2011-05-09T12:59:12-05:00 2010-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2009-07-01 410695596 ST CLOUD HOSPITAL STCL 3202512700 1406 SIXTH AVENUE NORTH ST CLOUD MN 563031901 GREG KLUGHERZ 2011-04-04 3142901000 2009 2016-02-24 21:20:13Z Craig Broman 1406 Sixth Ave North St Cloud MN 563031901 605347230 false 0928 X WWW.CENTRACARE.COM X 1962 MN AS A CATHOLIC REGIONAL HOSPITAL, WE IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE WE SERVE IN A MANNER THAT REFLECTS THE HEALING MISSION OF JESUS. 18 12 5343 1215 1353173 0 3247031 3546614 564460653 592543230 68966 2758420 4463917 5759448 572240567 604607712 3716734 2906559 0 0 283296075 295700875 0 0 20701 223424173 241284224 510436982 539891658 61803585 64716054 765138069 808885413 509653544 512588271 255484525 296297142 AS A CATHOLIC REGIONAL HOSPITAL, WE IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE WE SERVE IN A MANNER THAT REFLECTS THE HEALING MISSION OF JESUS. false false 471630981 2906559 593150077 SERVICES COMMON TO HOSPITAL AND LONG TERM CARE FACILITIES FOR THEIR PATIENTS AND RESIDENTS. SEE SCHEDULE O FOR THE COMMUNITY BENEFIT REPORT. 471630981 true true false true false false false false false true false true false false false false false false false false true true true true false false false false false false false false false false false false false true true false false true 404 0 true 5343 true true true true KS DA IT NO false false false false false false false 18 12 false false false false false true false true true false false true true true true true true true true false MN X GREG KLUGHERZ 3202512700 1406 SIXTH AVE NORTH St Cloud MN 563031901 CRAIG BROMAN 40.0 X X 707058 0 138304 SISTER MIRIAM ARDOLF OSB 2.0 X 0 0 0 ANTHONY AKUBUE ED D 2.0 X 0 0 0 JOAN BARRET-VOLKMUTH 2.0 X 0 0 0 MIKE BENUSA 2.0 X 0 0 0 TERESA BOHNEN 2.0 X 0 0 0 CHRIS COBORN 2.0 X 0 0 0 PAUL DORSHER MD 2.0 X 0 0 0 FATHER MARVIN ENNEKING 2.0 X 0 0 0 RONALD HANSON MD 2.0 X 0 0 0 KARA HENNES OSB 2.0 X 0 0 0 STEVE LARAWAY 2.0 X 0 0 0 CINDY JENSEN MELLOY MD 2.0 X 15645 0 0 SANDY NEUTZLING 2.0 X 0 0 0 BRETT PINKERTON MD 2.0 X 1875 0 0 JAMES SCHLENNER 2.0 X 0 0 0 CHRIS TACL MD 2.0 X 0 0 0 PASTOR THOMAS WRIGHT 2.0 X 0 0 0 GREGORY KLUGHERZ 40.0 X 387711 0 94773 PAUL HARRIS 40.0 X 0 290502 74792 DANIEL WHITLOCK MD 40.0 X 563141 0 43897 CHARLES DOOLEY 40.0 X 431528 0 120953 LINDA CHMIELEWSKI RN 40.0 X 328590 0 72793 DUANE RASMUSSON 40.0 X 318027 0 65928 JIM DAVIS 40.0 X 0 426045 35225 LINDA DOERR 40.0 X 241047 0 55176 ROBERT JOHNSON 40.0 X 196247 0 17121 JON BOWAR MD 40.0 X 465376 0 49663 DAVID SEHR MD 40.0 X 294644 0 34630 JOEL SPALDING MD 40.0 X 340876 0 54649 CHRIS MOELLENTINE MD 40.0 X 259544 0 48344 JOHN SCHMITZ MD 40.0 X 330070 0 52177 JOHN FROBENIUS 0.0 X 519720 0 16267 JOHN SECKINGER 0.0 X 548621 0 0 5949720 716547 974692 226 true true false PERKINS WILL INC 84 10TH STREET SOUTH STE 200 MINNEAPOLIS MN 55403 ARCHITECT 4293215 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING/LAUNDRY 2952034 ANESTHESIOLOGY ASSOCIATES PO BOX 725 ST CLOUD MN 56302 ANESTHESIOLOGY SVCS 2040857 CENTRACARE CLINIC 1200 SIXTH AVENUE NORTH ST CLOUD MN 56303 PHYSICIAN SERVICES 1894819 EXECUTIVE HEALTH RESOURCES 15 CAMPUS BLVD STE 200 NEWTOWN SQUARE PA 19073 EHR CONSULTING SVCS 