MILLE LACS HEALTH SYSTEM: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MILLE LACS HEALTH SYSTEM (EIN 41-0785161)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-13
IRS object ID
202632259349302768
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-13T16:06:05-05:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1121 WEST BRIDGE STREETAddressLine1Txt
CityOWATONNACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55060ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410785161EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLE LACS HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMILLBusinessNameControlTxt
Phone3205322581PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 NORTH ELM STREET PO BOX AAddressLine1Txt
CityONAMIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP563590800ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW KNUTSONPersonNm
Person TitleCEOPersonTitleTxt
Phone3205322581PhoneNum
Signature2026-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN HARTERTPreparerPersonNm
PTINP02236744PTIN
Phone5074467100PhoneNum
Preparation2026-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW KNUTSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 NORTH ELM STREET PO BOX AAddressLine1Txt
CityONAMIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP563590800ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$74,520,370GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MLHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTH SERVICES TO RESIDENTS OF ONAMIA, MN AND THE SURROUNDING AREA.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee559TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI-$485,485TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$817,334PYContributionsGrantsAmt
CY Contributions Grants$5,655,320CYContributionsGrantsAmt
PY Program Service Revenue$61,751,201PYProgramServiceRevenueAmt
CY Program Service Revenue$67,521,011CYProgramServiceRevenueAmt
PY Investment Income$308,968PYInvestmentIncomeAmt
CY Investment Income$329,890CYInvestmentIncomeAmt
PY Other Revenue$655,032PYOtherRevenueAmt
CY Other Revenue$1,006,595CYOtherRevenueAmt
PY Total Revenue$63,532,535PYTotalRevenueAmt
CY Total Revenue$74,512,816CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,884,366PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,860,556CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$30,873,009PYOtherExpensesAmt
CY Other Expenses$39,869,443CYOtherExpensesAmt
PY Total Expenses$64,757,375PYTotalExpensesAmt
CY Total Expenses$74,729,999CYTotalExpensesAmt
PY Revenues Less Expenses-$1,224,840PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$217,183CYRevenuesLessExpensesAmt
Total Assets BOY$57,778,960TotalAssetsBOYAmt
Total Assets EOY$56,264,654TotalAssetsEOYAmt
Total Liabilities BOY$40,177,810TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,559,014TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,601,150NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,705,640NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ASSIST THOSE RESIDING IN AND VISITING THE MILLE LACS AREA IN ACHIEVING AND MANTAINING OPTIMAL HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$65,963,092ExpenseAmt
Grant$0GrantAmt
Revenue$67,521,011RevenueAmt
DescMILLE LACS HEALTH SYSTEM (MLHS) IS A RURAL HEALTH SYSTEM LOCATION IN ONAMIA, MN, 80 MILES NORTH OF THE TWIN CITIES AREA NEAR LAKE MILLE LACS. OUR SYSTEM INCLUDES A 18-BED ACUTE CARE HOSPITAL, A 57-BED LONG-TERM CARE FACILITY, A 10-BED SENIOR CARE FACILITY, HOME CARE, HOSPICE, A BLS AND ALS AMBULANCE SERVICE, AS WELL AS AN ATTACHED MEDICAL CLINIC. MLHS ALSO OPERATES MEDICAL CLINICS IN THE TOWNS OF ISLE, HILLMAN, GARRISON, AND MILACA. OUR MEDICAL STAFF ALSO PROVIDES COVERAGE TO THE NE-IA-SHING CLINIC ON THE NEARBY MILLE LACS RESERVATION. THE HEALTH SYSTEM IS ORGANIZED AS A 501(C)(3) NONPROFIT CORPORATION. DUE TO THE LACK OF AVAILABLE HEALTHCARE OPTIONS IN THIS CENTRAL MINNESOTA REGION, THE FEDERAL GOVERNMENT HAS DESIGNATED THIS COMMUNITY AS A MEDICALLY UNDERSERVED AREA IN TERMS OF PRIMARY CLINICS.THE REMOTENESS OF HEALTHCARE SERVICES TO THE MILLE LACS COMMUNITIES IN THE 1950'S PROMPTED AN AREA-WIDE COMMUNITY EFFORT TO BUILD A HOSPITAL. THE HOSPITAL WAS COMPLETED IN 1956 AND, FIVE YEARS LATER A NURSING HOME WAS BUILT ADJACENT TO IT. OVER THE YEARS, THE FACILITIES HAVE BEEN EXPANDED AND MODERNIZED AND RENAMED SEVERAL TIMES. IN 1995, AN AMBITIOUS BUILDING PROJECT AND INTEGRATION EFFORT, WHICH INCLUDED A NEW HOSPITAL EMERGENCY ROOM, REHABILITATION CENTER, AND CLINIC SPACE WERE COMPLETED. THIS BUILDING PROJECT WAS MADE POSSIBLE THROUGH NEARLY A HALF MILLION DOLLARS WHICH WERE RAISED LOCALLY. IN 2001, A MULTI-MILLION DOLLAR EXPANSION AND RENOVATION PROJECT WAS STARTED TO FURTHER UPGRADE THE HOSPITAL AND LONG-TERM CARE SERVICES AND POSITION US TO MEET THE GROWING HEALTHCARE NEEDS OF THE AREA.MILLE LACS HEALTH SYSTEM SERVES A PERMANENT POPULATION BETWEEN 15,000 AND 20,000, INCLUDING RESIDENTS OF THE MILLE LACS RESERVATION. BECAUSE OF THE RECREATIONAL FEATURES OF THE MILLE LACS AREA, MLHS ALSO SERVES A NUMBER OF SEASONAL RESIDENTS. IT IS ESTIMATED THAT DURING THE BUSY SUMMER AND HOLIDAY WEEKEND THERE ARE UP TO AN ADDITIONAL 25,000 PEOPLE IN THE AREA. THIS NUMBER IS BASED ON STATISTICS FROM LOCAL RESORTS, MOTELS, AND CAMPGROUNDS. THE CLOSEST ACUTE CARE FACILITY IS 28 MILES AWAY IN PRINCETON. THE CLOSEST TERTIARY CARE FACILITY IS 55 MILES AWAY IN ST. CLOUD. THE CLOSEST SECONDARY LEVEL IS 50 MILES AWAY IN BRAINERD. MLHS IS THE ONLY PROVIDER OF ACUTE CARE WITHIN OUR PRIMARY SERVICE AREA OF ONAMIA, HILLMAN, ISLE, GARRISON, AND WAHKON, WHICH INCLUDES THE MILLE LACS RESERVATION.MILLE LACS HEALTH SYSTEM ALSO SERVES PATIENTS OUTSIDE THE PRIMARY SERVICES AREA. THE SECONDARY SERVICE AREA INCLUDES MORA, BOCK, MILACA, AND OGILVIE.Desc
