TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) KENNETH HOLMEN...................................................................... PRESIDENT/CEO	7.00 ................. 33.00	X	X	1,921,145	48,384
(2) JACOB LYONS...................................................................... DIRECTOR (START 07.01.2024)	1.00 ................. 39.00	X		722,876	38,464
(3) BRYAN ROLPH...................................................................... DIRECTOR	39.00 ................. 1.00	X		572,615	51,807
(4) RICHARD WEHSELER...................................................................... DIRECTOR	39.00 ................. 1.00	X		382,873	38,143
(5) BOBBIE BERTRAM...................................................................... DIRECTOR	39.00 ................. 1.00	X		305,193	38,777
(6) DAVID ANFINSON...................................................................... CHAIR	1.00 ................. 1.00	X	X	32,000	0
(7) TIM WENSMAN...................................................................... DIRECTOR (END 06.30.2025)	1.00 ................. 1.00	X		10,000	0
(8) JEFF GAU...................................................................... DIRECTOR	1.00 ................. 1.00	X		9,000	0
(9) CARRIE HENNING-SMITH...................................................................... DIRECTOR	1.00 ................. 1.00	X		8,000	0
(10) DAN ABDUL...................................................................... DIRECTOR	1.00 ................. 1.00	X		8,000	0
(11) RENEE FRAUENDIENST...................................................................... DIRECTOR	1.00 ................. 3.00	X		8,000	0
(12) JAMES HEBL...................................................................... DIRECTOR	1.00 ................. 1.00	X		6,000	0
(13) MICHELLE JOHNSON...................................................................... DIRECTOR	1.00 ................. 1.00	X		6,000	0
(14) FATHER TOM KNOBLACH...................................................................... DIRECTOR	1.00 ................. 1.00	X		0	0
(15) JOY PLAMANN...................................................................... CHIEF OPERATING OFFICER/SR VP	7.00 ................. 33.00		X	979,580	195,343
(16) MICHAEL BLAIR...................................................................... CHIEF FINANCIAL OFFICER/SR VP/ TREASURER	7.00 ................. 33.00		X	997,209	156,611
(17) SANTO CRUZ...................................................................... CHIEF LEGAL OFFICER/SR VP/ SECRETARY	7.00 ................. 33.00		X	874,976	136,905

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KIMBERLY EGAN........................................................................ CHIEF HUMAN RESOURCES OFFICER/SR VP	7.00 .......................33.00	X				288,284	55,491
(19) THOMAS SCHRUP........................................................................ CHIEF PHYSICIAN OFFICER/EVP	4.00 .......................36.00		X			839,291	157,064
(20) CHRISTOPHER BOELTER........................................................................ VICE PRESIDENT	20.00 .......................20.00		X			674,351	94,018
(21) AMY PORWOLL........................................................................ CHIEF INFORMATION SYSTEM OFFICER/SR VP	8.00 .......................32.00		X			627,103	114,567
(22) JOSEPH BLONSKI........................................................................ VICE PRESIDENT	20.00 .......................20.00		X			608,217	38,130
(23) BRYAN LYDICK........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			533,457	92,563
(24) MARIA MALLORY........................................................................ VICE PRESIDENT	14.00 .......................26.00		X			522,851	100,107
(25) RACHAEL LESCH........................................................................ VICE PRESIDENT	20.00 .......................20.00		X			476,170	100,369
(26) MATTHEW KUNKEL........................................................................ VICE PRESIDENT	20.00 .......................20.00		X			431,064	95,888
(27) LYNN MCFARLING........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			499,044	24,318
(28) DAVID LARSON........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			416,839	88,875
(29) BRYAN BAUCK........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			405,305	90,895
(30) PHILIP LUITJENS........................................................................ VICE PRESIDENT	20.00 .......................20.00		X			412,437	83,607
(31) HOLLY GULDEN........................................................................ VICE PRESIDENT	1.00 .......................39.00		X			379,226	76,518
(32) RYAN ENGDAHL........................................................................ VICE PRESIDENT	20.00 .......................20.00		X			360,210	87,815
(33) ANDREA SMART........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			358,513	83,795
(34) ZACHARY BORK........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			285,388	82,604
(35) SHERRI LIEBL........................................................................ VICE PRESIDENT	40.00 .......................0.00		X			244,838	46,640
(36) JENNIFER TODD........................................................................ CHIEF COMPLIANCE OFFICER	40.00 .......................0.00		X			230,821	41,156
(37) LEAH SCHAMMEL........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,167,735	40,042
(38) LAUREL WESSMAN........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,060,029	14,018
(39) NATHANIEL SLINKARD........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,029,793	37,700
(40) DEXTER CASTA........................................................................ PHYSICIAN	40.00 .......................0.00			X		1,016,889	25,340
(41) JOSEPH KALKMAN........................................................................ PHYSICIAN/ FORMER CAO /SR VP	40.00 .......................0.00			X		1,021,198	15,732
(42) CINDY SMITH........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	865,246	33,374
(43) GEORGE MORRIS........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	499,761	153,007
(44) JOHN HERING........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	501,337	85,545
(45) MICHAEL SCHRAMM........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	470,647	82,860
(46) JOSEPH HELLIE........................................................................ FORMER VICE PRESIDENT	40.00 .......................0.00				X	446,598	89,967
(47) DEBRA PETERSON........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	459,999	24,079
(48) ANTHONY GARDNER........................................................................ FORMER KEY EMPLOYEE	8.00 .......................32.00				X	343,301	15,776

(A) Name and business address	(B) Description of services	(C) Compensation
MCGOUGH CONSTRUCTION, PO BOX 1450 NW 5970 MINNEAPOLIS,MN55485	CONSTRUCTION	35,852,256
RJM CONSTRUCTION LLC, 830 BOONE AVE NORTH GOLDEN VALLEY,MN55427	CONSTRUCTION	11,343,422
MAYO COLLABORATIVE SERVICES, PO BOX 9146 MINNEAPOLIS,MN55480	LABORATORY SERVICES	6,708,281
AYA HEALTHCARE INC, PO BOX 674907 DALLAS,TX75267	STAFFING SERVICES	6,297,094
FEP OF MINNESOTA, 22029 N 51ST ST PHOENIX,AZ85054	EMERGENCY PHYSICIAN	2,237,435
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 78

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization CENTRACARE HEALTH SYSTEM

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization CENTRACARE HEALTH SYSTEM		Employer identification number 41-1813221

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization CENTRACARE HEALTH SYSTEM			Employer identification number 41-1813221
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

197,835

Total. Add lines 1c through 1i ....................................................................................................

197,835

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	CENTRACARE HEALTH SYSTEM PAID $197,835 TO STATE AND NATIONAL ASSOCIATIONS TO CONDUCT LOBBYING ACTIVITIES ON ITS BEHALF, AS A MEMBER OF THE ASSOCIATION

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	21,879,485		21,879,485
b	Buildings ....	382,076,982	177,200,428	204,876,554
c	Leasehold improvements	9,818,515	7,389,664	2,428,851
d	Equipment ....	286,521,029	125,710,154	160,810,875
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				389,995,765

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) FUNDS HELD BY TRUSTEE UNDER TRUST AND ESCROW AGREEMENT	4,874,527	F
(B) FUNDS HELD BY TRUSTEE UNDER BOND INDENTURES	197,235,641	F
(C) INVESTMENT IN JOINT VENTURES	10,865,628	F
(D) INVESTMENT IN MUTUAL SERVICE CORP	2,262,043	F
(E) INVESTMENTS HELD BY BOARD FOR FUTURE PROPERTY & EQUIPMENT	785,970,026	F
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,001,207,865

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
THIRD PARTY PAYOR SETTLEMENTS	4,162,284
INTEREST PAYABLE	4,951,011
ASSET RETIREMENT OBLIGATION	936,678
CONTINGENT CONSIDERATION	1,356,526
DUE TO AFFILIATES	95,626,656
EXECUTIVE BENEFIT ACCRUAL	2,992,377
SETTLEMENTS RESERVE	3,388,647
LEASE LIABILITIES	7,594,940

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	121,009,119
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization
CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	EUROPE (INCLUDING ICELAND & GREENLAND)			INVESTMENTS	5,027,233
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS	84,490,722















3a	Sub-total ....	0	0		89,517,955
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		89,517,955

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 17500.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,039,761		1,039,761	0.200 %
b	Medicaid (from Worksheet 3, column a) . . . . .	55,697,845	40,971,710	14,726,135	2.770 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	56,737,606	40,971,710	15,765,896	2.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	112,155		112,155	0.020 %
f	Health professions education (from Worksheet 5) . . .	1,602,676	462,095	1,140,581	0.210 %
g	Subsidized health services (from Worksheet 6) . . . .	172,645,634	148,882,021	23,763,613	4.470 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	174,360,465	149,344,116	25,016,349	4.700 %
k	Total. Add lines 7d and 7j .	231,098,071	190,315,826	40,782,245	7.670 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy			23,807		23,807	0 %
8	Workforce development
9	Other			450,000		450,000	0.080 %
10	Total			473,807		473,807	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

8,931,973

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

72,133,283

Enter Medicare allowable costs of care relating to payments on line 5.....

75,078,724

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-2,945,441

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)
1	CENTRACARE HEALTH - MONTICELLO 1013 HART BLVD MONTICELLO,MN55362 WWW.CENTRACARE.COM/LOCATIONS/MONTICELL 419630	X	X	X	X	DISTINCT PSYCH UNIT
2	CENTRACARE HEALTH - PAYNESVILLE 200 WEST FIRST STREET PAYNESVILLE,MN56362 WWW.CENTRACARE.COM/LOCATIONS/PAYNESVIL 419299	X	X	X	X
3	CENTRACARE - RICE MEMORIAL HOSPITAL 301 BECKER AVE SW WILLMAR,MN56201 HTTPS://WWW.CENTRACARE.COM/LOCATIONS/C 419912	X	X		X
4	CENTRACARE - REDWOOD AREA HOSPITAL 100 FALLWOOD ROAD REDWOOD FALLS,MN56283 HTTPS://WWW.CENTRACARE.COM/LOCATIONS/C 419118	X	X		X
5	CENTRACARE HEALTH - BENSON 1815 WISCONSIN AVE BENSON,MN56215 HTTPS://WWW.CENTRACARE.COM/LOCATIONS/C 419628	X	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTRACARE HEALTH - MONTICELLO
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTRACARE HEALTH - MONTICELLO
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTRACARE HEALTH - MONTICELLO
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTRACARE HEALTH - MONTICELLO
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTRACARE HEALTH - PAYNESVILLE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTRACARE HEALTH - PAYNESVILLE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTRACARE HEALTH - PAYNESVILLE
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTRACARE HEALTH - PAYNESVILLE
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTRACARE - RICE MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTRACARE - RICE MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTRACARE - RICE MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTRACARE - RICE MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTRACARE - REDWOOD AREA HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTRACARE - REDWOOD AREA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTRACARE - REDWOOD AREA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTRACARE - REDWOOD AREA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CENTRACARE HEALTH - BENSON
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C SUPPLEMENTAL INFORMATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTRACARE HEALTH - BENSON
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000%
and FPG family income limit for eligibility for discounted care of 250.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SUPPLEMENTAL

The FAP application form was widely available on a website (list url):

