FURP.ORG / PUBLIC DATA EXPLORER

ST CLOUD HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST CLOUD HOSPITAL (EIN 41-0695596)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-06-10
IRS object ID
201131619349300418
Schema version
2009v1.7
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)
Timestamp2011-06-10T19:10:40-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410695596EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Cloud HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTCLNameControl
Phone3202512700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11406 SIXTH AVENUE NORTHAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code563031901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREG KLUGHERZName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2011-06-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonCraig BromanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11406 Sixth Ave NorthAddressLine1
CitySt CloudCity
StateMNState
ZIP Code563031901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts605347230GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.CENTRACARE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionAS 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees5343TotalNbrEmployees
Total Nbr Volunteers1215TotalNbrVolunteers
Total Gross UBI1353173TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3247031ContributionsGrantsPriorYear
Contributions Grants Current Year3546614ContributionsGrantsCurrentYear
Program Service Revenue Prior Year564460653ProgramServiceRevenuePriorYear
Program Service Revenue CY592543230ProgramServiceRevenueCY
Investment Income Prior Year68966InvestmentIncomePriorYear
Investment Income Current Year2758420InvestmentIncomeCurrentYear
Other Revenue Prior Year4463917OtherRevenuePriorYear
Other Revenue Current Year5759448OtherRevenueCurrentYear
Total Revenue Prior Year572240567TotalRevenuePriorYear
Total Revenue Current Year604607712TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3716734GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2906559GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year283296075SalariesEtcPriorYear
Salaries Etc Current Year295700875SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year20701TotalFundrsngExpCurrentYear
Other Expense Prior Year223424173OtherExpensePriorYear
Other Expenses Current Year241284224OtherExpensesCurrentYear
Total Expenses Prior Year510436982TotalExpensesPriorYear
Total Expenses Current Year539891658TotalExpensesCurrentYear
Revenues Less Expenses Prior Year61803585RevenuesLessExpensesPriorYear
Revenues Less Expenses CY64716054RevenuesLessExpensesCY
Total Assets BOY765138069TotalAssetsBOY
Total Assets EOY808885413TotalAssetsEOY
Total Liabilities BOY509653544TotalLiabilitiesBOY
Total Liabilities EOY512588271TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY255484525NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY296297142NetAssetsOrFundBalancesEOY
Mission DescriptionAS 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense471630981Expense
Grants2906559Grants
Revenue593150077Revenue
DescriptionSERVICES COMMON TO HOSPITAL AND LONG TERM CARE FACILITIES FOR THEIR PATIENTS AND RESIDENTS. SEE SCHEDULE O FOR THE COMMUNITY BENEFIT REPORT.Description
Total Program Service Expense471630981TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096404NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5343NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryKSNameOfForeignCountry
Name Of Foreign CountryDANameOfForeignCountry
Name Of Foreign CountryITNameOfForeignCountry
Name Of Foreign CountryNONameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
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 VenturefalseInvestmentInJointVenture
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 SIXTH AVE NORTHAddressLine1
CitySt CloudCity
StateMNState
ZIP Code563031901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CRAIG BROMAN
PRESIDENT40.0XX7070580138304
SISTER MIRIAM ARDOLF OSB
TRUSTEE - CHAIR2.0X000
ANTHONY AKUBUE ED D
TRUSTEE2.0X000
JOAN BARRET-VOLKMUTH
TRUSTEE2.0X000
MIKE BENUSA
TRUSTEE2.0X000
TERESA BOHNEN
TRUSTEE2.0X000
CHRIS COBORN
TRUSTEE2.0X000
PAUL DORSHER MD
TRUSTEE2.0X000
FATHER MARVIN ENNEKING
TRUSTEE2.0X000
RONALD HANSON MD
TRUSTEE2.0X000
KARA HENNES OSB
TRUSTEE2.0X000
STEVE LARAWAY
TRUSTEE - VICE CHAIR2.0X000
CINDY JENSEN MELLOY MD
TRUSTEE2.0X1564500
SANDY NEUTZLING
TRUSTEE2.0X000
BRETT PINKERTON MD
TRUSTEE - CHIEF OF STAFF2.0X187500
JAMES SCHLENNER
TRUSTEE2.0X000
CHRIS TACL MD
TRUSTEE2.0X000
PASTOR THOMAS WRIGHT
TRUSTEE2.0X000
GREGORY KLUGHERZ
TREASURER-CFO40.0X387711094773
PAUL HARRIS
SECRETARY40.0X029050274792
DANIEL WHITLOCK MD
VICE-PRESIDENT40.0563141043897X
CHARLES DOOLEY
VICE-PRESIDENT40.04315280120953X
LINDA CHMIELEWSKI RN
VICE-PRESIDENT40.0328590072793X
DUANE RASMUSSON
VICE-PRESIDENT40.0318027065928X
JIM DAVIS
VICE-PRESIDENT40.0042604535225X
LINDA DOERR
VICE-PRESIDENT40.0241047055176X
ROBERT JOHNSON
DIRECTOR40.0196247017121X
JON BOWAR MD
PHYSICIAN40.0465376049663X
DAVID SEHR MD
PHYSICIAN40.0294644034630X
JOEL SPALDING MD
PHYSICIAN40.0340876054649X
CHRIS MOELLENTINE MD
PHYSICIAN40.0259544048344X
JOHN SCHMITZ MD
PHYSICIAN40.0330070052177X
JOHN FROBENIUS
FORMER CEO0.0519720016267X
JOHN SECKINGER
FORMER CFO0.054862100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5949720TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs716547TotalReportableCompFrmRltdOrgs
Total Other Compensation974692TotalOtherCompensation
Number Individuals GT100 K226NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PERKINS WILL INC
84 10TH STREET SOUTH STE 200MINNEAPOLISMN55403ARCHITECT4293215
CROTHALL HEALTHCARE
13028 COLLECTIONS CENTER DRIVECHICAGOIL60693HOUSEKEEPING/LAUNDRY2952034
ANESTHESIOLOGY ASSOCIATES
PO BOX 725ST CLOUDMN56302ANESTHESIOLOGY SVCS2040857
CENTRACARE CLINIC
1200 SIXTH AVENUE NORTHST CLOUDMN56303PHYSICIAN SERVICES1894819
EXECUTIVE HEALTH RESOURCES
15 CAMPUS BLVD STE 200NEWTOWN SQUAREPA19073EHR CONSULTING SVCS1016755
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Federated Campaigns48729FederatedCampaigns
Related Organizations336RelatedOrganizations
Government Grants3369991GovernmentGrants
All Other Contributions127558AllOtherContributions
Total Contributions3546614TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT/RES SVCS900099590029004590029004
RENTAL INCOME53112025142262514226
FieldValueIRS element (for citing)
Total Program Service Revenue592543230TotalProgramServiceRevenue

