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  5. CentraCare Health System

CentraCare Health System

Company Details

Name: CentraCare Health System
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Sep 1994 (30 years ago)
Company Number: 55ddb75a-aed4-e011-a886-001ec94ffe7f
File Number: 1L-194
Registered Office Address: 1406 6th Avenue N, St. Cloud, MN 56303, USA
ZIP code: 56303
County: Stearns County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CE6YV63935S9 2024-08-06 1406 6TH AVE N, SAINT CLOUD, MN, 56303, 1900, USA 1406 6TH AVE N, SAINT CLOUD, MN, 56303, 1900, USA

Business Information
Congressional District 06
State/Country of Incorporation MN, USA
Activation Date 2023-08-15
Initial Registration Date 2010-10-13
Entity Start Date 1995-07-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 622110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SONYA ZITUR
Address 1406 6TH AVE N, ST. CLOUD, MN, 56310, 1900, USA
Title ALTERNATE POC
Name DENISE INGLE
Address 1200 6TH AVE N, ST CLOUD, MN, 56303, 1900, USA
Government Business
Title PRIMARY POC
Name JOHN INKSTER
Address 1406 6TH AVE N, ST. CLOUD, MN, 56310, 1900, USA
Title ALTERNATE POC
Name GARY ANDERST
Address 1406 6TH AVE NO, SAINT CLOUD, MN, 56303, 1900, USA
Past Performance
Title ALTERNATE POC
Name CATHERINE STOCH
Address 1406 SIXTH AVE. N., ST. CLOUD, MN, 56301, 1901, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2023 411813221 2024-08-01 CENTRACARE HEALTH SYSTEM 16188
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 11193
Retired or separated participants receiving benefits 69
Other retired or separated participants entitled to future benefits 4576
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 17
Number of participants with account balances as of the end of the plan year 15441
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1063

Signature of
Role Plan administrator
Date 2024-08-01
Name of individual signing AMY GAMRADT
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2022 411813221 2023-09-01 CENTRACARE HEALTH SYSTEM 16502
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 11997
Retired or separated participants receiving benefits 61
Other retired or separated participants entitled to future benefits 4110
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 20
Number of participants with account balances as of the end of the plan year 15618
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 931

Signature of
Role Plan administrator
Date 2023-09-01
Name of individual signing AMY GAMRADT
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2021 411813221 2022-10-13 CENTRACARE HEALTH SYSTEM 15233
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 13035
Retired or separated participants receiving benefits 46
Other retired or separated participants entitled to future benefits 3398
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 23
Number of participants with account balances as of the end of the plan year 15029
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1048

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2020 411813221 2022-02-22 CENTRACARE HEALTH SYSTEM 14956
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 13117
Retired or separated participants receiving benefits 16
Other retired or separated participants entitled to future benefits 2083
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 17
Number of participants with account balances as of the end of the plan year 11313
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 75

Signature of
Role Plan administrator
Date 2022-02-22
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2019 411813221 2021-04-15 CENTRACARE HEALTH SYSTEM 16207
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 13455
Retired or separated participants receiving benefits 47
Other retired or separated participants entitled to future benefits 1441
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 13
Number of participants with account balances as of the end of the plan year 11239
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 673

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2018 411813221 2020-07-14 CENTRACARE HEALTH SYSTEM 14517
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 14815
Retired or separated participants receiving benefits 45
Other retired or separated participants entitled to future benefits 1333
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 14
Number of participants with account balances as of the end of the plan year 11033
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 694

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2017 411813221 2019-04-15 CENTRACARE HEALTH SYSTEM 10731
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 13581
Retired or separated participants receiving benefits 32
Other retired or separated participants entitled to future benefits 896
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 8
Number of participants with account balances as of the end of the plan year 10163
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 433

Signature of
Role Plan administrator
Date 2019-04-15
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2016 411813221 2018-04-16 CENTRACARE HEALTH SYSTEM 10236
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 9958
Retired or separated participants receiving benefits 29
Other retired or separated participants entitled to future benefits 738
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants with account balances as of the end of the plan year 7621
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 425

Signature of
Role Plan administrator
Date 2018-04-16
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2016 411813221 2018-04-17 CENTRACARE HEALTH SYSTEM 10236
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 9958
Retired or separated participants receiving benefits 29
Other retired or separated participants entitled to future benefits 738
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants with account balances as of the end of the plan year 7621
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 425

Signature of
Role Plan administrator
Date 2018-04-16
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
CENTRACARE HEALTH SYSTEM RETIREMENT PLAN 2015 411813221 2017-04-17 CENTRACARE HEALTH SYSTEM 9848
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s mailing address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900
Plan sponsor’s address 1406 SIXTH AVE NORTH, SAINT CLOUD, MN, 563031900

Number of participants as of the end of the plan year
Active participants 9488
Retired or separated participants receiving benefits 19
Other retired or separated participants entitled to future benefits 722
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 7
Number of participants with account balances as of the end of the plan year 7303
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 291

Signature of
Role Plan administrator
Date 2017-04-17
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Kenneth Holmen President 1406 N 6th Avenue, St. Cloud, MN 56303, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2020-12-30
Amendment - Nonprofit Corporation (Domestic)Restated Articles 2018-01-10
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2007-01-30
Nonprofit Corporation (Domestic) Other 2006-05-16
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2005-09-20
Nonprofit Corporation (Domestic) Business Name (Business Name: CentraCare Health System) 1999-01-06
Amendment - Nonprofit Corporation (Domestic) 1995-06-26
Original Filing - Nonprofit Corporation (Domestic) 1994-09-16
Nonprofit Corporation (Domestic) Business Name (Business Name: CentraCare) 1994-09-16

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C26324N0519 2024-05-15 2025-05-14 2025-05-14
Unique Award Key CONT_AWD_36C26324N0519_3600_36C26324D0049_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 35436.61
Current Award Amount 35436.61
Potential Award Amount 35436.61

Description
Title OCCUPATIONAL HEALTH INJURY EXAM SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q403: MEDICAL- EVALUATION/SCREENING

Recipient Details
Recipient CENTRACARE HEALTH SYSTEM
UEI CE6YV63935S9
Recipient Address UNITED STATES, 1406 6TH AVE N, SAINT CLOUD, STEARNS, MINNESOTA, 563031900
No data IDV 36C26324D0049 2024-05-15 No data No data
Unique Award Key CONT_IDV_36C26324D0049_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 188029.57

Description
Title OCCUPATIONAL HEALTH INJURY EXAM SERVICE
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q403: MEDICAL- EVALUATION/SCREENING

Recipient Details
Recipient CENTRACARE HEALTH SYSTEM
UEI CE6YV63935S9
Recipient Address UNITED STATES, 1406 6TH AVE N, SAINT CLOUD, STEARNS, MINNESOTA, 563031900

Related by officers

Kenneth Holmen

Carris Health - Redwood, LLC Carris Health, LLC Carris Holdings, LLC CMEP, LLC Health Plaza Condominium Association Affiliated Community Medical Centers, Ltd. The Saint Cloud Hospital Centracare Clinic Southwest, LLC CentraCare Health-Monticello Services, LLC CentraCare Health - Paynesville, LLC

Related by address

1406 6th Avenue N, St. Cloud, MN 56303, USA

Carris Holdings, LLC CMEP, LLC Centracare Clinic Southwest, LLC CentraCare Health System - NR, LLC CentraCare Medical Supply LLC Rice Home Medical, LLC

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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