SEE SUPPLEMENTAL

A plain language summary of the FAP was widely available on a website (list url):
SEE SUPPLEMENTAL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTRACARE HEALTH - BENSON
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CENTRACARE HEALTH - BENSON
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
CENTRACARE HEALTH - MONTICELLO	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 LOCAL PARTNERS, AND SEVERAL 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.AS A FOLLOW-UP TO A PRIOR CHNA PROCESS WHERE LIMITED ACCESS TO PUBLIC HEALTH DATA WAS IDENTIFIED AS A SIGNIFICANT GAP, THIS CHNA AND SUBSEQUENT CHIP WERE DEVELOPED THROUGH A COLLABORATIVE EFFORT WITH WRIGHT COUNTY PUBLIC HEALTH, ALLINA HEALTH BUFFALO HOSPITAL, AND WRIGHT COUNTY COMMUNITY ACTION. THIS PARTNERSHIP RESULTED IN THE DEVELOPMENT OF A JOINT CHNA AND CHIP.
CENTRACARE HEALTH - PAYNESVILLE	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.
CENTRACARE HEALTH - BENSON	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.AS A FOLLOW-UP TO A PRIOR CHNA AND CHIP PROCESS WHERE PUBLIC HEALTH COLLABORATION WAS IDENTIFIED AS A SIGNIFICANT GAP, THIS CHNA AND CHIP WAS IMPLEMENTED THROUGH A COLLABORATIVE EFFORT WITH COUNTRYSIDE PUBLIC HEALTH.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 5: CENTRACARE MONTICELLO TOOK COMMUNITY INPUT INTO ACCOUNT THROUGH ITS PARTICIPATION IN THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE (WCCHC) 20252028 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS COLLABORATIVE, MULTI-SECTOR EFFORT BROUGHT TOGETHER LOCAL RESIDENTS, COMMUNITY ORGANIZATIONS, PUBLIC HEALTH OFFICIALS, AND HOSPITAL REPRESENTATIVES TO SYSTEMATICALLY IDENTIFY AND PRIORITIZE THE MOST PRESSING HEALTH NEEDS OF THE WRIGHT COUNTY COMMUNITY. THROUGH THIS PARTNERSHIP-BASED APPROACH, COMMUNITY PERSPECTIVES AND EXPERTISE DIRECTLY INFORMED THE ASSESSMENT AND PRIORITIZATION OF HEALTH NEEDS FOR THE 20252028 PLANNING CYCLE.THE COLLABORATIVE PARTNERS INCLUDED CENTRACARE MONTICELLO, BUFFALO HOSPITAL (PART OF ALLINA HEALTH), WRIGHT COUNTY PUBLIC HEALTH, AND WRIGHT COUNTY COMMUNITY ACTION. THE CHNA PROCESS WAS DESIGNED TO ALIGN PUBLIC HEALTH EXPERTISE, HEALTH SYSTEM PERSPECTIVES, AND DIRECT COMMUNITY INPUT TO ENSURE A COMPREHENSIVE UNDERSTANDING OF LOCAL HEALTH CONDITIONS AND NEEDS.TO INCORPORATE COMMUNITY INPUT, THE COLLABORATIVE USED A STRUCTURED PROCESS THAT COMBINED ANALYSIS OF CURRENT HEALTH AND DEMOGRAPHIC DATA WITH ENGAGEMENT OF COMMUNITY MEMBERS AND STAKEHOLDERS. INPUT WAS GATHERED FROM INDIVIDUALS REPRESENTING THE INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING POPULATIONS EXPERIENCING HEALTH INEQUITIES, LOW-INCOME RESIDENTS, AND OTHER UNDERSERVED GROUPS. THIS APPROACH ENSURED THAT PERSPECTIVES EXTENDED BEYOND ORGANIZATIONAL LEADERSHIP AND INCLUDED VOICES WITH LIVED EXPERIENCE OF COMMUNITY HEALTH CHALLENGES.THE COLLABORATIVE CONSULTED A RANGE OF PARTNERS AND REPRESENTATIVES THROUGHOUT THE ASSESSMENT PROCESS. PUBLIC HEALTH OFFICIALS FROM WRIGHT COUNTY PUBLIC HEALTH PROVIDED EXPERTISE IN POPULATION HEALTH ASSESSMENT AND COMMUNITY HEALTH PLANNING. LEADERS AND STAFF FROM WRIGHT COUNTY COMMUNITY ACTION REPRESENTED THE PERSPECTIVES AND NEEDS OF LOW-INCOME AND UNDERSERVED RESIDENTS. REPRESENTATIVES FROM BUFFALO HOSPITAL AND ALLINA HEALTH CONTRIBUTED HEALTH SYSTEM KNOWLEDGE AND INSIGHT INTO CARE ACCESS AND SERVICE DELIVERY. THESE PARTNERS PARTICIPATED IN REVIEWING DATA, DISCUSSING COMMUNITY CONDITIONS, IDENTIFYING PRIORITY HEALTH ISSUES, AND CONTRIBUTING TO PLANNING EFFORTS.IN ADDITION TO INSTITUTIONAL PARTNERS, THE CHNA PROCESS INCORPORATED INPUT FROM COMMUNITY MEMBERS THROUGH COMMUNITY CONVERSATIONS, SURVEYS, AND STAKEHOLDER DISCUSSIONS. THESE ENGAGEMENT ACTIVITIES ALLOWED RESIDENTS AND COMMUNITY STAKEHOLDERS TO SHARE THEIR EXPERIENCES AND PERSPECTIVES REGARDING HEALTH NEEDS, BARRIERS TO CARE, AND OPPORTUNITIES FOR IMPROVEMENT. BY INTENTIONALLY INCLUDING INDIVIDUALS AND GROUPS WITH LIVED EXPERIENCEPARTICULARLY THOSE DISPROPORTIONATELY AFFECTED BY HEALTH DISPARITIESTHE COLLABORATIVE ENSURED THAT COMMUNITY VOICES PLAYED A MEANINGFUL ROLE IN SHAPING THE ASSESSMENT.OVERSIGHT OF THE CHNA PROCESS WAS PROVIDED BY LEADERSHIP REPRESENTATIVES FROM CENTRACARE MONTICELLO AND PARTNER ORGANIZATIONS WITHIN THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE. THESE REPRESENTATIVES COLLECTIVELY REVIEWED DATA, CONSIDERED STAKEHOLDER AND COMMUNITY INPUT, AND HELPED DETERMINE THE PRIORITY HEALTH NEEDS FOR THE COMMUNITY.THROUGH THIS COLLABORATIVE, DATA-INFORMED, AND COMMUNITY-ENGAGED PROCESS, CENTRACARE MONTICELLO CONSIDERED INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHEN IDENTIFYING AND PRIORITIZING HEALTH NEEDS FOR THE 20252028 CYCLE. THE PROCESS RESULTED IN THREE PRIORITY AREAS FOR COMMUNITY HEALTH IMPROVEMENT: IMPROVING ACCESS TO CARE, STRENGTHENING ECONOMIC STABILITY, AND ENHANCING SOCIAL CONNECTEDNESS. THESE PRIORITIES REFLECT BOTH COMMUNITY INPUT AND ANALYSIS OF LOCAL HEALTH INDICATORS AND WILL GUIDE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS OVER THE NEXT SEVERAL YEARS.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 5: 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.
CENTRACARE - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS. A CHNA PROVIDES INFORMATION SO THAT COMMUNITIES AND HEALTH SYSTEMS MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE CHNA PROVIDES A MECHANISM THAT ALLOWS STAKEHOLDERS TO UNDERSTAND, NOT ONLY CURRENT COMMUNITY RESOURCE GAPS, BUT ALSO CURRENT DISEASE ETIOLOGY IN ADDITION TO IDENTIFYING AND ADDRESSING BROADER DETERMINANTS OF HEALTH THAT ARE INFLUENCING OUTCOMES OF THE POPULATION. ALIGNED WITH CENTRACARE'S MISSION AND FISCAL STRATEGY, THE CHNA GUIDES THE ORGANIZATION TO FOCUS ON COMMUNITY BENEFIT ACTIVITIES THAT WILL SUPPORT THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS.KANDIYOHI COUNTY PUBLIC HEALTH (KCPH) PLAYED A CRUCIAL ROLE IN ASSISTING CENTRACARE WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE RICE MEMORIAL HOSPITAL COMMUNITY. DESPITE VARIOUS CHALLENGES CAUSING DELAYS, KCPH'S EFFORTS IN GATHERING HEALTH DATA, DEVELOPING SURVEY QUESTIONS, AND ANALYZING RESULTS WERE INVALUABLE. CENTRACARE WISHES TO RECOGNIZE THAT THE DATA, CHARTS, AND GRAPHS PRESENTED IN THIS DOCUMENT ARE THE RESULT OF KCPH'S DEDICATED WORK. LOOKING AHEAD, CENTRACARE AIMS TO COLLABORATE MORE CLOSELY WITH KCPH IN THE PLANNING STAGES OF BOTH THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). BY WORKING TOGETHER FROM THE OUTSET, WE CAN STREAMLINE THE PROCESS, CONSERVE RESOURCES, AND ENSURE THE SUCCESS OF THESE ESSENTIAL INITIATIVES. A THOROUGH COMMUNITY HEALTH ASSESSMENT IS A CUSTOMARY PRACTICE AND CORE FUNCTION OF PUBLIC HEALTH. EVERY MINNESOTA COMMUNITY HEALTH BOARD MUST COMPLETE AN ASSESSMENT EVERY FIVE YEARS. KANDIYOHI COUNTY'S COMMUNITY HEALTH ASSESSMENT WAS PREPARED UNDER THE KARE TO ACHIEVE LEADERSHIP TEAM AND THE KANDIYOHI-RENVILLE COMMUNITY HEALTH BOARD USING DATA FROM THE MINNESOTA DEPARTMENT OF HEALTH (MDH), THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), STUDENT AND PACT FOR FAMILIES SURVEYS, SOUTHWEST REGIONAL ADULT HEALTH SURVEY, U.S. CENSUS, AND LOCAL HOSPITAL AND CLINICS. OUR 2024 KANDIYOHI COMMUNITY HEALTH ASSESSMENT TELLS THE STORY OF OUR HEALTH TODAY AND HOW IT HAS BEEN SHAPED OVER TIME BY OPPORTUNITIES, BELONGING, AND INTERACTIONS WITH NATURE. THIS ASSESSMENT INTENDS TO HELP MAKE CLEAR THE ASSOCIATION BETWEEN THE CONDITIONS OF OUR LIVES AND OUR HEALTH. THE ASSESSMENT SETS THE STAGE FOR OUR WORK WITH COMMUNITY PARTNERS AND GUIDES OUR COLLECTIVE EFFORTS TO ASSURE THAT WE ACHIEVE THE PUBLIC MISSION TO LEAD EFFORTS TO: (1) PREVENT ILLNESS, DISEASE AND INJURY, (2) PROMOTE HEALTHY AND SAFE NEIGHBORHOODS, (3) PROTECT AND ENHANCE THE WELL-BEING OF THOSE WHO LIVE, WORK, LEARN AND PLAY IN OUR COMMUNITIES.
CENTRACARE - REDWOOD AREA HOSPITAL	PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS. A CHNA PROVIDES INFORMATION SO THAT COMMUNITIES AND HEALTH SYSTEMS MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE CHNA PROVIDES A MECHANISM THAT ALLOWS STAKEHOLDERS TO UNDERSTAND, NOT ONLY CURRENT COMMUNITY RESOURCE GAPS, BUT ALSO CURRENT DISEASE ETIOLOGY IN ADDITION TO IDENTIFYING AND ADDRESSING BROADER DETERMINANTS OF HEALTH THAT ARE INFLUENCING OUTCOMES OF THE POPULATION. ALIGNED WITH CENTRACARE'S MISSION AND FISCAL STRATEGY, THE CHNA GUIDES THE ORGANIZATION TO FOCUS ON COMMUNITY BENEFIT ACTIVITIES THAT WILL SUPPORT THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. THE COLLABORATION OF PARTNERS HAS BEEN GROWING FOR YEARS AND RESULTS IN COMBINED EFFORTS FOR THE GREATER GOOD OF THE COMMUNITY. THE INFRASTRUCTURE FROM THIS PROCESS IS MAINTAINED TO IDENTIFY THE TOP THREE COMMUNITY PRIORITIES AND THE GUIDING PRINCIPLES OF COMMUNITY COLLABORATION, EQUITY, RESILIENCE, EDUCATION, AWARENESS, AND HEALTH ORGANIZATIONS. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO EVALUATING THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF RESIDENTS IN A SPECIFIC COMMUNITY. IT AIMS TO IDENTIFY CRITICAL HEALTH ISSUES AND RESOURCE GAPS TO GUIDE EFFORTS IN IMPROVING COMMUNITY HEALTH THROUGH: DATA COLLECTION, STAKEHOLDER ENGAGEMENT, AND PRIORITIZATION. A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS A STRATEGIC PLAN DEVELOPED AND BASED ON THE FINDINGS OF THE CHNA. IT OUTLINES SPECIFIC ACTIONS AND INITIATIVES TO ADDRESS THE PRIORITIZED HEALTH NEEDS OF THE COMMUNITY BY: SETTING PRIORITIES, DEVELOPING STRATEGIES, PARTNERSHIPS & COLLABORATION, AND MONITORING & EVALUATION. SOUTHWEST HEALTH AND HUMAN SERVICES USED THE MAPP (MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS) EVOLUTION FRAMEWORK TO CONDUCT A COMMUNITY HEALTH ASSESSMENT AND IDENTIFY ROOT CAUSE AREAS WITHIN WHICH TO CONCENTRATE EFFORTS TO IMPROVE COMMUNITY HEALTH. THEY ALSO CREATED AND USED A "QUALITY OF LIFE" SURVEY, AS WELL AS CONDUCTED FOCUS GROUPS. THE IMPLEMENTATION PHASE OF THE CHIP IS JULY 1, 2024, THROUGH JUNE 30, 2027.
CENTRACARE HEALTH - BENSON	PART V, SECTION B, LINE 5: CENTRACARE BENSON IMPLEMENTED A STRUCTURED AND DATA-DRIVEN COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS DESIGNED TO ENSURE THAT COMMUNITY PERSPECTIVES MEANINGFULLY INFORMED BOTH THE ASSESSMENT FINDINGS AND THE DEVELOPMENT OF THE SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE CHNA WAS CONDUCTED IN COLLABORATION WITH COUNTRYSIDE PUBLIC HEALTH AND FOLLOWED A SYSTEMATIC AND TRANSPARENT METHODOLOGY FOR EVALUATING THE HEALTH STATUS, HEALTH BEHAVIORS, AND PRIORITY NEEDS OF RESIDENTS IN SWIFT COUNTY AND THE BENSON COMMUNITY.THE ASSESSMENT PROCESS INCORPORATED MULTIPLE COMPONENTS TO ENSURE THAT FINDINGS REFLECTED BOTH OBJECTIVE HEALTH INDICATORS AND LIVED COMMUNITY EXPERIENCES. FIRST, COMPREHENSIVE QUANTITATIVE DATA COLLECTION AND ANALYSIS WERE CONDUCTED THROUGH THE REVIEW OF SEVERAL RELIABLE DATA SOURCES. THESE INCLUDED THE ADULT HEALTH SURVEY ADMINISTERED BY COUNTRYSIDE PUBLIC HEALTH, THE WIDELY RECOGNIZED COUNTY HEALTH RANKINGS & ROADMAPS DATASET, AND OTHER RELEVANT SECONDARY SOURCES SUCH AS STATE AND LOCAL PUBLIC HEALTH REPORTS, DEMOGRAPHIC DATA, AND HEALTH OUTCOME INDICATORS. FOLLOWING THE DATA COLLECTION AND ENGAGEMENT PHASES, PARTNERS PARTICIPATED IN A COLLABORATIVE PRIORITIZATION PROCESS TO IDENTIFY THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. DURING THIS PHASE, QUANTITATIVE DATA FINDINGS AND QUALITATIVE FEEDBACK WERE REVIEWED TOGETHER TO DETERMINE WHICH ISSUES REPRESENTED THE GREATEST BURDEN ON COMMUNITY HEALTH AND WHERE COORDINATED ACTION COULD PRODUCE MEANINGFUL IMPROVEMENTS. THE RESULTING PRIORITIZED HEALTH NEEDS SERVED AS THE FOUNDATION FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN, ENSURING THAT STRATEGIES AND INITIATIVES IMPLEMENTED BY CENTRACARE BENSON AND ITS COMMUNITY PARTNERS ARE ALIGNED WITH THE MOST PRESSING HEALTH CONCERNS IDENTIFIED THROUGH THE CHNA PROCESS.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 6A: CENTRACARE HEALTH - MONTICELLO CONDUCTED THE CHNA WITH ALLINA HEALTH BUFFALO HOSPITAL.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 6A: CENTRACARE HEALTH - PAYNESVILLE CONDUCTED THE CHNA WITH CENTRACARE - MELROSE, CENTRACARE - SAUK CENTRE, AND ST. CLOUD HOSPITAL.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 6B: CENTRACARE HEALTH - MONTICELLO CONDUCTED THE CHNA WITH WRIGHT COUNTY COMMUNITY ACTION AND WRIGHT COUNTY PUBLIC HEALTH.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 6B: CENTRACARE HEALTH - PAYNESVILLE CONDUCTED THE CHNA WITH BENTON COUNTY PUBLIC HEALTH, SHERBURNE COUNTY PUBLIC HEALTH AND STEARNS COUNTY PUBLIC HEALTH.
CENTRACARE - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: CENTRACARE - RICE MEMORIAL HOSPITAL'S CHNA WAS CONDUCTED WITH THE KANDIYOHI/RENVILLE PUBLIC HEALTH DEPARTMENT.
CENTRACARE - REDWOOD AREA HOSPITAL	PART V, SECTION B, LINE 6B: CENTRACARE - REDWOOD AREA HOSPITAL'S CHNA WAS CONDUCTED WITH SOUTHWEST HEALTH AND HUMAN SERVICES.
CENTRACARE HEALTH - BENSON	PART V, SECTION B, LINE 6B: CENTRACARE HEALTH - BENSON CONDUCTED THE CHNA WITH COUNTRYSIDE PUBLIC HEALTH.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 11: CENTRACARE MONTICELLO CONDUCTED ITS 20252028 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH THE WRIGHT COUNTY COMMUNITY HEALTH COLLABORATIVE, WHICH INCLUDES WRIGHT COUNTY PUBLIC HEALTH, BUFFALO HOSPITAL (PART OF ALLINA HEALTH), AND WRIGHT COUNTY COMMUNITY ACTION. THROUGH THIS COLLABORATIVE PROCESS, THREE PRIORITY COMMUNITY HEALTH NEEDS WERE IDENTIFIED FOR THE 20252028 CYCLE: IMPROVING ACCESS TO CARE, STRENGTHENING ECONOMIC STABILITY, AND ENHANCING SOCIAL CONNECTEDNESS. CENTRACARE MONTICELLO IS ADDRESSING THESE NEEDS THROUGH HOSPITAL-LED INITIATIVES AND PARTNERSHIPS THAT SUPPORT THE BROADER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).TO ADDRESS ACCESS TO CARE, CENTRACARE MONTICELLO IS WORKING TO EXPAND THE AVAILABILITY OF CLINICAL SERVICES AND STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE. THE HOSPITAL SUPPORTS EXPANDED ACCESS TO SPECIALTY CARE THROUGH THE UNIVERSITY OF MINNESOTA ORTHOPEDICS CLINIC LOCATED IN MONTICELLO, WHICH OFFERS WEEKDAY WALK-IN APPOINTMENTS AND COORDINATES WITH THE EMERGENCY DEPARTMENT WHEN HIGHER LEVELS OF CARE ARE NEEDED. CENTRACARE MONTICELLO ALSO HOSTS MEDICAL STUDENTS ACROSS MULTIPLE DEPARTMENTS, INCLUDING BEHAVIORAL HEALTH, THE EMERGENCY DEPARTMENT, HEART AND VASCULAR SERVICES, AND THE BIRTH CENTER, PROVIDING HANDS-ON TRAINING THAT SUPPORTS WORKFORCE DEVELOPMENT AND FUTURE PROVIDER RECRUITMENT. IN ADDITION, A FIRST-YEAR RESIDENT PHYSICIAN ROTATION IN RADIATION ONCOLOGY IS HOSTED AT THE MONTICELLO SITE, INCREASING EXPOSURE TO SPECIALTY CARE PRACTICE IN THE COMMUNITY.TO ADDRESS ECONOMIC STABILITY AND SOCIAL DRIVERS OF HEALTH, CENTRACARE MONTICELLO HAS IMPLEMENTED INITIATIVES THAT SUPPORT PATIENTS EXPERIENCING FINANCIAL HARDSHIP OR FOOD INSECURITY. FOR EXAMPLE, EMERGENCY FOOD BAGS HAVE BEEN IMPLEMENTED AT CENTRACARE CLEARWATER CLINIC TO PROVIDE IMMEDIATE FOOD ASSISTANCE FOR PATIENTS IN NEED. THESE EFFORTS COMPLEMENT BROADER CENTRACARE STRATEGIES THAT CONNECT PATIENTS TO COMMUNITY RESOURCES AND SERVICES THAT ADDRESS FOOD ACCESS, HOUSING CHALLENGES, TRANSPORTATION NEEDS, AND OTHER SOCIAL DRIVERS OF HEALTH THAT IMPACT OVERALL WELL-BEING.TO ADDRESS SOCIAL CONNECTEDNESS AND MENTAL WELL-BEING, CENTRACARE MONTICELLO SUPPORTS COMMUNITY EDUCATION AND ENGAGEMENT ACTIVITIES THAT INCREASE AWARENESS OF MENTAL HEALTH RESOURCES AND PROMOTE SUICIDE PREVENTION. HOSPITAL REPRESENTATIVES PARTICIPATE IN COMMUNITY EVENTS AND OUTREACH EFFORTS THAT BRING TOGETHER LOCAL ORGANIZATIONS AND RESIDENTS TO SHARE RESOURCES, BUILD SUPPORTIVE NETWORKS, AND ENCOURAGE EARLY CONNECTION TO MENTAL HEALTH SERVICES.WHILE ADDITIONAL COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA PROCESS, CENTRACARE IS NOT ADDRESSING ALL IDENTIFIED NEEDS AT THIS TIME. THE REMAINING NEEDS ARE NOT CURRENT IMPLEMENTATION PRIORITIES DUE TO FACTORS SUCH AS AVAILABLE STAFF CAPACITY, FINANCIAL AND RESOURCE LIMITATIONS, ALIGNMENT WITH ORGANIZATIONAL EXPERTISE, AND THE NEED TO FOCUS EFFORTS WHERE THE HOSPITAL CAN HAVE THE GREATEST IMPACT THROUGH COLLABORATIVE PARTNERSHIPS. CENTRACARE WILL CONTINUE TO MONITOR THESE NEEDS, ENGAGE COMMUNITY PARTNERS, AND REASSESS PRIORITIES IN FUTURE CHNA CYCLES AS RESOURCES AND COMMUNITY CONDITIONS EVOLVE.
