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Nonprofiteer
← CENTRACARE HEALTH FOUNDATION

Form 990 for tax year 2022

Filed by CENTRACARE HEALTH FOUNDATION.

Totals

Total revenue
$11,665,508
Total expenses
$6,588,836
Contributions and grants received
$6,981,208
Grants paid
$3,809,157
Program service revenue
$0
Investment income
$4,705,480
Other revenue
-$21,180
Total assets, end of year
$80,467,755
Total liabilities, end of year
$2,285,424
Net assets or fund balances, end of year
$78,182,331
Program services expenses (Part IX)
$4,145,502
Management and general expenses
$1,012,587
Fundraising expenses
$1,430,747
Program service expenses (Part III)
$4,145,502

Program services were 62.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $936,855

  • 1f · All other contributions, gifts and grants

    $6,044,353

  • 1g · Noncash contributions included above

    $169,905

  • 3 · Investment income

    total $4,723,200 · excluded $4,723,200

  • 7a · Gross sales of assets other than inventory

    other assets $100,000

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

    other assets $117,720

  • 7c · Gain or loss

    other assets -$17,720

  • 7d · Net gain or loss

    total -$17,720 · excluded -$17,720

  • 8a · Fundraising events: gross income

    $426,306

  • 8a · Fundraising events: contributions included on line 1c

    $936,855

  • 8b · Fundraising events: direct expenses

    $447,486

  • 8c · Net income from fundraising events

    total -$21,180 · excluded -$21,180

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,769,297 · program services $3,769,297

  • 2 · Grants to domestic individuals

    total $39,860 · program services $39,860

  • 12 · Advertising and promotion

    total $270,678 · fundraising $270,678

  • 13 · Office expenses

    total $2,753 · program services $448 · management and general $1,204 · fundraising $1,101

  • 16 · Occupancy

    total $245 · program services $40 · management and general $107 · fundraising $98

  • 19 · Conferences, conventions and meetings

    total $17,813 · management and general $17,813

  • 22 · Depreciation, depletion and amortization

    total $52,457 · management and general $52,457

  • 23 · Insurance

    total $4,611 · management and general $4,611

  • 24a · Other expenses: FEES FOR EMPLOYEES OF A

    total $2,061,737 · program services $335,857 · management and general $901,597 · fundraising $824,283

  • 24b · Other expenses: CONTRACTED SERVICES

    total $334,587 · fundraising $334,587

  • 24c · Other expenses: OTHER

    total $34,798 · management and general $34,798

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,726,183 · end of year $5,447,065

  • 3 · Pledges and grants receivable

    beginning of year $3,928,078 · end of year $3,428,940

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

    $202,325

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

    $198,572

  • 10c · Land, buildings and equipment, net

    beginning of year $56,210 · end of year $3,753

  • 12 · Investments: other securities

    beginning of year $64,301,168 · end of year $70,371,289

  • 15 · Other assets

    beginning of year $1,216,708 · end of year $1,216,708

  • 17 · Accounts payable and accrued expenses

    beginning of year $412,275 · end of year $2,133,205

  • 19 · Deferred revenue

    beginning of year $9,550

  • 25 · Other liabilities

    beginning of year $152,219 · end of year $152,219

  • 27 · Net assets without donor restrictions

    beginning of year $64,121,256 · end of year $70,344,222

  • 28 · Net assets with donor restrictions

    beginning of year $7,533,047 · end of year $7,838,109

Mission and programs · 2022

Mission

THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR RELIGIOUS, EDUCATIONAL AND CHARITABLE PURPOSES, AS CONTEMPLATED AND PERMITTED BY SECTIONS 170(C)(2) AND 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. WITHIN THE FRAMEWORK OF THE FOREGOING, THE PURPOSE FOR WHICH THE CORPORATION IS FORMED, AND THE BUSINESS AND THE OBJECTS TO BE CARRIED ON BY IT, IS TO PROVIDE A MEANS OF IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY CENTRACARE, PRINCIPALLY AS FOLLOWS: (A) ENGAGING IN ACTIVITIES TO PROMOTE THE GENERAL HEALTH OF ALL MEMBERS OF THE COMMUNITY AND IMPROVE THE DELIVERY OF HEALTH CARE SERVICES. (B) PROMOTING AND FURTHERING THE PROVISION OF HEALTH AND MEDICAL CARE SERVICES TO INDIVIDUALS WITH LIMITED OR NO FINANCIAL ABILITY TO PAY FOR SUCH SERVICES. (C) PROMOTING HEALTH EDUCATION. (D) PROMOTING MEDICAL AND ALLIED HEALTH EDUCATION. (E) SOLICITING GIFTS FROM PRIVATE AND PUBLIC.

  • ACTIVITIES INCLUDED CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES FOR THE BENEFIT OF THE COMMUNITIES SERVED BY THE ST. CLOUD HOSPITAL AND CENTRACARE.

