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Nonprofiteer
← CENTRACARE CLINIC

Form 990 for tax year 2022

Filed by CENTRACARE CLINIC.

Totals

Total revenue
$299,509,090
Total expenses
$373,047,679
Contributions and grants received
$1,304,432
Grants paid
$62
Program services expenses (Part IX)
$293,112,238
Management and general expenses
$79,935,441
Fundraising expenses
$0
Program service expenses (Part III)
$293,112,238

Program services were 78.6% 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
    $1,761,954
    From this org
    $0
    From related orgs
    $1,695,149
    Other
    $66,805
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,201,731 related
    Bonus
    $0 + $191,893 related
    Other
    $0 + $301,525 related
    Deferred
    $0 + $37,813 related
    Nontaxable benefits
    $0 + $28,992 related
    Filer's total
    $0 + $1,761,954 related

  • CHRISTIAN SCHMIDT

    DIRECTOR

    Total calculated
    $608,710
    From this org
    $0
    From related orgs
    $533,299
    Other
    $75,411
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,124 related
    Bonus
    $0 + $15,987 related
    Other
    $0 + $1,188 related
    Deferred
    $0 + $47,239 related
    Nontaxable benefits
    $0 + $28,172 related
    Filer's total
    $0 + $608,710 related

  • BRYAN ROLPH

    DIRECTOR

    Total calculated
    $539,001
    From this org
    $0
    From related orgs
    $536,482
    Other
    $2,519
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,563 related
    Bonus
    $0 + $19,505 related
    Other
    $0 + $414 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,519 related
    Filer's total
    $0 + $539,001 related

  • RICHARD WEHSELER

    DIRECTOR

    Total calculated
    $469,399
    From this org
    $0
    From related orgs
    $415,417
    Other
    $53,982
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,751 related
    Bonus
    $0 + $15,252 related
    Other
    $0 + $414 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $26,982 related
    Filer's total
    $0 + $469,399 related

  • DAVID ANFINSON

    VICE CHAIR

    Total calculated
    $33,500
    From this org
    $0
    From related orgs
    $33,500
    Other
    $0
    Hours/week
    0.25 + 1.75 related

  • STEVE LARAWAY

    BOARD CHAIR

    Total calculated
    $31,500
    From this org
    $0
    From related orgs
    $31,500
    Other
    $0
    Hours/week
    0.25 + 1.75 related

  • TIM WENSMAN

    DIRECTOR

    Total calculated
    $14,638
    From this org
    $0
    From related orgs
    $14,638
    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
    $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
    $860,505
    From this org
    $0
    From related orgs
    $820,436
    Other
    $40,069
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $692,137 related
    Bonus
    $0 + $68,730 related
    Other
    $0 + $59,569 related
    Deferred
    $0 + $17,550 related
    Nontaxable benefits
    $0 + $22,519 related
    Filer's total
    $0 + $860,505 related

  • MICHAEL BLAIR

    CFO/SR VP/ TREASURER

    Total calculated
    $780,665
    From this org
    $0
    From related orgs
    $707,279
    Other
    $73,386
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $618,584 related
    Bonus
    $0 + $62,370 related
    Other
    $0 + $26,325 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $25,886 related
    Filer's total
    $0 + $780,665 related

  • SANTO CRUZ

    CLO/SR VP/ SECRETARY

    Total calculated
    $586,356
    From this org
    $0
    From related orgs
    $534,452
    Other
    $51,904
    Hours/week
    6.5 + 33.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $461,820 related
    Bonus
    $0 + $46,457 related
    Other
    $0 + $26,175 related
    Deferred
    $0 + $24,100 related
    Nontaxable benefits
    $0 + $27,804 related
    Filer's total
    $0 + $586,356 related

  • JOSEPH BLONSKI

    VICE PRESIDENT

    Total calculated
    $837,407
    From this org
    $0
    From related orgs
    $783,635
    Other
    $53,772
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $449,116 related
    Bonus
    $0 + $36,244 related
    Other
    $0 + $298,275 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $26,772 related
    Filer's total
    $0 + $837,407 related

  • CHRISTOPHER BOELTER

    VICE PRESIDENT

    Total calculated
    $663,908
    From this org
    $0
    From related orgs
    $662,072
    Other
    $1,836
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $555,286 related
    Bonus
    $0 + $41,785 related
    Other
    $0 + $65,001 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,836 related
    Filer's total
    $0 + $663,908 related

  • MARIA MALLORY

    VICE PRESIDENT

    Total calculated
    $625,015
    From this org
    $0
    From related orgs
    $585,316
    Other
    $39,699
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $561,733 related
    Bonus
    $0 + $23,169 related
    Other
    $0 + $414 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $19,199 related
    Filer's total
    $0 + $625,015 related

