2026-05-12T10:10:50-05:00 2025-06-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2024-07-01 410695596 ST CLOUD HOSPITAL STCL 3202512700 1406 SIXTH AVENUE NORTH ST CLOUD MN 563031901 MICHAEL A BLAIR CFO/TREASURER 3202512700 2026-05-08 1 0 MORGAN SEVERSON P02279974 6123974000 2024 2025-03-06 01:10:19Z JOY PLAMANN 1406 SIXTH AVENUE NORTH ST CLOUD MN 563031901 1276936174 0 X WWW.CENTRACARE.COM X 1962 MN WE'RE HERE FOR YOUR WHOLE LIFE - TO LISTEN THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 15 7 0 757 1596570 0 8639404 9991670 1046027947 1112388747 -15202832 42735837 50945515 35435458 1090410034 1200551712 577364 2099342 0 0 555406855 570820906 0 0 0 463249036 496697614 1019233255 1069617862 71176779 130933850 1391974303 1400664778 243251301 109625972 1148723002 1291038806 X WE'RE HERE FOR YOUR WHOLE LIFE - TO LISTEN THEN SERVE, TO GUIDE AND HEAL BECAUSE HEALTH MEANS EVERYTHING. 0 0 902201757 2099342 1112388747 CENTRACARE HEALTH IS PRIMARILY ENGAGED IN SUPPORTING AND DIRECTING HEALTHCARE DELIVERY THROUGH ITS AFFILIATED ENTITIES. CENTRACARE OPERATES AS THE PARENT CORPORATION TO THE SAINT CLOUD HOSPITAL WHICH STRIVES TO IMPROVE THE QUALITY AND EXPAND THE CLINICAL SCOPE OF, ENHANCE ACCESS TO, AND ASSURE AFFORDABILITY OF, HEALTH SERVICES FOR RESIDENTS IN THE ST. CLOUD AREA AND CENTRAL MINNESOTA. THESE AIMS ARE SUPPORTED BY CENTRACARE'S COMMITMENT TO ADVANCE MEDICAL EDUCATION, TRAINING AND RESEARCH. AS A HIGH QUALITY REGIONAL MEDICAL CENTER, ST. CLOUD HOSPITAL PROVIDES A BROAD RANGE OF ACUTE INPATIENT SERVICES. WITH 489 LICENSED INPATIENT BEDS, ST. CLOUD HOSPITAL CARED FOR 26,484 INPATIENT ADMISSIONS WITH 121,429 ASSOCIATED PATIENT DAYS, DURING FISCAL YEAR 2025. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL CARE, BIRTHING SERVICES, CHILDREN'S SERVICES INCLUDING NEONATAL INTENSIVE CARE AND PEDIATRIC INTENSIVE CARE, BEHAVIORAL HEALTH CARE SERVICES FOR ADULTS AND ADOLESCENTS, ALONG WITH SPECIALIZED CARE IN CARDIOLOGY, NEUROSCIENCES, NEUROSURGERY, ORTHOPEDICS AND REHABILITATION SERVICES.AS A HIGH QUALITY REGIONAL MEDICAL CENTER, ST. CLOUD HOSPITAL PROVIDES A BROAD RANGE OF OUTPATIENT SERVICES. ST. CLOUD HOSPITAL CARED FOR 384,604 OUTPATIENT ENCOUNTERS INCLUDING 64,342 EMERGENCY ROOM VISITS DURING FISCAL YEAR 2025. OUTPATIENT SERVICES INCLUDE EMERGENCY ROOM SERVICES, BEHAVIORAL HEALTH CARE, CANCER TREATMENT, DIALYSIS, IMAGING PROCEDURES, DIAGNOSTIC HEART PROCEDURES, REHABILITATION THERAPY, SAME DAY SURGERY AND OTHER AMBULATORY CARE SERVICES. 902201757 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X MICHAEL BLAIR 3202512700 1406 6TH AVENUE N ST CLOUD MN 56303 KENNETH HOLMEN PRESIDENT/CEO 7.00 33.00 X X 0 1921145 48384 JACOB EILER DIRECTOR 1.00 0.00 X 0 742030 40182 SHANNON CABRERA DIRECTOR 1.00 39.00 X 0 439054 47247 ALBERT MERCURI DIRECTOR (END 06.30.2025) 1.00 39.00 X 0 421786 42375 JOHN SCHMITZ DIRECTOR 40.00 0.00 X 0 356281 42853 DENISE CHRISTIE DIRECTOR 39.00 1.00 X 0 256183 41554 EILEEN DAUER DIRECTOR 1.00 0.00 X 0 39375 0 RENEE FRAUENDIENST CHAIR 2.00 2.00 X X 0 8000 0 BOB THUERINGER DIRECTOR (END 06.30.2025) 1.00 0.00 X 0 0 0 JOE BEGSTROM DIRECTOR 1.00 0.00 X 0 0 0 JUDITH KRAMER DIRECTOR 1.00 0.00 X 0 0 0 MARY JEPPERSON DIRECTOR 1.00 0.00 X 0 0 0 RYAN DANIEL DIRECTOR (END 11.21.2025) 2.00 0.00 X 0 0 0 SHONDA CRAFT DIRECTOR 1.00 0.00 X 0 0 0 STEVEN KOOP DIRECTOR (START 07.01.2024) 1.00 0.00 X 0 0 0 JOY PLAMANN PRESIDENT 7.00 33.00 X 0 979580 195343 MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREASURER 7.00 33.00 X 0 997209 156611 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY 7.00 33.00 X 0 874976 136905 KIMBERLY EGAN CHIEF HUMAN RESOURCES OFFICER/SR VP 7.00 33.00 X 0 288284 55491 THOMAS SCHRUP CHIEF PHYSICIAN OFFICER/EVP 20.00 20.00 X 0 839291 157064 MARIA MALLORY VICE PRESIDENT 13.00 27.00 X 0 522851 100107 RACHAEL LESCH VICE PRESIDENT 20.00 20.00 X 0 476170 100369 JEFFREY GERDES PHYSICIAN 40.00 0.00 X 0 1698375 38274 WADE SCHMIDT PHYSICIAN 40.00 0.00 X 0 1477815 46431 BERNARD ERICKSON PHYSICIAN 40.00 0.00 X 0 1376443 38600 SHARATH SUBRAMANIAN PHYSICIAN 40.00 0.00 X 0 1346811 23987 STEPHEN KIDD PHYSICIAN 40.00 0.00 X 0 1322381 15214 JOSEPH KALKMAN FORMER KEY EMPLOYEE 0.00 40.00 X 0 1021198 15732 0 17405238 1342723 0 1 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W STE 300 SAN DIEGO CA 92121 STAFFING AGENCY 9691851 SHIELDS HEALTH SOLUTIONS 100 TECHNOLOGY CENTER DR STE 600 STOUGHTON MA 02072 MANAGEMENT SERVICES 5413827 MCGOUGH CONSTRUCTION CO LLC 2737 FAIRVIEW AVE N ST PAUL MN 55113 CONSTRUCTION 2527497 LOCUMTENENSCOM LLC PO BOX 405547 ATLANTA GA 30384 STAFFING AGENCY 2162013 SAUK RAPIDS LLC 1460 27TH AVE N PLYMOUTH MN 55447 LEASE EXPENSE 1091932 41 2333958 6054916 1602796 9991670 PATIENT & RESIDENT REV 622110 1103689375 1103689375 FOOD SALES 622110 5062568 5062568 OTHER PROGRAM REVENUE 622110 3636804 2040234 1596570 1112388747 42406706 42406706 4288151 4288151 0 0 341250 12119 329131 329131 329131 113327238 72084192 41243046 41243046 LOSS ON INTEREST RATE 900099 -5807588 -5807588 -5807588 1200551712 1110792177 1596570 78171295 X 2013504 2013504 85838 85838 2811334 2192841 618493 441763259 344575342 97187917 17293138 13488648 3804490 85020972 66316358 18704614 23932203 18667118 5265085 91055 71023 20032 110993632 95927501 15066131 41254 32178 9076 1068566 833481 235085 37512055 29259403 8252652 3926910 3062990 863920 1336379 1042376 294003 732338 571224 161114 12483578 9737191 2746387 38261419 29843907 8417512 3278526 2557250 721276 DRUGS/MEDICAL SUPPLIES 230062232 230062232 MEDICAID & MNCARE 19488347 19488347 EQUIPMENT RENT & MAINT. 18145811 14153733 3992078 IMPLICIT PRICE CONCES. 14474420 14474420 4801092 3744852 1056240 1069617862 902201757 167416105 0 16998 17198 21492928 7958553 147093404 190389622 5600000 4724775 24797865 24677198 2123846 1687755 1053634602 703216815 371353675 350417787 435797781 416082068 8571 0 383689235 404709822 1391974303 1400664778 85915246 79305333 54409 54409 113310000 43971646 30266230 243251301 109625972 X 1148723002 1291038806 1148723002 1291038806 1391974303 1400664778 X 130933850 7078553 4303401 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 30113 30113 0 PART II-B, LINE 1: ST. CLOUD HOSPITAL PAID $30,113 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE SAID ASSOCIATIONS. 