1016755 24 48729 336 3369991 127558 3546614 PATIENT/RES SVCS 900099 590029004 590029004 RENTAL INCOME 531120 2514226 2514226 592543230 0 0 0 2743048 126521 111149 2743048 15372 2758420 2758420 0 0 714758 628369 86389 86389 INFORMATION & EDUCATION 900099 226293 226293 BILLING AND ACCOUNTING 541200 429368 313200 116168 FOOD SALES 722100 3713039 3713039 1304359 67354 1237005 5673059 604607712 593150077 1353173 6557848 2745780 2745780 160779 160779 0 0 3941654 3941654 0 221266909 199105273 22161636 8164334 7263325 901009 46168342 40713697 5454509 136 16159636 14415530 1744106 1741666 694109 1047557 658906 3172 655734 425990 16171 409819 67122 67122 0 224220 224220 17814157 12823007 4991150 579301 339975 239326 73790659 70091404 3699255 3634257 3634257 0 5926056 5267023 656966 2067 672722 560003 112719 0 1660029 751184 908845 9197325 7831378 1361663 4284 0 28995076 24314971 4665891 14214 1725900 315651 1410249 Drugs 34746947 34679966 66981 Contracted Services 19167520 18223296 944224 Bad Debt 9904208 9904208 Maintenance Contracts 6604831 3942897 2661934 Minnesota Care Tax 5842361 5842361 17904971 11625821 6279150 539891658 471630981 68239976 20701 46897668 23510117 0 5404871 75500886 84750059 4928884 5622823 3323746 4345409 603759031 278352519 295192423 325406512 271116229 339790034 53722869 8348922 14455364 11706666 765138069 808885413 455631486 461455706 54022058 51132565 509653544 512588271 X 255469494 296288327 15031 8815 255484525 296297142 765138069 808885413 X true true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 116067 false false 116067 false 0 14939247 14939247 0 319231905 124190195 195041710 0 224556422 154162324 70394098 0 45031457 0 45031457 325406512 0 ACCRUED PENSION LIABILITY 24728821 FMV SWAP 2008ABC BONDS 17230547 FMV SWAP 1993 BONDS 4672143 ACCRUED EXECUTIVE BENEFITS 3096029 LONG TERM SETTLEMENTS RESERVE 1000000 ASSET RETIREMENT OBLIGATION 385300 OTHER LONG TERM LIABILITIES 19725 51132565 true true true X 175. true X true true true false true true 4198850 917563 3281287 0.00780 78923814 80641397 -1717583 0.00320 83122664 81558960 1563704 0.00460 1392522 345018 1047504 0.00190 3424598 1011910 2412688 0.00450 661624 0 661624 0.00120 417673 223493 194180 0.00040 2383307 0 2383307 0.00440 8279724 1580421 6699303 0.01240 91402388 83139381 8263007 0.01700 3 200 12960 0 12960 0.00000 3 20 29966 0 29966 0.00010 2 80 973 0 973 0.00000 8 300 43899 0 43899 0.00010 3816497 87692 157981185 167141831 -9160646 X true true SAINT CLOUD HOSPITAL

1406 Sixth Avenue North Saint Cloud MN 563031901

X X X X REHAB & PSYCH UNITS, HOME HEALTH/HOSPICE, RENAL DIALYSIS SAINT BENEDICT'S SENIOR COMMUNITY

1810 MINNESOTA BLVD ST CLOUD MN 56304

SKILLED NURSING ASSISTED LIVING N/A N/A St. Cloud provides charity care to it's patient population based on the patient's ability to pay, along with other factors. It provides 100% charity as well as partial charity on the remaining deductible and coinsurance on patient's bills. In 2010, St. Cloud Hospital provided over $13 million in charity care. The cost of this charity care was approximately $3.3 million. The organization provides subsidized health services in two areas. The first is a program called SAGE which provides women low cost services for mammograms and is operated