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 11: CENTRACARE - PAYNESVILLE IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH IMPLEMENTATION OF ITS 20252028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH PRIORITIZES THREE FOCUS AREAS: COMMUNITY CONNECTION (MENTAL HEALTH AND SUBSTANCE USE), COMMUNITY STABILITY (SOCIAL DRIVERS OF HEALTH), AND COMMUNITY ACCESS (HEALTH CARE ACCESS). TO ADVANCE COMMUNITY CONNECTION, CENTRACARE COLLABORATES WITH PUBLIC HEALTH, SCHOOLS, BEHAVIORAL HEALTH PROVIDERS, AND COMMUNITY ORGANIZATIONS TO EXPAND MENTAL HEALTH PROMOTION, SUICIDE PREVENTION, SUBSTANCE USE PREVENTION, AND EARLY INTERVENTION STRATEGIES THAT STRENGTHEN RESILIENCE AND SOCIAL CONNECTEDNESS. TO IMPROVE COMMUNITY STABILITY, CENTRACARE WORKS WITH CROSS-SECTOR PARTNERS TO ADDRESS SOCIAL DRIVERS OF HEALTH SUCH AS FOOD ACCESS, HOUSING STABILITY, TRANSPORTATION, AND ECONOMIC SECURITY THROUGH SCREENING, REFERRAL PATHWAYS, COMMUNITY PARTNERSHIPS, AND UPSTREAM PREVENTION STRATEGIES. TO ENHANCE COMMUNITY ACCESS, CENTRACARE IMPLEMENTS INITIATIVES TO REDUCE BARRIERS TO CARE, INCLUDING EXPANDING PREVENTIVE SERVICES, STRENGTHENING LANGUAGE ACCESS, SUPPORTING CULTURALLY RESPONSIVE OUTREACH, AND CONNECTING UNDERSERVED POPULATIONS TO PRIMARY, BEHAVIORAL, AND SPECIALTY CARE SERVICES.WHILE ADDITIONAL COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA PROCESS, CENTRACARE IS NOT ADDRESSING ALL IDENTIFIED NEEDS AT THIS TIME. THE REMAINING NEEDS ARE NOT CURRENT IMPLEMENTATION PRIORITIES DUE TO FACTORS SUCH AS AVAILABLE STAFF CAPACITY, FINANCIAL AND RESOURCE LIMITATIONS, ALIGNMENT WITH ORGANIZATIONAL EXPERTISE, AND THE NEED TO FOCUS EFFORTS WHERE THE HOSPITAL CAN HAVE THE GREATEST IMPACT THROUGH COLLABORATIVE PARTNERSHIPS. CENTRACARE WILL CONTINUE TO MONITOR THESE NEEDS, ENGAGE COMMUNITY PARTNERS, AND REASSESS PRIORITIES IN FUTURE CHNA CYCLES AS RESOURCES AND COMMUNITY CONDITIONS EVOLVE.
CENTRACARE - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: EACH INDIVIDUAL IS UNIQUE, EACH POPULATION IS UNIQUE, EACH COUNTY IS UNIQUE, AND EACH HAS VALUE. HOWEVER, RESEARCH METHODS REQUIRE CREATING CATEGORIES FOR ANALYSIS AND GROUPING PEOPLE, POPULATIONS, AND COMMUNITIES WHICH HIDES SOME OF OUR REAL AND IMPORTANT DIFFERENCES IN ORDER TO ALLOW COMPARISONS. AN ASSESSMENT CAN ONLY START THE CONVERSATION ABOUT HEALTH IN THE COMMUNITY. THE WORK OF ADVANCING HEALTH REQUIRES ENGAGING WITH PEOPLE AND COMMUNITIES TO MORE FULLY UNDERSTAND ALL OF OUR UNIQUE CIRCUMSTANCES AND TO SHAPE ACTION FOR CHANGE. AT THE KANDIYOHI COUNTY CALL TO ACTION COMMUNITY MEETING HELD IN JUNE 2024 THERE WAS REVIEW OF THE PURPOSE, PARTNERS AND PROCESS FOR DEVELOPING THE CHA. THE FIRST PHASE WAS INITIAL PLANNING MEETINGS AND DATA GATHERING FROM VARIOUS SOURCES LIKE THE ADULT HEALTH SURVEY, MINNESOTA STUDENT SURVEY, U.S. CENSUS DATA, ETC. THE SECOND PHASE WAS ANALYZING AND VERIFYING DATA, ALONG WITH DOCUMENT CREATION. THE THIRD PHASE INCLUDED COMMUNITY INPUT WITH A VARIETY OF CALL-TO-ACTION MEETINGS IN BOTH KANDIYOHI AND RENVILLE. COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS WERE FURTHER INCLUDED IN THE PROCESS DURING THE COMMUNITY STAKEHOLDER MEETINGS. DURING THE MEETINGS, SURVEY FINDINGS WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND PARTICIPANTS WERE ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. AFTER COMPLETING THE COMMUNITY HEALTH ASSESSMENT, COMMUNITY HEALTH IMPROVEMENT IN PARTNERSHIP WITH RICE MEMORIAL HOSPITAL WORKGROUP PRIORITIZE THE HEALTH ISSUES AND/OR FACTORS IMPACTING HEALTH TO COLLECTIVELY ADDRESS. TO SUBMIT THEIR COMMUNITIES' HEALTH. THEY STRATEGIZE ACTIVITIES AND INITIATIVES TO ADDRESS THE HEALTH PRIORITIES, ESTABLISH LEADERSHIP TO DEVELOP THEM AND REPORT ON COMPLETION OF PERFORMANCE MEASURES. THE CHIP AND STRATEGIC PLAN GUIDE THE COMMUNITY HEALTH IMPROVEMENT TEAM AND HOSPITAL WORKGROUP BY WORKING INTERNALLY, AND EXTERNALLY ALONGSIDE COMMUNITY PARTNERS. THEY CAN USE THESE PLANS TO ADVOCATE FOR RESOURCES, WORK TOWARD MEASURABLE RESULTS, AND DEMONSTRATE EFFICIENCY AND ACCOUNTABILITY. THE PRIORITIES IDENTIFIED WERE AS FOLLOWS: 1) ACCESS TO CARE, 2) CHRONIC DISEASE, 3) ADOLESCENT HEALTH, 4) SUBSTANCE ABUSE, 5) AGING POPULATION, 6) HOUSING STABILITY, 7) FOOD SECURITY, 8) ADVERSE CHILDHOOD EXPERIENCES, 9) MENTAL WELL-BEING, AND 10) CHILDCARE ACCESS. THE DECISION WAS MADE TO FOCUS ON THE TOP FOUR PRIORITIES (MENTAL HEALTH, SUBSTANCE ABUSE, CHILDCARE ACCESS AND FOOD SECURITY) FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIES ENCOURAGING ACCESS TO CARE, CHRONIC DISEASE, ADOLESCENT HEALTH, AGING POPULATION, HOUSING STABILITY, ADVERSE CHILDHOOD EXPERIENCES WILL NOT SPECIFICALLY BE ADDRESSED THROUGH ACTION PLANNING OR MEASUREMENT DUE TO FINANCIAL AND STAFFING RESTRAINTS, HOWEVER, THERE ARE WAYS MANY OF THESE PRIORITIES ARE BEING ADDRESSED EITHER WITHIN THE TOP FOUR PRIORITIES OR THE COMMUNITY. IN THE FUTURE, THE GROUP WILL ASSESS THE CAPACITY TO EXPAND THE NUMBER OF PRIORITIES BEING ADDRESSED AND MEASURED. ALTHOUGH NOT DIRECTLY ADDRESSED IN THE PLAN, CENTRACARE DOES ACTIVELY SUPPORT OTHER ORGANIZATIONS WITHIN THE COMMUNITY WHO ARE WORKING ON DETERMINANTS OF HEALTH IDENTIFIED DURING THE CHNA PROCESS LIKE ACES, TOBACCO, TRAUMA, EDUCATING POLICYMAKERS, ETC.
CENTRACARE - REDWOOD AREA HOSPITAL	PART V, SECTION B, LINE 11: COMMUNITY HEALTH ASSESSMENT DATA WAS COLLECTED FROM VARIOUS LOCAL, STATE, AND FEDERAL DATA SOURCES. SOME OF THESE RESOURCES INCLUDE THE 2023 SOUTHWEST MINNESOTA HEALTHY COMMUNITIES SURVEY, THE MINNESOTA STUDENT SURVEY (1998 THROUGH 2022), MINNESOTA CENTER FOR HEALTH STATISTICS, ATLAS OF MINNESOTA ONLINE, MINNESOTA STATE DEMOGRAPHER, MINNESOTA DEPARTMENT ECONOMIC AND EMPLOYMENT DEVELOPMENT, MINNESOTA DEPARTMENT OF PUBLIC SAFETY, MINNESOTA COURT SYSTEM, MINNESOTA DEPARTMENT OF NATURAL RESOURCES, VARIOUS DEPARTMENTS AT MINNESOTA DEPARTMENT OF HEALTH, MINNESOTA ELECTRONIC RECORD CONSORTIUM, VARIOUS DISEASE FOUNDATIONS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, ENVIRONMENTAL PROTECTION AGENCY, U. S. CENSUS BUREAU, U.S. DEPARTMENT OF AGRICULTURE, AND CENTERS FOR DISEASE CONTROL. WILDER RESEARCH PARTNERED WITH SOUTHWEST HEALTH AND HUMAN SERVICES TO CONDUCT FOCUS GROUPS WITH PEOPLE ACROSS SOUTHWEST MINNESOTA TO LEARN MORE ABOUT THEIR HEALTH NEEDS. PARTICIPANTS WERE RECRUITED FROM EIGHT COMMUNITIES INCLUDING PEOPLE WITH DISABILITIES, KAREN, SPANISH-SPEAKING, GAY, LESBIAN, BISEXUAL, AND TRANSGENDER (LGBT) PEOPLE, NATIVE AMERICAN, SOMALI, VETERANS, AND ELDERS. PARTICIPANTS WERE ASKED ABOUT THEIR HEALTH NEEDS AND IDEAS TO IMPROVE HEALTH AND WELL-BEING WITHIN THEIR COMMUNITIES. WILDER STAFF PREPARED THIS REPORT SUMMARIZING THE FOCUS GROUPS TO PROVIDE SOUTHWEST HEALTH AND HUMAN SERVICES WITH RECOMMENDATIONS FOR PROMOTING HEALTH FOR DIVERSE COMMUNITIES IN SOUTHWEST MINNESOTA. EIGHT FOCUS GROUPS WERE CONDUCTED WITH PEOPLE FROM EIGHT DIFFERENT IDENTITY GROUPS IN SOUTHWEST MINNESOTA TO BETTER UNDERSTAND BARRIERS TO HEALTH AND WELL-BEING AND IDEAS FOR IMPROVING HEALTHY BEHAVIORS. WILDER RESEARCH DEVELOPED SEMI-STRUCTURED INTERVIEW GUIDES THAT INCLUDED QUESTIONS SUCH AS "WHAT DOES BEING HEALTHY MEAN TO YOU?", "WHAT KINDS OF HEALTH ISSUES DO YOU SEE IN YOUR COMMUNITY?", "WHAT HELPS YOU TO BE HEALTHY?", AND "WHAT WOULD HELP YOU TO BE HEALTHIER?" SIX OF THE FOCUS GROUPS WERE CONDUCTED IN PERSON AND TWO WERE CONDUCTED VIRTUALLY (THE DISABILITY GROUP AND THE LGBT GROUP). THREE OF THE GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH WITH INTERPRETATION (KAREN, SOMALI, AND SPANISH-SPEAKING). A NOTE TAKER TOOK NOTES FOR EACH OF THE GROUPS AND THE NOTES WERE UTILIZED FOR DATA ANALYSIS. AT THE END OF THE FOCUS GROUPS, PARTICIPANTS WERE ASKED IF THEY HAD ANY ADVICE FOR SOUTHWEST HEALTH AND HUMAN SERVICES STAFF AS THEY BUILD PROGRAMS TO SUPPORT COMMUNITY HEALTH AND WELL-BEING. MANY OF THE PARTICIPANTS REITERATED NEEDS DESCRIBED ABOVE, INCLUDING TRANSPORTATION, LIVING WAGE EMPLOYMENT, AND HEALTH INSURANCE. HOWEVER, THE PRIMARY MESSAGE IN THESE RESPONSES WAS THE NEED FOR HEALTH CARE AND SOCIAL SERVICE STAFF WHO ARE KIND, RESPECTFUL, AND INCLUSIVE OF PEOPLE WITH MINORITY IDENTITIES. PARTICIPANTS IN ALMOST EVERY GROUP REPORTED WANTING MORE STAFF WHO REPRESENT AND RESPECT THEIR MULTIPLE IDENTITIES. SOUTHWEST HEALTH AND HUMAN SERVICES AND THE CENTRACARE-REDWOOD WORKGROUP ENGAGED INDIVIDUALS AND ORGANIZATIONS REGARDING THIS COMMUNITY HEALTH WORK. ENGAGEMENT WITH THE BROAD COMMUNITY WAS AN AREA WITH LIMITATIONS. IT IS ACKNOWLEDGED THAT THE CHNA AND CHIP PROCESSES INTO THE FUTURE WILL INCLUDE A DELIBERATE APPROACH TO AUTHENTIC COMMUNITY ENGAGEMENT THAT INCLUDES A DEEPER FOCUS ON DIVERSITY AND AT-RISK POPULATIONS. COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS WERE FURTHER INCLUDED IN THE PROCESS DURING THE COMMUNITY STAKEHOLDER MEETINGS. DURING THE MEETINGS, SURVEY FINDINGS WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND PARTICIPANTS WERE ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. AFTER COMPLETING THE COMMUNITY HEALTH ASSESSMENT, COMMUNITY HEALTH IMPROVEMENT IN PARTNERSHIP WITH CC-REDWOOD HOSPITAL WORKGROUP PRIORITIZE THE HEALTH ISSUES AND/OR FACTORS IMPACTING HEALTH TO COLLECTIVELY ADDRESS. TO SUBMIT THEIR COMMUNITIES' HEALTH. THEY STRATEGIZED ACTIVITIES AND INITIATIVES TO ADDRESS THE HEALTH PRIORITIES, ESTABLISH LEADERSHIP TO DEVELOP THEM AND REPORT ON COMPLETION OF PERFORMANCE MEASURES. THE CHIP AND STRATEGIC PLAN GUIDE THE COMMUNITY HEALTH IMPROVEMENT TEAM AND HOSPITAL WORKGROUP BY WORKING INTERNALLY, AND EXTERNALLY ALONGSIDE COMMUNITY PARTNERS. THEY CAN USE THESE PLANS TO ADVOCATE FOR RESOURCES, WORK TOWARD MEASURABLE RESULTS, AND DEMONSTRATE EFFICIENCY AND ACCOUNTABILITY THE PRIORITIES IDENTIFIED WERE AS FOLLOWS: 1) ACCESS TO CARE, 2) CHRONIC DISEASE, 3) ADOLESCENT HEALTH, 4) SUBSTANCE ABUSE, 5) AGING POPULATION, 6) HOUSING STABILITY, 7) FOOD SECURITY, 8) ADVERSE CHILDHOOD EXPERIENCES, 9) MENTAL WELL-BEING, AND 10) CHILDCARE ACCESS. THE DECISION WAS MADE TO FOCUS ON THE TOP FOUR PRIORITIES (MENTAL HEALTH, SUBSTANCE ABUSE, CHILDCARE ACCESS AND FOOD SECURITY) FOR THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIES ENCOURAGING ACCESS TO CARE, CHRONIC DISEASE, ADOLESCENT HEALTH, AGING POPULATION, HOUSING STABILITY, ADVERSE CHILDHOOD EXPERIENCES WILL NOT SPECIFICALLY BE ADDRESSED THROUGH ACTION PLANNING OR MEASUREMENT DUE TO FINANCIAL AND STAFFING RESTRAINTS, HOWEVER, THERE ARE WAYS MANY OF THESE PRIORITIES ARE BEING ADDRESSED EITHER WITHIN THE TOP FOUR PRIORITIES OR THE COMMUNITY. IN THE FUTURE, THE GROUP WILL ASSESS THE CAPACITY TO EXPAND THE NUMBER OF PRIORITIES BEING ADDRESSED AND MEASURED. ALTHOUGH NOT DIRECTLY ADDRESSED IN THE PLAN, CENTRACARE DOES ACTIVELY SUPPORT OTHER ORGANIZATIONS WITHIN THE COMMUNITY WHO ARE WORKING ON DETERMINANTS OF HEALTH IDENTIFIED DURING THE CHNA PROCESS LIKE ACES, TOBACCO, TRAUMA, EDUCATING POLICYMAKERS, ETC.
CENTRACARE HEALTH - BENSON	PART V, SECTION B, LINE 11: CENTRACARE BENSON IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH ONGOING INTERNAL AND EXTERNAL COLLABORATIONS, INCLUDING PARTICIPATION IN WELLNESS INITIATIVES, ENGAGEMENT IN LOCAL PUBLIC HEALTH MEETINGS AND COMMUNITY STRATEGY DISCUSSIONS. COLLECTIVELY, THESE ACTIVITIES AND STRATEGIES DEMONSTRATE A COMPREHENSIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT BY ADDRESSING BASIC NEEDS SUCH AS FOOD ACCESS, TRANSPORTATION, AND HEALTH LITERACY; IMPROVING ACCESS TO AND NAVIGATION WITHIN THE HEALTHCARE SYSTEM; INTEGRATING MENTAL HEALTH SUPPORT AND CHRONIC DISEASE PREVENTION EFFORTS; USING DATA AND COMMUNITY INPUT TO GUIDE ACTION; AND CREATING CULTURALLY RESPONSIVE PROGRAMS DESIGNED TO BETTER SERVE UNDERSERVED POPULATIONS. BY INVESTING IN BOTH CLINICAL SERVICES AND UPSTREAM SOCIAL SUPPORTS, CENTRACARE BENSON PROMOTES HEALTHIER ENVIRONMENTS, STRONGER FAMILIES, AND IMPROVED LONG-TERM HEALTH OUTCOMES ACROSS THE COMMUNITIES IT SERVES. WHILE ADDITIONAL COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA PROCESS, CENTRACARE BENSON IS NOT ADDRESSING ALL IDENTIFIED NEEDS AT THIS TIME. THE REMAINING NEEDS ARE NOT CURRENT IMPLEMENTATION PRIORITIES DUE TO FACTORS SUCH AS AVAILABLE STAFF CAPACITY, FINANCIAL AND RESOURCE LIMITATIONS, ALIGNMENT WITH ORGANIZATIONAL EXPERTISE, AND THE NEED TO FOCUS EFFORTS WHERE THE HOSPITAL CAN HAVE THE GREATEST IMPACT THROUGH COLLABORATIVE PARTNERSHIPS. CENTRACARE BENSON WILL CONTINUE TO MONITOR THESE NEEDS, ENGAGE COMMUNITY PARTNERS, AND REASSESS PRIORITIES IN FUTURE CHNA CYCLES AS RESOURCES AND COMMUNITY CONDITIONS EVOLVE.
CENTRACARE HEALTH - MONTICELLO	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE 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
CENTRACARE HEALTH - PAYNESVILLE	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE 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
CENTRACARE - RICE MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE 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
CENTRACARE - REDWOOD AREA HOSPITAL	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE 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
CENTRACARE HEALTH - BENSON	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY - IF PATIENTS FAIL TO SUPPLY SUFFICIENT INFORMATION TO SUPPORT FINANCIAL ASSISTANCE ELIGIBILITY, CENTRACARE 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
CENTRACARE HEALTH - MONTICELLO	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.
CENTRACARE HEALTH - PAYNESVILLE	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.
CENTRACARE - RICE MEMORIAL 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.
CENTRACARE - REDWOOD AREA 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.
CENTRACARE HEALTH - BENSON	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.
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
CENTRACARE HEALTH - MONTICELLO:	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/4E2456AE-8636-41F2-B813-F769D295AD1D/WRIGHT-COUNTY-COMMUNITY-HEALTH-COLLABORATIVE-CHNA-CHIP-2025-2028.PDF
CENTRACARE HEALTH - PAYNESVILLE:	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
CENTRACARE HEALTH - RICE MEMORIAL HOSPITAL:	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/310E1F11-5CB9-45F2-938C-7ABE818FD79A/CC-WILLMAR-COMMUNITY-HEALTH-IMPROVEMENT-PLAN.PDF
CARRIS HEALTH - REDWOOD AREA HOSPITAL:	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/B1E31D0D-58CD-44CB-8C16-DCACA8EC2F79/CENTRACARE-REDWOOD%20COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN%202024-2027.PDF
CENTRACARE - BENSON HOSPITAL:	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/874F9D46-4F77-41C5-B83D-DC041BD90072/CENTRACARE-BENSON-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPROVEMENT-PLAN-2025-2028.PDF

