2011-05-09T16:53:26-05:00 2010-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2009-07-01 411813221 CENTRACARE HEALTH SYSTEM CENT 3202512700 1406 6TH AVENUE NORTH ST CLOUD MN 56303 GREGORY KLUGHERZ 2011-04-04 3142901000 2009 2016-02-24 21:20:13Z TERENCE PLADSON MD 1406 6TH AVE NORTH ST CLOUD MN 56303 43607861 false X WWW.CENTRACARE.COM X 1995 MN THE CENTRACARE HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. 12 9 309 0 231783 -90104 0 0 38956340 42657612 -5349211 536050 34625 -21778 33641754 43171884 0 0 0 0 11841261 12434238 0 0 0 32239539 40399639 44080800 52833877 -10439046 -9661993 104422284 90509096 49403442 49492337 55018842 41016759 THE CENTRACARE HEALTH SYSTEM WORKS TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. false false 38761507 42425829 SEE SCHEDULE O 38761507 true false false false false false false false false true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false true true true false false true 46 0 true 309 true true true true DA IT NO GR KS MY false false false false false false false 12 9 false false false false false false false true true false true true true true true true true true true true true true MN X GREG KLUGHERZ 3202512700 1406 6TH AVE NORTH ST CLOUD MN 56303 TERENCE PLADSON MD 40.0 X X 872991 0 191396 THOMAS CRESS MD 2.0 X 4000 0 0 GENE WINDFELDT 2.0 X 500 0 0 THOMAS LEITHER MD 2.0 X 1500 0 0 THOMAS SCHRUPP MD 2.0 X 1500 0 0 GLENN FORBES MD 2.0 X 0 0 0 BOB WHITE 2.0 X 1500 0 0 RICK BAUERLY 2.0 X 1500 0 0 SR PAULA REVIER 2.0 X 0 0 0 GARY MARSDEN 2.0 X 500 0 0 MOHAMED YASSIN MD 2.0 X 1500 0 0 MARY JO WILLIAMSON 2.0 X 0 0 0 PAUL HARRIS 40.0 X 290502 0 74792 GREG KLUGHERZ 40.0 X 0 387711 94772 JAMES DAVIS 40.0 X 426044 0 35224 GERRY GILBERTSON 40.0 X 196636 0 46002 DANIEL SWENSON 40.0 X 133595 0 30670 MARK LARKIN 40.0 X 244265 0 58824 ERIC LOHN 40.0 X 188265 0 21962 MARY PHIPPS 40.0 X 194720 0 40277 CHARLES POGEMILLER 40.0 X 218840 0 28311 JOSEPH BLONSKI 40.0 X 265308 0 42882 3043666 387711 665112 33 false true false St Cloud Pathologists PA 1406 6th Ave N ST CLOUD MN 56303 Pathology Services 453672 The Advisory Board Company PO Box 79461 BALTIMORE MD 21279 Consulting Services 298900 Littler Mendelson PC PO Box 45547 SAN FRANCISCO CA 94145 Legal Services 101981 Health Strategies Solutions 8 Penn Cnt 1628 JFK Blvd Ste 500 PHILADELPHIA PA 19103 Consulting Services 100206 4 0 PROGRAM FEES 541380 21584500 21352717 231783 PROGRAM RENTAL INCOME 532000 4286813 4286813 CORPORATE ALLOC OF O/H CHARGES 900099 2290184 2290184 CORPORATE ALLOC OF INFO SYSTEMS 900099 9808088 9808088 CORPORATE ALLOC OF LEGAL 900099 463187 463187 4224840 4224840 42657612 0 0 0 92074 113852 -21778 -21778 -21778 858175 0 322125 858175 -322125 536050 536050 0 0 0 0 43171884 42425829 231783 514272 0 0 0 0 2049313 2049313 0 7120226 7120226 1304 1304 2867606 2867606 395789 395789 0 115342 115342 35453 35453 0 0 957551 957551 625868 625868 0 8391345 8335062 56283 0 0 1555100 1555100 14984 8549 6435 0 101858 38023 63835 820915 820915 20938521 7480182 13458339 1163707 1159721 3986 144039 15368 128671 Purchased Services 2707614 2707614 ADMIN SVCS FROM AFFILIATE 645751 645751 Contracted Services 170780 170780 Miscellaneous 1279175 12066 1267109 Minnesota Care Tax 108461 108461 623175 3464724 -2841549 52833877 38761507 14072370 0 7722313 2685336 15526831 11883344 1972999 2249139 2407291 2270178 920986 930331 210864 202204 62704072 19481406 45278661 43222666 9075461 11533895 5474138 