Total Program Service Expenses$65,963,092TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document93IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee559EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY NINHAMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3205322620PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 N ELM STRAddressLine1Txt
CityONAMIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56359ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR ARDEN VIRNIG
DIRECTOR/PHYSICIAN40.000.00Yes (X)$210,899$0$51,487
ANTHONY HASS
DIRECTOR/CHIROPRACTOR40.000.00Yes (X)$119,804$0$27,794
PHIL GRAVEL
BOARD CHAIR8.000.00Yes (X)$4,800$0$0Yes (X)
BETSY LUNDQUIST
DIRECTOR2.000.00Yes (X)$870$0$0
ROGER TRAMM
DIRECTOR/TREASURER2.000.00Yes (X)$810$0$0Yes (X)
ROB DUBBS
VICE CHAIR2.000.00Yes (X)$660$0$0Yes (X)
DENNIS BURR
DIRECTOR2.000.00Yes (X)$600$0$0
TRACY SAM
DIRECTOR2.000.00Yes (X)$450$0$0
JEAN STAFFORD
SECRETARY2.000.00Yes (X)$420$0$0Yes (X)
SHANNON COYLE
DIRECTOR2.000.00Yes (X)$180$0$0
ROBERT ATHMAN
DIRECTOR2.000.00Yes (X)$90$0$0
JAMES STOTT
DIRECTOR2.000.00Yes (X)$0$0$0
WILLIAM NELSON
CEO/CONSULTANT40.000.00$450,524$0$76,820Yes (X)
ANDY KNUTSON
CEO40.000.00$199,845$0$20,486Yes (X)
JACKIE ULSETH
CNO40.000.00$193,007$0$38,533Yes (X)
BECKY FOSSAND
CAO40.000.00$188,173$0$38,310Yes (X)
AMY NINHAM
CFO40.000.00$146,739$0$48,179Yes (X)
DR PATTI HOOK-VIRNIG
VP MEDICAL AFFAIRS40.000.00$206,881$0$50,870Yes (X)
JAMES YOUNG
HOSPITALIST40.000.00$479,056$0$13,040Yes (X)
EARLE MUNNS
HOSPITALIST40.000.00$364,600$0$64,553Yes (X)
FAHAD KHEMANI
PHYSICIAN40.000.00$298,817$0$27,847Yes (X)
REBECCA MUWANSE
PHYSICIAN40.000.00$298,253$0$29,462Yes (X)
RYAN FOX
PHYSICIAN40.000.00$290,138$0$41,398Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,455,616TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$528,779TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K68IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH
PO BOX 70539CHICAGOIL60673HEALTHCARE SUPPLIES$5,941,283
FOCUS ONE
PO BOX 850861MINNEAPOLISMN55485CONTRACTED LABOR- NURSING SERVICES$3,381,903
CENTRAL MN DIAGNOSTICS INC
PO BOX 64756ST PAULMN55164RADIOLOGY SERVICES$1,068,059
MEDHOST
PO BOX 201650DALLASTX75320IT SERVICES$703,230
DIAGNOSTIC IMAGING SPECIALISTS
23294 DUTCHMANS BLUFFNISSWAMN56468RADIOLOGY SERVICES$642,562
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Government Grants$5,236,305GovernmentGrantsAmt
All Other Contributions$419,015AllOtherContributionsAmt
Total Contributions$5,655,320TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE621110$61,777,783$61,777,783
CLINIC REVENUE621110$4,328,920$4,814,405-$485,485
ASSISTED LIVING623000$1,045,979$1,045,979
JOINT VENTURE INCOME621500$367,496$367,496
THERAPY REVENUE621300$833$833
FieldValueIRS element (for citing)
Total Program Service Revenue$67,521,011TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,667TotalRevenueColumnAmt
Exclusion$254,667ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$29,920RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$29,920RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,920TotalRevenueColumnAmt
Exclusion$29,920ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$82,777OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,554OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$75,223OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,223TotalRevenueColumnAmt
Exclusion$75,223ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$48,123GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,123TotalRevenueColumnAmt
Exclusion$48,123ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEALS REVENUE722310$442,802$442,802
MISCELLANEOUS812900$292,386$292,386
JOINT VENTURE INCOME - OTHER621500$153,523$153,523

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,841TotalRevenueColumnAmt
Exclusion$39,841ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$928,552OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,512,816TotalRevenueColumnAmt
Related Or Exempt Func Income$68,006,496RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$485,485UnrelatedBusinessRevenueAmt
Exclusion$1,336,485ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,515,545TotalAmt
Program Services$754,583ProgramServicesAmt
Management And General$760,962ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,470,761TotalAmt