14373408 14373408 646498621 380075702 266422919 4085764 765874 3319890 388676809 322375239 66301570 350417787 FUNDS HELD BY TRUSTEE UNDER TRUST AND ESCROW AGREEMENTS 170000 F INVESTMENTS HELD BY CENTRACARE IN POOLED INVESTMENTS 415912068 F 416082068 DUE FROM AFFILIATES 385642522 OTHER RECEIVABLES 10726071 OPERATING LEASED ASSETS 3974534 OTHER ASSETS 4366695 404709822 THIRD PARTY PAYOR SETTLEMENTS 6254602 EXECUTIVE BENEFIT ACCRUAL 310417 ASSET RETIREMENT OBLIGATION 408272 SETTLEMENTS RESERVE 4875357 LEASE LIABILITIES 4053649 PENSION LIABILITY 14363933 30266230 1 1 X 1 X 175.000000000000 1 X 1 1 1 0 1 1 3924229 3924229 0.00370 163530444 114562105 48968339 0.04640 167454673 114562105 52892568 0.05010 432165 432165 0.00040 14728795 2724593 12004202 0.01140 497662384 462107968 35554416 0.03370 536849 536849 0.00050 140250 140250 0.00010 513500443 464832561 48667882 0.04610 680955116 579394666 101560450 0.09620 7805 7805 0.00000 9934 9934 0.00000 20763 20763 0.00000 275000 275000 0.00030 313502 313502 0.00030 1 14474420 0 227578986 208043622 19535364 X 1 1 1 1 ST CLOUD HOSPITAL 1406 6TH AVENUE NORTH ST CLOUD MN 563031901 WWW.CENTRACARE.COM/LOCATIONS/CENTRACAR 418902 X X X X REHAB, PSYCH, HOME HEALTH, HOSPICE, AND RENAL DIALYSIS ST CLOUD HOSPITAL 1 0 0 1 X X X X X X X X X X 24 1 1 1 1 X SEE SECTION C SUPPLEMENTAL INFORMATION X 1 24 1 SEE SECTION C SUPPLEMENTAL INFORMATION 0 1 X 175.000000000000 250.000000000000 X X X 1 1 X X X 1 X SEE SUPPLEMENTAL X SEE SUPPLEMENTAL X SEE SUPPLEMENTAL X X X X X X X 1 X 0 X X X X X 1 X 0 0 ST. CLOUD HOSPITAL PART V, SECTION B, LINE 3J: CENTRACARE UTILIZED THE NACCHO MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) FRAMEWORK TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOP THE IMPLEMENTATION STRATEGY, REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAPP PROCESS INCLUDED A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, STAKEHOLDER INTERVIEWS, A COMMUNITY HEALTH SURVEY JOINTLY FUNDED AND ADMINISTERED WITH THREE COUNTY PUBLIC HEALTH DEPARTMENTS, AND MULTIPLE COMMUNITY MEETINGS TO GATHER INPUT ON FORCES THAT CREATE HEALTH, EMERGING TRENDS, FACTORS AND EVENTS AFFECTING HEALTH, AND STRATEGIES TO ADDRESS BARRIERS TO HEALTHY LIVING. THE CHNA ALSO INCORPORATED A HEALTH EQUITY ASSESSMENT AND REVIEWED NATIONAL, STATE, AND LOCAL PLANNING EFFORTS RELATED TO HEALTH.BUILDING ON FEEDBACK FROM THE PREVIOUS CHNA PROCESS, WHERE LIMITED ACCESS TO PUBLIC HEALTH DATA WAS IDENTIFIED AS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WERE CONDUCTED AS A COLLABORATIVE EFFORT WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH, AND STEARNS COUNTY PUBLIC HEALTH. THIS PARTNERSHIP RESULTED IN THE DEVELOPMENT OF A JOINT CHNA AND CHIP. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 5: THE CENTRAL MN ALLIANCE (CMA), CONSISTING OF CENTRACARE, STEARNS COUNTY PUBLIC HEALTH, BENTON COUNTY PUBLIC HEALTH, AND SHERBURNE COUNTY PUBLIC HEALTH, HAS USED THE MAPP 2.0 FRAMEWORK DEVELOPED BY NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS TO GUIDE ITS WORK.THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SERVES AS A ROADMAP FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). USING THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) 2.0 FRAMEWORK, THE CMA IDENTIFIED ROOT CAUSES AND TOP COMMUNITY PRIORITIES TO FOCUS EFFORTS ON IMPROVING REGIONAL HEALTH OUTCOMES. THIS CHNA INFORMS THE CHIP IMPLEMENTATION PHASE RUNNING FROM JULY 1, 2025, THROUGH JUNE 30, 2028, AND REPRESENTS THE THIRD COLLABORATIVE CHNA AND CHIP COMPLETED BY THE ALLIANCE.THROUGHOUT THE CHNA PROCESS, CENTRACARE AND ITS CMA PARTNERS INCORPORATED BROAD COMMUNITY INPUT THROUGH A STRUCTURED AND COLLABORATIVE APPROACH. COMMUNITY ENGAGEMENT INCLUDED WIDELY DISTRIBUTED PAPER AND ELECTRONIC SURVEYS (WITH TRANSLATED VERSIONS TO INCREASE ACCESSIBILITY), STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND PLANNING SESSIONS DESIGNED TO CAPTURE PERSPECTIVES ACROSS THE SERVICE AREA. PARTICIPANTS INCLUDED LOCAL PUBLIC HEALTH OFFICIALS, COUNTY HEALTH AND HUMAN SERVICES REPRESENTATIVES, LEADERS OF COMMUNITY-BASED ORGANIZATIONS, BEHAVIORAL HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, EDUCATORS, AND OTHER CROSS-SECTOR PARTNERS. SPECIAL EFFORT WAS MADE TO ENGAGE INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THIS COMPREHENSIVE ENGAGEMENT PROCESS ENSURED THAT IDENTIFIED PRIORITIES AND IMPLEMENTATION STRATEGIES REFLECT COMMUNITY-IDENTIFIED NEEDS AND ARE INFORMED BY BOTH LIVED EXPERIENCE AND PROFESSIONAL EXPERTISE.THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED THROUGH THREE CONSECUTIVE ASSESSMENTS CONDUCTED BETWEEN JULY 2024 AND JANUARY 2025: THE COMMUNITY PARTNERS ASSESSMENT, THE COMMUNITY STATUS ASSESSMENT, AND THE COMMUNITY CONTEXT ASSESSMENT. STAFF FROM ALL FOUR CMA MEMBER AGENCIES PARTICIPATED IN EACH ASSESSMENT COMMITTEE, REFLECTING THE PARTNERSHIP'S MULTI-LAYERED STRUCTURE, WHICH INCLUDES VARYING LEVELS OF INVOLVEMENT ACROSS AGENCIES.IN 2024, CMA ALSO ESTABLISHED AN ASSESSMENT DESIGN TEAM (ADT) THAT INCLUDED COMMUNITY PARTNER REPRESENTATIVES TO STRENGTHEN COLLABORATION AND ENGAGEMENT. WHILE ALL THREE ASSESSMENTS INFORMED THE CHNA, PARTICULAR EMPHASIS WAS PLACED ON FINDINGS FROM THE COMMUNITY PARTNERS AND COMMUNITY CONTEXT ASSESSMENTS, WITH LESS WEIGHT GIVEN TO THE QUANTITATIVE DATA FROM THE COMMUNITY STATUS ASSESSMENT. AN OVERVIEW OF EACH ASSESSMENT IS INCLUDED BELOW.COMMUNITY PARTNERS ASSESSMENT (CPA)THE CPA IS AN ASSESSMENT PROCESS THAT ALLOWS ALL COMMUNITY PARTNERS INVOLVED IN MAPP TO CRITICALLY LOOK AT 1) THEIR OWN INDIVIDUAL SYSTEMS, PROCESSES AND CAPACITIES AND 2) THEIR COLLECTIVE CAPACITY AS A NETWORK/ACROSS ALL COMMUNITY PARTNERS TO ADDRESS