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Nonprofiteer
← CENTRACARE CLINIC

Form 990 for tax year 2023

Filed by CENTRACARE CLINIC.

Totals

Total revenue
$319,087,374
Total expenses
$410,174,217
Contributions and grants received
$898,330
Grants paid
$1,306
Program services expenses (Part IX)
$328,256,646
Management and general expenses
$81,917,571
Fundraising expenses
$0
Program service expenses (Part III)
$328,256,646

Program services were 80.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KENNETH HOLMEN

    PRESIDENT/CEO

    Total calculated
    $1,629,374
    From this org
    $0
    From related orgs
    $1,554,927
    Other
    $74,447
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,241,865 related
    Bonus
    $0
    Other
    $0 + $313,062 related
    Deferred
    $0 + $39,768 related
    Nontaxable benefits
    $0 + $34,679 related
    Filer's total
    $0 + $1,629,374 related
  • CHRISTIAN SCHMIDT

    DIRECTOR

    Total calculated
    $579,241
    From this org
    $0
    From related orgs
    $497,014
    Other
    $82,227
    Hours/week
    0.25 + 41.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $475,305 related
    Bonus
    $0 + $20,521 related
    Other
    $0 + $1,188 related
    Deferred
    $0 + $49,814 related
    Nontaxable benefits
    $0 + $32,413 related
    Filer's total
    $0 + $579,241 related
  • BRYAN ROLPH

    DIRECTOR

    Total calculated
    $574,401
    From this org
    $0
    From related orgs
    $535,377
    Other
    $39,024
    Hours/week
    0.25 + 41.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $513,572 related
    Bonus
    $0 + $21,391 related
    Other
    $0 + $414 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $39,024 related
    Filer's total
    $0 + $574,401 related
  • RICHARD WEHSELER

    DIRECTOR

    Total calculated
    $438,145
    From this org
    $0
    From related orgs
    $379,031
    Other
    $59,114
    Hours/week
    0.25 + 41.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $371,248 related
    Bonus
    $0 + $7,042 related
    Other
    $0 + $741 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $29,114 related
    Filer's total
    $0 + $438,145 related
  • BOBBIE BERTRAM

    DIRECTOR

    Total calculated
    $274,805
    From this org
    $0
    From related orgs
    $217,428
    Other
    $57,377
    Hours/week
    0.25 + 41.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,295 related
    Bonus
    $0 + $1,979 related
    Other
    $0 + $154 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $34,877 related
    Filer's total
    $0 + $274,805 related
  • DAVID ANFINSON

    CHAIR

    Total calculated
    $33,000
    From this org
    $0
    From related orgs
    $33,000
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • TIM WENSMAN

    DIRECTOR

    Total calculated
    $12,500
    From this org
    $0
    From related orgs
    $12,500
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • JEFF GAU

    DIRECTOR

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • MICHELLE JOHNSON

    DIRECTOR

    Total calculated
    $10,000
    From this org
    $0
    From related orgs
    $10,000
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • RENEE FRAUENDIENST

    DIRECTOR

    Total calculated
    $10,000
    From this org
    $0
    From related orgs
    $10,000
    Other
    $0
    Hours/week
    0.25 + 3.75 related
  • DAN ABDUL

    DIRECTOR

    Total calculated
    $8,000
    From this org
    $0
    From related orgs
    $8,000
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • JAMES HEBL

    DIRECTOR

    Total calculated
    $6,000
    From this org
    $0
    From related orgs
    $6,000
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • CARRIE HENNING-SMITH

    DIRECTOR

    Total calculated
    $4,000
    From this org
    $0
    From related orgs
    $4,000
    Other
    $0
    Hours/week
    0.25 + 1.75 related
  • FATHER TOM KNOBLACH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 1.75 related
  • JOY PLAMANN

    CHIEF OPERATING OFFICER/SR VP

    Total calculated
    $850,456
    From this org
    $0
    From related orgs
    $801,092
    Other
    $49,364
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $754,410 related
    Bonus
    $0
    Other
    $0 + $46,682 related
    Deferred
    $0 + $17,550 related
    Nontaxable benefits
    $0 + $31,814 related
    Filer's total
    $0 + $850,456 related
  • MICHAEL BLAIR

    CHIEF FINANCIAL OFFICER/SR VP/ TREASURER

    Total calculated
    $834,305
    From this org
    $0
    From related orgs
    $754,895
    Other
    $79,410
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $668,440 related
    Bonus
    $0
    Other
    $0 + $86,455 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $26,910 related
    Filer's total
    $0 + $834,305 related
  • SANTO CRUZ

    CHIEF LEGAL OFFICER/SR VP/ SECRETARY

    Total calculated
    $621,063
    From this org
    $0
    From related orgs
    $567,364
    Other
    $53,699
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,575 related
    Bonus
    $0
    Other
    $0 + $50,789 related
    Deferred
    $0 + $23,700 related
    Nontaxable benefits
    $0 + $29,999 related
    Filer's total
    $0 + $621,063 related
  • CHRISTOPHER BOELTER

    VICE PRESIDENT

    Total calculated
    $608,403
    From this org
    $0
    From related orgs
    $604,159
    Other
    $4,244
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $529,320 related
    Bonus
    $0
    Other
    $0 + $74,839 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $4,244 related
    Filer's total
    $0 + $608,403 related
  • JOSEPH BLONSKI