Program Services$24,621,275ProgramServicesAmt
Management And General$1,849,486ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$544,961TotalAmt
Program Services$544,961ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,394,488TotalAmt
Program Services$4,394,488ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,934,801TotalAmt
Program Services$1,756,556ProgramServicesAmt
Management And General$178,245ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$74,590TotalAmt
Management And General$74,590ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$894,204TotalAmt
Management And General$894,204ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,809,000TotalAmt
Program Services$8,067,342ProgramServicesAmt
Management And General$2,741,658ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$225,955TotalAmt
Program Services$57,042ProgramServicesAmt
Management And General$168,913ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,311,115TotalAmt
Program Services$886,033ProgramServicesAmt
Management And General$425,082ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$937,272TotalAmt
Program Services$914,062ProgramServicesAmt
Management And General$23,210ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$232,034TotalAmt
Program Services$203,589ProgramServicesAmt
Management And General$28,445ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,869TotalAmt
Program Services$6,869ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$935,895TotalAmt
Program Services$907,841ProgramServicesAmt
Management And General$28,054ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,276,058TotalAmt
Program Services$3,031,716ProgramServicesAmt
Management And General$244,342ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$509,707TotalAmt
Program Services$217,689ProgramServicesAmt
Management And General$292,018ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$15,594,333$15,594,333
BAD DEBT EXPENSE$2,726,421$2,726,421
FOOD$680,235$680,235
TAXES$357,391$98,282$259,109

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,298,364TotalAmt
Program Services$499,775ProgramServicesAmt
Management And General$798,589ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$74,729,999TotalAmt
Program Services$65,963,092ProgramServicesAmt
Management And General$8,766,907ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$973,663BOYAmt
EOY$4,626,557EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,773,677BOYAmt
EOY$5,241,427EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,154,084BOYAmt
EOY$8,494,824EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$646,000BOYAmt
EOY$840,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,071,668BOYAmt
EOY$937,410EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$948,431BOYAmt
EOY$578,925EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$77,446,879LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,803,891LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,211,402BOYAmt
EOY$33,642,988EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$129,682BOYAmt
EOY$99,792EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,235,277BOYAmt
EOY$1,248,592EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$336,810BOYAmt
EOY$224,538EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$298,266BOYAmt
EOY$329,601EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,778,960BOYAmt
EOY$56,264,654EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,086,142BOYAmt
EOY$3,531,504EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,353,550BOYAmt
EOY$5,948,197EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$167,195BOYAmt
EOY-$67EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$29,411,285BOYAmt
EOY$28,609,667EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$159,638BOYAmt
EOY$469,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,177,810BOYAmt
EOY$38,559,014EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,429,971BOYAmt
EOY$17,302,353EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$171,179BOYAmt
EOY$403,287EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,601,150BOYAmt
EOY$17,705,640EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,778,960BOYAmt
EOY$56,264,654EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$217,183ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$333,960NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,287OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,867OtherActivitiesAmt
Total Lobbying Expenditures$2,867TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS ANNUAL DUES TO AHA/MHA/MHCA, OF WHICH, A PORTION IS SPENT ON LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,180,310OtherCostOrOtherBasisAmt
Book Value$1,180,310BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,472,671OtherCostOrOtherBasisAmt
Depreciation$27,110,460DepreciationAmt
Book Value$26,362,211BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,789,362OtherCostOrOtherBasisAmt
Depreciation$1,465,203DepreciationAmt
