2021-11-02T07:34:51-07:00 2021-05-31 463893925 Walker Giroux & Hahne LLC 225 1st Street N Suite 2400 Virginia MN 55792 990 2020-06-01 411344385 COOK AREA HEALTH SERVICES INC COOK 2183613127 20 FIFTH STREET SE COOK MN 55723 KEITH HARVEY CFO 2021-11-02 true KEITH HARVEY 999009999 Thomas Kelly P01240546 2187494880 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z 20 FIFTH STREET SE COOK MN 55723 16944371 false X N/A X 1979 MN TO PROVIDE MEDICAL, DENTAL & SUPPORTIVE SERVICES IN A REMOTE,RURAL AREA OF NORTHERN MINNESOTA. AS A FEDERALLY QUALIFIED HEALTH CENTER IN A REMOTE, RURAL AREA IT IS OUR GOAL TO BE CUSTOMER FOCUSED WITHOUT REGARD TO ECONOMIC STATUS OR ANY OTHER ARTIFICIAL BARRIER. 8 8 173 0 4982571 5307918 10094416 10029719 4 2 1606732 15076991 16944371 0 0 10701854 12284865 0 0 3941281 4286915 14643135 16571780 433856 372591 7755073 6544540 3881013 2297889 3874060 4246651 OUR MISSION IS TO PROVIDE MEDICAL, DENTAL & SUPPORTIVE SERVICES IN A REMOTE, RURAL AREA OF NORTHERN MINNESOTA. AS A FEDERALLY QUALIFIED HEALTH CENTER IN A REMOTE, RURAL AREA, IT IS OUR GOAL TO BE CUSTOMER FOCUSED WITHOUT REGARD TO ECONOMIC STATUS OR ANY OTHER ARTIFICIAL BARRIER. WE INTEND TO PROVIDE QUALITY PRIMARY CARE THAT MEETS THE NEEDS OF PEOPLE IN OUR DESIGNATED SERVICE AREA THROUGH COLLABORATIVE EFFORTS WITH CRITICAL ACCESS HOSPITALS, CARE CENTERS, SPECIALISTS, ASSOCIATIONS, FOUNDATIONS AND OTHER APPROPRIATE OR AVAILABLE OPPORTUNITIES. OUR CORE VALUE IS THE CARE OF FAMILIES, FRIENDS AND VISITORS WHO RESIDE IN OR TRAVEL THROUGH OUR REGION BY ASSISTING TO IMPROVE THEIR HEALTH. THIS CARE IS PROVIDED AT OUR MEDICAL CLINICS IN BIGFORK, BIG FALLS, COOK, FLOODWOOD,NORTHOME, AND TOWER MN AND AT OUR DENTAL CLINICS IN COOK, FLOODWOOD, AND TOWER, MN. CARE IS ALSO PROVIDED THROUGH CONTRACTS WITH BIGFORK VALLEY AND COOK HOSPITALS AND THEIR ASSOCIATED NURSING HOMES AS WELL AS AT NORTHOME CARE false false 8289884 6688718 PROVIDE MEDICAL SERVICES, 30,488 ENCOUNTERS 3643681 3341001 PROVIDE DENTAL SERVICES, 13,963 ENCOUNTERS 433009 PROVIDE OTHER HEALTH SERVICES, 1,577 ENCOUNTERS 12366574 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false true false false false false false false false false false false true 26 0 true 173 true false false false false false false false 0 false false false false false false false X 8 8 false false false false false false false true false false false true true true true true true true true false MN X KEITH HARVEY 2183613135 20 FIFTH STREET SE COOK MN 55723 ERIC ELLEBY PHYSICIAN 40.00 0.00 374118 0 28509 MATTHEW HOLMES PHYSICIAN 40.00 0.00 368356 0 28509 NICHOLAS VIDOR PHYSICIAN 40.00 0.00 324212 0 18800 ERIC SCRIVNER PHYSICIAN 40.00 0.00 264745 0 27530 JEFFREY SCRIVNER MEDICAL DIRECTR 40.00 0.00 256627 0 18345 MICHAEL HOLMES CEO 40.00 0.00 X 126980 0 15483 KEITH HARVEY CFO 40.00 0.00 X 108285 0 8608 WENDE NELSON Vice President 1.00 0.00 X X 0 0 0 GAIL BLACKMER SEC'Y/TREASURER 1.50 0.00 X X 0 0 0 KAREN LORENZEN Director 1.00 0.00 X 0 0 0 RICHARD HANSON Director 1.00 0.00 X 0 0 0 MARIAN SWANG Director 1.00 0.00 X 0 0 0 ROBERT WALKER DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM H TIBBETTS President 2.00 0.00 X X 0 0 0 STEPHANIE BURCKHARDT DIRECTOR 1.00 0.00 X 0 0 0 1823323 145784 7 false true false MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 COVID-19 TESTING 245193 PATTERSON DENTAL SUPPLY 28244 NETWORK PLACE CHICAGO IL 60673 DENTAL SUPPLIES 204509 BIGFORK VALLEY HOSPITAL PO BOX 258 BIGFORK