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address		Type of Facility (describe)
1	1 - CENTRACARE - MONTICELLO SPECIALTY CLINIC 1107 HART BLVD MONTICELLO,MN55362	CLINIC
2	2 - CCH PAYNESVILLE - EDEN VALLEY CLINIC 405 MEEKER AVENUE EDEN VALLEY,MN55362	CLINIC
3	3 - CCH PAYNESVILLE - PAYNESVILLE CLINIC 200 WEST FIRST STREET PAYNESVILLE,MN55362	CLINIC
4	4 - CCH PAYNESVILLE - RICHMOND CLINIC 130 FIRST STREET NE RICHMOND,MN56368	CLINIC
5	5 - RICE HOME MEDICAL 1033 19TH AVE SW WILLMAR,MN56201	DURABLE MEDICAL EQUIPMENT PROVIDER
6	6 - CARRIS HEALTH SURGERY CENTER WILLMAR 1310 1ST STREET S WILLMAR,MN56201	AMBULATORY SURGICAL CENTER
7	7 - CARRIS HEALTH-REDWOOD HEALTH PAVILION 1110 E BRIDGE ST REDWOOD FALLS,MN56283	HOME CARE, HOSPICE AND ADULT DAY SERVICES
8	8 - CARRIS HEALTH - REDWOOD SEASONS HOUSE 400 VEDA DR REDWOOD FALLS,MN56283	ADULT FOSTER CARE WITH SERVICES (END OF LIFE CARE)
9	9 - RICE REHABILITATION CENTER 311 SW 3RD ST WILLMAR,MN56201	PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY
10	10 - CENTRACARE - BENSON CLINIC 1815 WISCONSIN AVE BENSON,MN56215	CLINIC