Book Value$2,324,159BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,004,536OtherCostOrOtherBasisAmt
Depreciation$15,228,228DepreciationAmt
Book Value$3,776,308BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$33,642,988TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO/FROM MEDICARE$367,435
ROU LEASE LIABILITIES$102,278
FieldValueIRS element (for citing)
Total Liability$469,713TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$72,120,355TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$333,960NetUnrealizedGainsInvstAmt
Revenue Not Reported$333,960RevenueNotReportedAmt
Revenue Subtotal$71,786,395RevenueSubtotalAmt
Other Revenues Not Included$2,726,421OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,726,421RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$74,512,816TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$72,003,578TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$72,003,578ExpensesSubtotalAmt
Other Expenses Not Included$2,726,421OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,726,421ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$74,729,999TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE HOSPITAL HOLDS FUNDS ON BEHALF OF THE NURSING HOME RESIDENTS IN A SEPARATE BANK ACCOUNT.
PART X, LINE 2:THE ORGANIZATION IS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 2,726,421.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 2,726,421.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,020,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,100,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,920,127NetCommunityBenefitExpnsAmt
Total Expense0.05440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,020,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,100,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,920,127NetCommunityBenefitExpnsAmt
Total Expense0.05440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,412TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,412NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,489TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,489NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,961TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,961NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$160,862TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$160,862NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,181,442TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,100,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,080,989NetCommunityBenefitExpnsAmt
Total Expense0.05660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,726,421BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$18,836,969ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,050,853CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$213,884MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLE LACS HEALTH SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 NORTH ELM STREETAddressLine1Txt
CityONAMIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP563590800ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MLHEALTH.ORGWebsiteAddressTxt
State License8557484StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MILLE LACS HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SEE LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SEE LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SEE LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MILLE LACS HEALTH SYSTEMPART V, SECTION B, LINE 5: MILLE LACS HEALTH SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING 2025 TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITIES IT SERVES. INPUT WAS OBTAINED THROUGH ONE-ON-ONE INTERVIEWS WITH INDIVIDUALS REPRESENTING PUBLIC HEALTH EXPERTS, GOVERNMENT AGENCIES, MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME POPULATIONS, AND MINORITY POPULATIONS. ORGANIZATIONS PARTICIPATING IN THE ASSESSMENT PROCESS INCLUDED MILLE LACS COUNTY DEPARTMENT OF COMMUNITY & VETERANS SERVICES, MILLE LACS COUNTY COMMISSIONERS, ONAMIA POLICE DEPARTMENT, MILACA PUBLIC SCHOOLS, ONAMIA PUBLIC SCHOOLS, AND MEDICAL PROVIDERS AND DEPARTMENT LEADERS FROM MILLE LACS HEALTH SYSTEM. THESE ORGANIZATIONS WERE SELECTED BECAUSE THEIR WORK BRINGS THEM INTO REGULAR CONTACT WITH UNDERSERVED, LOW-INCOME, MINORITY, AND OTHER VULNERABLE POPULATIONS WITHIN THE SERVICE AREA. IN ADDITION TO STAKEHOLDER INTERVIEWS, MILLE LACS HEALTH SYSTEM CONSIDERED QUANTITATIVE DATA FROM NUMEROUS PUBLIC SOURCES, INCLUDING THE CENTERS FOR DISEASE CONTROL AND PREVENTION, MINNESOTA DEPARTMENT OF HEALTH, U.S. CENSUS BUREAU, POPULATION HEALTH INSTITUTE COUNTY HEALTH RANKINGS, HEALTH RESOURCES & SERVICES ADMINISTRATION, NATIONAL INSTITUTES OF HEALTH, AND LOCAL PUBLIC HEALTH RESOURCES. BASED ON THE INFORMATION GATHERED AND ANALYZED, MILLE LACS HEALTH SYSTEM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: MENTAL HEALTH, ACCESS TO HEALTH CARE, SUBSTANCE ABUSE, OBESITY, AND ELDER CARE. THESE NEEDS WERE PRIORITIZED BASED ON COMMUNITY INPUT, POTENTIAL IMPACT ON HEALTH OUTCOMES, AND ALIGNMENT WITH THE ORGANIZATION'S MISSION.