  • AMY PORWOLL

    CISO/SR VP

    Total calculated
    $616,942
    From this org
    $0
    From related orgs
    $570,663
    Other
    $46,279
    Hours/week
    8 + 32 related

    Schedule J breakdown matched by us

    Base
    $0 + $436,278 related
    Bonus
    $0 + $43,742 related
    Other
    $0 + $90,643 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $19,279 related
    Filer's total
    $0 + $616,942 related

  • DIANE BUSCHENA-BRENNA

    VICE PRESIDENT

    Total calculated
    $457,691
    From this org
    $0
    From related orgs
    $383,630
    Other
    $74,061
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $323,194 related
    Bonus
    $0 + $26,337 related
    Other
    $0 + $34,099 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $26,561 related
    Filer's total
    $0 + $457,691 related

  • ANTHONY GARDNER

    CMCO/SR VP

    Total calculated
    $431,416
    From this org
    $0
    From related orgs
    $393,247
    Other
    $38,169
    Hours/week
    8 + 32 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,678 related
    Bonus
    $0 + $29,892 related
    Other
    $0 + $64,677 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $11,169 related
    Filer's total
    $0 + $431,416 related

  • MATTHEW KUNKEL

    VICE PRESIDENT

    Total calculated
    $397,207
    From this org
    $0
    From related orgs
    $360,056
    Other
    $37,151
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $334,196 related
    Bonus
    $0 + $25,680 related
    Other
    $0 + $180 related
    Deferred
    $0 + $9,752 related
    Nontaxable benefits
    $0 + $27,399 related
    Filer's total
    $0 + $397,207 related

  • PHILIP LUITJENS

    VICE PRESIDENT

    Total calculated
    $385,234
    From this org
    $0
    From related orgs
    $345,215
    Other
    $40,019
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $319,075 related
    Bonus
    $0 + $25,960 related
    Other
    $0 + $180 related
    Deferred
    $0 + $19,501 related
    Nontaxable benefits
    $0 + $20,518 related
    Filer's total
    $0 + $385,234 related

  • HANI ALKHATIB

    PHYSICIAN

    Total calculated
    $1,523,772
    From this org
    $0
    From related orgs
    $1,464,566
    Other
    $59,206
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,419,177 related
    Bonus
    $0 + $44,201 related
    Other
    $0 + $1,188 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $32,206 related
    Filer's total
    $0 + $1,523,772 related

  • CHRISTOPHER MILLER

    PHYSICIAN

    Total calculated
    $1,178,487
    From this org
    $0
    From related orgs
    $1,114,033
    Other
    $64,454
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,019,274 related
    Bonus
    $0 + $94,489 related
    Other
    $0 + $270 related
    Deferred
    $0 + $41,000 related
    Nontaxable benefits
    $0 + $23,454 related
    Filer's total
    $0 + $1,178,487 related

  • HILARY UFEARO

    PHYSICIAN

    Total calculated
    $1,124,324
    From this org
    $0
    From related orgs
    $1,078,485
    Other
    $45,839
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,019,494 related
    Bonus
    $0 + $58,577 related
    Other
    $0 + $414 related
    Deferred
    $0 + $22,478 related
    Nontaxable benefits
    $0 + $23,361 related
    Filer's total
    $0 + $1,124,324 related

  • KADIR MULLINGS

    PHYSICIAN

    Total calculated
    $1,120,144
    From this org
    $0
    From related orgs
    $1,117,346
    Other
    $2,798
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,022,627 related
    Bonus
    $0 + $94,539 related
    Other
    $0 + $180 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,798 related
    Filer's total
    $0 + $1,120,144 related

  • DAHLIA ELKADI

    PHYSICIAN

    Total calculated
    $968,303
    From this org
    $0
    From related orgs
    $898,195
    Other
    $70,108
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $851,467 related
    Bonus
    $0 + $45,954 related
    Other
    $0 + $774 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $22,608 related
    Filer's total
    $0 + $968,303 related

  • CRAIG BROMAN

    FORMER OFFICER

    Total calculated
    $384,531
    From this org
    $0
    From related orgs
    $384,531
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $384,531 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $384,531 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 $89,869 ANTHONY GARDNER - PAID $63,489 CHRISTOPHER BOELTER - PAID $64,587 CRAIG BROMAN - PAID $384,531 DIANE BUSCHENA-BRENNA - PAID $32,911 JOSPEH BLONSKI - PAID $297,087 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.

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
2022
Filed
6 May 2024
IRS schema version
2022v5.0
Source object
202431369349300908

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

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