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 MNCARE 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 OFFSETTING REVENUES ON LINE 7F 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 $ 8,931,973.
PART II, COMMUNITY BUILDING ACTIVITIES:	MONTICELLO- ACTIVITIES THAT BUILD RESILIENCE, PROVIDE SOCIAL SUPPORT, AND IMPROVE ACCESS TO MENTAL HEALTH CARE STRENGTHEN EMOTIONAL WELL-BEING. SUBSTANCE MISUSE PREVENTION PROGRAMS REDUCE ADDICTION RISKS AND RELATED HARMS, PROMOTING SAFER COMMUNITIES. DENTAL INITIATIVES THAT ENCOURAGE PREVENTIVE CARE AND REDUCE TREATMENT DELAYS IMPROVE OVERALL HEALTH AND LOWER LONG-TERM COSTS.RICE MEMORIAL HOSPITAL - FOOD SECURITY INITIATIVES THAT HELPED CONNECT PATIENTS TO THE FOOD RESOURCES IN THE COMMUNITY, TRANSPORTATION SERVICES GREW IN PARTNERSHIP WITH NATIONAL, STATE AND LOCAL PARTNERSHIPS. INCLUSION OPPORTUNITIES PROVIDED BY THE CITY OF WILLMAR AND PARTICIPATION IN EVENTS FOR SHARING CULTURAL AWARENESS. REDWOOD - PROMOTION OF MENTAL HEALTH AND SUICIDE PREVENTION RESOURCES HELPED PATIENTS AND COMMUNITY MEMBERS UNDERSTAND THE HELP THAT IS AVAILABLE. CONTINUED SUPPORT OF FOOD RESOURCES FOR PATIENTS WITH THE PATIENT EMERGENCY FOOD BAGS AND CONNECTION TO AGENCIES AND SERVICES IN THE SURROUNDING COMMUNITY OF FOOD RESOURCES.BENSON - ACTIVE PARTICIPATION WITH PUBLIC HEALTH TO FINALIZE THEIR COMMUNITY HEALT IMPROVEMENT PLAN AND UNDERSTANDING OF THE COMMUNITY HEALTH ISSUES IN THE AREA. THROUGH THIS PROCESS BECAME CONNECTED TO MANY MORE RESOURCES IN THE AREA THAN WAS PREVIOUSLY AWARE OF. PARTICIPATION IN THE SWIFT COUNTY CHILDREN'S MENTAL HEALTH COUNCIL AND TOKENS FOR TOMATOES.PAYNESVILLE - 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 RESIDENT REVENUE AND PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH INCLUDED IN NOTE 2 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:	THE ORGANIZATIONS' STRATEGIC PLANNING ASSESSES THE NEEDS OF THE COMMUNITY AND PATIENTS THROUGH PATIENT SATISFACTION SURVEYS, COMMENT CARDS, COMMUNITY ASSESSMENTS AND A DIVERSE OPERATING COMMITTEE THAT REPRESENTS THE COMMUNITY AND BRINGS TO THE TABLE ISSUES, CONCERNS AND RECOMMENDATIONS FOR HEALTH CARE SERVICES.
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 - MONTICELLO WRIGHT COUNTY IS LOCATED IN CENTRAL MINNESOTA, SLIGHTLY NORTHWEST OF THE TWIN CITIES. WRIGHT COUNTY COVERS 661-SQUARE MILES AND, WITH A POPULATION OF 154,593, IS MINNESOTA'S TENTH MOST POPULOUS COUNTY. THE POPULATION OF WRIGHT COUNTY HAS BEEN RECOGNIZED AS THE FASTEST GROWING COUNTY IN MN WITH A GROWTH RATE OF 6.5%. THE COMMUNITY IS BECOMING INCREASINGLY DIVERSE AND THERE ARE SIGNIFICANT SOCIO-ECONOMIC DISPARITIES AMONG FAMILIES LIVING IN WRIGHT COUNTY THOUGH WRIGHT COUNTY HEALTH OUTCOMES 2025 INDICATE IT IS ON THE HEALTHIER SIDE OF THE SPECTRUM IN THE STATE. THE POPULATION OF RESIDENTS UNDER 18 IS 26.9 WHICH IS HIGHER THAN ANY METRO OR LARGE MN COUNTY. WRIGHT CO IS EXPECTING SIGNIFICANT POPULATION GROWTH IN THE COMING YEARS WITH AN ADDITIONAL 86,404 INCREASE BY 2050. THE POVERTY RATE IS 13.9% WHICH IS LESS THAN MN AT 17.9%. POVERTY RATES OF THOSE 65 YEARS OR OLDER IS 10% WHICH HIGHER THAN THE STATES OVERALL PERCENTAGE OF 9%. THE HOSPITALS FUNCTION AS AN IMPORTANT LOCAL HEALTHCARE ACCESS POINT AND FACES THE CHALLENGE WITH PRIMARY CARE PROVIDERS RATES THAT ARE TWICE THE RATE OF THAT STATE AVERAGE OF 1 PCP TO 2,540 PATIENTS.CENTRACARE PAYNESVILLE HOSPITAL SERVES THE CITY OF PAYNESVILLE AND NEIGHBORING RURAL COMMUNITIES IN SOUTHWEST STEARNS COUNTY, INCLUDING RICHMOND, EDEN VALLEY, AND COLD SPRING.STEARNS COUNTY HAS A TOTAL POPULATION OF 160,977 AND HAS EXPERIENCED MODEST BUT STEADY GROWTH IN RECENT YEARS. APPROXIMATELY 65% OF RESIDENTS ARE BETWEEN THE AGES OF 18 AND 64, WITH THE LARGEST COHORT BETWEEN AGES 20 AND 29. AT THE SAME TIME, RURAL COMMUNITIES IN SOUTHWEST STEARNS COUNTY REFLECT A RELATIVELY STABLE AND GRADUALLY AGING POPULATION, INCREASING THE NEED FOR SENIOR SERVICES, CHRONIC DISEASE MANAGEMENT, AND COORDINATED PRIMARY CARE. THE GENDER DISTRIBUTION IS 51% MALE AND 49% FEMALE.THE POPULATION OF STEARNS COUNTY IS 83% WHITE, WITH 17% IDENTIFYING AS PEOPLE OF COLOR AND 3.8% IDENTIFYING AS HISPANIC. APPROXIMATELY 8% OF RESIDENTS IDENTIFY AS BLACK OR AFRICAN AMERICAN, 1.9% AS ASIAN OR PACIFIC ISLANDER, LESS THAN 1% AS NATIVE AMERICAN OR ALASKA NATIVE, AND 2.9% AS MULTIRACIAL. THESE DEMOGRAPHIC TRENDS REINFORCE THE IMPORTANCE OF CULTURALLY RESPONSIVE CARE AND EFFORTS TO ADDRESS HEALTH DISPARITIES ACROSS RURAL COMMUNITIES.SOCIOECONOMIC INDICATORS REFLECT OVERALL COMMUNITY STABILITY WITH PERSISTENT AREAS OF NEED. THE MEDIAN HOUSEHOLD INCOME IS $74,709, AND THE MEDIAN HOME VALUE IS $256,500, WITH 69% OF HOMES OWNER-OCCUPIED. APPROXIMATELY 11.2% OF RESIDENTS LIVE BELOW THE POVERTY LINE, INCLUDING 13% OF CHILDREN UNDER AGE 18 AND 12% OF ADULTS AGE 65 AND OLDER. THE UNEMPLOYMENT RATE IS APPROXIMATELY 4.5%, WITH NEARLY 86,000 RESIDENTS EMPLOYED ACROSS MORE THAN 4,600 BUSINESSES. EDUCATIONAL ATTAINMENT IS STRONG, WITH A 94.2% HIGH SCHOOL GRADUATION RATE AND 30.2% OF RESIDENTS HOLDING A BACHELOR'S DEGREE OR HIGHER. ABOUT 11.2% OF THE POPULATION IDENTIFIES AS LIVING WITH A DISABILITY.CENTRACARE WILLMAR SERVES THE CITY OF WILLMAR AND THE SURROUNDING RURAL COMMUNITIES OF KANDIYOHI COUNTY AND NEIGHBORING RENVILLE COUNTY IN WEST-CENTRAL MINNESOTA. THE REGION REFLECTS A TOWN-AND-RURAL MIX, WITH WILLMAR SERVING AS THE PRIMARY POPULATION AND SERVICE CENTER. WILLMAR ACCOUNTS FOR APPROXIMATELY 48.5% (21,282 RESIDENTS) OF KANDIYOHI COUNTY'S TOTAL POPULATION OF 43,839. THE COUNTY INCLUDES 17,128 HOUSEHOLDS, WITH AN AVERAGE HOUSEHOLD SIZE OF 2.48 INDIVIDUALS. AS A REGIONAL HUB, WILLMAR PROVIDES ACCESS TO HEALTHCARE, EMPLOYMENT, EDUCATION, AND SOCIAL SERVICES FOR SURROUNDING SMALL TOWNS AND AGRICULTURAL COMMUNITIES.POPULATION TRENDS INDICATE MODEST GROWTH IN KANDIYOHI COUNTY, WHILE NEIGHBORING RENVILLE COUNTY IS PROJECTED TO EXPERIENCE POPULATION DECLINE. LIKE MANY RURAL AREAS IN THE STATE, THE REGION HAS FACED DEMOGRAPHIC SHIFTS OVER THE PAST DECADE. LOOKING AHEAD, THE POPULATION AGE 65 AND OLDER IS EXPECTED TO GROW RAPIDLY, INCREASING DEMAND FOR CHRONIC DISEASE MANAGEMENT, SENIOR SERVICES, AND CARE COORDINATION. AT THE SAME TIME, KANDIYOHI COUNTY IS PROJECTED TO SEE A 7.7% INCREASE IN RESIDENTS UNDER AGE 24, SIGNALING CONTINUED NEED FOR MATERNAL, PEDIATRIC, ADOLESCENT, AND BEHAVIORAL HEALTH SERVICES.THE RACIAL AND ETHNIC COMPOSITION OF KANDIYOHI COUNTY HAS CHANGED SIGNIFICANTLY OVER THE PAST DECADE. BETWEEN 2011 AND 2021, THE POPULATION IDENTIFYING AS BLACK OR AFRICAN AMERICAN INCREASED BY 240.4%, WHILE THE WHITE NON-HISPANIC POPULATION DECREASED BY 7.6%. THE HISPANIC OR LATINO POPULATION GREW BY 22.4% DURING THE SAME PERIOD. THESE DEMOGRAPHIC SHIFTS REFLECT AN INCREASINGLY DIVERSE COMMUNITY AND REINFORCE THE IMPORTANCE OF CULTURALLY RESPONSIVE CARE, LANGUAGE ACCESS SERVICES, AND HEALTH EQUITY INITIATIVES.DATA FROM THE MINNESOTA STUDENT SURVEY OF 9TH AND 11TH GRADE STUDENTS IN KANDIYOHI AND RENVILLE COUNTIES INDICATE THAT APPROXIMATELY 1.5% OF RESPONDENTS IDENTIFY AS TRANSGENDER, GENDERQUEER, OR GENDER-FLUID, HIGHLIGHTING THE IMPORTANCE OF INCLUSIVE, AFFIRMING HEALTHCARE ENVIRONMENTS FOR YOUTH. DISABILITY PREVALENCE IS ALSO A NOTABLE CONSIDERATION. AMONG ADULTS AGES 18 TO 64, 9.6% IN KANDIYOHI COUNTY LIVE WITH A DISABILITYHIGHER THAN THE MINNESOTA STATEWIDE RATE OF 8.5%ACROSS FUNCTIONAL AREAS INCLUDING HEARING, VISION, COGNITIVE, AMBULATORY, SELF-CARE, AND INDEPENDENT LIVING.AS A REGIONAL HOSPITAL AND HEALTHCARE PROVIDER, CENTRACARE WILLMAR PLAYS A VITAL ROLE IN ADDRESSING THE EVOLVING NEEDS OF A GROWING, DIVERSIFYING, AND AGING POPULATION. THE HOSPITAL SUPPORTS PREVENTIVE CARE, PRIMARY AND SPECIALTY SERVICES, CHRONIC DISEASE MANAGEMENT, MATERNAL AND PEDIATRIC HEALTH, BEHAVIORAL HEALTH, AND COMMUNITY-BASED HEALTH INITIATIVES, SERVING AS A CRITICAL HEALTHCARE ACCESS POINT FOR BOTH THE WILLMAR METROPOLITAN CENTER AND THE SURROUNDING RURAL COMMUNITIES.CENTRACARE REDWOOD - REDWOOD COUNTY IS LOCATED IN THE SOUTHWEST REGION OF MINNESOTA, WITH A POPULATION OF ABOUT 15,000. THE COUNTY IS HOME TO 15 CITIES, 26 TOWNSHIPS, AND 1 TRIBAL NATION (THE LOWER SIOUX INDIAN RESERVATION). COMPLIMENTED BY BEAUTIFUL PICTURESQUE VALLEYS, HILLS AND NATURAL SIGHTS, REDWOOD COUNTY IS COMPRISED OF A DIVERSE BUSINESS SECTOR AND A VARIETY OF EMPLOYMENT OPPORTUNITIES IN NUMEROUS FIELDS. IN THE YEAR OF 2023, REDWOOD COUNTY, MN HAD A POPULATION OF 15.4K PEOPLE WITH A MEDIAN AGE OF 41.1 AND A MEDIAN HOUSEHOLD INCOME OF $67,024. BETWEEN 2022 AND 2023 THE POPULATION OF REDWOOD COUNTY, MN DECLINED FROM 15,428 TO 15,383, A 0.292% DECREASE AND ITS MEDIAN HOUSEHOLD INCOME GREW FROM $65,617 TO $67,024, A 2.14% INCREASE.THE 5 LARGEST ETHNIC GROUPS IN REDWOOD COUNTY, MN ARE WHITE (NON-HISPANIC) (85.5%), AMERICAN INDIAN & ALASKA NATIVE (NON-HISPANIC) (3.65%), TWO RACES EXCLUDING OTHER, & THREE OR MORE RACES (NON-HISPANIC) (2.94%), ASIAN (NON-HISPANIC) (2.57%), AND OTHER (HISPANIC) (1.42%). NONE OF THE HOUSEHOLDS IN REDWOOD COUNTY, MN REPORTED SPEAKING A NON-ENGLISH LANGUAGE AT HOME AS THEIR PRIMARY SHARED LANGUAGE. THIS DOES NOT CONSIDER THE POTENTIAL MULTI-LINGUAL NATURE OF HOUSEHOLDS, BUT ONLY THE PRIMARY SELF-REPORTED LANGUAGE SPOKEN BY ALL MEMBERS OF THE HOUSEHOLD.99.2% OF THE RESIDENTS IN REDWOOD COUNTY, MN ARE U.S. CITIZENS.IN 2023, THE MEDIAN PROPERTY VALUE IN REDWOOD COUNTY, MN WAS $150,400, AND THE HOMEOWNERSHIP RATE WAS 79.7%.MOST PEOPLE IN REDWOOD COUNTY, MN DROVE ALONE TO WORK, AND THE AVERAGE COMMUTE TIME WAS 17.3 MINUTES. THE AVERAGE CAR OWNERSHIP IN REDWOOD COUNTY, MN WAS 2 CARS PER HOUSEHOLD.CENTRACARE BENSON SERVES THE CITY OF BENSON AND THE SURROUNDING COMMUNITIES OF SWIFT COUNTY IN WESTERN MINNESOTA. SWIFT COUNTY IS HOME TO APPROXIMATELY 9,700 RESIDENTS AND INCLUDES EIGHT CITIES AND 21 TOWNSHIPS, REFLECTING A PREDOMINANTLY RURAL LANDSCAPE ROOTED IN AGRICULTURE AND SMALL-TOWN LIVING. AS THE COUNTY SEAT, BENSON FUNCTIONS AS THE PRIMARY HUB FOR HEALTHCARE, COMMERCE, EDUCATION, AND COMMUNITY SERVICES FOR THE BROADER REGION.SWIFT COUNTY'S POPULATION IS APPROXIMATELY 88% WHITE, 1% BLACK OR AFRICAN AMERICAN, 0.25% NATIVE AMERICAN, 1% ASIAN, 1% PACIFIC ISLANDER, AND 7% HISPANIC OR LATINO. IN 2022, THE LARGEST RACIAL OR ETHNIC GROUP WAS WHITE(NON-HISPANIC), TOTALING 8,611 RESIDENTS. BETWEEN 2010 AND 2022, THE HISPANIC/LATINO POPULATION EXPERIENCED THE GREATEST GROWTH, INCREASING FROM 363 TO 632 RESIDENTS. THESE DEMOGRAPHIC TRENDS REFLECT GRADUAL DIVERSIFICATION WITHIN A HISTORICALLY RURAL AND PREDOMINANTLY WHITE COMMUNITY, REINFORCING THE IMPORTANCE OF CULTURALLY RESPONSIVE CARE AND LANGUAGE ACCESS WHERE NEEDED.BENSON HAS A POPULATION OF 3,449 RESIDENTS, WITH A MEDIAN AGE OF 40.9 YEARS. WHILE THE CITY EXPERIENCED A SLIGHT POPULATION DECLINE OF 0.116% FROM THE PREVIOUS YEAR, ECONOMIC INDICATORS DEMONSTRATE STEADY PROGRESS. THE MEDIAN HOUSEHOLD INCOME INCREASED TO $51,124 IN 2023, AND THE MEDIAN HOME VALUE IS $146,100. HOMEOWNERSHIP IS STRONG AT 62.9%, CONTRIBUTING TO COMMUNITY STABILITY. NEARLY ALL HOUSEHOLDS PRIMARILY SPEAK ENGLISH AT HOME, AND 99.4% OF RESIDENTS ARE U.S. CITIZENS.
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