HEALTH INEQUITIES. THIS TOOL HELPS IDENTIFY THE RANGE OF ACTIONS THAT ARE CURRENTLY BEING TAKEN AND COULD BE TAKEN MOVING FORWARD TO ADDRESS HEALTH INEQUITY AT THE INDIVIDUAL TO SYSTEMIC AND STRUCTURAL LEVELS. THE CPA CONSISTED OF AN ONLINE SURVEY AVAILABLE APRIL THROUGH AUGUST 2025 AND A COMMUNITY PARTNER MEETING IN APRIL 2024. MORE THAN 35 ORGANIZATIONS PARTICIPATED IN THE CPA IN SOME WAY. SOME PARTICIPATED IN THE SURVEY, SOME ATTENDED THE MEETING, AND OTHERS PARTICIPATED IN BOTH.COMMUNITY STATUS ASSESSMENT (CSA)THE CSA IS ABOUT QUANTITATIVE DATA. IT COLLECTS "THE NUMBERS" ON THE STATUS OF OUR COMMUNITY SUCH AS DEMOGRAPHICS, HEALTH STATUS, AND DIFFERENCES IN HEALTH OUTCOMES. THE CSA HELPS A COMMUNITY MOVE "UPSTREAM AND IDENTIFY HEALTH DIFFERENCES BEYOND HEALTH BEHAVIORS AND OUTCOMES, INCLUDING THEIR ASSOCIATION WITH SOCIAL DRIVERS OF HEALTH, SYSTEMS, AND INSTITUTION POLICIES AND PROCESSES. LOCAL PRIMARY DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COLLECTED THROUGH THE 2024 CENTRAL MN ADULT COMMUNITY HEALTH SURVEY. THE SURVEY INSTRUMENT WAS DEVELOPED BY THE 2024 CENTRAL MN COMMUNITY HEALTH SURVEY INSTRUMENT COMMITTEE, WHICH MET FROM JUNE 18 TO AUGUST 6, 2024. THE SURVEY WAS ADMINISTERED FROM AUGUST 6 THROUGH OCTOBER 6, 2024, WITH WRIGHT COUNTY PARTICIPATING IN THE INSTRUMENT DEVELOPMENT AND CONDUCTING A SIMILAR SURVEY DURING THE SAME TIMEFRAME. STEARNS COUNTY SUPPORTED THE SURVEY'S ELECTRONIC DEVELOPMENT USING ARCGIS SURVEY123, COORDINATED SPANISH AND SOMALI TRANSLATIONS, AND CREATED A DASHBOARD TO MONITOR RESPONSES AND GUIDE OUTREACH EFFORTS. THE SURVEY TIMELINE WAS EXTENDED TO OCTOBER 6TH AT THE REQUEST OF A COMMUNITY PARTNER TO BETTER REACH TARGET POPULATIONS. AN ADDITIONAL OPTION OFFERED FOR THIS SURVEY WAS SPOKEN VIDEOS IN ENGLISH, SPANISH, AND SOMALI VIA YOUTUBE.AMERICORPS MEMBERS FROM BENTON, SHERBURNE, AND STEARNS COUNTIES PLAYED A KEY ROLE IN OUTREACH, DOCUMENTING 548 DISTRIBUTION EFFORTS. EMAIL OUTREACH THROUGH ESTABLISHED PARTNER NETWORKS PROVED MORE EFFECTIVE THAN POSTERS WITH QR CODES. A TOTAL OF 893 RESPONSES WERE RECEIVED, INCLUDING 814 FROM THE THREE-COUNTY REGION, REFLECTING STRONG COMMUNITY PARTICIPATION AND TRUST.COMMUNITY CONTEXT ASSESSMENT (CCA)THE CCA IS A QUALITATIVE TOOL TO ASSESS AND COLLECT DATA. IT COLLECTS THE INSIGHTS, EXPERTISE, AND VIEWS OF PEOPLE AND COMMUNITIES AFFECTED BY SOCIAL SYSTEMS TO IMPROVE THE FUNCTIONING AND IMPACT OF THOSE SYSTEMS. THE CCA MOVES BEYOND INTERVENTIONS THAT RELY ON PERCEIVED COMMUNITY NEEDS TO UNDERSTAND A COMMUNITY'S STRENGTHS, ASSETS, AND CULTURE. THE CCA CENTERS ON PEOPLE AND COMMUNITIES WITH LIVED EXPERIENCES AND LIVED EXPERTISE. IT FOCUSES ON THE VIEWS, INSIGHTS, VALUES, CULTURES, AND PRIORITIES OF THOSE EXPERIENCING AVOIDABLE GAPS FIRSTHAND. ALL COMMUNITIES HAVE A VIBRANCY THAT MUST BE NURTURED AND SUPPORTED IN COMMUNITY IMPROVEMENT.EACH ASSESSMENT WAS CONDUCTED BY A COMMITTEE WITH REPRESENTATIVES FROM THE FOUR CMA MEMBER ORGANIZATIONS. A SMALL GROUP OF CMA LEADERS FORMED AN ASSESSMENT DESIGN TEAM (ADT) WITH REPRESENTATIVES FROM EACH CMA AGENCY AND SEVERAL COMMUNITY PARTNERS, INCLUDING CENTRAL MN COMMUNITY EMPOWERMENT ORGANIZATION, CITY OF ST. CLOUD, WHITNEY SENIOR CENTER, INDEPENDENT SCHOOL DISTRICT 742, CREDENT CARE HOME CARE SERVICES, UNITED WAY OF CENTRAL MN, AND THE STEARNS COUNTY PUBLIC HEALTH TASK FORCE. THE ADT MET MONTHLY FROM JUNEDECEMBER 2024, AND MANY MEMBERS ALSO PARTICIPATED IN A JANUARY 2025 ASSESSMENT TRIANGULATION PROCESS.IN JANUARY 2025, THE CMA LEADERSHIP GROUP HELD A MAPP 2.0 ASSESSMENT TRIANGULATION MEETING ATTENDED BY LEADERSHIP, ADT MEMBERS, AND ADDITIONAL PARTNERS, INCLUDING RESEARCHERS FROM ST. CLOUD STATE UNIVERSITY CENTER FOR HEALTH OUTCOMES AND POLICY RESEARCH (CHOPR), CMA LOCAL PUBLIC HEALTH MEDICAL DIRECTORS, A MINNESOTA DEPARTMENT OF HEALTH PUBLIC HEALTH SYSTEM CONSULTANT, AND MEMBERS OF GRANITE TABLE AND ITS PARTNER ORGANIZATIONS. DURING THE MEETING, ASSESSMENT FINDINGS WERE SHARED, AND PARTICIPANTS IDENTIFIED CROSS-CUTTING THEMES USING MENTIMETER. THE QUALITATIVE DATA WERE ANALYZED WITH CHATGPT, RESULTING IN NINE PRIORITY THEMES RANKED BY CONCERN: MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, HOUSING, FINANCIAL INSTABILITY, SOCIAL CONNECTION AND BELONGING, CHILDCARE, FOOD SECURITY, EQUITY, AND ACCESS TO HEALTHCARE.FURTHER DISCUSSION GROUPED THESE INTO THREE BROADER CATEGORIES:1.MENTAL HEALTH, CONNECTION, BELONGING, AND SUBSTANCE USE2.FINANCIAL INSTABILITY, HOUSING, CHILDCARE, AND FOOD INSECURITY3.ACCESS TO HEALTHCARETHE PROCESS MANAGERS CREATED A BRAINSTORMING WORKSHEET TO IDENTIFY NAMES FOR THE GROUPINGS ABOVE. BY FEBRUARY 2025, THE CMA STEERING COMMITTEE FINALIZED THE TOP THREE COMMUNITY HEALTH PRIORITIES FOR 20252028 AS: COMMUNITY CONNECTION, COMMUNITY STABILITY, AND COMMUNITY ACCESS (CONNECTION, STABILITY, ACCESS). ST. CLOUD HOSPITAL PART V, SECTION B, LINE 6A: ST. CLOUD HOSPITAL CONDUCTED THE CHNA WITH CENTRACARE - PAYNESVILLE, CENTRACARE - SAUK CENTRE, AND CENTRACARE - MELROSE. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 6B: ST. CLOUD HOSPITAL CONDUCTED THE CHNA WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH, AND STEARNS COUNTY PUBLIC HEALTH. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSESING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH IMPLEMENTATION OF THE 20252028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS PLAN BUILDS UPON THE FOUNDATION ESTABLISHED IN THE 20192022 CHIP AND FURTHER STRENGTHENED THROUGH THE 20232025 CYCLE. WHILE EARLIER CHIP EFFORTS EMPHASIZED PARTNER ENGAGEMENT AND HEALTH EQUITY, THE 20252028 CHIP INTEGRATES LESSONS LEARNED FROM PRIOR COLLABORATIONS AND REFLECTS EVOLVING COMMUNITY NEEDS, ENSURING A MORE COORDINATED AND EQUITY-FOCUSED RESPONSE.FOLLOWING PRESENTATION OF THE CHNA FINDINGS, ASSESSMENT COMMITTEE MEMBERS PARTICIPATED IN A STRUCTURED PRIORITIZATION PROCESS TO IDENTIFY CROSS-CUTTING THEMES ACROSS THE THREE ASSESSMENTS. NINE THEMES WERE INITIALLY IDENTIFIED AND RANKED BY LEVEL OF CONCERN. THESE THEMES WERE FURTHER REFINED INTO TEN SIGNIFICANT NEEDS: MENTAL HEALTH; SOCIAL CONNECTION; BELONGING; SUBSTANCE USE; HOUSING; FINANCIAL INSECURITY; CHILDCARE; FOOD INSECURITY; HEALTH CARE ACCESS; AND HEALTH CARE TRANSPORTATION. THE CMA ASSESSMENT COMMITTEES REVIEWED THESE NEEDS AND ORGANIZED THEM INTO THREE DISTRICT-WIDE PRIORITY AREAS WITH DEFINED GOALS AND MEASURABLE OBJECTIVES TO COMPREHENSIVELY ADDRESS THE IDENTIFIED NEEDS AND ADVANCE HEALTH EQUITY.THE FIRST PRIORITY AREA, COMMUNITY CONNECTION, FOCUSES ON MENTAL HEALTH, SOCIAL CONNECTION, BELONGING, AND SUBSTANCE USE. GOALS INCLUDE INCREASING OVERALL MENTAL WELLBEING AND REDUCING DRUG USE AMONG RESIDENTS OF BENTON, SHERBURNE, AND STEARNS COUNTIES. STRATEGIES EMPHASIZE PREVENTION, EARLY INTERVENTION, STRENGTHENING COMMUNITY-BASED PARTNERSHIPS, AND PROMOTING INITIATIVES THAT FOSTER CONNECTION AND A SENSE OF BELONGING.THE SECOND PRIORITY AREA, COMMUNITY STABILITY, ADDRESSES HOUSING, FINANCIAL INSECURITY, CHILDCARE, AND FOOD INSECURITY. GOALS INCLUDE SUPPORTING THE DEVELOPMENT AND IMPLEMENTATION OF FAMILY RESOURCE CENTERS AND PROMOTING THE USE AND ANALYSIS OF DATA TO BETTER UNDERSTAND ROOT CAUSES, PRIORITIZING COMMUNITIES AND GROUPS MOST IMPACTED. EFFORTS FOCUS ON UPSTREAM SOCIAL DETERMINANTS OF HEALTH INTERVENTIONS, CROSS-SECTOR COLLABORATION, AND TARGETED STRATEGIES TO REDUCE DISPARITIES AND IMPROVE LONG-TERM STABILITY FOR FAMILIES.THE THIRD PRIORITY AREA, COMMUNITY ACCESS, ADDRESSES HEALTH CARE ACCESS, INCLUDING TRANSPORTATION, INSURANCE, AND SERVICE AVAILABILITY. GOALS INCLUDE PROMOTING PREVENTIVE CARE AND ENHANCING AND EXPANDING MOBILE CLINIC OFFERINGS IN RURAL AND UNDERSERVED AREAS FOR ACUTE CARE, PRIMARY CARE, SCREENINGS, AND VACCINATIONS. STRATEGIES INCLUDE EXPANDING OUTREACH SERVICES, STRENGTHENING TRANSPORTATION PARTNERSHIPS, AND IMPROVING NAVIGATION SUPPORT TO ENSURE INDIVIDUALS CAN ACCESS TIMELY AND APPROPRIATE CARE.AT THIS TIME, THE HOSPITAL FACILITY IS ADDRESSING ALL TEN SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THROUGH ALIGNMENT WITHIN THESE THREE PRIORITY AREAS. WHILE CERTAIN UPSTREAM FACTORSSUCH AS HOUSING DEVELOPMENT AND CHILDCARE INFRASTRUCTUREREQUIRE MULTI-SECTOR LEADERSHIP BEYOND THE HOSPITAL'S DIRECT CONTROL, THE HOSPITAL SUPPORTS THESE EFFORTS THROUGH PARTNERSHIP, CONVENING, ADVOCACY, DATA ANALYSIS, AND RESOURCE ALIGNMENT. THROUGH THIS STRUCTURED AND COLLABORATIVE APPROACH, THE 20252028 CHIP COMPREHENSIVELY ADDRESSES THE NEEDS IDENTIFIED IN THE CHNA IN ALIGNMENT WITH REGULATORY REQUIREMENTS AND COMMUNITY PRIORITIES. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE HEALTH MAY REFER TO OR RELY ON EXTERNAL SOURCES AND/OR OTHER PROGRAM ENROLLMENT RESOURCES TO DETERMINE ELIGIBILITY WHEN:(A) PATIENT IS HOMELESS(B) PATIENT IS ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS(C) PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH PROGRAM(D) PATIENT IS ELIGIBLE FOR A STATE-FUNDED PRESCRIPTION MEDICATION PROGRAM(E) PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING(F) PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO HOSPITAL FOR FURTHER TREATMENT ST. CLOUD HOSPITAL PART V, SECTION B, LINE 16J: PATIENTS WHO ARE AT A SELF-PAY STATUS RECEIVE FINANCIAL ASSISTANCE INFORMATION EITHER VIA A TELEPHONE CALL OR ON BILLING STATEMENTS. ST. CLOUD HOSPITAL PART V, SECTION B, LINE 20E: OUR CREDIT COLLECTION AGENCIES ARE REQUIRED TO PROVIDE CHARITY CARE INFORMATION AS PART OF THEIR COLLECTION PROCESS PRIOR TO ANY CONSIDERATION OF LEGAL ACTION AGAINST THE PATIENT. PART V, SECTION B, LINE 7A: THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/A4622694-073F-4383-8820-BCB2B80A1B15/2025-2028-CMA-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-AND-NEEDS-ASSESSMENT.PDF PART V, SECTION B, LINE 10A: THE HOSPITAL'S CHNA, STRATEGY AND IMPLEMENTATION PLAN CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/A4622694-073F-4383-8820-BCB2B80A1B15/2025-2028-CMA-COMMUNITY-HEALTH-IMPROVEMENT-PLAN-AND-NEEDS-ASSESSMENT.PDF PART V, SECTION B, LINE 16A HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/0093F50D-7846-41F1-88FA-B01DEF0825ED/FINANCIAL-ASSISTANCE-POLICY-ENGLISH.PDF PART V, SECTION B, LINE 16B HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/4C3FF34C-7205-4138-B43E-B1913AC8562B/FINANCIAL-ASSISTANCE-APPLICATION-2024.PDF PART V, SECTION B, LINE 16C HTTPS://WWW.CENTRACARE.COM/APP/FILES/PUBLIC/44362464-4F68-4C78-8452-A3D22ABB223F/CENTRACARE-FA-SUMMARY-ENGLISH.PDF PART V, SECTION B, LINE 22B THE FOLLOWING DISCLOSURE IS IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 SECTION 7 REGARDING SCHEDULE H, PART V, LINE 22B.ST. CLOUD HOSPITAL IDENTIFIED AN ERROR REGARDING AN OMISSION OF AN ELEMENT REQUIRED TO BE DISCLOSED IN FINANCIAL ASSISTANCE POLICY PURSUANT TO IRC SECTION 501(R)(4). AS REQUIRED, ST. CLOUD HOSPITAL'S FINANCIAL ASSISTANCE POLICY DID STATE THE PERCENTAGE OF THE AMOUNTS GENERALLY BILLED ("AGB"). THE POLICY DID NOT PROVIDE AN EXPLANATION OF HOW THE AGB PERCENTAGE WAS CALCULATED. THIS OMISSION WAS DISCOVERED DURING A REVIEW OF THE POLICY IN MARCH 2025. THIS ERROR WAS MINOR AND INADVERTENT. ONCE THE ERROR WAS DISCOVERED, ST. CLOUD HOSPITAL TOOK IMMEDIATE ACTION TO CORRECT THE ERRORS BY UPDATING THE POLICY TO INCLUDE THE REQUIRED LANGUAGE. NO INDIVIDUAL WHO WAS ELIGIBLE UNDER ST. CLOUD HOSPITAL'S FINANCIAL ASSISTANCE POLICY WAS BILLED INCORRECT AMOUNTS OR OTHERWISE IMPACTED BY THESE ERRORS.ST. CLOUD HOSPITAL CONSIDERS THESE ERRORS TO BE "MINOR" OMISSIONS AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE UNDER APPLICABLE IRC SECTION 501(R) REGULATIONS AND INTERPRETATIONS, DUE TO THE FACTORS NOTED ABOVE. ST. CLOUD HOSPITAL IS CHOOSING TO PROACTIVELY DISCLOSE THE ABOVE IDENTIFIED FAILURES IN ACCORDANCE WITH REVENUE PROCEDURE 2015-21 TO CORRECT AND DISCLOSE IDENTIFIED FAILURES TO MEET THE REQUIREMENTS OF IRC SECTION 501(R). ACCORDINGLY, ST. CLOUD HOSPITAL HAS NOT FILED AN EXCISE TAX RETURN OR PAID ANY RELATED TAX IMPOSED UNDER IRC SECTION 4959. ST. CLOUD HOSPITAL HAS PUT PROCEDURES IN PLACE TO ADDRESS AND MONITOR ITS COMPLIANCE WITH THE REQUIREMENTS OF IRC SECTION 501(R). TO BE FULLY TRANSPARENT, ST. CLOUD HOSPITAL HAS CHOSEN TO PROACTIVELY DISCLOSE THESE MINOR OMISSIONS AND ERRORS ON THE TY23 FORM 990 IN THE YEAR OF DISCOVERY AND AGAIN ON THE TY24 FILING THE YEAR OF CORRECTION. 