in conjunction with the State of Minnesota. This benefit is estimated at $85,000. The organization also subsidized it's behavioral health program so the mentally ill population needs may be met. This benefit is estimated at $577,000. The University of Minnesota/St. Cloud Family Medicine Residency Program was initiated in 1996 to help address the shortage of physicians in rural Minnesota. Despite funding from from the state and federal agencies, the residency required subsidies from the organization. During the 2009-2010 year, the organization provided $1.1 million in subsidies for the program. The organization also operates a Clinical Pastoral Education program which allows chaplains to gain the knowlege and experience necessary to provide spiritual care and support to patients and their familiies in their time of need. The program receives federal funding from Medicare, but the organization subsidized this program in the amount of $224,000. Finally the organization operates a Radiologic Technologist program. This program gives students an opportunity to train in a high demand field. This program is subsidized by the organization in the amount of $141,000. THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THE 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 RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY CENTRACARE. "CENTRACARE" REFERS TO POLICIES OF CENTRACARE HEALTH SYSTEM, WHICH ST. CLOUD HOSPITAL ALSO ADHERES TO. BAD DEBT AT COST WAS DETERMINED BY USING AMOUNTS WRITTEN OFF AS BAD DEBT EXPENSE (WHICH WERE CHARGES) AND MULTIPLYING BY THE INTERNALLY DEVELOPED COST TO CHARGE RATIO. THE SHORTFALL OF $9,160,646 OF TREATING MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT IN ITS ENTIRETY. THE HOSPITAL PROVIDES AN EXCELLENT LEVEL OF CARE TO THE PEOPLE IN THE COMMUNITY. DESPITE THE SHORTFALL IN REIMBURSEMENT FROM MEDICARE, THE HOSPITAL CONTINUES TO PROVIDE ESSENTIAL HEALTHCARE SERVICES TO THE POPULATION. THE AMOUNT ON LINE 6 OF PART III WAS DETERMINED BY UTILIZING THE MEDICARE COST REPORT UTILIZING KEY SECTIONS OF THAT REPORT, NAMELY WORKSHEET D-1 AND D PT V. THE COLLECTION POLICIES AT ST CLOUD HOSPITAL 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. St. Cloud Hospital's Foundation has in place a Community Collaboration Committee which has a membership of over 30 members. This committee is made up of community leaders from both the healthcare and business world. These members meet monthly to address community health issues through awareness building, education and/or intervention projects. These needs are communicated to St. Cloud Hospital. Inpatients who are self pay are identified, and a representative of St. Cloud's billing department explains the charity care policy to them. They also explain the self pay discount and screen 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. St. Cloud Hospital's immediate service area consists of Stearns, Benton and Sherburne counties. Collectively their population in 2010 is 291,918 and is projected to grow by 8.3% in 2015. The age breakdown for 2010 is 0-24, 5.0%; 25-44, 5.1%; 45-64, 13.1% and 65+ 18.5%. The other nine counties located in the service area are Crow Wing, Douglas, Kandiyohi, Meeker, Mille Lacs, Morrison, Pope, Todd and