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
CENTRACARE HEALTH SYSTEM

Employer identification number
41-1813221

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) FIRST PO BOX 854446 BOSTON,MA02284	22-2990908	501(C)(3)	25,000	ANNUAL SPONSORSHIP
(2) CENTRAL MINNESOTA HABITAT FOR HUMANITY 3335 WEST ST GERMAIN STREET SUITE 108 ST CLOUD,MN56301	41-1634218	501(C)(3)	25,000	ANNUAL DONATION
(3) GREAT RIVER CHILDRENS MUSEUM 111 7TH AVE ST CLOUD,MN56301	30-0716191	501(C)(3)	12,500	CREATOR SPONSORSHIP
(4) ST CLOUD STATE UNIVERSITY FOUNDATION 720 4TH AVENUE S ST CLOUD,MN56301	41-6019040	501(C)(3)	10,000	MLK DAY
(5) ST CLOUD TECHNICAL & COMMUNITY COLLEGE FOUNDATION 1540 NORTHWAY DRIVE ST CLOUD,MN56303	41-1791598	501(C)(3)	25,000	LPN PROGRAM SUPPORT
(6) WILLMAR STINGERS BASEBALL ASSOCIATION PO BOX 201 WILLMAR,MN56201	27-0923795	501(C)(4)	10,600	ANNUAL SPONSORSHIP
(7) ACTIVE CENTRAL MN PO BOX 458 WAITE PARK,MN56387	82-2118678	501(C)(3)	40,000	ANNUAL SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) NURSING AND COLLEGE SCHOLARSHIPS	12	14,492	0
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

CONTRIBUTIONS MUST BE IN KEEPING WITH THE MISSION OF CENTRACARE HEALTH SYSTEM, 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 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'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 CENTER, 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 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.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KENNETH HOLMEN PRESIDENT/CEO	(i) (ii)	1,275,014 ------------- 0	305,083 ------------- 0	341,048 ------------- 0	10,350 ------------- 0	38,034 ------------- 0	1,969,529 ------------- 0	318,062 ------------- 0
2LEAH SCHAMMEL PHYSICIAN	(i) (ii)	1,079,087 ------------- 0	65,348 ------------- 0	23,300 ------------- 0	5,376 ------------- 0	34,666 ------------- 0	1,207,777 ------------- 0	0 ------------- 0
3JOY PLAMANN CHIEF OPERATING OFFICER/SR VP	(i) (ii)	764,018 ------------- 0	141,253 ------------- 0	74,309 ------------- 0	167,430 ------------- 0	27,913 ------------- 0	1,174,923 ------------- 0	53,269 ------------- 0
4MICHAEL BLAIR CHIEF FINANCIAL OFFICER/SR VP/ TREAS	(i) (ii)	582,015 ------------- 0	251,104 ------------- 0	164,090 ------------- 0	128,404 ------------- 0	28,207 ------------- 0	1,153,820 ------------- 0	85,554 ------------- 0
5LAUREL WESSMAN PHYSICIAN	(i) (ii)	1,013,021 ------------- 0	46,768 ------------- 0	240 ------------- 0	10,350 ------------- 0	3,668 ------------- 0	1,074,047 ------------- 0	0 ------------- 0
6NATHANIEL SLINKARD PHYSICIAN	(i) (ii)	978,149 ------------- 0	51,344 ------------- 0	300 ------------- 0	7,243 ------------- 0	30,457 ------------- 0	1,067,493 ------------- 0	0 ------------- 0
7DEXTER CASTA PHYSICIAN	(i) (ii)	934,660 ------------- 0	58,779 ------------- 0	23,450 ------------- 0	9,515 ------------- 0	15,825 ------------- 0	1,042,229 ------------- 0	0 ------------- 0
8JOSEPH KALKMAN PHYSICIAN/ FORMER CAO /SR VP	(i) (ii)	567,651 ------------- 0	0 ------------- 0	453,547 ------------- 0	393 ------------- 0	15,339 ------------- 0	1,036,930 ------------- 0	453,471 ------------- 0
9SANTO CRUZ CHIEF LEGAL OFFICER/SR VP/ SECRETARY	(i) (ii)	462,381 ------------- 0	251,135 ------------- 0	161,460 ------------- 0	105,106 ------------- 0	31,799 ------------- 0	1,011,881 ------------- 0	69,200 ------------- 0
10THOMAS SCHRUP CHIEF PHYSICIAN OFFICER/EVP	(i) (ii)	623,207 ------------- 0	111,782 ------------- 0	104,302 ------------- 0	134,657 ------------- 0	22,407 ------------- 0	996,355 ------------- 0	102,322 ------------- 0
11CINDY SMITH FORMER KEY EMPLOYEE	(i) (ii)	607,298 ------------- 0	94,768 ------------- 0	163,180 ------------- 0	9,240 ------------- 0	24,134 ------------- 0	898,620 ------------- 0	0 ------------- 0
12CHRISTOPHER BOELTER VICE PRESIDENT	(i) (ii)	536,448 ------------- 0	63,877 ------------- 0	74,026 ------------- 0	90,264 ------------- 0	3,754 ------------- 0	768,369 ------------- 0	72,736 ------------- 0
13JACOB LYONS DIRECTOR (START 07.01.2024)	(i) (ii)	684,422 ------------- 0	38,154 ------------- 0	300 ------------- 0	10,350 ------------- 0	28,114 ------------- 0	761,340 ------------- 0	0 ------------- 0
14AMY PORWOLL CHIEF INFORMATION SYSTEM OFFICER/SR	(i) (ii)	447,379 ------------- 0	71,245 ------------- 0	108,479 ------------- 0	90,320 ------------- 0	24,247 ------------- 0	741,670 ------------- 0	84,189 ------------- 0
15GEORGE MORRIS FORMER KEY EMPLOYEE	(i) (ii)	411,291 ------------- 0	12,769 ------------- 0	75,701 ------------- 0	9,938 ------------- 0	143,069 ------------- 0	652,768 ------------- 0	0 ------------- 0
16JOSEPH BLONSKI VICE PRESIDENT	(i) (ii)	478,395 ------------- 0	56,792 ------------- 0	73,030 ------------- 0	10,350 ------------- 0	27,780 ------------- 0	646,347 ------------- 0	71,050 ------------- 0
17BRYAN LYDICK VICE PRESIDENT	(i) (ii)	429,375 ------------- 0	54,447 ------------- 0	49,635 ------------- 0	61,871 ------------- 0	30,692 ------------- 0	626,020 ------------- 0	26,185 ------------- 0
18BRYAN ROLPH DIRECTOR	(i) (ii)	547,561 ------------- 0	23,764 ------------- 0	1,290 ------------- 0	8,475 ------------- 0	43,332 ------------- 0	624,422 ------------- 0	0 ------------- 0
19MARIA MALLORY VICE PRESIDENT	(i) (ii)	443,527 ------------- 0	55,034 ------------- 0	24,290 ------------- 0	79,200 ------------- 0	20,907 ------------- 0	622,958 ------------- 0	0 ------------- 0
20JOHN HERING FORMER KEY EMPLOYEE	(i) (ii)	389,452 ------------- 0	51,811 ------------- 0	60,074 ------------- 0	51,504 ------------- 0	34,041 ------------- 0	586,882 ------------- 0	0 ------------- 0
21RACHAEL LESCH VICE PRESIDENT	(i) (ii)	424,727 ------------- 0	50,753 ------------- 0	690 ------------- 0	71,310 ------------- 0	29,059 ------------- 0	576,539 ------------- 0	0 ------------- 0
22MICHAEL SCHRAMM FORMER KEY EMPLOYEE	(i) (ii)	383,066 ------------- 0	47,003 ------------- 0	40,578 ------------- 0	49,552 ------------- 0	33,308 ------------- 0	553,507 ------------- 0	0 ------------- 0
23JOSEPH HELLIE FORMER VICE PRESIDENT	(i) (ii)	345,710 ------------- 0	42,884 ------------- 0	58,004 ------------- 0	61,760 ------------- 0	28,207 ------------- 0	536,565 ------------- 0	56,714 ------------- 0
24MATTHEW KUNKEL VICE PRESIDENT	(i) (ii)	334,472 ------------- 0	42,635 ------------- 0	53,957 ------------- 0	62,913 ------------- 0	32,975 ------------- 0	526,952 ------------- 0	36,322 ------------- 0
25LYNN MCFARLING VICE PRESIDENT	(i) (ii)	371,370 ------------- 0	46,713 ------------- 0	80,961 ------------- 0	10,350 ------------- 0	13,968 ------------- 0	523,362 ------------- 0	58,441 ------------- 0
26DAVID LARSON VICE PRESIDENT	(i) (ii)	338,405 ------------- 0	40,878 ------------- 0	37,556 ------------- 0	58,183 ------------- 0	30,692 ------------- 0	505,714 ------------- 0	37,256 ------------- 0
27BRYAN BAUCK VICE PRESIDENT	(i) (ii)	321,964 ------------- 0	41,924 ------------- 0	41,417 ------------- 0	54,974 ------------- 0	35,921 ------------- 0	496,200 ------------- 0	24,037 ------------- 0
28PHILIP LUITJENS VICE PRESIDENT	(i) (ii)	337,569 ------------- 0	41,273 ------------- 0	33,595 ------------- 0	60,818 ------------- 0	22,789 ------------- 0	496,044 ------------- 0	33,295 ------------- 0
29DEBRA PETERSON FORMER KEY EMPLOYEE	(i) (ii)	453,276 ------------- 0	4,513 ------------- 0	2,210 ------------- 0	9,156 ------------- 0	14,923 ------------- 0	484,078 ------------- 0	0 ------------- 0
30HOLLY GULDEN VICE PRESIDENT	(i) (ii)	284,471 ------------- 0	75,766 ------------- 0	18,989 ------------- 0	48,021 ------------- 0	28,497 ------------- 0	455,744 ------------- 0	0 ------------- 0
31RYAN ENGDAHL VICE PRESIDENT	(i) (ii)	305,572 ------------- 0	39,074 ------------- 0	15,564 ------------- 0	56,029 ------------- 0	31,786 ------------- 0	448,025 ------------- 0	0 ------------- 0
32ANDREA SMART VICE PRESIDENT	(i) (ii)	319,539 ------------- 0	38,524 ------------- 0	450 ------------- 0	57,808 ------------- 0	25,987 ------------- 0	442,308 ------------- 0	0 ------------- 0
33RICHARD WEHSELER DIRECTOR	(i) (ii)	367,730 ------------- 0	14,309 ------------- 0	834 ------------- 0	7,712 ------------- 0	30,431 ------------- 0	421,016 ------------- 0	0 ------------- 0
34ZACHARY BORK VICE PRESIDENT	(i) (ii)	253,550 ------------- 0	31,553 ------------- 0	285 ------------- 0	47,478 ------------- 0	35,126 ------------- 0	367,992 ------------- 0	0 ------------- 0
35ANTHONY GARDNER FORMER KEY EMPLOYEE	(i) (ii)	315,931 ------------- 0	0 ------------- 0	27,370 ------------- 0	4,391 ------------- 0	11,385 ------------- 0	359,077 ------------- 0	0 ------------- 0
36BOBBIE BERTRAM DIRECTOR	(i) (ii)	243,745 ------------- 0	24,499 ------------- 0	36,949 ------------- 0	3,503 ------------- 0	35,274 ------------- 0	343,970 ------------- 0	0 ------------- 0
37KIMBERLY EGAN CHIEF HUMAN RESOURCES OFFICER/SR VP	(i) (ii)	234,822 ------------- 0	50,000 ------------- 0	3,462 ------------- 0	52,063 ------------- 0	3,428 ------------- 0	343,775 ------------- 0	0 ------------- 0
38SHERRI LIEBL VICE PRESIDENT	(i) (ii)	196,227 ------------- 0	18,570 ------------- 0	30,041 ------------- 0	13,799 ------------- 0	32,841 ------------- 0	291,478 ------------- 0	0 ------------- 0
39JENNIFER TODD CHIEF COMPLIANCE OFFICER	(i) (ii)	187,491 ------------- 0	18,817 ------------- 0	24,513 ------------- 0	5,929 ------------- 0	35,227 ------------- 0	271,977 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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 - $84,189 BRYAN BAUCK - $24,037 BRYAN LYDICK - $26,185 CHRISTOPHER BOELTER - $72,736 DAVID LARSON - $37,256 JOSEPH BLONSKI - $71,050 JOSEPH HELLIE - $56,714 JOSEPH KALKMAN - $453,471 JOY PLAMANN - $53,269 KENNETH HOLMEN - $318,062 LYNN MCFARLING - $58,441 MATTHEW KUNKEL - $36,322 MICHAEL BLAIR - $85,554 PHILIP LUITJENS - $33,295 SANTO CRUZ - $69,200 THOMAS SCHRUP - $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.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
CENTRACARE HEALTH SYSTEM