MILLE LACS HEALTH SYSTEMPART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.MLHEALTH.ORG/PATIENTS-VISITORS/PATIENT-RESOURCESCHNA AND IMPLEMENTATION PLAN DIRECT LINK:HTTPS://WWW.MLHEALTH.ORG/SITES/DEFAULT/FILES/2026-02/2025%20MLHS%20CHNA%20REPORT%20AND%20IMPLEMENTATION%20STRATEGY.PDF
MILLE LACS HEALTH SYSTEMPART V, SECTION B, LINE 11: THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2025, MILLE LACS HEALTH SYSTEM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AND PRIORITIZED THEM IN THE GIVEN ORDER:1A MENTAL HEALTH1B ACCESS TO HEALTHCARE2A SUBSTANCE ABUSE2B OBESITY2C ELDER CARECONSISTENT WITH THE REQUIREMENTS OF SECTION 501(R)(3), THE IMPLEMENTATION STRATEGY IDENTIFIES MILLE LACS HEALTH SYSTEM'S PLANNED RESPONSE TO EACH SIGNIFICANT COMMUNITY HEALTH NEED. IF MILLE LACS HEALTH SYSTEM DOES NOT PLAN TO ADDRESS A HEALTH NEED, THIS IMPLEMENTATION STRATEGY EXPLAINS WHY.MENTAL HEALTH:- PRIORITIZE HIRING AND RETAINING QUALIFIED MENTAL HEALTH PRACTITIONERS, BOTH IN-PERSON AND VIA TELEHEALTH. WE ANTICIPATE THAT THIS WILL INCREASE PATIENTS' ACCESS TO MENTAL HEALTH PROVIDERS.- EXPLORE VOLUNTEERING OPPORTUNITIES OF MLHS'S LEADERSHIP TEAM, DONATING OUR TIME AND TALENTS TO HELP SOLVE FOOD INSECURITIES. WE ANTICIPATE THAT THIS WILL REDUCE COMMUNITY MEMBERS' STRESS/ANXIETY ABOUT WHERE THEIR NEXT MEAL WILL COME FROM.ACCESS TO HEALTH CARE:- CONTINUE THE AVAILABILITY OF SAME-DAY SCHEDULING THROUGH A DEDICATED PROVIDER WHO IS AVAILABLE TO SEE SAME-DAY PATIENTS. WE ANTICIPATE THAT THIS WILL RESULT IN FASTER ACCESS TO PROVIDERS TO PROACTIVELY ADDRESS COMMUNITY HEALTH NEEDS AND WILL REDUCE THE NUMBER OF EMERGENCY ROOM VISITS.- EVALUATE EXTENDED HOURS FOR MEDICAL CLINICS BY CHANGING THE SCHEDULES OF OUR NURSES, PROVIDERS AND SUPPORT STAFF. WE ANTICIPATE THAT AN EXTENSION OF CLINIC HOURS WOULD RESULT IN INCREASED ACCESS TO PROVIDERS TO PROACTIVELY ADDRESS COMMUNITY HEALTH NEEDS AND WOULD REDUCE THE NUMBER OF EMERGENCY ROOM VISITS.- ADD NEW SPECIALTIES AND SERVICES IN THE ONAMIA AREA. THIS COULD OCCUR THROUGH DIRECTLY HIRING SPECIALISTS OR BY CONTRACTING WITH OTHER ORGANIZATIONS TO PROVIDE ADDITIONAL SPECIALTY SERVICES. WE ANTICIPATE THAT THIS WILL IMPROVE PATIENT ACCESS BY PROVIDING THEM WITH GEOGRAPHICALLY CLOSER SPECIALISTS, WHICH WOULD REDUCE THEIR TRAVEL TIME AND COSTS AND INCREASE THE FREQUENCY WITH WHICH THEY CAN CONSULT WITH A SPECIALIST.ELDER HEALTH:- CONTINUE GERI-PSYCH INPATIENT UNIT- CONTINUE SOCIAL WORKER SUPPORT SERVICES TO ACUTE CARE, EMERGENCY DEPARTMENT, LONG TERM CARE, GERI-PSYCH AND HOME CARE/HOSPICE- MEDICATION THERAPY MANAGEMENT THROUGH PHARMACY SERVICES- INR MANAGEMENT FOR MEDICATION EVALUATION AND THERAPY IN OUTPATIENTCLINICS AND PHARMACY SERVICES.