Wright. Collectively their population in 2010 was 397,866 and is projected to grow by 6.0% by 2015. That nine county age demographics are as follows: 0-24, 6.8%; 25-44, 2.4%; 45-64, 5.5% and 65+ 11.9%. The 2015 ethnicity breakdown for the entire 12-county area is as follows: White - 91.9%; Hispanic - 2.7%; African American - 1.3%; Asian - 1.2%; Two or more races - 1.3%, Other - 1.6%. The activities included in community building activities include Community Support which consists of several St. Cloud Hospital directors participating in a variety of committees such as the Board of Big Brothers/Big Sisters, Rehab Board etc. Under Community Health Improvement Advocacy, employees participated with Create Community which is a collaboration to build inclusion among diverse populations and several county task forces to advocate for mental and chemical health. Finally under Workforce Development, an employee is a Board member of the Stearns Benton Workforce Council and students were given tours of the hospital and attended presentations on careers in healthcare. Other events St. Cloud Hospital and St. Benedict's Senior Community jointly sponsor to promote the health of the community include Caregiver's Support Group for Seniors, Benedict's Senior Community Speaker's Series, Sartell Apple Duathlon, Family Bereavement Support Project, POWER Fitness and Health Program, Eating Disorders Program, Nursing Assistant Certification, and Caregiver Support Programs. All of these programs are geared to promote the health of the community. MN true SISTERS OF THE ORDER OF SAINT BENEDICT 104 CHAPEL LANE ST ST JOSEPH MN 563740220 410693973 501(c)(3) 100000 FMV TO PAY FOR HEALTHCARE COSTS CENTRACARE HEALTH FOUNDATION 1406 SIXTH AVE NORTH ST CLOUD MN 563031901 411855173 501(c)(3) 2580152 FMV TO SUPPORT THE CENTRACARE FOUNDATION THE MESSAGE PROGRAM 2311 10TH AVE SOUTH ST ST CLOUD MN 56301 200293323 501(c)(3) 10676 FMV MED EQUIP & SUPPLIES DONATION OF MEDICAL EQUIPMENT AND SUPPLIES HELPS INTERNATIONAL 15301 DALLAS PKWY STE 200 ADDISON TX 75001 870683277 501(c)(3) 6500 FMV GUATEMALA MEDICAL MISSION COSTS 4 0 HOME DELIVERED MEALS 212 160600 FMV TO PROVIDE MEALS DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, LINE 2 St. Cloud Hospital has a close relationship with the Centracare Health Foundation. The Foundation has specific policies in place governing the distribution of funds from the Foundation. There are four different categories fund distributions may come from: 1) Unrestricted, 2) Field of Interest, 3) Advised Fund, and 4) Designated. Requests for fund distributions are reviewed by a Grant Committee which are then forwarded on to the Board of Directors. The Board of Directors acts on the recommendations of the Grant Committee. Checks for the recipients of the grant are not signed until the corresponding Application for Fund form is reviewed. Checks over $5,000 must have a second signature by a Foundation officer on the Application for Funds form. X X X X X X false true false false false false false false false CRAIG BROMAN 479491 0 156682 0 70885 0 100871 0 37433 0 845362 0 67262 0 GREGORY KLUGHERZ 316483 0 68055 0 3173 0 71653 0 23120 0 482484 0 0 0 PAUL HARRIS 0 231551 0 57200 0 1751 0 49500 0 25292 0 365294 0 0 DANIEL WHITLOCK