    Expenses $4,145,502 · Grants $3,809,157

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Rick Butte

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dr Edward Martin-Chaffee MD

    DIRECTOR

    Total calculated
    $757,544
    From this org
    $0
    From related orgs
    $681,455
    Other
    $76,089
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $676,579 related
    Bonus
    $0 + $3,688 related
    Other
    $0 + $1,188 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $28,589 related
    Filer's total
    $0 + $757,544 related
  • Tamara Congdon MD

    DIRECTOR

    Total calculated
    $379,433
    From this org
    $0
    From related orgs
    $333,265
    Other
    $46,168
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,163 related
    Bonus
    $0 + $3,688 related
    Other
    $0 + $414 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $25,668 related
    Filer's total
    $0 + $379,433 related
  • Mike Stoebe

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Bernie Perryman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jim Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tom D St Hilaire

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Peter Spaniol

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jan Dingmann

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Brad Konkler

    VICE PRESIDENT, FOUNDATION

    Total calculated
    $418,311
    From this org
    $0
    From related orgs
    $381,533
    Other
    $36,778
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $297,631 related
    Bonus
    $0 + $24,477 related
    Other
    $0 + $59,425 related
    Deferred
    $0 + $8,737 related
    Nontaxable benefits
    $0 + $28,041 related
    Filer's total
    $0 + $418,311 related
  • Kenneth Holmen MD

    PRESIDENT/CEO

    Total calculated
    $1,761,954
    From this org
    $0
    From related orgs
    $1,695,149
    Other
    $66,805
    Hours/week
    1 + 40 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
  • Brad Schmidt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Joe Francis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Melissa Weber

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Doug Schmidt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Joseph H Kalkman

    CHIEF HUMAN RESOURCES OFFICER

    Total calculated
    $771,118
    From this org
    $0
    From related orgs
    $695,205
    Other
    $75,913
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $535,495 related
    Bonus
    $0 + $65,208 related
    Other
    $0 + $94,502 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $28,413 related
    Filer's total
    $0 + $771,118 related
  • Chad Roggeman

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Kelly O'Farrell

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Thomas Schrup MD

    CPO/EVP

    Total calculated
    $834,950
    From this org
    $0
    From related orgs
    $778,663
    Other
    $56,287
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $587,778 related
    Bonus
    $0 + $71,688 related
    Other
    $0 + $119,197 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $29,287 related
    Filer's total
    $0 + $834,950 related
  • Amy M Porwoll

    CISO/SR VP

    Total calculated
    $616,942
    From this org
    $0
    From related orgs
    $570,663
    Other
    $46,279
    Hours/week
    0 + 40 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
  • Joseph M Blonski MD

    VICE PRESIDENT

    Total calculated
    $837,407
    From this org
    $0
    From related orgs
    $783,635
    Other
    $53,772
    Hours/week
    0 + 40 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
  • George A Morris MD

    VICE PRESIDENT

    Total calculated
    $609,649
    From this org
    $0
    From related orgs
    $554,883
    Other
    $54,766
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $446,057 related
    Bonus
    $0 + $36,184 related
    Other
    $0 + $72,642 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $27,766 related
    Filer's total
    $0 + $609,649 related
  • Christopher Boelter MD

    VICE PRESIDENT

    Total calculated
    $663,908
    From this org
    $0
    From related orgs
    $662,072
    Other
    $1,836
    Hours/week
    0 + 40 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
  • Joseph D Hellie

    VICE PRESIDENT

    Total calculated
    $470,454
    From this org
    $0
    From related orgs
    $418,016
    Other
    $52,438
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $334,964 related
    Bonus
    $0 + $27,502 related
    Other
    $0 + $55,550 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $25,438 related
    Filer's total
    $0 + $470,454 related
  • Kathleen M Parsons

    VICE PRESIDENT

    Total calculated
    $523,846
    From this org
    $0
    From related orgs
    $452,084
    Other
    $71,762
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $370,986 related
    Bonus
    $0 + $29,190 related
    Other
    $0 + $51,908 related
    Deferred
    $0 + $47,250 related
    Nontaxable benefits
    $0 + $24,512 related
    Filer's total
    $0 + $523,846 related
  • Cindy Firkins Smith MD

    VICE PRESIDENT

    Total calculated
    $816,630
    From this org
    $0
    From related orgs
    $760,562
    Other
    $56,068
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $611,626 related
    Bonus
    $0 + $54,760 related
    Other
    $0 + $94,176 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $29,068 related
    Filer's total
    $0 + $816,630 related
  • Debra G Peterson

    VICE PRESIDENT

    Total calculated
    $542,026
    From this org
    $0
    From related orgs
    $502,740
    Other
    $39,286
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $482,310 related
    Bonus
    $0 + $19,211 related
    Other
    $0 + $1,219 related
    Deferred
    $0 + $27,000 related
    Nontaxable benefits
    $0 + $12,286 related
    Filer's total
    $0 + $542,026 related
  • Lynn McFarling MD