    VICE PRESIDENT

    Total calculated
    $586,489
    From this org
    $0
    From related orgs
    $528,517
    Other
    $57,972
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $457,673 related
    Bonus
    $0
    Other
    $0 + $70,844 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $27,972 related
    Filer's total
    $0 + $586,489 related
  • AMY PORWOLL

    CHIEF INFORMATION SYSTEM OFFICER/SR VP

    Total calculated
    $577,275
    From this org
    $0
    From related orgs
    $514,086
    Other
    $63,189
    Hours/week
    8 + 32 related

    Schedule J breakdown matched by us

    Base
    $0 + $452,945 related
    Bonus
    $0
    Other
    $0 + $61,141 related
    Deferred
    $0 + $43,000 related
    Nontaxable benefits
    $0 + $20,189 related
    Filer's total
    $0 + $577,275 related
  • MARIA MALLORY

    VICE PRESIDENT

    Total calculated
    $558,082
    From this org
    $0
    From related orgs
    $500,547
    Other
    $57,535
    Hours/week
    13 + 27 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,410 related
    Bonus
    $0 + $14,363 related
    Other
    $0 + $774 related
    Deferred
    $0 + $33,752 related
    Nontaxable benefits
    $0 + $23,783 related
    Filer's total
    $0 + $558,082 related
  • MATTHEW KUNKEL

    VICE PRESIDENT

    Total calculated
    $418,985
    From this org
    $0
    From related orgs
    $342,513
    Other
    $76,472
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $342,333 related
    Bonus
    $0
    Other
    $0 + $180 related
    Deferred
    $0 + $45,000 related
    Nontaxable benefits
    $0 + $31,472 related
    Filer's total
    $0 + $418,985 related
  • ANTHONY GARDNER

    CHIEF MARKETING & COMMUNICATIONS OFFICER/SR VP

    Total calculated
    $406,086
    From this org
    $0
    From related orgs
    $360,511
    Other
    $45,575
    Hours/week
    8 + 32 related

    Schedule J breakdown matched by us

    Base
    $0 + $305,965 related
    Bonus
    $0
    Other
    $0 + $54,546 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $15,575 related
    Filer's total
    $0 + $406,086 related
  • PHILIP LUITJENS

    VICE PRESIDENT

    Total calculated
    $374,284
    From this org
    $0
    From related orgs
    $330,085
    Other
    $44,199
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,905 related
    Bonus
    $0
    Other
    $0 + $180 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $21,699 related
    Filer's total
    $0 + $374,284 related
  • RYAN ENGDAHL

    VICE PRESIDENT

    Total calculated
    $316,256
    From this org
    $0
    From related orgs
    $261,490
    Other
    $54,766
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $236,106 related
    Bonus
    $0
    Other
    $0 + $25,384 related
    Deferred
    $0 + $25,642 related
    Nontaxable benefits
    $0 + $29,124 related
    Filer's total
    $0 + $316,256 related
  • HANI ALKHATIB

    PHYSICIAN

    Total calculated
    $1,664,166
    From this org
    $0
    From related orgs
    $1,601,999
    Other
    $62,167
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,571,405 related
    Bonus
    $0 + $29,406 related
    Other
    $0 + $1,188 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $32,167 related
    Filer's total
    $0 + $1,664,166 related
  • HILARY UFEARO

    PHYSICIAN

    Total calculated
    $1,283,198
    From this org
    $0
    From related orgs
    $1,231,786
    Other
    $51,412
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,189,048 related
    Bonus
    $0 + $42,324 related
    Other
    $0 + $414 related
    Deferred
    $0 + $24,711 related
    Nontaxable benefits
    $0 + $26,701 related
    Filer's total
    $0 + $1,283,198 related
  • CHRISTOPHER MILLER

    PHYSICIAN

    Total calculated
    $1,266,006
    From this org
    $0
    From related orgs
    $1,192,289
    Other
    $73,717
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,146,675 related
    Bonus
    $0 + $45,344 related
    Other
    $0 + $270 related
    Deferred
    $0 + $45,000 related
    Nontaxable benefits
    $0 + $28,717 related
    Filer's total
    $0 + $1,266,006 related
  • KADIR MULLINGS

    PHYSICIAN

    Total calculated
    $1,176,031
    From this org
    $0
    From related orgs
    $1,172,047
    Other
    $3,984
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,126,433 related
    Bonus
    $0 + $45,344 related
    Other
    $0 + $270 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $3,984 related
    Filer's total
    $0 + $1,176,031 related
  • PAVAN BHAMIDIPATI

    PHYSICIAN

    Total calculated
    $1,109,582
    From this org
    $0
    From related orgs
    $1,057,479
    Other
    $52,103
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,018,159 related
    Bonus
    $0 + $39,140 related
    Other
    $0 + $180 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $29,603 related
    Filer's total
    $0 + $1,109,582 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

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 $60,367 ANTHONY GARDNER - PAID $53,358 CHRISTOPHER BOELTER - PAID $74,065 JOSEPH BLONSKI - PAID $69,656 JOY PLAMANN - PAID $46,268 KENNETH HOLMEN - PAID $311,826 MICHAEL BLAIR - PAID $85,681 SANTO CRUZ - PAID $50,609
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202541339349309714

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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