- PROVIDE MANAGEMENT SERVICES FOR LOCAL ASSISTED LIVING ORGANIZATION- CURA NOW OWNS AND OPERATES THE LONG TERM CARE OPERATIONS, INCLUDINGSKILLED NURSING FACILITY, HELPING ENSURE CONTINUED ACCESS TO LONG-TERMCARE AND MEMORY CARE SERVICES FOR ELDERLY RESIDENTS IN THE COMMNITY. MLHSPARTNERED WITH CURA TO SECURE THE FUTURE OF THESE SERVICES.SUBSTANCE ABUSE:- REINVIGORATE MEDICATED ASSISTED THERAPY (MAT) PROGRAM- CONTINUE PARTNERSHIP WITH FREEDOM CENTER TREATMENT PROGRAM- CONTINUE MONTHLY PAIN COMMITTEE COLLABORATION- EXPLORE BARRIERS TO TRANSPORTATION FOR CARE AND TREATMENT- EXPLORE NARCAN DISTRIBUTION AND FENTANYL TESTING KIT OPPORTUNITIESOBESITY:- PROVIDE REGISTERED DIETICIAN SERVICES- CONTINUE TO PROVIDE GROUP WEIGHT LOSS SERVICES FOR PRE-DIABETICS- CONTINUE TO PROVIDE OUTPATIENT CDE SERVICES- FAMILY MEDICINE PROVIDERS CONTINUE TO OFFER SERVICES FOR OBESITYDIAGNOSES THROUGH A VARIETY OF METHODS- OPERATE COMMUNITY PHARMACY SERVICES WITH PHARMACIST AVAILABLE TO COUNSELPATIENTSMLHS CONTINUES TO ADDRESS ELDER HEALTH, SUBSTANCE ABUSE, AND OBESITY AS PART OF ITS ONGOING COMMUNITY HEALTH IMPROVEMENT EFFORTS. WHILE THESE AREAS WERE NOT IDENTIFIED AS PRIMARY PRIORITY FOCUS AREAS IN THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY, MLHS RECOGNIZES THEIR CONTINUED IMPORTANCE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES.
MILLE LACS HEALTH SYSTEMPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT:HTTPS://WWW.MLHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCEFINANCIAL ASSISTANCE POLICY DIRECT LINK:HTTPS://WWW.MLHEALTH.ORG/SITES/DEFAULT/FILES/2026-01/FINANCIAL%20ASSISTANCE%20POLICY%202026.PDFFINANCIAL ASSISTANCE POLICY APPLICATION DIRECT LINK:HTTPS://WWW.MLHEALTH.ORG/SITES/DEFAULT/FILES/2020-05/FINAN%20ASSIST%20APP%202020.PDFPLAIN LANGUAGE SUMMARY DIRECT LINK:HTTPS://WWW.MLHEALTH.ORG/SITES/DEFAULT/FILES/2021-08/PL%20LANG%20SUMMARY_02-08-2021.PDF
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MLHS FAMILY CLINIC - ONAMIA
200 N ELM STREETONAMIAMN56359MEDICAL CLINIC
2 - MLHS FAMILY CLINIC - ISLE
375 W ISLE STREETISLEMN56342MEDICAL CLINIC
3 - MLHS FAMILY CLINIC - MILACA
1010 5TH STREET SEMILACAMN56353MEDICAL CLINIC
4 - MLHS FAMILY CLINIC - HILLMAN
26362 370TH AVENUEHILLMANMN56338MEDICAL CLINIC
5 - MLHS FAMILY CLINIC - GARRISON
27378 STATE HIGHWAY 18GARRISONMN56450MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE FEDERAL POVERTY INCOME GUIDELINES PROVIDE THE INITIAL FRAMEWORK TO DETERMINE THE INDIVIDUAL'S ABILITY TO PAY. INDIVIDUALS WITH INCOME AND ASSETS EQUAL TO OR LESS THAN THE FEDERAL POVERTY INCOME GUIDELINES, WITH NO OTHER AVAILABLE ASSETS MUST BE EVALUATED TO SEE IF THE PATIENT FIRST QUALIFIES FOR ASSISTANCE FROM ANY FEDERAL, STATE, OR LOCAL COUNTY PROGRAMS. A REASONABLE PAYMENT SCHEDULE OVER A 1- OR 2-YEAR PERIOD WILL BE DETERMINED IN THE INTERVIEW PROCESS. THE PORTION THAT WILL BE WRITTEN OFF SHOULD THEN BE CLASSIFED AS A CHARITY DISCOUNT. INDIVIDUALS WITHIN TWO (2) TIMES THE FEDERAL POVERTY GUIDELINES MAY ALSO HAVE SOME MEDICAL INSURANCE COVERAGE. THE PATIENT DEDUCTIBLE AND NONCOVERED SERVICES MAY BE LARGE ENOUGH THAT THE INDIVIDUAL IS INCAPABLE OF PAYING OFF WITHIN A 1-2 YEAR PERIOD. THEREFORE, THIS UNPAYABLE AMOUNT BY THE PATIENT MAY BE CLASSIFED AS A CHARITY DISCOUNT.