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 Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2743048Securities
Other126521Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other111149Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2743048Securities
Other15372Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2758420TotalRevenueColumn
Exclusion$2,758,420ExclusionAmount

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
FieldValueIRS element (for citing)
Gross Sales Of Inventory714758GrossSalesOfInventory
Cost Of Goods Sold628369CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column86389TotalRevenueColumn
Exclusion$86,389ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
INFORMATION & EDUCATION900099226293226293
BILLING AND ACCOUNTING541200429368313200116168
FOOD SALES7221003713039$3,713,039

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1304359TotalRevenueColumn
Related Or Exempt Function Income67354RelatedOrExemptFunctionIncome
Unrelated Business Revenue1237005UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue5673059TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column604607712TotalRevenueColumn
Related Or Exempt Function Income593150077RelatedOrExemptFunctionIncome
Unrelated Business Revenue1353173UnrelatedBusinessRevenue
Exclusion$6,557,848ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2745780Total
Program Services2745780ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total160779Total
Program Services160779ProgramServices

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)
Total3941654Total
Management And General3941654ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total221266909Total
Program Services199105273ProgramServices
Management And General22161636ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8164334Total
Program Services7263325ProgramServices
Management And General901009ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total46168342Total
Program Services40713697ProgramServices
Management And General5454509ManagementAndGeneral
Fundraising136Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16159636Total
Program Services14415530ProgramServices
Management And General1744106ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1741666Total
Program Services694109ProgramServices
Management And General1047557ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total658906Total
Program Services3172ProgramServices
Management And General655734ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total425990Total
Program Services16171ProgramServices
Management And General409819ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total67122Total
Management And General67122ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total224220Total
Management And General224220ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17814157Total
Program Services12823007ProgramServices
Management And General4991150ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total579301Total
Program Services339975ProgramServices
Management And General239326ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total73790659Total
Program Services70091404ProgramServices
Management And General3699255ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3634257Total
Management And General3634257ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5926056Total
Program Services5267023ProgramServices
Management And General656966ManagementAndGeneral
Fundraising2067Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total672722Total
Program Services560003ProgramServices
Management And General112719ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1660029Total
Program Services751184ProgramServices
Management And General908845ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9197325Total
Program Services7831378ProgramServices
Management And General1361663ManagementAndGeneral
Fundraising4284Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28995076Total
Program Services24314971ProgramServices
Management And General4665891ManagementAndGeneral
Fundraising14214Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1725900Total
Program Services315651ProgramServices
Management And General1410249ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Drugs347469473467996666981
Contracted Services1916752018223296944224
Bad Debt99042089904208
Maintenance Contracts660483139428972661934
Minnesota Care Tax58423615842361