MD 378034 0 73598 0 111509 0 15734 0 28163 0 607038 0 40642 0 CHARLES DOOLEY 287545 0 75050 0 68933 0 95312 0 25641 0 552481 0 66438 0 LINDA CHMIELEWSKI RN 272932 0 52923 0 2735 0 51411 0 21382 0 401383 0 0 0 DUANE RASMUSSON 243565 0 52810 0 21652 0 39365 0 26563 0 383955 0 19406 0 JIM DAVIS 0 280037 0 70260 0 75748 0 14537 0 20688 0 461270 0 28427 LINDA DOERR 189432 0 49711 0 1904 0 35767 0 19409 0 296223 0 0 0 ROBERT JOHNSON 170617 0 18589 0 7041 0 14796 0 2325 0 213368 0 0 0 JON BOWAR MD 358353 0 16195 0 90828 0 19945 0 29718 0 515039 0 0 0 DAVID SEHR MD 224028 0 9455 0 61161 0 10803 0 23827 0 329274 0 0 0 JOEL SPALDING MD 237897 0 21496 0 81483 0 22431 0 32218 0 395525 0 0 0 JOHN FROBENIUS 0 0 0 0 519720 0 0 0 16267 0 535987 0 0 0 JOHN SECKINGER 0 0 0 0 548621 0 0 0 0 0 548621 0 0 0 CHRIS MOELLENTINE MD 188285 0 30897 0 40362 0 17126 0 31218 0 307888 0 0 0 JOHN SCHMITZ MD 247642 0 18100 0 64328 0 22260 0 29917 0 382247 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J PART I, LINE 4(B) CRAIG BROMAN RECEIVED 67,262 ACCRUED 86,974; LINDA CHMIELEWSKI RECEIVED 0 ACCRUED 34,337; DUANE RASMUSSON RECEIVED 19,776 ACCRUED 22,656; CHARLES DOOLEY RECEIVED 66,438 ACCRUED 77,091; LINDA DOERR RECEIVED 0 ACCRUED 18,551; DANIEL WHITLOCK RECEIVED 104,209 ACCRUED 0; GREGORY KLUGHERZ RECEIVED 0 ACCRUED 71,653; JIM DAVIS RECEIVED 70,384 ACCRUED 0; JOHN SECKINGER RECEIVED 548,621 ACCRUED 0; JOHN FROEBINUS RECEIVED 519,720 ACCRUED 0 OFFICER'S COMPENSATION EXPLANATION SCHEDULE J AND PART VII THE CORPORATION'S 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 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. COMMUNITY BENEFIT INVENTORY REPORT FORM 990, PART III-4A EXECUTIVE SUMMARY ST. CLOUD HOSPITAL CONTRIBUTES SIGNIFICANTLY AND DIVERSELY TO ITS COMMUNITY. THE MISSION STATEMENT CHARGES ST. CLOUD HOSPITAL (AS A COLLECTION OF INDIVIDUALS AND AS A NOT-FOR-PROFIT ORGANIZATION) "TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE OF CENTRAL MINNESOTA..." ST. CLOUD HOSPITAL RESPONDS TO THIS CHALLENGE BY PROVIDING HIGH QUALITY SERVICES TO THE BROAD COMMUNITY, CHARITY CARE AND OUTREACH SERVICES TO THE POOR AND NEEDY, ASSISTING IN THE EDUCATION OF MEDICAL AND HEALTH PROFESSIONALS AND TAKING A LEADERSHIP ROLE IN IDENTIFYING AND RESPONDING TO HEALTH AND HEALTH-RELATED PROBLEMS. THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE DOCUMENTS THE RESOURCES ST. CLOUD HOSPITAL PROVIDES IN FULFILLING THIS MISSION OF COMMUNITY SERVICE. TOO OFTEN THE FOCUS ON PROVIDING COMMUNITY SERVICES RESTS SOLELY ON THE DOLLAR AMOUNT OF CHARITY CARE PROVIDED BY A NOT-FOR-PROFIT HOSPITAL. AS A RESULT, THE TOTAL AMOUNT OF COMMUNITY SERVICE THAT A HOSPITAL PROVIDES GOES UNNOTICED OR, AT BEST, UNDERESTIMATED. THIS CBISA REPORT INCLUDES NOT ONLY CHARITY CARE AND OTHER SERVICES FOR THE POOR, BUT ALSO THE FULL RANGE OF COMMUNITY SERVICES THAT ARE A PART OF ST. CLOUD HOSPITAL'S MISSION OF SERVING THE HEALTH CARE NEEDS OF OUR COMMUNITY. AS A HEALTHCARE LEADER IN CENTRAL MINNESOTA, ST. CLOUD HOSPITAL MUST BE INVOLVED, CARING AND RESPONSIVE TO OUR COMMUNITY. WE HAVE STRONG TIES TO OUR REGION AND FEEL AN OBLIGATION TO MEET THE NEEDS OF THE PEOPLE WE SERVE. WE BELIEVE THAT PROVIDING QUALITY HEALTH CARE MEANS LOOKING BEYOND OUR OWN WALLS TO ENSURE