PART I, LINE 7:THE COSTS INCLUDED IN PART 1, LINES 7A AND 7B WERE DERIVED BY USING THE COST-TO-CHARGE RATIO CALCULATED USING WORKSHEET 2 AND THEN APPLIED AGAINST INTERNALLY DEVELOPED NUMBERS. THE COSTS INCLUDED IN PART 1, LINES 7E, 7F AND 7I WERE ACTUAL COSTS TRACKED BY THE HEALTH SYSTEM IN THEIR FINANCIAL PROCESS.
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 $ 2,726,421.
PART III, LINE 3:MILLE LACS HEALTH SYSTEM IS REPORTING $0 BECAUSE WE DO NOT HAVE A METHOD TO REASONABLY ESTIMATE THE PORTION OF BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DIDN'T APPLY.
PART III, LINE 4:SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE AND ALLOWANCE FOR CREDIT LOSSES" PARAGRAPHS ON PAGES 8-9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR INFORMATION ABOUT OUR BAD DEBT EXPENSE CALCULATION.
PART III, LINE 8:THE MEDICARE ALLOWABLE COSTS AND REVENUES WERE CALCULATED USING THE 9/30/2025 COST REPORT. THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS IT REPRESENTS A FINANCIAL SACRIFICE BY MILLE LACS HEALTH SYSTEM IN SERVING THE ELDERLY MEMBERS OF OUR COMMUNITY WHO MAY OTHERWISE STRUGGLE TO AFFORD HEALTH CARE.
PART III, LINE 9B:REASONABLE EFFORTS TO NOTIFY AN INDIVIDUAL ABOUT FINANCIAL ASSISTANCEAT LEAST 30 DAYS PRIOR TO TAKING ANY EXTRAORDINARY COLLECTION ACTION AGAINST AN INDIVIDUAL, THE HEALTH SYSTEM WILL PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT INCLUDES THE FOLLOWING INFORMATION: - THE HEALTH SYSTEM OFFERS FINANCIAL ASSISTANCE TO ELIGIBLE INDIVIDUALS. - IDENTIFY THE EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE INITIATED AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. - PROVIDE A DEADLINE AFTER WHICH SUCH EXTRAORDINARY COLLECTION ACTIONS MAY BE INITIATED.THE WRITTEN NOTICE WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. THE HEALTH SYSTEM WILL ALSO MAKE REASONABLE EFFORTS TO ORALLY NOTIFY THE RESPONSIBLE PARTY ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS.BEFORE ENGAGING IN AN EXTRAORDINARY COLLECTION ACTION AGAINST AN INDIVIDUAL, THE PATIENT ACCOUNTS MANAGER WILL DETERMINE THAT REASONABLE EFFORTS HAVE BEEN MADE TO NOTIFY THE INDIVIDUAL ABOUT FINANCIAL ASSISTANCE.IF AN INDIVIDUAL SUBMITS A FINANCIAL ASSISTANCE APPLICATION, THE HEALTH SYSTEM WILL CEASE ALL COLLECTION EFFORTS UNTIL A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY IS MADE. IF THE HEALTH SYSTEM OR ANOTHER AUTHORIZED PARTY HAS ALREADY BEGUN AN EXTRAORDINARY COLLECTION ACTION AGAINST AN INDIVIDUAL WHEN THAT INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION, THE EXTRAORDINARY COLLECTION ACTION WILL BE SUSPENDED. SUSPENDING AN ACTION MEANS THAT NO FURTHER STEPS ARE TAKEN ON THAT EXTRAORDINARY COLLECTION ACTION AND NO NEW EXTRAORDINARY COLLECTION ACTIONS ARE INITIATED. THIS SUSPENSION MAY BE LIFTED WHEN THE HEALTH SYSTEM DETERMINES THE INDIVIDUAL'S ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFIES THE INDIVIDUAL OF THAT DECISION.IF THE HEALTH SYSTEM OR ANOTHER AUTHORIZED PARTY HAS ALREADY BEGUN AN EXTRAORDINARY COLLECTION ACTION AGAINST AN INDIVIDUAL