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total17904971Total
Program Services11625821ProgramServices
Management And General6279150ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total539891658Total
Program Services471630981ProgramServices
Management And General68239976ManagementAndGeneral
Fundraising20701Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY46897668BOY
EOY23510117EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY5404871EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY75500886BOY
EOY84750059EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4928884BOY
EOY5622823EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3323746BOY
EOY4345409EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis603759031LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec278352519LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY295192423BOY
EOY325406512EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY271116229BOY
EOY339790034EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY53722869BOY
EOY8348922EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14455364BOY
EOY11706666EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY765138069BOY
EOY808885413EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY455631486BOY
EOY461455706EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54022058BOY
EOY51132565EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY509653544BOY
EOY512588271EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY255469494BOY
EOY296288327EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15031BOY
EOY8815EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY255484525BOY
EOY296297142EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY765138069BOY
EOY808885413EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$116,067DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB116067TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis14939247OtherCostOrOtherBasis
Book Value14939247BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis319231905OtherCostOrOtherBasis
Depreciation124190195Depreciation
Book Value195041710BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis224556422OtherCostOrOtherBasis
Depreciation154162324Depreciation
Book Value70394098BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis45031457OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value45031457BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings325406512TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITY$24,728,821
FMV SWAP 2008ABC BONDS$17,230,547
FMV SWAP 1993 BONDS$4,672,143
ACCRUED EXECUTIVE BENEFITS$3,096,029
LONG TERM SETTLEMENTS RESERVE$1,000,000
ASSET RETIREMENT OBLIGATION$385,300
OTHER LONG TERM LIABILITIES$19,725
FieldValueIRS element (for citing)
Total Of Amounts51132565TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5116413TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense5116413NetCommunityBenefitExpense
Percent Of Total Expense0.00970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense90305773TotalCommunityBenefitExpense
Direct Offsetting Revenue80641397DirectOffsettingRevenue
Net Community Benefit Expense9664376NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense95422186TotalCommunityBenefitExpense
Direct Offsetting Revenue80641397DirectOffsettingRevenue
Net Community Benefit Expense14780789NetCommunityBenefitExpense
Percent Of Total Expense0.02790PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1392522TotalCommunityBenefitExpense
Direct Offsetting Revenue345018DirectOffsettingRevenue
Net Community Benefit Expense1047504NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3424598TotalCommunityBenefitExpense
Direct Offsetting Revenue1011910DirectOffsettingRevenue
Net Community Benefit Expense2412688NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense661624TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense661624NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense417673TotalCommunityBenefitExpense
Direct Offsetting Revenue223493DirectOffsettingRevenue
Net Community Benefit Expense194180NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2383307TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2383307NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8279724TotalCommunityBenefitExpense
Direct Offsetting Revenue1580421DirectOffsettingRevenue
Net Community Benefit Expense6699303NetCommunityBenefitExpense
Percent Of Total Expense0.01260PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense103701910TotalCommunityBenefitExpense
Direct Offsetting Revenue82221818DirectOffsettingRevenue
Net Community Benefit Expense21480092NetCommunityBenefitExpense
Percent Of Total Expense0.04050PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Building Expense12960TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense12960NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served20PersonsServed
Total Community Building Expense29966TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense29966NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served80PersonsServed
Total Community Building Expense973TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense973NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served300PersonsServed
Total Community Building Expense43899TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense43899NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense$3,816,497BadDebtExpenseAmount
Amount Attributable To87692AmountAttributableTo
Amount Reimbursed By Medicare157981185AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare167141831CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9160646MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
SAINT CLOUD HOSPITAL
1406 Sixth Avenue NorthSaint CloudMN563031901XXXXREHAB & PSYCH UNITS, HOME HEALTH/HOSPICE, RENAL DIALYSIS
SAINT BENEDICT'S SENIOR COMMUNITY
1810 MINNESOTA BLVDST CLOUDMN56304SKILLED NURSING ASSISTED LIVING