THAT THE REGION'S HEALTH CARE NEEDS ARE BEING MET. THE RESOURCES NECESSARY TO MEET MANY OF THESE NEEDS COST MORE THAN THE HOSPITAL CAN RECLAIM IN FEES. IF ST. CLOUD HOSPITAL DID NOT PARTICIPATE IN IMPLEMENTING SOME OF THESE NEEDS-DRIVEN COMMUNITY SERVICES, OUR REGION WOULD BE LEFT WITH A VOID IN THESE AREAS THAT WOULD HARM THE QUALITY OF LIFE FOR MANY PEOPLE IN OUR COMMUNITY. REPORT HIGHLIGHTS - FAMILY MEDICINE CENTER AND FAMILY MEDICINE RESIDENCY THE FAMILY MEDICINE CENTER OPENED IN SEPTEMBER 1990, TO SERVICE THE PRIMARY HEALTH CARE NEEDS OF THE ESTIMATED 19,000 UNINSURED AND UNDERINSURED PEOPLE WITHIN A 30 MILE RADIUS OF ST. CLOUD. THE CLINIC HAS 8,900 PATIENTS ENROLLED, THE MAJORITY OF WHICH WERE WOMEN AND CHILDREN. THROUGH PROJECT H.E.A.L. (HEALTH EDUCATION ACCESS LINK), ST. CLOUD HOSPITAL AND SEVERAL COMMUNITY PARTNERS OFFER FREE HEALTH SCREENING CLINICS AND BASIC CARE, UTILIZING VOLUNTEER MEDICAL TEAMS, AT COMMUNITY SERVICE SITES IN AND AROUND THE ST. CLOUD AREA. SIXTY-SIX PROJECT H.E.A.L CLINICS WERE HELD IN FISCAL YEAR 2010. THE SITES INCLUDE: SALVATION ARMY'S OUTREACH MINISTRY TO THE AREA HOMELESS, PLACE OF HOPE MINISTRIES OUTREACH TO THE HOMELESS, CATHOLIC CHARITIES CARITAS EMERGENCY SERVICES FOOD SHELF, REYNOLDS BAPTIST CHURCH AN OUTREACH TO AMISH WOMEN IN THE LONG PRAIRIE AREA FOR PRENATAL CARE , ST. MARY'S IN MELROSE AN OUTREACH MINISTRY TO THE HISPANIC POPULATION IN THAT AREA AND CENTRO HISPANO AN OUTREACH MINISTRY LOCATED IN WAITE PARK. THESE COMMUNITY SERVICE SITES HOST A PROJECT HEAL SCREENING CLINIC ONCE OR TWICE PER MONTH WITH 459 PATIENT ENCOUNTERS SERVING OVER 306 INDIVIDUALS. THE UNIVERSITY OF MINNESOTA/ST. CLOUD HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM WAS INITIATED IN 1996 TO HELP ADDRESS THE SHORTAGE OF FAMILY PRACTICE PHYSICIANS IN RURAL MINNESOTA. DESPITE FUNDING FROM THE STATE AND FEDERAL AGENCIES, THE RESIDENCY PROGRAM REQUIRED OPERATING SUBSIDIES FROM THE ST. CLOUD HOSPITAL. ST. CLOUD HOSPITAL IN FISCAL YEAR 2009-10, PROVIDED OVER $1.1 MILLION IN COST SUBSIDIES FOR THE FAMILY MEDICINE CENTER AND THE FAMILY MEDICINE RESIDENCY PROGRAM. - CASH DONATIONS TO THE NEEDY MANY TIMES PATIENTS AND FAMILIES DO NOT HAVE MONEY FOR FOOD OR A RIDE HOME FROM THE HOSPITAL. AT STAFF DISCRETION, HOSPITAL FUNDS ARE AVAILABLE FOR SUCH EMERGENCIES. LAST YEAR OVER $17,700 IN CASH CONTRIBUTIONS WERE GIVEN TO PATIENTS AND FAMILIES WITH AN IMMEDIATE NEED. DURING THE MONTHS OF SEPTEMBER THROUGH MAY, LOCAL CHURCHES OPEN THEIR FACILITIES FOR SLEEPING SPACE FOR HOMELESS PEOPLE AFTER SHELTERS ARE FULL. BLANKETS ARE PROVIDED TO THEM AND LAUNDERED BY THE ST. CLOUD HOSPITAL'S LAUNDRY SERVICE ONCE PER WEEK. DURING THE COLDEST TIMES OF THE YEAR, THE LOADS CAN TOTAL 250-300 BLANKETS. - CASH DONATIONS TO MEDICAL MISSIONS EACH YEAR THE ST. CLOUD HOSPITAL DONATES $500 DOLLARS TO EACH EMPLOYEE WHO PARTICIPATES IN A MEDICAL MISSION SUCH AS HELPS INTERNATIONAL. THE MONEY IS USED FOR TRAVEL EXPENSES OR IS DONATED DIRECTLY TO THE MISSION. THE MONEY GIVEN IS TO U.S. CHARITIES INVOLVED WITH MEDICAL MISSIONS OVERSEAS. LAST YEAR, APPROXIMATELY $22,445 WAS DONATED TO SPONSOR EMPLOYEES ON MEDICAL MISSIONS AND SUPPLIES TO COUNTRIES SUCH AS GUATEMALA AND HONDURAS. - FOUNDATION FUNDING ST. CLOUD HOSPITAL IS COMMITTED