27 1 - COBORN CANCER CENTER 1900 CENTRACARE CIRCLE ST CLOUD MN 56303 OUTPATIENT CANCER 2 - CENTRACARE FAMILY HEALTH CENTER 1555 NORTHWAY DR STE 200 ST CLOUD MN 56303 CLINIC SERVICES 3 - ST CLOUD HOSPITAL BEHAVIOR HEALTH 166 19TH ST S STE 201 ST CLOUD MN 56303 OUTPATIENT CLINIC 4 - RECOVERY PLUS 713 ANDERSON AVE ST CLOUD MN 56303 OUTPATIENT SERVICES 5 - DIAGNOSTIC CENTER 1900 CENTRACARE CIRCLE ST CLOUD MN 56303 OUTPATIENT RADIOLOGY 6 - ST CLOUD SLEEP CENTER 1586 COUNTY RD 134 ST CLOUD MN 56303 OUTPATIENT SERVICES 7 - ST CLOUD PHYSICAL THERAPY 12800 ROLLING ROCK RIDGE RD BECKER MN 55308 PHYSICAL THERAPY 8 - SARTELL PSYCHOLOGY 166 19TH ST S SARTELL MN 56377 BEHAVIORAL HEALTH 9 - PASSAGE HOME 121 PARK AVE SO ST CLOUD MN 56301 SUBSTANCE ABUSE 10 - JOURNEY HOME 1485 10TH AVE NE SAUK RAPIDS MN 56379 SUBSTANCE ABUSE 11 - CLARA'S HOUSE 1564 COUNTY ROAD 134 ST CLOUD MN 56303 ADOLESCENT MENTAL HEALTH 12 - ST CLOUD HOSPITAL WOUND CARE CENTER 2035 15TH ST NORTH SUITE 130 ST CLOUD MN 56303 WOUND CARE 13 - ST CLOUD HOSPITAL PHYSICAL THERAPY 320 3RD AVE ALBANY MN 56307 PHYSICAL THERAPY 14 - RECOVERY PLUS RESIDENTIAL - ADOLESCENT 1572 CO RD 134 ST CLOUD MN 563030346 BEHAVIORAL HEALTH 15 - RECOVERY PLUS WOMEN'S OUTPATIENT SERV 1428 2ND ST N SAUK RAPIDS MN 563792533 BEHAVIORAL HEALTH 16 - DIALYSIS - LITCHFIELD 520 HWY 12 E SUITE 6 LITCHFIELD MN 55355 DIALYSIS 17 - DIALYSIS - STAPLES 403 PRAIRIE AVE NE STAPLES MN 56479 DIALYSIS 18 - DIALYSIS - BRAINERD 2024 6TH STREET BRAINERD MN 56401 DIALYSIS 19 - DIALYSIS - ALEXANDRIA 111 17TH AVE E ALEXANDRIA MN 56308 DIALYSIS 20 - DIALYSIS - PRINCETON 112 S RUM RIVER DR SUITE 10 PRINCETON MN 55371 DIALYSIS 21 - DIALYSIS - BIG LAKE 16830 198TH AVE NW BIG LAKE MN 55309 DIALYSIS 22 - DIALYSIS - LITTLE FALLS 808 3RD ST SSE LITTLE FALLS MN 56345 DIALYSIS 23 - DIALYSIS - CAMBRIDGE 520 11TH AVE SW SOUTH BLD CAMBRIDGE MN 55008 DIALYSIS 24 - DIALYSIS - OLIVIA 600 EAST PARK AVE SUITE 1 OLIVIA MN 56277 DIALYSIS 25 - CENTRACARE PLAZA REHAB 1900 CENTRACARE CIRCLE ST CLOUD MN 56303 PHYSICIAL, OCCUPATIONAL, SPEECH THERAPY 26 - CENTRACARE SOUTHWAY REHAB 1301 33RD ST S ST CLOUD MN 56301 PHYSICIAL, OCCUPATIONAL, SPEECH THERAPY 27 - DIALYSIS - AITKIN 200 BUNKER HILLS DR AITKIN MN 56431 DIALYSIS PART I, LINE 6A: CENTRACARE HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES ALL RELATED ORGANIZATIONS. PART I, LINE 7: THE ORGANIZATIONS TOTAL EXPENSES WERE REDUCED BY THEIR NON-OPERATING REVENUE, MEDICAID SURCHARGE AND MN CARE TAX. THE NET TOTAL EXPENSES WERE THEN DIVIDED BY GROSS CHARGES TO DETERMINE THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE FINANCIAL ASSISTANCE ON LINE 7A. MEDICAID COMMUNITY BENEFIT EXPENSE AND DIRECT OFFSETTING REVENUES ON LINE 7B ARE REPORTED AT COST. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ON LINE 7E ARE REPORTED AT COST. HEALTH PROFESSIONALS EDUCATION AND DIRECT OFFSETING REVENUES ON LINE 7F ARE REPORTED AT COST. SUBSIDIZED HEALTH SERVICES AND DIRECT OFFSETTING REVENUES ON LINE 7G ARE REPORTED AT COST. RESEARCH ON LINE 7H ARE REPORTED AT COST. CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT ON LINE 7I ARE REPORTED AT COST. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 14,474,420. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION'S COMMUNITY-BUILDING ACTIVITIES PROMOTED HEALTH BY CREATING STRONG PARTNERSHIPS AND FOSTERING ENGAGEMENT ACROSS SECTORS TO ADDRESS ROOT CAUSES OF HEALTH INEQUITIES. THROUGH THE CENTRAL MN ALLIANCE, HOSPITALS COLLABORATED WITH LOCAL PUBLIC HEALTH, SCHOOLS, NONPROFITS, AND FAITH-BASED GROUPS TO IMPLEMENT STRATEGIES FOCUSED ON BUILDING FAMILIES AND MENTAL HEALTH. ACTIVITIES INCLUDED HOSTING EDUCATIONAL CLASSES ON CHILDBIRTH, BREASTFEEDING, DIABETES, AND CAR SEAT SAFETY; SUPPORTING MENTAL HEALTH INITIATIVES LIKE THE BOUNCE BACK PROJECT; AND PROVIDING CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH PROMOTION MATERIALS. HOSPITALS ALSO OPENED THEIR FACILITIES FOR COMMUNITY USE, PARTNERED ON BROADBAND ADVOCACY TO IMPROVE TELEHEALTH ACCESS, AND WORKED WITH ORGANIZATIONS TO ADDRESS SOCIAL DETERMINANTS SUCH AS FOOD INSECURITY AND SENIOR WELLNESS. THESE EFFORTS STRENGTHENED SOCIAL CONNECTIONS, INCREASED ACCESS TO PREVENTIVE CARE, AND ENHANCED RESILIENCE, ULTIMATELY IMPROVING HEALTH OUTCOMES AND EQUITY IN THE COMMUNITIES SERVED. PART III, LINE 2: 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. PART III, LINE 4: THE FOLLOWING IS FROM THE "PATIENT AND RESIDENT SERVICE REVENUE AND PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 ON PAGE 10 OF THE ORGANIZATION'S AUDITED FINANCIALS. "THE SYSTEM REPORTS PATIENT AND RESIDENT SERVICE REVENUE AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE SYSTEM EXPECTS TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS AND THIRD-PARTY PAYORS (INCLUDING MEDICARE, MEDICAID, BLUE CROSS COMMERCIAL AND OTHER THIRD-PARTY PAYORS). CERTAIN REIMBURSEMENT ARRANGEMENTS INCLUDE VARIABLE CONSIDERATION FOR AMOUNTS SUBJECT TO RETROACTIVE AUDIT AND ADJUSTMENT. DIFFERENCES BETWEEN AMOUNTS ORIGINALLY RECORDED AND FINALLY SETTLED ARE INCLUDED IN OPERATIONS IN THE YEAR IN WHICH THE DIFFERENCES ARE KNOWN. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED." PART III, LINE 8: THE AMOUNT ON LINE 7 OF PART III WAS DETERMINED BY UTILIZING KEY SECTIONS OF THE MEDICARE COST REPORT, PRIMARILY THE D SERIES, E SERIES AND M SERIES. PART III, LINE 9B: THE COLLECTION POLICIES AT THE ORGANIZATION 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 REPORTING AGENCIES. PART VI, LINE 2: ST. CLOUD HOSPITAL 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 (SEE PROMOTION OF COMMUNITY HEALTH FOR MORE DETAIL). THESE IDENTIFIED HEALTH NEEDS ARE THEN COMMUNICATED TO ST. CLOUD HOSPITAL. PART VI, LINE 3: INPATIENTS WHO ARE SELF-PAY ARE IDENTIFIED, AND A REPRESENTATIVE OF THE ORGANIZATION'S BILLING DEPARTMENT EXPLAINS THE CHARITY CARE POLICY TO PATIENTS. THEY ALSO EXPLAIN THE SELF-PAY DISCOUNT AND SCREENS 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 PRE-COLLECTION LETTERS HAVE THIS SAME LANGUAGE INDICATING THE AVAILABILITY AND PROCESS OF OBTAINING CHARITY CARE. PART VI, LINE 4: CENTRACARE ST. CLOUD HOSPITAL SERVES THE GREATER ST. CLOUD METROPOLITAN REGION ACROSS STEARNS COUNTY, BENTON COUNTY, AND SHERBURNE COUNTY IN CENTRAL MINNESOTA. AS THE LARGEST HOSPITAL IN THE CENTRACARE SYSTEM AND A REGIONAL REFERRAL CENTER, IT PROVIDES CARE TO A DIVERSE MIX OF URBAN, SUBURBAN, AND SURROUNDING RURAL POPULATIONS. THE SERVICE AREA REFLECTS BOTH A GROWING METROPOLITAN CORE AND OUTLYING RURAL COMMUNITIES THAT DEPEND ON ST. CLOUD FOR HIGHER-LEVEL SPECIALTY, TERTIARY, AND COMPLEX MEDICAL SERVICES NOT AVAILABLE LOCALLY.STEARNS COUNTY, WITH A POPULATION OF 160,977, ANCHORS MUCH OF THE METROPOLITAN AREA AND CONTINUES TO EXPERIENCE STEADY GROWTH. APPROXIMATELY 65% OF RESIDENTS ARE BETWEEN THE AGES OF 18 AND 64, WITH THE LARGEST COHORT BETWEEN AGES 20 AND 29. THE COUNTY IS 83% WHITE, WITH 17% IDENTIFYING AS PEOPLE OF COLOR, AND 3.8% IDENTIFYING AS HISPANIC. MEDIAN HOUSEHOLD INCOME IS $74,709, AND APPROXIMATELY 11.2% OF RESIDENTS LIVE BELOW THE POVERTY LINE. THESE DEMOGRAPHICS REFLECT A BROAD RANGE OF SOCIOECONOMIC NEEDS, INCLUDING PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, MATERNAL AND PEDIATRIC SERVICES, BEHAVIORAL HEALTH, AND POPULATION HEALTH SUPPORTS.SHERBURNE COUNTY, LOCATED BETWEEN THE MINNEAPOLISST. PAUL AND ST. CLOUD METROPOLITAN AREAS, HAS A TOTAL POPULATION OF 102,206, REFLECTING CONTINUED GROWTH. APPROXIMATELY 61% OF RESIDENTS ARE BETWEEN AGES 18 AND 64, WITH THE LARGEST AGE GROUPS SPANNING 1019 AND 3039 YEARS. THE POPULATION IS 87.8% WHITE NON-HISPANIC, WITH 12.2% IDENTIFYING AS PEOPLE OF COLOR AND 3% IDENTIFYING AS HISPANIC. THE MEDIAN HOUSEHOLD INCOME IS $101,214, AND THE POVERTY RATE IS RELATIVELY LOW AT 4.4%. HOWEVER, 8% OF ADULTS AGE 65 AND OLDER LIVE BELOW THE POVERTY LINE. THE MAJORITY OF RESIDENTS COMMUTE MORE THAN 30 MINUTES TO WORK, WITH A MEAN TRAVEL TIME OF 31.3 MINUTES, UNDERSCORING REGIONAL MOBILITY AND THE IMPORTANCE OF ACCESSIBLE SPECIALTY AND ACUTE CARE SERVICES.BENTON COUNTY, WITH A POPULATION OF 41,600, IS PART OF THE ST. CLOUD METROPOLITAN STATISTICAL AREA AND INCLUDES PORTIONS OF ST. CLOUD, SAUK RAPIDS, AND SARTELL. APPROXIMATELY 61% OF RESIDENTS ARE BETWEEN AGES 18 AND 64, AND THE GENDER DISTRIBUTION IS EVENLY SPLIT. THE POPULATION IS 87.2% WHITE NON-HISPANIC, WITH 12.8% IDENTIFYING AS PEOPLE OF COLOR AND 3.1% IDENTIFYING AS HISPANIC. MEDIAN HOUSEHOLD INCOME IS $71,480, AND APPROXIMATELY 9.8% OF RESIDENTS LIVE BELOW THE POVERTY LINE, INCLUDING 9% OF CHILDREN AND 10% OF ADULTS AGE 65 AND OLDER. COMMUTE TIMES AVERAGE 22.7 MINUTES, WITH MOST RESIDENTS TRAVELING 1019 MINUTES TO WORK.ACROSS THE THREE-COUNTY REGION, THE ST. CLOUD HOSPITAL SERVICE AREA ENCOMPASSES A POPULATION WITH VARIED SOCIOECONOMIC CONDITIONS, EDUCATIONAL ATTAINMENT LEVELS, AND HEALTH NEEDS. HIGH SCHOOL GRADUATION RATES RANGE FROM 92% TO 96%, AND BETWEEN 24% AND 30% OF RESIDENTS HOLD A BACHELOR'S DEGREE OR HIGHER. DISABILITY RATES RANGE FROM APPROXIMATELY 9% TO 11%. THE REGION INCLUDES GROWING EMPLOYMENT SECTORS, LOW TO MODERATE UNEMPLOYMENT RATES (3%4.5%), AND EXPANDING RESIDENTIAL DEVELOPMENT.AS A REGIONAL REFERRAL CENTER, CENTRACARE ST. CLOUD HOSPITAL SUPPORTS A WIDE SPECTRUM OF HEALTH NEEDS, INCLUDING PREVENTIVE SERVICES, COMPLEX SPECIALTY AND SURGICAL CARE, TRAUMA AND EMERGENCY SERVICES, MATERNAL AND PEDIATRIC CARE, AND ADVANCED CHRONIC DISEASE MANAGEMENT. THE HOSPITAL SERVES AS THE PRIMARY TERTIARY CARE RESOURCE FOR CENTRAL MINNESOTA, ENSURING THAT RESIDENTS ACROSS URBAN AND RURAL COMMUNITIES HAVE ACCESS TO COMPREHENSIVE, HIGH-ACUITY, AND SPECIALTY SERVICES CLOSE TO HOME. PART VI, LINE 5: THE ORGANIZATION HAS A COMMUNITY BASED OPERATING COMMITTEE THAT MEETS MONTHLY TO REVIEW VARIOUS ASPECTS OF THE FACILITY AND PROVIDE INPUT ON THOSE ASPECTS FROM A COMMUNITY PERSPECTIVE. A MAJORITY OF THE COMMITTEE IS COMPRISED OF PEOPLE WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA THAT ARE NOT EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION AND ARE NOT FAMILY MEMBERS THEREOF. THE ORGANIZATION PARTICIPATES IN THE COMMUNITY BLOOD DRIVES BY PROVIDING FOOD AND SUPPLIES FOR BOTH THE WORKERS AND BLOOD DONORS. THE FACILITY ALSO SPONSORS A HEALTH FAIR ON AN ANNUAL BASIS FOR THE LOCAL AND SURROUNDING COMMUNITIES. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS OR SPECIALTIES AND FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH. PART VI, LINE 6: THE ORGANIZATION IS PART OF CENTRACARE HEALTH SYSTEM (CCHS) WHICH PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES TO THE PATIENTS OF CENTRAL MINNESOTA. CCHS IS DEDICATED TO IMPROVING THE HEALTH OF PEOPLE LIVING AND WORKING IN THE COMMUNITIES IT SERVES. TO ACCOMPLISH ITS GOALS, IT WORKS ACTIVELY WITH ITS AFFILIATE HEALTH CARE ORGANIZATIONS. CCHS CONTINUES TO FOCUS ON PROVIDING THE BEST CARE POSSIBLE AND ON REINVESTING INTO THE COMMUNITY. CCHS ALSO PROMOTES WELLNESS BY SPONSORING PROGRAMS AND EVENTS IN LOCAL COMMUNITIES THAT FOCUS ON HEALTHY EATING AND EXERCISE, AND BY CONDUCTING SCREENINGS FOR CONDITIONS SUCH AS HIGH BLOOD PRESSURE. PART VI, LINE 7, REPORTS FILED WITH STATES MN 1 HELPS INTERNATIONAL 16610 DALLAS PARKWAY ADDISON TX 75001 751966419 501(C)(3) 13500 0 GUATEMALA MISSION TRIPS CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE N SAINT CLOUD MN 56303 411855173 501(C)(3) 1964642 0 GENERAL CONTRIBUTION 2 0 HOME DELIVERED MEALS 170 85838 FMV 21,379 MEALS SERVED PART I, LINE 2: CONTRIBUTIONS MUST BE IN KEEPING WITH THE MISSION OF CENTRACARE HEALTH, WHICH IS TO WORK TO IMPROVE THE HEALTH OF EVERY PATIENT, EVERY DAY. CONTRIBUTIONS