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnN/AAnnualCommunityBenefitExpln
Costing Method UsedSt. 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.CostingMethodUsed
Subsidized Health Services ExplnThe 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.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnThe amount of bad debt expense subtracted from the denominator before calculating column (f) is $9,904,208. 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.PercentOfTotalExpenseExpln
Bad Debt FootnoteTHE 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.BadDebtFootnote
Shortfall As Community BenefitTHE 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.ShortfallAsCommunityBenefit
Debt Collection PolicyTHE 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.DebtCollectionPolicy
Needs AssessmentSt. 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.NeedsAssessment
Patient Education AssistanceInpatients 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.PatientEducationAssistance
Community InformationSt. 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%.CommunityInformation
Community Building ActivitiesThe 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.CommunityBuildingActivities
Other InformationOther 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.OtherInformation
Reports Filed With StatesMNReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAddress Line2AddressUS/AddressLine2
SISTERS OF THE ORDER OF SAINT BENEDICT
104 CHAPEL LANE STST JOSEPHMN563740220410693973501(c)(3)100000FMVTO PAY FOR HEALTHCARE COSTS
CENTRACARE HEALTH FOUNDATION
1406 SIXTH AVE NORTHST CLOUDMN563031901411855173501(c)(3)2580152FMVTO SUPPORT THE CENTRACARE FOUNDATION
THE MESSAGE PROGRAM
2311 10TH AVE SOUTH STST CLOUDMN56301200293323501(c)(3)FMVDONATION OF MEDICAL EQUIPMENT AND SUPPLIES10676MED EQUIP & SUPPLIES
HELPS INTERNATIONAL
15301 DALLAS PKWYADDISONTX75001870683277501(c)(3)6500FMVGUATEMALA MEDICAL MISSION COSTSSTE 200
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHOME DELIVERED MEALSTypeOfGrant
Number Of Recipients212NumberOfRecipients
Amount Of Non Cash Assistance160600AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceTO PROVIDE MEALSDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, LINE 2ReturnReference
ExplanationSt. 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.Explanation

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 OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 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
CRAIG BROMAN
4794910156682070885010087103743308453620672620
GREGORY KLUGHERZ
316483068055031730716530231200482484000
PAUL HARRIS
023155105720001751049500025292036529400
DANIEL WHITLOCK MD
378034073598011150901573402816306070380406420
CHARLES DOOLEY
28754507505006893309531202564105524810664380
LINDA CHMIELEWSKI RN
272932052923027350514110213820401383000
DUANE RASMUSSON
24356505281002165203936502656303839550194060
JIM DAVIS
02800370702600757480145370206880461270028427
LINDA DOERR
189432049711019040357670194090296223000
ROBERT JOHNSON
17061701858907041014796023250213368000
JON BOWAR MD
3583530161950908280199450297180515039000
DAVID SEHR MD
224028094550611610108030238270329274000
JOEL SPALDING MD
2378970214960814830224310322180395525000
JOHN FROBENIUS
0000519720000162670535987000
JOHN SECKINGER
000054862100000548621000
CHRIS MOELLENTINE MD
1882850308970403620171260312180307888000
JOHN SCHMITZ MD
2476420181000643280222600299170382247000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
ExplanationSUPPLEMENTAL 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT INVENTORY REPORTFORM 990, PART III-4AEXECUTIVE 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 INFORMATIONAUDITED 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CENTRACARE HEALTH SYSTEMBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11406 SIXTH AVENUE NORTHAddressLine1
CityST CLOUDCity
StateMNState
ZIP Code56303ZIPCode
FieldValueIRS element (for citing)
EIN411813221EIN
Primary ActivitiesHEALTH CAREPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status11 TYPE IIIPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
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 EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CENTRACARE HEALTH SYSTEM
A (IV13144
CENTRACARE HEALTH SYSTEM
O1165859
CENTRACARE HEALTH SYSTEM
P4322402
CENTRACARE HEALTH SYSTEM
P73162
CENTRACARE HEALTH SYSTEM
P12704612
CENTRACARE HEALTH SYSTEM
P9808088
CENTRACARE HEALTH SYSTEM
P68179
CENTRACARE HEALTH SYSTEM
P2011187
CENTRACARE HEALTH SYSTEM
R10000000