Employer identification number
41-1813221

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE CITY OF ST CLOUD	41-6005515	78916VDR8	05-12-2016	216,598,436	SEE PART VI		X		X		X
B	THE CITY OF ST CLOUD	41-6005515	78916VDW7	03-28-2019	143,227,442	SEE PART VI		X		X		X
C	THE CITY OF ST CLOUD	41-6005515	78916VEU0	10-10-2024	332,837,472	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	4,630,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	216,945,339		148,365,084		339,836,736
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,760,260		1,512,827		2,659,412
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	53,357,670		138,695,316		27,837,880
11 Other spent proceeds .............	161,827,409		8,156,941		101,379,100
12 Other unspent proceeds .............					207,960,345
13 Year of substantial completion .............	2017		2024
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X		X
16 Has the final allocation of proceeds been made? ..........	X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	1.140 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	1.140 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
PART IV, LINE 6, 2016 BONDS	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
PART IV, LINE 6, 2016 BONDS	DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
PART I, 2016 BONDS, COLUMN F	TO REFUND BONDS ISSUED 8/10/2009 AND 2/3/2010 , AND TO FINANCE MELROSE HOSPITAL, LONG PRAIRIE HOSPITAL, AND LONG PRAIRIE NURSING HOME
PART I, 2019 BONDS, COLUMN F	TO REFUND BOND ISSUED 12/13/2011, AND TO FINANCE REDWOOD HOSPITAL. PLEASE NOTE THAT FORM 8038 FOR THIS ISSUE ERRONEOUSLY LISTS THE ISSUE DATE OF THE REFUNDED DEBT AS 11/30/2018.
PART I, 2024 BONDS, COLUMN F	TO REFUND BOND ISSUED 08/01/2014, AND TO FINANCE CLINIC EXPANSION
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 10/11/2021 (A) ISSUER NAME: THE CITY OF ST CLOUD DATE THE REBATE COMPUTATION WAS PERFORMED: 04/17/2024

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD OF DIRECTORS HAS DELEGATED THE APPROVAL AUTHORITY OF FORM 990 TO THE AUDIT COMMITTEE. ANNUALLY, AT THE AUDIT COMMITTEE MEETING, PRIOR TO FILING WITH THE IRS, THE AUDIT COMMITTEE REVIEWS AND APPROVES FORM 990. A COPY OF 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 PRESIDENT AND THE VICE PRESIDENTS (NON-MEDICAL PROVIDERS) ARE 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 COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVAL.
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 XI, LINE 9:	NET TRANSFERS TO NON-CONTROLLING INTEREST -3,480,000. NON-CONTROLLING INTEREST 2,561,564. OTHER CHANGES IN NET ASSETS 296,503.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

CENTRACARE HEALTH SYSTEM

Employer identification number

41-1813221

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CENTRACARE SURGERY CENTER LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303 61-1514974	SURGICAL CENTER	MN	17,960,162	6,785,861	CENTRACARE HEALTH SYSTEM
(2) CENTRACARE HEALTH SYSTEM - NR LLC 1013 HART BOULEVARD MONTICELLO,MN55362 46-1584944	HEALTHCARE	MN	98,857,079	97,032,563	CENTRACARE HEALTH SYSTEM
(3) CENTRACARE PAYNESVILLE 200 WEST FIRST STREET PAYNESVILLE,MN56362 43-3298651	HEALTHCARE	MN	48,302,657	51,734,288	CENTRACARE HEALTH SYSTEM
(4) CENTRAL MINNESOTA HEALTH NETWORK LLC(FKA CIN LLC) 1406 6TH AVENUE NORTH ST CLOUD,MN56303 47-3924684	CLINICAL INTEGRATED NETWORK	MN	0	0	CENTRACARE HEALTH SYSTEM
(5) CENTRAL MINNESOTA ACO LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303 47-4591476	ACCREDITED CARE ORGANIZATION	MN	700,000	1,453,529	CENTRACARE HEALTH SYSTEM
(6) CENTRACARE RICE MEMORIAL HOSPITAL 301 BECKER AVENUE SOUTHWEST WILLMAR,MN56201 82-3166379	HEALTHCARE	MN	147,694,537	138,777,425	CENTRACARE HEALTH SYSTEM
(7) CENTRAL MINNESOTA IHP LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303	HEALTHCARE	MN	0	0	CENTRACARE HEALTH SYSTEM
(8) CENTRACARE PROVIDER SERVICES LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303	HEALTHCARE	MN	0	0	CENTRACARE HEALTH SYSTEM
(9) CENTRACARE REDWOOD 101 CARING WAY REDWOOD FALLS,MN56283 38-4089454	HEALTHCARE	MN	60,031,230	55,453,357	CENTRACARE HEALTH SYSTEM
(10) CENTRACARE MONTICELLO SERVICES LLC 1013 HART BOULEVARD MONTICELLO,MN55362 46-3274763	INVESTMENTS	MN	10,737,859	86,897,631	N/A
(11) CENTRACARE CLINIC SOUTHWEST LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303 86-3675734	HEALTHCARE	MN	86,813,637	17,921,375	CENTRACARE HEALTH SYSTEM
(12) CENTRACARE BENSON LLC 1815 WISCONSIN AVENUE BENSON,MN56215 92-0754820	HEALTHCARE	MN	22,784,418	27,659,155	CENTRACARE HEALTH SYSTEM

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ST CLOUD HOSPITAL 1406 6TH AVENUE NORTH ST CLOUD,MN56303 41-0695596	ACUTE/LT CARE	MN	501(C)(3)	3	CENTRACARE HEALTH SYSTEM		No
(2)CENTRACARE CLINIC 1200 6TH AVENUE NORTH ST CLOUD,MN56303 41-1806657	MULTI-SPECIALTY	MN	501(C)(3)	3	CENTRACARE HEALTH SYSTEM		No
(3)CENTRACARE HEALTH SYSTEM - LONG PRAIRIE 50 CENTRACARE DRIVE LONG PRIAIRE,MN56347 41-1924645	ACUTE/LT CARE	MN	501(C)(3)	3	CENTRACARE HEALTH SYSTEM		No
(4)CENTRACARE HEALTH SYSTEM - MELROSE 525 MAIN STREET WEST MELROSE,MN56352 41-1865315	ACUTE/LT CARE	MN	501(C)(3)	3	CENTRACARE HEALTH SYSTEM		No
(5)CENTRACARE HEALTH SYSTEM - SAUK CENTRE 425 ELM STREET NORTH SAUK CENTRE,MN56378 45-2438973	ACUTE/LT CARE	MN	501(C)(3)	3	CENTRACARE HEALTH SYSTEM		No
(6)CUSHMAN ALBERT RICE TRUST 1100 WEST ST GERMAIN STREET ST CLOUD,MN56303 41-6019335	SUPPORT FOR CENTRACARE RICE MEMORIAL HOSPITAL	MN	501(C)(3)	12A, I	CENTRACARE RICE MEMORIAL HOSPITAL		No
(7)CENTRACARE HEALTH FOUNDATION 1406 6TH AVENUE NORTH ST CLOUD,MN56303 41-1855173	FUNDRAISING	MN	501(C)(3)	7	CENTRACARE HEALTH SYSTEM	Yes
(8)NORTHWAY COURT CONDO ASSOCIATION 1406 6TH AVENUE NORTH ST CLOUD,MN56303	CONDO OWNER ASSOCIATION	MN	501(C)(4)		CENTRACARE HEALTH SYSTEM	Yes
(9)HEALTH PLAZA CONDOMINIUM ASSOCIATION 1407 6TH AVENUE NORTH ST CLOUD,MN56303	CONDO OWNER ASSOCIATION	MN	501(C)(4)		CENTRACARE HEALTH SYSTEM	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CENTRAL IMAGING LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303 85-2580688	IMAGING SERVICES	MN	CENTRACARE HEALTH SYSTEM	RELATED	3,711,065	4,252,674		No		Yes		90.000 %
(2) MONTICELLO CANCER CENTER LLC 1001 HART BOULEVARD SUITE 50 MONTICELLO,MN55362 26-1909519	RADIATION & ONCOLOGY SERVICES	MN	CENTRACARE HEALTH - MONTICELLO	RELATED	12,070,516	5,000,131		No		Yes		60.000 %
(3) CENTRACARE PHARMACY SERVICES LLC 1406 6TH AVENUE NORTH ST CLOUD,MN56303 41-1620618	PHARMACY SERVICES	MN	CENTRACARE HOLDINGS	RELATED	78,717	3,775,603		No		Yes		100.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) AFFILIATED COMMUNITY MEDICAL CENTERS PA 301 BECKER AVENUE SOUTHWEST WILLMAR,MN56201 41-0850702	INVESTMENTS	MN	CENTRACARE RICE MEMORIAL	C	4,302,013	72,325,491	100.000 %	Yes
(2) CENTRACARE HOLDINGS INC 1406 6TH AVENUE NORTH ST CLOUD,MN56303 47-2688595	INVESTMENTS	MN	CENTRACARE HEALTH SYSTEM	C	432,919	23,828,372	100.000 %	Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CENTRACARE HEALTH FOUNDATION	C	838,490	FMV
(2) CENTRACARE HEALTH SYSTEM - LONG PRAIRIE	D	1,015,220	FMV
(3) ST CLOUD HOSPITAL	J	788,140	FMV
(4) CENTRACARE HEALTH SYSTEM - LONG PRAIRIE	J	68,950	FMV
(5) ST CLOUD HOSPITAL	N	63,930,219	FMV
(6) CENTRACARE HEALTH SYSTEM - MELROSE	N	2,212,807	FMV
(7) CENTRACARE HEALTH SYSTEM - LONG PRAIRIE	N	1,955,421	FMV
(8) CENTRACARE HEALTH SYSTEM - SAUK CENTRE	N	2,038,295	FMV
(9) CENTRACARE CLINIC	N	19,981,926	FMV
(10) ST CLOUD HOSPITAL	O	118,242,700	FMV
(11) CENTRACARE HEALTH SYSTEM - MELROSE	O	6,000,382	FMV
(12) CENTRACARE HEALTH SYSTEM - LONG PRAIRIE	O	4,813,232	FMV
(13) CENTRACARE HEALTH SYSTEM - SAUK CENTRE	O	5,393,479	FMV
(14) CENTRACARE CLINIC	O	53,589,153	FMV
(15) AFFILIATED COMMUNITY MEDICAL CENTERS PA	O	76,643	FMV
(16) ST CLOUD HOSPITAL	Q	845,514,476	FMV
(17) CENTRACARE HEALTH SYSTEM - MELROSE	Q	32,238,720	FMV
(18) CENTRACARE HEALTH SYSTEM - LONG PRAIRIE	Q	28,079,690	FMV
(19) CENTRACARE HEALTH SYSTEM - SAUK CENTRE	Q	32,763,219	FMV
(20) CENTRACARE CLINIC	Q	387,566,964	FMV
(21) CENTRACARE HOLDINGS INC	Q	731,048	FMV
(22) AFFILIATED COMMUNITY MEDICAL CENTERS PA	Q	2,617,182	FMV
(23) CENTRACARE HEALTH FOUNDATION	Q	2,755,732	FMV