TO SUPPORTING THE CENTRACARE FOUNDATION. IN FISCAL YEAR 2009-10 ST. CLOUD HOSPITAL SUBSIDIZED THE FOUNDATION FOR MORE THAN $2.1 MILLION. THIS NONGOVERNMENTAL ORGANIZATION (NGO) IS DEDICATED TO ENHANCING THE HEALTH STATUS IN CENTRAL MINNESOTA AS WELL AS CONTRIBUTING TO OTHER COMMUNITY PROJECTS. THE COMMUNITY COLLABORATION COMMITTEE, A STANDING COMMITTEE OF CENTRACARE HEALTH FOUNDATION, 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 HEALTHY OUTREACH INITIATIVES THAT THE FOUNDATION IS INVOLVED WITH, THESE INITIATES INCLUDE: * BLEND CHILDHOOD OBESITY COALITION OF CENTRAL MINNESOTA (GOAL IS TO REDUCE THE INCIDENCE OF CHILDHOOD OBESITY BY 2016) * TAKE HEART - ST. CLOUD (AN INITIATIVE TO INCREASE SURVIVAL RATES RELATED TO SUDDEN CARDIAC ARREST) * SMOKE FREE COMMUNITIES (CONTINUED EFFORTS TO CREATE CLEAN INDOOR AND OUTDOOR AIR FOR ALL) * QUITPLAN CLINICS (COLLABORATION WITH CENTRACARE CLINICS TO HELP THOSE TRYING TO QUIT SMOKING) NARRATIVE REPORT THE QUANTITATIVE NATURE OF THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (CBISA) SOFTWARE NECESSITATES A SEPARATE SECTION TO HIGHLIGHT THE HUMAN SIDE OF THE VALUABLE SERVICES THAT THE HOSPITAL AND ITS EMPLOYEES PROVIDE. THERE ARE TWO IMPORTANT DETAILS ABOUT THE NATURE OF THE ST. CLOUD HOSPITAL EMPLOYEES' AND ORGANIZATIONAL COMMUNITY CONTRIBUTIONS THAT SHOULD BE NOTED HERE. FIRST, BEHIND EVERY COMMUNITY SERVICE ACTIVITY LISTED IN THIS REPORT ARE THE PEOPLE WHO MADE THAT ACTIVITY HAPPEN. THESE PEOPLE HAVE REACHED BEYOND THEIR JOB DESCRIPTION, SET ASIDE THEIR IMPORTANT PROJECTS, AND TAKEN TIME AWAY FROM THEIR BUSY SCHEDULES TO SEEK OUT WORTHY USES OF HOSPITAL RESOURCES IN ORDER TO MAKE THEIR COMMUNITY A HEALTHIER, SAFER PLACE TO LIVE. THE SECOND DETAIL IS NOT REFLECTED IN THE NUMBERS ABOVE AT ALL, BUT IS NEVERTHELESS A PARAMOUNT VALIDATION OF THE ST. CLOUD HOSPITAL EMPLOYEES' DEDICATION TO THE HEALTH OF THEIR COMMUNITY. THIS IS THE SUM OF ALL THE PERSONAL TIME AND FINANCIAL RESOURCES THAT THE ST. CLOUD HOSPITAL'S WORK FORCE HAS INVESTED IN ITS COMMUNITY. QUANTIFYING THE THOUSANDS OF VOLUNTEER HOURS GIVEN TO THE HUNDREDS OF VARIOUS SERVICE ORGANIZATIONS BY THE HOSPITAL EMPLOYEES IS BEYOND THE SCOPE OF THIS NARRATIVE. EXAMPLES OF THESE VOLUNTEER ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO: * HOSPICE VOLUNTEERS * SKIN CANCER SCREENING AT COBORNS * BOARD MEETINGS TO PLAN FOR HEALTH CARE SERVICES IN HONDURAS * VOLUNTEERING VACATION TIME IN HONDURAS PERFORMING NUMEROUS MEDICAL SERVICES RANGING FROM GENERAL MEDICINE TO KIDNEY DIALYSIS * UNITED WAY VOLUNTEERING (BIG BROTHER/SISTER, ETC.) * AMERICAN HEART ASSOCIATION HEART WALK * INSERVICE TO SCHOOL NURSES FOR CHILDREN WITH DIABETES * COACHING CHILDREN IN DIFFERENT SPORTING EVENTS * ASSISTING IN CLASSROOMS WITH CHILDREN ACTIVITIES PROBABLY THE MOST SALIENT COLLECTIVE EXAMPLE OF THE 4,200 ST. CLOUD HOSPITAL EMPLOYEES PITCHING-IN TO SUPPORT LOCAL COMMON ASSETS IS THE DONATION OF OVER $356,000 TO THE UNITED WAY AND MORE THAN $491,000 TO THE CENTRACARE FOUNDATION IN FISCAL YEAR 2009-10. THESE PEOPLE, WHO BALANCE THEIR PERSONAL AND PROFESSIONAL LIVES IN ORDER TO CONTRIBUTE POSITIVELY TO THEIR COMMUNITY, ARE TRULY THE FOUNDATIONS OF A PROSPEROUS COMMUNITY. WHILE THE HOSPITAL CANNOT TAKE CREDIT FOR THE TIME, EFFORT