434735 4914537 4529078 10918203 10568190 104422284 90509096 15177720 16652872 30795447 31158134 3430275 1681331 49403442 49492337 X 55018842 41016759 55018842 41016759 104422284 90509096 X false true false X false X X X false false false SAINT CLOUD HOSPITAL 410695596 03 true true true 22053615 CENTRACARE CLINIC 411806657 03 true true true 6221475 CENTRACARE HEALTH SYSTEM - MELROSE 411865315 03 true true true 700215 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 411924645 03 true true true 804724 CENTRAL MINNESOTA EMERGENCY PHYSICIANS 411708142 03 true true true 395987 CENTRACARE HEALTH FOUNDATION 411855173 03 true true true 80014 6 30256030 0 2791668 2791668 0 44493745 8531431 35962314 0 15418659 10949975 4468684 43222666 INVESTMENT IN LITTLE FALLS 1035000 F INVESTMENT IN CRTCAL CARE SVCS 1465000 F INVESTMENT IN LAKEWOOD LLC 62806 F INVESTMENT IN BIG LAKE CLINIC 241693 F INVSTMNT IN MONTICELLO CNC CTR 1524579 F INVSTMNT IN UPPER MIDWEST CSC 200000 F 4529078 DEFERRED DEBT ACQUISITION COST 358604 DUE FROM AFFILIATES 8916854 INVEST IN MUTUAL SERVICE CORP 1292732 10568190 0 EXECUTIVE BENEFIT ACCRUAL 1517732 ACCRUED PENSION LIABILITY 163599 1681331 X X X X X X false true false false false false true false false TERENCE PLADSON MD 649291 0 214196 0 9504 0 167265 0 24131 0 1064387 0 0 0 JAMES DAVIS 280036 0 70260 0 75748 0 14537 0 20687 0 461268 0 28427 0 GERRY GILBERTSON 166154 0 29234 0 1248 0 37299 0 8703 0 242638 0 0 0 PAUL HARRIS 231551 0 57200 0 1751 0 49500 0 25292 0 365294 0 0 0 MARK LARKIN 188407 0 44479 0 11379 0 29330 0 29494 0 303089 0 9752 0 ERIC LOHN 152833 0 18824 0 16608 0 13690 0 8272 0 210227 0 0 0 MARY PHIPPS 174647 0 19797 0 276 0 11732 0 28545 0 234997 0 0 0 CHARLES POGEMILLER 206563 0 3926 0 8351 0 12998 0 15313 0 247151 0 0 0 DANIEL SWENSON 131632 0 923 0 1040 0 11320 0 19350 0 164265 0 0 0 GREG KLUGHERZ 0 316483 0 68055 0 3173 0 71653 0 23119 0 482483 0 0 JOSEPH BLONSKI 260556 0 4752 0 0 0 19337 0 23545 0 308190 0 0 0 OFFICERS COMPENSATION EXPLANATION FORM 990 PART VII AND SCHEDULE J PART I, LINE 4B FURTHER 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 DEFERRED NON QUALIFIED INVESTMENT ACCOUNTS. THESE PLANS MAY PROVIDE, BUT ARE NOT CERTAIN TO PROVIDE, FOR PAYMENT OF TAX DEFERRED COMPENSATION TO THESE EXECUTIVES AT SOME TIME IN THE FUTURE. THE EXECUTIVE HAS NO LEGAL RIGHT TO THESE DOLLARS UNTIL, AND UNLESS, CERTAIN FUTURE EVENTS OCCUR. IN ACCORDANCE WITH THE INSTRUCTIONS TO 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. THIS WILL BE REPORTED IN SCHEDULE J, PART II, COLUMN (F). Terence Pladson Received 0 Accrued 148,890 James Davis Received 70,384 Accrued 0 Gerry Gilbertson Received 0 Accrued 37,299 Paul Harris Received 0 Accrued 43,205 Mark Larkin Received 9,932 Accrued 12,227 Compensation Contingent on Net Earnings Schedule J, Part I, Line 6b 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 City of St Cloud MN 416005515 78916VBB5 2009-08-10 201078369 REFUNDING OF THE 2/12/08 BONDS false false The City of St Cloud MN 416005515 78916VBX7 2010-02-03 187558690 REFUND OF 2/29/96 & 5/1/00 BONDS false false 201078369 1408277 0 0 0 0 0 2009 true false false true 187558690 11776763 0 0 2076662 0 0 2010 true false true true false true false true false 0.00000 0.01350 0.01350 true false true false true false 0.00000 0.02290 0.02290 true false true false false false false false false false false false true Supplemental Information FORM 990, PART III - ORGANIZATION'S PRIMARY EXEMPT PURPOSE ** To operate an integrated multi-organizational health care system 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 health care 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, and Centracare Health Services, 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-exempt 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. FORM 990, PART IV, LINE 12 AUDITED FINANCIAL STATEMENTS 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. FORM 990, PART VI, LINE 11A REVIEW PROCESS OF FORM 990 BY THE BOARD OF DIRECTORS ANNUALLY 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. BEFORE FILING, THE FORM WAS REVIEWED BY AN INDEPENDEENT ACCOUNTING FIRM. FORM 990, PART VI, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE 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. FORM 990, PART VI, LINES 15A AND 15B PROCESS FOR DETERMINING COMPENSATION 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, LINE 19 PUBLICLY AVAILABLE DOCUMENTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT ARE NOT REQUIRED BY LAW TO BE MADE AVAILABLE TO THE PUBLIC AND CENTRACARE HEALTH SYSTEM DOES NOT MAKE THEM AVAILABLE. CENTRACARE SURGERY CENTER 1406 6TH AVE N ST CLOUD MN 56303 611514974 SURGICAL CTR MN 4224840 3639650 NA ST CLOUD HOSPITAL 1406 6TH AVE N ST CLOUD MN 56303 410695596 ACUTE/LT CARE MN 501(C)(3) 3 NA CENTRACARE HEALTH SYSTEM - MELROSE 11 NORTH 5TH AVE WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(c)(3) 3 NA CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 20 SE 9TH STREET LONG PRAIRIE MN 56347 411924645 ACUTE/LT CARE MN 501(c)(3) 3 NA CENTRAL MINNESOTA EMERGENCY PHYSICIANS 1406 6TH AVE N ST CLOUD MN 56303 411708142 EMERGENCY PHY MN 501(c)(3) 3 NA CENTRACARE CLINIC 1200 6TH AVE N ST CLOUD MN 56303 411806657 MULTI-SPCLTY MN 501(c)(3) 3 NA CENTRACARE HEALTH FOUNDATION 1406 6TH AVE N ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(c)(3) 7 NA BIG LAKE ASSET HOLDING CO 1406 6TH AVE N ST CLOUD MN 56303 208166381 MEDICAL BLDG MN NA Related 78022 2488023 false false CENTRACARE PHARMACY SERVICES INC 1406 6TH AVE N ST CLOUD MN 56303 411620618 RETAIL PHARMACIES MN NA C CORP 2604389 2778906 1.00000 true false false false false false false false false false false false false false true true true true CENTRACARE PHARMACY SERVICES INC A 16669 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE A 153074 CENTRACARE HEALTH SYSTEM - MELROSE A 52213 CENTRACARE PHARMACY SERVICES INC A 105798 CENTRACARE HEALTH SYSTEM - MELROSE A 96853 CENTRACARE CLINIC A 3317462 ST CLOUD HOSPITAL A 13144 St Cloud Hospital O 1165859 CentraCare Clinic O 298260 CentraCare Clinic O 426743 CentraCare Pharmacy Services Inc P 2027185 St Cloud Hospital P 4322402 CentraCare Health Foundation P 1988424 CentraCare Health System - Long Prairie P 300494 CentraCare Health System - Melrose P 310855 St Cloud Hospital P 73162 CentraCare Clinic P 4311931 St Cloud Hospital P 12704612 St Cloud Hospital P 9808088 Centracare Clinic P 1939274 St Cloud Hospital P 68179 Centracare Health System - Melrose P 204795 Centracare Health System - Long Prairie P 218096 St Cloud Hospital P 2011187 CentraCare Health System - Long Prairie P 78080 CentraCare Health System - Melrose P 63400 CentraCare Clinic P 601396 CentraCare Clinic Q 14010411 St Cloud Hospital R 10000000 CentraCare Pharmacy Services Inc R 27917 CentraCare Health System - Long Prairie R 61921 CentraCare Health System - Melrose R 74536