Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $61,201

• 1e · Government grants (contributions)

  $123,402

• 1f · All other contributions, gifts and grants

  $21,320

• 2a · Program service revenue: PATIENT & RESIDENT REV

  total $51,480,190 · related or exempt $51,480,190

• 2b · Program service revenue: SENIOR HOUSING REVENUE

  total $1,211,758 · related or exempt $1,211,758

• 2c · Program service revenue: OTHER PROGRAM REVENUE

  total $597,378 · related or exempt $597,378

• 3 · Investment income

  total $1,168,114 · excluded $1,168,114

• 7a · Gross sales of assets other than inventory

  other assets $3,700

• 7b · Less cost or other basis and sales expenses

  other assets $0

• 7c · Gain or loss

  other assets $3,700

• 7d · Net gain or loss

  total $3,700 · excluded $3,700

• 10a · Gross sales of inventory

  $381,067

• 10b · Cost of goods sold

  $150,188

• 10c · Net income from sales of inventory

  total $230,879 · excluded $230,879

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $1,038,875 · program services $1,038,875

• 2 · Grants to domestic individuals

  total $32,170 · program services $32,170

• 5 · Compensation of officers, directors and key employees

  total $2,740,471 · program services $2,071,569 · management and general $668,902

• 7 · Other salaries and wages

  total $22,045,297 · program services $16,664,420 · management and general $5,380,877

• 8 · Pension plan contributions

  total $742,761 · program services $561,466 · management and general $181,295

• 9 · Other employee benefits

  total $4,995,425 · program services $3,776,128 · management and general $1,219,297

• 10 · Payroll taxes

  total $1,106,184 · program services $836,184 · management and general $270,000

• 11b · Fees: legal

  total $4,184 · program services $3,163 · management and general $1,021

• 11g · Fees: other

  total $3,263,286 · program services $3,095,195 · management and general $168,091

• 12 · Advertising and promotion

  total $13,190 · program services $9,971 · management and general $3,219

• 13 · Office expenses

  total $53,888 · program services $40,735 · management and general $13,153

• 14 · Information technology

  total $2,443,281 · program services $1,846,918 · management and general $596,363

• 16 · Occupancy

  total $987,559 · program services $746,513 · management and general $241,046

• 17 · Travel

  total $29,576 · program services $22,357 · management and general $7,219

• 19 · Conferences, conventions and meetings

  total $63,002 · program services $47,624 · management and general $15,378

• 20 · Interest

  total $780,797 · program services $590,218 · management and general $190,579

• 22 · Depreciation, depletion and amortization

  total $3,101,738 · program services $2,344,657 · management and general $757,081

• 23 · Insurance

  total $193,259 · program services $146,088 · management and general $47,171

• 24a · Other expenses: DRUGS/MEDICAL SUPPLIES

  total $5,353,421 · program services $5,353,421

• 24b · Other expenses: EQUIPMENT RENT & MAINT.

  total $1,485,280 · program services $1,122,749 · management and general $362,531

• 24c · Other expenses: MEDICAID AND MNCARE

  total $911,827 · program services $911,827

• 24d · Other expenses: IMPLICIT PRICE CONCES.

  total $849,387 · program services $849,387

• 24e · All other expenses

  total $164,920 · program services $124,667 · management and general $40,253

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $1,305 · end of year $1,105

• 2 · Savings and temporary cash investments

  beginning of year $11,282,585 · end of year $3,237,334

• 4 · Accounts receivable

  beginning of year $6,757,287 · end of year $6,340,109

• 8 · Inventories for sale or use

  beginning of year $245,137 · end of year $216,086

• 9 · Prepaid expenses and deferred charges

  beginning of year $317,497 · end of year $124,097

• 10a · Land, buildings and equipment: cost or other basis

  $65,669,961

• 10b · Land, buildings and equipment: accumulated depreciation

  $36,931,142

• 10c · Land, buildings and equipment, net

  beginning of year $31,031,740 · end of year $28,738,819

• 12 · Investments: other securities

  beginning of year $29,716,473 · end of year $31,585,329

• 13 · Investments: program-related

  beginning of year $620,212 · end of year $733,980

• 15 · Other assets

  beginning of year $878,407 · end of year $780,398

• 17 · Accounts payable and accrued expenses

  beginning of year $5,201,650 · end of year $4,344,138

• 19 · Deferred revenue

  beginning of year $141,521

• 24 · Unsecured notes and loans payable

  beginning of year $291,596 · end of year $73,578

• 25 · Other liabilities

  beginning of year $23,499,132 · end of year $11,436,263

• 27 · Net assets without donor restrictions

  beginning of year $51,710,255 · end of year $55,896,789

• 28 · Net assets with donor restrictions

  beginning of year $6,489 · end of year $6,489

The filer's explanations (Part III)

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: AMY PORWOLL - PAID $89,869 ANTHONY GARDNER - PAID $63,489 BRYAN BAUCK - PAID $31,653 CINDY FIRKINS SMITH - PAID $92,988 CRAIG BROMAN - PAID $384,531 JOY PLAMANN - PAID $59,155 KENNETH HOLMEN - PAID $299,833 MICHAEL BLAIR - PAID $25,551 SANTO CRUZ - PAID $25,995

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.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• MONTICELLO CANCER CENTER

  RADIATION & ONCOLOGY SERVICES · MN

• CENTRAL IMAGING LLC

  IMAGING SERVICES · MN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• CENTRACARE HOLDINGS INC

  C · HOLDING COMPANY / PHARMACY · MN

• AFFILIATED COMMUNITY MEDICAL CENTERS PA

  C · HEALTHCARE SYSTEM · MN