MN 56628 LEASES/LABS 210640 BREAKWATER HEALTH NETWORK 404 WEST SUPERIOR STREET STE 227 DULUTH MN 55802 CLINICAL/BUS/PAT SVC 190431 HENRY SCHEIN DEPT CH 10241 PALATINE IL 60055 MED/DENTAL SUPPLIES 195544 5 5189067 118851 5307918 MEDICAL & DENTAL REVENUE 621110 10029719 10029719 10029719 2 2 0 0 0 0 0 0 0 DEBT FORGIVENESS 621110 1606732 1606732 1606732 16944371 11636451 2 0 0 0 0 260864 260864 0 9859820 7873307 1986513 434592 349958 84634 1070267 843799 226468 659322 514271 145051 0 0 0 0 0 0 704372 415075 289297 0 1349562 1056996 292566 671800 2234 669566 0 679878 662684 17194 86377 66997 19380 0 75883 65005 10878 1913 1913 0 96667 79587 17080 103173 80555 22618 DENTAL LABORATORY 164701 164701 RECRUITMENT 161841 657 161184 BAD DEBT EXPENSE 110631 110631 OSHA COMPLIANCE AND SAFETY 80117 80117 0 16571780 12366574 4205206 0 3517165 1747169 1903 2108 41856 324069 1123840 1139867 0 0 0 0 34853 157172 5832101 2657946 3035456 3174155 0 0 0 0 0 7755073 6544540 1728457 1856715 545824 441174 1606732 3881013 2297889 X 3874060 4246651 3874060 4246651 7755073 6544540 372591 X false true X false true true X 3429685 3715879 3717466 4982571 5307918 21153519 0 0 3429685 3715879 3717466 4982571 5307918 21153519 0 21153519 62 4 3 4 2 75 0 30000 40000 -71694 1606732 1605038 22758632 48605495 0.92950 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19500 19500 2839642 891892 1947750 1613732 666457 947275 1340777 1099597 241180 18450 18450 3174155 16944371 16944371 16944371 16571780 16571780 16571780 X X false false false false false false false false false ERIC ELLEBY PHYSICIAN 374118 16800 11709 402627 ERIC SCRIVNER PHYSICIAN 264745 15821 11709 292275 JEFFREY SCRIVNER MEDICAL DIRECTR 256627 16345 2000 274972 MATTHEW HOLMES PHYSICIAN 368356 16800 11709 396865 NICHOLAS VIDOR PHYSICIAN 324212 16800 2000 343012 DR MATTHEW HOLMES CEO'S SON 398367 WAGES AND BENEFITS false Form 990, Part VI, Line 11b: Form 990 Review Process THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS UPON RECEIPT FROM THE PREPARER. THE COPY WAS INCLUDED WITH THE STANDARD MATERIALS (MEETING MINUTES, FINANCIAL REPORTS, ETC.) PROVIDED TO THE BOARD PRIOR TO THEIR MONTHLY MEETING. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts CAHS REQUIRES ANNUAL REPORTING FROM ALL DIRECTORS AND KEY EMPLOYEES REGARDING ANY CONFLICTS OF INTEREST WITH RELATED ORGANIZATIONS AND VENDORS WITH WHOM THE ORGANIZATION TRANSACTS BUSINESS. CAHS MONITORS DISCLOSURES PROVIDED TO ANY AFFIRMATIVE REPONSES. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management THE BOARD'S FINANCE COMMITTEE CONDUCTS AN ANNUAL COMPENSATION REVIEW OF CAHS KEY EMPLOYEES USING SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, THE MN DEPT. OF EMPLOYMENT AND ECONOMIC DEVELOPMENT, AND OTHER AVAILABLE SALARY SURVEYS. THE COMMITTEE DOCUMENTS EACH EMPLOYEE'S COMPENSATION RELATIVE TO SURVEY DATA AND SUBSTANTIATES REASONS FOR SUBSTANTIAL VARIANCES FROM AVAILABLE DATA. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE BOARD'S FINANCE COMMITTEE CONDUCTS AN ANNUAL COMPENSATION REVIEW OF CAHS KEY EMPLOYEES USING SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, THE MN DEPT. OF EMPLOYMENT AND ECONOMIC DEVELOPMENT, AND OTHER AVAILABLE SALARY SURVEYS. THE COMMITTEE DOCUMENTS EACH EMPLOYEE'S COMPENSATION RELATIVE TO SURVEY DATA AND SUBSTANTIATES REASONS FOR SUBSTANTIAL VARIANCES FROM AVAILABLE DATA. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NO DOCUMENTS AVAILABLE TO THE PUBLIC.