WILL BE MADE TO ORGANIZATIONS RATHER THAN TO INDIVIDUALS WITHIN THE CENTRAL MINNESOTA REGION. CENTRACARE'S CHARITABLE FUNDS MAY NOT BE USED TO SUPPORT ANY ORGANIZATION OR EVENT THAT WOULD RESULT IN BENEFITS OF ANY KIND TO AN EMPLOYEE OF THE HEALTH SYSTEM OR A MEMBER OF THE VARIOUS BOARDS OF DIRECTORS, EITHER DIRECTLY OR INDIRECTLY. ONE EXCEPTION EXISTS TO THE GUIDELINE REGARDING BENEFIT TO EMPLOYEES: WE WILL SUPPORT, VIA SCHOLARSHIPS AND THE PURCHASE OF SUPPLIES, THE MEDICAL MISSION WORK OF OUR STAFF AND PHYSICIANS. THE CENTRACARE HEALTH CONTRIBUTIONS COMMITTEE IS MADE UP OF: ONE REPRESENTATIVE FROM CENTRACARE HEALTH FOUNDATION; ONE REPRESENTATIVE FROM ST. CLOUD HOSPITAL HUMAN RESOURCES/DIVERSITY COMMITTEE; THE DIRECTOR OF CENTRACARE HEALTH'S COMMUNICATION DEPARTMENT AND THE COMMUNICATION/MARKETING FOR ST. BENEDICT'S SENIOR COMMUNITY; THE DIRECTOR OF CENTRACARE HEALTH'S MARKETING DEPARTMENT; THE DIRECTOR OF ST. CLOUD HOSPITAL VOLUNTEER SERVICES; AND ST. CLOUD HOSPITAL'S DIRECTOR OF MISSION & SPIRITUAL CARE. THE COMMITTEE MEETS MONTHLY TO ENSURE A STREAMLINED, COORDINATED PROCESS OF REVIEWING REQUESTS AND DETERMINING FUNDING. OTHER CENTRACARE ENTITIES INCLUDING CENTRACARE HEALTH - LONG PRAIRIE, MELROSE, MONTICELLO, PAYNESVILLE, AND SAUK CENTRE, MAY DEVELOP A BUDGET FOR APPROVAL AND IMPLEMENT THEIR OWN CONTRIBUTION DECISIONS WITHIN THE GUIDELINES OF THIS DOCUMENT. CONTRIBUTIONS MAY NOT EXCEED THE STATED BUDGET AND NO MULTI-YEAR COMMITMENTS TO ORGANIZATIONS MAY BE MADE WITHOUT APPROVAL FROM THE CENTRACARE HEALTH EXECUTIVE COUNCIL. INDIVIDUALS AND DEPARTMENTS FORM THROUGHOUT ST. CLOUD HOSPITAL AND CENTRACARE CLINIC SHOULD FORWARD ALL OUTSIDE FUNDING REQUESTS TO A MEMBER OF THE COMMITTEE FOR THE FULL GROUP'S CONSIDERATION. THOSE REQUESTING FUNDS SHOULD BE ASKED TO SUBMIT REQUESTS IN WRITING. GRANTS ARE ONLY MADE TO 501(C)(3) ORGANIZATIONS, AND ALL ARE UNRESTRICTED IN USE. 0 1 0 0 0 0 0 1 0 KENNETH HOLMEN PRESIDENT/CEO 0 1275014 0 305083 0 341048 0 10350 0 38034 0 1969529 0 318062 JEFFREY GERDES PHYSICIAN 0 1616538 0 79627 0 2210 0 10350 0 27924 0 1736649 0 0 WADE SCHMIDT PHYSICIAN 0 1265830 0 211295 0 690 0 10350 0 36081 0 1524246 0 0 BERNARD ERICKSON PHYSICIAN 0 1157517 0 193946 0 24980 0 10350 0 28250 0 1415043 0 0 SHARATH SUBRAMANIAN PHYSICIAN 0 1127863 0 186498 0 32450 0 10350 0 13637 0 1370798 0 0 STEPHEN KIDD PHYSICIAN 0 1134071 0 188040 0 270 0 10350 0 4864 0 1337595 0 0 JOY PLAMANN PRESIDENT 0 764018 0 141253 0 74309 0 167430 0 27913 0 1174923 0 53269 MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREAS 0 582015 0 251104 0 164090 0 128404 0 28207 0 1153820 0 85554 JOSEPH KALKMAN FORMER KEY EMPLOYEE 0 567651 0 0 0 453547 0 393 0 15339 0 1036930 0 453471 SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY 0 462381 0 251135 0 161460 0 105106 0 31799 0 1011881 0 69200 THOMAS SCHRUP CHIEF PHYSICIAN OFFICER/EVP 0 623207 0 111782 0 104302 0 134657 0 22407 0 996355 0 102322 JACOB EILER DIRECTOR 0 635938 0 40392 0 65700 0 6983 0 33199 0 782212 0 0 MARIA MALLORY VICE PRESIDENT 0 443527 0 55034 0 24290 0 79200 0 20907 0 622958 0 0 RACHAEL LESCH VICE PRESIDENT 0 424727 0 50753 0 690 0 71310 0 29059 0 576539 0 0 SHANNON CABRERA DIRECTOR 0 391702 0 23662 0 23690 0 10177 0 37070 0 486301 0 0 ALBERT MERCURI DIRECTOR (END 06.30.2025) 0 393304 0 26502 0 1980 0 10350 0 32025 0 464161 0 0 JOHN SCHMITZ DIRECTOR 0 328879 0 25382 0 2020 0 10154 0 32699 0 399134 0 0 KIMBERLY EGAN CHIEF HUMAN RESOURCES OFFICER/SR VP 0 234822 0 50000 0 3462 0 52063 0 3428 0 343775 0 0 DENISE CHRISTIE DIRECTOR 0 255825 0 0 0 358 0 6396 0 35158 0 297737 0 0 PART I, LINE 3 THE COMPENSATION PAID TO THE PRESIDENT AND VICE PRESIDENTS (NON-MEDICAL PROVIDERS) IS DETERMINED BY CENTRACARE HEALTH SYSTEM, A RELATED ORGANIZATION. CENTRACARE HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. FORM 990 OF OTHER ORGANIZATIONS 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE CORPORATIONS' EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN BENEFIT PLANS WHICH INCLUDE TAX DEFERRED NON-QUALIFIED INVESTMENT ACCOUNTS. THESE PLANS MAY PROVIDE, BUT ARE NOT CERTAIN TO PROVIDE, FOR PAYMENT OF TAX DEFERRED COMPENSATION TO THESE EXECUTIVES AT SOME TIME IN THE FUTURE. THE EXECUTIVES HAVE NO LEGAL RIGHT TO THESE DOLLARS UNTIL, AND UNLESS, CERTAIN FUTURE EVENTS OCCUR. IN ACCORDANCE WITH THE INSTRUCTIONS TO FORM 990, THE AMOUNTS LISTED IN PART VII AND SCHEDULE J, PART II, COLUMN C REFLECT TAX DEFERRED COMPENSATION. THIS COMPENSATION IS POTENTIALLY REPORTED TWICE ON THE FORM 990. ONCE WHEN THE COMPENSATION IS DEFERRED OR ACCRUED AND AGAIN IF AND WHEN IT IS PAID TO THE EXECUTIVES. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: JOY PLAMANN - PAID $53,269 KENNETH HOLMEN - PAID $318,062 MICHAEL BLAIR - PAID $85,554 SANTO CRUZ - PAID $69,200 THOMAS SCHRUP - PAID $102,322 PART I, LINE 7 THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON FOUR DISCRETE AREAS: 1. STEWARDSHIP, THROUGH A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FOR ST CLOUD HOSPITAL AND/OR CENTRACARE HEALTH SYSTEM AS WELL THROUGH ACHIEVING METRICS FOR AN IDENTIFIED COST REDUCTION PROGRAM. 2. QUALITY, THROUGH ACHIEVING ST CLOUD HOSPITAL AND SYSTEM QUALITY METRICS. 3. PATIENT EXPERIENCE, THROUGH ACHIEVEMENT OF PATIENT SATISFACTION GOALS AS COMPARED TO NATIONAL AND BASELINE RANKINGS. 4. PEOPLE/EMPLOYEES, THROUGH ACHIEVEMENT OF SPECIFIED EMPLOYMENT SATISFACTION GOALS AND HIRING AND/OR RETENTION GOALS. THE INCENTIVE COMPENSATION PAID OUT IS NOT A PORTION OR PERCENTAGE OF ACTUAL NET EARNINGS OF ANY CENTRACARE HEALTH SYSTEM AFFILIATE. HOWEVER, NET EARNINGS GOALS ARE REQUIRED TO BE MET BEFORE THE INCENTIVE COMPENSATION IS PAID. KATHERINE KREBS CHILD OF BOARD MEMBER MARY JEPPERSON 38589 WAGES 0 MATTHEW THUERINGER CHILD OF BOARD MEMBER ROBERT THUERINGER 50741 WAGES 0 TAMARA PINTOK DAUGHTER-IN-LAW OF BOARD MEMBER ROBERT THUERINGER 56581 WAGES 0 FORM 990, PART V, LINE 15 ST. CLOUD HOSPITAL HAS PERFORMED THE CALCULATION TO DETERMINE THAT IT IS SUBJECT TO AN EXCISE TAX UNDER IRC SECTION 4960 FOR RENUMERATION PAID IN EXCESS OF ONE MILLION DOLLARS. THE FORM 4720 WILL BE FILED WITH THE IRS BY CENTRACARE HEALTH ON BEHALF OF ST. CLOUD HOSPITAL TO REPORT THE EXCISE TAX. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATE MEMBERS OF ST. CLOUD HOSPITAL ARE TWO REPRESENTATIVES OF THE SISTERS OF THE ORDER OF SAINT BENEDICT; TWO REPRESENTATIVES OF THE DIOCESE OF ST. CLOUD; AND FOUR OTHER CORPORATE MEMBERS APPOINTED BY THE FOUR REPRESENTATIVES. THE CORPORATE MEMBERS SERVE AS REPRESENTATIVES OF THE LOCAL CATHOLIC CHURCH OF SAINT CLOUD. FORM 990, PART VI, SECTION A, LINE 7A THE CENTRACARE HEALTH SYSTEM (CCHS) BOARD APPOINTS THE ST. CLOUD HOSPITAL (SCH) BOARD BASED ON RECOMMENDATION OF THE SCH JOINT NOMINATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO APPOINTING THE ST. CLOUD HOSPITAL BOARD, THE MEMBERS APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION, APPROVE DISSOLUTION OF THE HOSPITAL, AND SUPPORT AND ASSESS THE HOSPITAL'S ROMAN CATHOLIC IDENTITY AND MISSIONS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DELEGATED THE APPROVAL AUTHORITY OF THE FORM 990 TO THE AUDIT COMMITTEE. ANNUALLY, AT THE AUDIT COMMITTEE MEETING, PRIOR TO FILING WITH THE IRS, THE AUDIT COMMITTEE REVIEWS AND APPROVES THE FORM 990. A COPY OF THE FORM 990 IS THEN PROVIDED FOR THE FULL BOARD TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT-OF-INTEREST QUESTIONNAIRE TWICE A YEAR. ALL STAFF SIGN A CONFLICT-OF-INTEREST FORM 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 EXTERNAL COUNSEL). THE RESPONSES TO THE QUESTIONNAIRES ARE THEN REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE BOARD. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING CONFLICT-OF-INTEREST RELATED TO THE BOARD AND STAFF AND TO ALERT AFFECTED PARTIES WHEN A CONFLICT-OF-INTEREST ARISES. WHEN AN ACTUAL CONFLICT ARISES, THE AFFECTED PARTY IS ASKED TO RECUSE HIM/HERSELF FROM THE DECISION-MAKING PROCESS. THE CORPORATE COMPLIANCE OFFICER ATTENDS THE BOARD MEETINGS AND SPECIFIED BOARD COMMITTEE MEETINGS WHERE CONFLICT-OF-INTEREST MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS OF THE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE SUBJECT TO FULL COMPENSATION AND BENEFITS COMPATIBILITY 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 THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2025. THE THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THE SERVICES. THE COMPENSATION AND BENEFITS OF THE VICE-PRESIDENTS (NON-MEDICAL PROVIDERS) ARE ALSO PAID BY A RELATED ORGANIZATION AND 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 THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE MOST RECENT FULL REVIEW WAS COMPLETED IN JUNE 2025. THE THIRD-PARTY INDEPENDENT COMPENSATION CONSULTANT IS RETAINED BY ST. CLOUD HOSPITAL TO PERFORM THE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS OR CONFLICT-OF-INTEREST POLICY AVAILABLE TO THE PUBLIC. THE HOSPITAL/CENTRACARE HEALTH SYSTEM DOES PROVIDE AN ANNUAL REPORT TO THE COMMUNITY IN WHICH FINANCIAL RESULTS ARE REPORTED TO AND DISCUSSED WITH THE PUBLIC. THIS REPORT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G MEDICAL FEES: PROGRAM SERVICE EXPENSES 14,904,931. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,904,931. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 571,774. MANAGEMENT AND GENERAL EXPENSES 161,269. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 733,043. LABORATORY FEES: PROGRAM SERVICE EXPENSES 27,606,288. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,606,288. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 42,509,208. MANAGEMENT AND GENERAL EXPENSES 11,989,777. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,498,985. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 39,594,703. MANAGEMENT AND GENERAL EXPENSES 11,167,737. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,762,440. RECLASS INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES -29,259,403. MANAGEMENT AND GENERAL EXPENSES -8,252,652. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -37,512,055. FORM 990, PART XI, LINE 9: ADJUSTMENTS TO FUNDED STATUS OF PENSION PLAN 4,303,401. CENTRACARE HEALTH SYSTEM 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411813221 INTEGRATED HEALTH SYSTEM MN 501(C)(3) 3 N/A 0 CENTRACARE CLINIC 1200 6TH AVENUE NORTH ST CLOUD MN 56303 411806657 MULTI-SPECIALTY MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRIAIRE MN 56347 411924645 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SYSTEM - MELROSE 525 MAIN STREET WEST MELROSE MN 56352 411865315 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CENTRACARE HEALTH SYSTEM - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE MN 56378 452438973 ACUTE/LT CARE MN 501(C)(3) 3 CENTRACARE HEALTH SYSTEM 0 CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD MN 56303 416019335 SUPPORT FOR CENTRACARE RICE MEMORIAL HOSPITAL MN 501(C)(3) 12A, I CENTRACARE RICE MEMORIAL HOSPITAL 0 CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411855173 FUNDRAISING MN 501(C)(3) 7 CENTRACARE HEALTH SYSTEM 0 NORTHWAY COURT CONDO ASSOCIATION 1406 6TH AVENUE NORTH ST CLOUD MN 56303 CONDO OWNER ASSOCIATION MN 501(C)(4) CENTRACARE HEALTH SYSTEM 1 HEALTH PLAZA CONDOMINIUM ASSOCIATION 1407 6TH AVENUE NORTH ST CLOUD MN 56303 CONDO OWNER ASSOCIATION MN 501(C)(4) CENTRACARE HEALTH SYSTEM 1 CENTRAL IMAGING LLC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 822580688 IMAGING SERVICES MN N/A 0 0 MONTICELLO CANCER CENTER LLC 1001 HART BOULEVARD SUITE 50 MONTICELLO MN 55362 261909519 RADIATION & ONCOLOGY SERVICES MN N/A 0 0 CENTRACARE PHARMACY SERVICES LLC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 411620618 PHARMACY SERVICES MN N/A 0 0 AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 410850702 INVESTMENTS MN N/A C 0 CENTRACARE HOLDINGS INC 1406 6TH AVENUE NORTH ST CLOUD MN 56303 472688595 INVESTMENTS MN N/A C 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0