    VICE PRESIDENT

    Total calculated
    $487,162
    From this org
    $0
    From related orgs
    $418,017
    Other
    $69,145
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,710 related
    Bonus
    $0 + $29,553 related
    Other
    $0 + $26,754 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $21,645 related
    Filer's total
    $0 + $487,162 related
  • Maria Mallory

    VICE PRESIDENT

    Total calculated
    $625,015
    From this org
    $0
    From related orgs
    $585,316
    Other
    $39,699
    Hours/week
    0 + 40 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
  • Joy M Plamann

    COO/SENIOR VP

    Total calculated
    $860,505
    From this org
    $0
    From related orgs
    $820,436
    Other
    $40,069
    Hours/week
    0 + 40 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
  • Nathanial J Slinkard

    PHYSICIAN

    Total calculated
    $1,097,292
    From this org
    $0
    From related orgs
    $1,048,684
    Other
    $48,608
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,014,472 related
    Bonus
    $0 + $34,032 related
    Other
    $0 + $180 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $28,108 related
    Filer's total
    $0 + $1,097,292 related
  • Leah Schammel

    PHYSICIAN

    Total calculated
    $1,200,057
    From this org
    $0
    From related orgs
    $1,127,625
    Other
    $72,432
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,089,228 related
    Bonus
    $0 + $38,217 related
    Other
    $0 + $180 related
    Deferred
    $0 + $41,000 related
    Nontaxable benefits
    $0 + $31,432 related
    Filer's total
    $0 + $1,200,057 related
  • Dexter Casta

    PHYSICIAN

    Total calculated
    $942,976
    From this org
    $0
    From related orgs
    $902,460
    Other
    $40,516
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $881,623 related
    Bonus
    $0 + $20,657 related
    Other
    $0 + $180 related
    Deferred
    $0 + $27,736 related
    Nontaxable benefits
    $0 + $12,780 related
    Filer's total
    $0 + $942,976 related
  • Sasan Moshirzadeh

    PHYSICIAN

    Total calculated
    $884,641
    From this org
    $0
    From related orgs
    $831,976
    Other
    $52,665
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $453,262 related
    Bonus
    $0 + $378,444 related
    Other
    $0 + $270 related
    Deferred
    $0 + $41,000 related
    Nontaxable benefits
    $0 + $11,665 related
    Filer's total
    $0 + $884,641 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
  • John R Hering

    FORMER KEY EMPLOYEE

    Total calculated
    $564,536
    From this org
    $0
    From related orgs
    $486,729
    Other
    $77,807
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,924 related
    Bonus
    $0 + $32,278 related
    Other
    $0 + $54,527 related
    Deferred
    $0 + $47,500 related
    Nontaxable benefits
    $0 + $30,307 related
    Filer's total
    $0 + $564,536 related
  • Michael Schramm

    FORMER KEY EMPLOYEE

    Total calculated
    $529,563
    From this org
    $0
    From related orgs
    $476,504
    Other
    $53,059
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $385,219 related
    Bonus
    $0 + $30,747 related
    Other
    $0 + $60,538 related
    Deferred
    $0 + $25,482 related
    Nontaxable benefits
    $0 + $27,577 related
    Filer's total
    $0 + $529,563 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, and on a Form 990-PF Part VIII's — 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings

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
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
FURTHER EXPLANATION OF THE OFFICERS' COMPENSATION LISTED IN SECTION VII OF FORM 990 AND ON SCHEDULE J: 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 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 LISTED 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. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED PLAN: BRAD KONKLER - PAID 58,651 KENNETH HOLMAN - PAID 299,833 JOSEPH KALKMAN - PAID 93,728
PART I, LINE 6
THE ORGANIZATION PROVIDES INCENTIVE COMPENSATION TO DESIGNATED INDIVIDUALS BASED ON THREE DISCRETE AREAS: A COMPARISON BETWEEN BUDGETED AND ACTUAL NET OPERATING INCOME FROM CENTRACARE HEALTH FOUNDATION; ACHIEVEMENT OF IMPROVEMENT IN OVERALL EMPLOYMENT ENGAGEMENT SCORES; AND ACHIEVEMENT OF UP TO THREE INDIVIDUAL GOALS WHICH ARE TIED TO THE CENTRACARE HEALTH FOUNDATION'S STRATEGIC PLAN.

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

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

  • MONTICELLO CANCER CENTER

    N/A · RADIATION & ONCOLOGY SERVICES · MN

  • CENTRAL IMAGING LLC

    N/A · IMAGING SERVICES · MN

Related corporations and trusts

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

  • CENTRACARE HOLDINGS INC

    C · INVESTMENTS/PHARMACY · MN

    Directly controlled by CENTRACARE HEALTH SYSTEM

  • AFFILIATED COMMUNITY MEDICAL CENTERS PA

    C · HEALTHCARE SYSTEM · MN

    Directly controlled by CARRIS HEALTH

Provenance

Return type
form_990
Tax year
2022
Filed
9 May 2024
IRS schema version
2022v5.0
Source object
202441369349309099

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