AND DOLLARS ITS EMPLOYEES HAVE GIVEN OUTSIDE OF WORK, IT CANNOT HELP BUT REFLECT THEIR COMMITMENT TO THE COMMUNITY. THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY IS A QUANTITATIVE EXERCISE TO DETERMINE HOW THE HOSPITAL BENEFITS THE COMMUNITY. THE HOSPITAL IS LITTLE MORE THAN A BUILDING, SOME EQUIPMENT, AND A COLLECTION OF CARING INDIVIDUALS. AND IT IS CLEARLY THOSE INDIVIDUALS WHO ARE SO SELFLESSLY DEDICATED TO THE BETTERMENT OF THEIR COMMUNITY AS WELL AS THEIR CAREERS, WHICH MAKE ST. CLOUD HOSPITAL THE INVALUABLE COMMUNITY ASSET IT IS. SUPPLEMENTAL INFORMATION AUDITED FINANCIAL STATEMENTS FORM 990, PART IV, LINE 12A ST. CLOUD HOSPITAL 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 INDEPDENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE CONSOLIDATED FINANCIAL STATEMENTS RECEIVED AN UNQUALIFIED OPINION FROM THE ACCOUNTING FIRM. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTIONS 6, 7A & 7B ST. CLOUD HOSPITAL'S MEMBERS CONSIST OF EX-OFFICIO REPRESENTATIVES OF THE DIOCESE OF ST. CLOUD AND THE SISTERS OF THE ORDER OF SAINT BENEDICT AND TWO TO FOUR MEMBERS APPOINTED BY THESE EX-OFFICIO MEMBERS. THE MEMBERS APPOINT THE ST. CLOUD HOSPITAL BOARD. IN ADDITION TO APPOINTING THE ST. CLOUD HOSPITAL BOARD, THE MEMBERS APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION, APPROVE THE DISSOULTION OF THE HOSPITAL, AND SUPPORT AND ASSESS THE HOSPITAL'S ROMAN CATHOLIC IDENTIFY AND MISSIONS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A MANAGEMENT REVIEWS THE 990 TAX RETURN REGULARLY DURING THE PREPARATION PROCESS, THEY FIELD QUESTIONS FROM STAFF AND MANAGE DEADLINES WHICH MUST BE MET. THEY ARE ALSO ACTIVELY INVOLVED WITH THE THIRD PARTY FIRM WHO ASSISTS IN THE FINAL COMPILATION OF THE REPORT. ONCE A COMPLETED 990 REPORT HAS BEEN PRODUCED, 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE TWICE A YEAR. ALL STAFF SIGN CONFLICTS OF INTEREST FORMS ON AN ANNUAL BASIS. THE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AS WELL AS THE CORPORATE COMPLIANCE GROUP (A COMPLIANCE COMMITTEE WHICH INCLUDES INTERNAL MEMBERS AND OUTSIDE COUNSEL) THE RESPONSES TO THE QUESTIONNAIRE ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICTS OF INTERESTS RELATED TO BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HER SELF FROM THE DECISION MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT ISSUES MAY ARISE. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B 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. THE MOST RECENT FULL REVIEW WAS DONE IN MAY 2010. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL REPORT TO THE COMMUNITY IN WHICH FINANCIAL RESULTS ARE REPORTED TO AND DISCLOSED TO THE PUBLIC. ST. CLOUD HOSPITAL IS INCLUDED IN THIS REPORT. CENTRACARE HEALTH SYSTEM 1406 SIXTH AVENUE NORTH ST CLOUD MN 56303 411813221 HEALTH CARE MN 501(c)(3) 11 TYPE III NA true false false false false false false false false false false false false false true true false true CENTRACARE HEALTH SYSTEM A (IV 13144 CENTRACARE HEALTH SYSTEM O 1165859 CENTRACARE HEALTH SYSTEM P 4322402 CENTRACARE HEALTH SYSTEM P 73162 CENTRACARE HEALTH SYSTEM P 12704612 CENTRACARE HEALTH SYSTEM P 9808088 CENTRACARE HEALTH SYSTEM P 68179 CENTRACARE HEALTH SYSTEM P 2011187 CENTRACARE HEALTH SYSTEM R 10000000