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: INTEGRATED MULTI-ORGANIZATIONAL HEALTH CARE SYSTEM DESIGNED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES AT AN AFFORDABLE PRICE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	14,210
6	Total number of volunteers (estimate if necessary) .............	6	275
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,435,111
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	587,437

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,809,231	1,525,627
9	Program service revenue (Part VIII, line 2g) .........	556,478,639	577,863,268
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	23,966,572	67,357,249
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-7,434,482	1,140,414
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	577,819,960	647,886,558
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	553,056	289,886
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	283,365,033	293,142,029
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	248,984,776	249,479,607
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	532,902,865	542,911,522
19	Revenue less expenses. Subtract line 18 from line 12.......	44,917,095	104,975,036
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,174,669,944	1,572,199,156
21	Total liabilities (Part X, line 26).............	655,151,175	934,771,873
22	Net assets or fund balances. Subtract line 21 from line 20.....	519,518,769	637,427,283

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 173,519,114 including grants of $ 208,898 ) (Revenue $ 196,029,172 )
	CENTRACARE HEALTH SYSTEM (CCHS) IS AN INTEGRATED HEALTH SYSTEM, COMPRISED OF SEVEN CRITICAL ACCESS HOSPITALS, TWO ACUTE CARE HOSPITALS, A MULTI-SPECIALTY CLINIC, SURGICAL CENTER, RETAIL PHARMACY NETWORK AND A FOUNDATION. CCHS SERVES ITS PATIENTS IN SIX MAIN AREAS.CENTRACARE LABORATORY SERVICES ALL HOSPITALS UNDER ITS UMBRELLA AS WELL AS CENTRACARE CLINIC. IT ALSO PERFORMS TESTS FOR VARIOUS FACILITIES IN THE REGION. CENTRACARE LABORATORY PERFORMED 2,208,139 TESTS IN FISCAL YEAR 2025. IN FISCAL YEAR 2025 CENTRACARE LABORATORY GENERATED $177,851,103 OF PROGRAM REVENUE AND INCURRED $158,655,853 OF PROGRAM EXPENSE. CENTRACARE SURGICAL CENTER PROVIDES ELECTIVE SURGERY PROCEDURES TO PATIENTS IN THE CENTRAL MN REGION. IN FISCAL YEAR 2025, THE CENTER PERFORMED 6,980 SURGERIES AND GENERATED $18,178,069 OF PROGRAM REVENUE AND $14,863,261 OF PROGRAM EXPENSE.

4b	(Code: ) (Expenses $ 112,834,038 including grants of $ 42,857 ) (Revenue $ 149,917,461 )
	CARRIS HEALTH, LLC IS CONSIDERED A DISREGARDED ENTITY OF CCHS FOR PURPOSES OF 990 REPORTING. CARRIS HEALTH, LLC INCLUDES THE SUBSIDIARY CENTRACARE HEALTH RICE MEMORIAL HOSPITAL, WHICH HAS 136 LICENSED BEDS AND 20 BASSINETS. DURING FISCAL YEAR 2025 RICE MEMORIAL HOSPITAL CARED FOR 2,978 INPATIENT ADMISSIONS WITH 9,706 ASSOCIATED PATIENT DAYS. INPATIENT SERVICES INCLUDE MEDICAL AND SURGICAL CARE, BIRTHING SERVICES, PEDIATRIC SERVICES, BEHAVIORAL HEALTH CARE SERVICES, AND REHABILITATION SERVICES. OUTPATIENT ENCOUNTERS DURING FISCAL YEAR 2025 WERE 78,621 AND INCLUDED EMERGENCY ROOM SERVICES, DIALYSIS, IMAGING, RESPIRATORY THERAPY, A REHABILITATION CENTER, SAME DAY SURGERY AND OTHER AMBULATORY CARE SERVICES. CARRIS HEALTH ALSO HAS AN ACCREDITED AMBULATORY SURGICAL CENTER LOCATED IN WILLMAR, MN. CARRIS HEALTH SURGICAL CENTER COMPLETED 5,322 OUTPATIENT (SAME DAY) PROCEDURES. IN FISCAL YEAR 2025 CARRIS HEALTH GENERATED $149,917,461 OF PROGRAM REVENUE AND $112,834,038 OF PROGRAM EXPENSE.

4c	(Code: ) (Expenses $ 44,797,767 including grants of $ 7,884 ) (Revenue $ 59,582,525 )
	CARRIS HEALTH, LLC INCLUDES THE SUBSIDIARY CARRIS HEALTH - REDWOOD, LLC WHICH IS A 25 BED, 6 BASSINET CRITICAL ACCESS HOSPITAL. DURING FISCAL YEAR 2025 THEY HAD 454 INPATIENT ADMISSIONS WITH 1,718 ASSOCIATED PATIENT DAYS, 48,711 OUTPATIENT VISITS AND 5,469 EMERGENCY ROOM VISITS. IN FISCAL YEAR 2025, REDWOOD GENERATED $59,582,525 OF PROGRAM REVENUE AND $44,797,767 OF PROGRAM EXPENSE.

	(Code: ) (Expenses $ 67,756,395 including grants of $ 23,220 ) (Revenue $ 101,089,988 )
	CENTRACARE HEALTH - MONTICELLO HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. MONTICELLO HOSPITAL IS A 39 BED, 12 BASSINET CRITICAL ACCESS HOSPITAL. IN FISCAL YEAR 2025, THEY HAD 7,368 PATIENT DAYS, 46,797 OUTPATIENT VISITS AND 17,181 EMERGENCY ROOM VISITS' WHICH GENERATED $101,089,988 OF PROGRAM REVENUE AND $67,756,395 OF PROGRAM EXPENSE.

	(Code: ) (Expenses $ 35,788,702 including grants of $ 4,477 ) (Revenue $ 47,898,827 )
	CENTRACARE HEALTH - PAYNESVILLE HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. CENTRACARE HEALTH - PAYNESVILLE HOSPITAL IS A 29 BED, 6 BASSINET CRITICAL ACCESS HOSPITAL. IN FISCAL YEAR 2025 THEY HAD 2,259 PATIENT DAYS, 46,144 OUTPATIENT VISITS AND 5,441 EMERGENCY ROOM VISITS. IN FISCAL YEAR 2025, PAYNESVILLE GENERATED $47,898,827 OF PROGRAM REVENUE AND $35,788,701 OF PROGRAM EXPENSE.

	(Code: ) (Expenses $ 16,543,329 including grants of $ 2,550 ) (Revenue $ 22,474,140 )
	CENTRACARE HEALTH - BENSON HOSPITAL IS CONSIDERED A DISREGARDED ENTITY FOR PURPOSES OF 990 REPORTING, THUS IT IS INCLUDED WITH THIS 990 FILING. CENTRACARE HEALTH - BENSON HOSPITAL IS A 21 BED CRITICAL ACCESS HOSPITAL. IN FISCAL YEAR 2025, THEY HAD 1,179 PATIENT DAYS, 21,818 OUTPATIENT VISITS AND 1,737 EMERGENCY ROOM VISITS. IN FISCAL YEAR 2025, BENSON GENERATED $22,474,140 OF PROGRAM REVENUE AND $16,543,329 OF PROGRAM EXPENSE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 120,088,426 including grants of $ 30,247 ) (Revenue $ 171,462,955 )
4e	Total program service expenses451,239,345

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	24,319,409	0	2,876,294

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	838,489
e	Government grants (contributions)		1e	406,227

f	All other contributions, gifts, grants, and similar amounts not included above		1f	280,911

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,525,627

		Business Code
2a	PATIENT & RESIDENT REV	622110	537,494,498	536,150,542	1,343,956
b	HEALTH INSURANCE PREMI	622110	20,969,314	20,969,314
c	OTHER PROGRAM REVENUE	622110	19,399,456	13,308,301	6,091,155
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		577,863,268

3 Investment income (including dividends, interest, and othersimilar amounts) ......			67,402,989			67,402,989
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	11,775,489
b	Less: rental expenses	6b	11,775,489
c	Rental income or (loss)	6c	0
d	Net rental income or (loss).......			0
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		227,533
b	Less: cost or other basis and sales expenses	7b		273,273
c	Gain or (loss)	7c		-45,740
d	Net gain or (loss).........			-45,740			-45,740
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	8,174,245
b	Less: cost of goods sold ..		10b	4,239,160
c	Net income or (loss) from sales of inventory..			3,935,085			3,935,085

Business Code
11a	MISC NON-OPERATING INC		900099	302,288	302,288
b	LOSS ON SALE OF A/R		900099	-188,131			-188,131
c	LOSS ON JOINT VENTURE		900099	-1,173,443	-1,173,443
d	All other revenue ....			-1,735,385			-1,735,385
e	Total. Add lines 11a–11d ......			-2,794,671
12	Total revenue. See instructions.....			647,886,558	569,557,002	7,435,111	69,368,818

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	275,394	275,394
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	14,492	14,492
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	8,436,417	6,580,405	1,856,012
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	221,407,146	172,697,574	48,709,572
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	19,779,295	15,427,850	4,351,445
9	Other employee benefits .......	19,796,863	15,441,553	4,355,310
10	Payroll taxes ...........	23,722,308	18,503,400	5,218,908
11	Fees for services (non-employees):
a	Management ......	555,497	433,288	122,209
b	Legal .........	3,030,374	2,363,692	666,682
c	Accounting ...........	534,865	417,195	117,670
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	16,323,703	18,416,842	-2,093,139
12	Advertising and promotion ....	608,729	474,809	133,920
13	Office expenses .......	3,256,503	2,540,072	716,431
14	Information technology ......	22,422,066	17,489,211	4,932,855
15	Royalties ..
16	Occupancy ...........
17	Travel ............	1,311,047	1,022,617	288,430
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,518,822	1,184,681	334,141
20	Interest ...........	3,931,311	3,066,423	864,888
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	30,213,188	23,566,287	6,646,901
23	Insurance ...	3,124,000	2,436,720	687,280
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS/MEDICAL SUPPLIES	92,017,525	92,017,525
b	EQUIPMENT RENT & MAINT.	39,157,762	30,543,054	8,614,708
c	IMPLICIT PRICE CONCES.	12,241,864	9,548,654	2,693,210
d	MINOR EQUIPMENT	8,194,038	6,391,350	1,802,688
e	All other expenses	11,038,313	10,386,257	652,056
25	Total functional expenses. Add lines 1 through 24e	542,911,522	451,239,345	91,672,177	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			10,521	1	9,470
2	Savings and temporary cash investments .........			78,176,382	2	47,390,857
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			66,844,192	4	74,911,319
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			1,163,362	7	2,258,314
8	Inventories for sale or use ............			7,606,454	8	7,482,936
9	Prepaid expenses and deferred charges ......			20,930,517	9	20,631,399
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	700,296,011
b	Less: accumulated depreciation	10b	310,300,246	291,565,896	10c	389,995,765
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			670,900,931	12	1,001,207,865
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			37,471,689	15	28,311,231
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,174,669,944	16	1,572,199,156

17	Accounts payable and accrued expenses .....	81,876,376	17	87,511,310
18	Grants payable ...		18
19	Deferred revenue .........	1,184,833	19	1,138,734
20	Tax-exempt bond liabilities .........	362,731,806	20	688,157,204
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	39,986,104	23	36,955,506
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	169,372,056	25	121,009,119
26	Total liabilities. Add lines 17 through 25..	655,151,175	26	934,771,873

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	514,824,607	27	632,437,326
28	Net assets with donor restrictions ...........	4,694,162	28	4,989,957
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	519,518,769	32	637,427,283
33	Total liabilities and net assets/fund balances ........	1,174,669,944	33	1,572,199,156

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No