622FMV
Employee Expenses - CentraCare Pharmacy
P1915695FMV
Employee Expenses - St Cloud Hospital
P4439271FMV
Employee Expenses - CentraCare HEALTH FNDN
P1639566FMV
EMPLOYEE EXPENSES - CENTRACARE - LONG PRAIRIE
P286948FMV
EMPLOYEE EXPENSES - CENTRACARE - MELROSE
P279424FMV
EMPLOYEE EXPENSES - CENTRACARE - SBSC
P126804FMV
EMPLOYEE EXPENSES - CENTRACARE - SURGERY CNTR
P54446FMV
EMPLOYEE EXPENSES - CENTRACARE - CCC
P62401FMV
LAB TESTING - CENTRACARE CLINIC
P4930814FMV
LAB TESTING - ST CLOUD HOSPITAL
P14154211FMV
IS EXPENSE ALLOCATION - ST CLOUD HOSPITAL
P14499681FMV
IS EXPENSE ALLOCATION - CCC
P2030242FMV
IS EXPENSE ALLOCATION - SBSC
P56134FMV
IS EXPENSE ALLOCATION - MELROSE
P219631FMV
IS EXPENSE ALLOCATION - LONG PRAIRIE
P302885FMV
SHARED EXPENSE ALLOCATION - ST CLOUD HOSPITAL
P2570687FMV
SHARED EXPENSE ALLOCATION - CCHS-LONG PRAIRIE
P105956FMV
SHARED EXPENSE ALLOCATION - CCHS-MELROSE
P103341FMV
SHARED EXPENSE ALLOCATION - CENTRACARE CLINIC
P747634FMV
EQUITY TRANSFER TO CENTRACARE CLINIC
Q14195091FMV
EQUITY TRANSFER TO CENTRACARE PHARMACY SERV
Q848119FMV
EQUITY TRANSFER TO CENTRACARE SURGERY CENTER
Q1029050FMV
EQUITY TRANSFER FROM ST CLOUD HOSPITAL
R12317701FMV
EQUITY TRANSFER FROM CENTRACARE HEALTH-SBSC
R574730FMV
EQUITY TRANSFER FROM CENTRACARE - MELROSE
R494501FMV
EQUITY TRANSFER FROM CENTRACARE-LONG PRAIRIE
R483222FMV
PRINCIPAL PAYMENTS FROM CENTRACARE PHARMACY
R31256FMV
PRIN PAYMENTS FROM CENTRACARE - LONG PRAIRIE
R69326FMV
PRIN PAYMENTS FROM CENTRACARE - MELROSE
R112207FMV
CENTRACARE PHARMACY SERVICES INC
A13331FMV
CENTRACARE HEALTH SYSTEM LONG PRAIRIE
A145668FMV
CENTRACARE HEALTH SYSTEM - MELROSE
A119409FMV
CENTRACARE PHARMACY SERVICES INC
A119608FMV
CENTRACARE CLINIC
A3786162FMV
ST CLOUD HOSPITAL
A15465FMV