WHEN THAT INDIVIDUAL IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL REASONABLY AVAILABLE MEASURES WILL BE TAKEN TO REVERSE THE EXTRAORDINARY COLLECTION ACTION. SUCH STEPS INCLUDE, BUT ARE NOT LIMITED TO, VACATING A JUDGMENT AGAINST THE INDIVIDUAL, LIFTING A LEVY OR LIEN ON THE INDIVIDUAL'S PROPERTY, AND REMOVING FROM THE INDIVIDUAL'S CREDIT REPORT ANY ADVERSE INFORMATION THAT WAS REPORTED.IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION, THE HEALTH SYSTEM WILL TAKE THE FOLLOWING STEPS TO ENCOURAGE THEM TO COMPLETE THE APPLICATION: - SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR THE CARE. - PROVIDE A WRITTEN NOTICE TO THE RESPONSIBLE PARTY THAT INCLUDES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION THAT MUST BE SUBMITTED, AND THE PHYSICAL LOCATION AND PHONE NUMBER OF THE PATIENT ACCOUNTS MANAGER, WHO CAN ANSWER QUESTIONS ABOUT THE FINANCIAL ASSISTANCE POLICY AND/OR PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. - ALLOW A REASONABLE AMOUNT OF TIME FOR THE RESPONSIBLE PARTY TO SUBMIT A COMPLETE FINANCIAL ASSISTANCE APPLICATION. SUCH PERIOD OF TIME WILL BE AT LEAST 30 DAYS FROM THE DATE THE WRITTEN NOTICE IS SENT TO THE RESPONSIBLE PARTY.IF THE INDIVIDUAL FAILS TO PROVIDE THE REQUESTED INFORMATION WITHIN THE STATED TIME, THE HEALTH SYSTEM MAY RENEW THE PREVIOUSLY INITIATED EXTRAORDINARY COLLECTION ACTIONS.IF AN INDIVIDUAL HAS MADE FULL OR PARTIAL PAYMENT, AND THE INDIVIDUAL IS SUBSEQUENTLY DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, ANY PAYMENTS IN EXCESS OF THEIR NEWLY CALCULATED REMAINING LIABILITY WILL BE REFUNDED TO THE PATIENT WITHIN 30 DAYS OF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION. IF THE REFUNDABLE AMOUNT IS LESS THAN $2.00, IT WILL NOT BE REFUNDED.
PART VI, LINE 2:MILLE LACS HEALTH SYSTEM ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY THROUGH THE ORGANIZATION OF COMMUNITY MEETINGS - FEEDBACK FORUMS. THE ORGANIZERS PROVIDE CONSTANT FEEDBACK OF COMMUNITY NEEDS. THERE ARE COMMUNITY FOCUS GROUPS AND HOSPITAL STAFF ATTENDANCE AT VARIOUS CLUB MEETINGS TO PROVIDE HEALTH INFORMATION AND GUIDANCE ON HOW TO ACCESS TO THE HOSPITAL'S SERVICES.
PART VI, LINE 3:ELIGIBILITY FOR ASSISTANCE INFORMATION IS ON THE BILLING STATEMENTS. THE HEALTH SYSTEM ALSO PROVIDES NEWSLETTERS AND COMMUNITY OUTREACH PROGRAMS THAT INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE. AN ASSISTANCE INFORMATION SHEET IS PROVIDED TO THE PATIENT OR REPRESENTATIVE AT THE TIME OF THE SERVICE OR AT A SCHEDULED MEETING FOR ELIGIBILITY.
PART VI, LINE 4:MILLE LACS HEALTH SYSTEM IS A COMMUNITY-OWNED, NOT-FOR-PROFIT HEALTH SYSTEM LOCATED IN ONAMIA, MINNESOTA, ON THE SOUTHERN SHORE OF LAKE MILLE LACS IN CENTRAL MINNESOTA. THE ORGANIZATION SERVES A PREDOMINANTLY RURAL SERVICE AREA THAT INCLUDES THE COMMUNITIES OF ONAMIA, ISLE, WAHKON, HILLMAN, GARRISON, AND MILACA, AS WELL AS SURROUNDING PORTIONS OF MILLE LACS COUNTY AND NEIGHBORING COUNTIES. MILLE LACS HEALTH SYSTEM ALSO PROVIDES MEDICAL COVERAGE TO THE NE-LA-SHING CLINIC SERVING MEMBERS OF THE MILLE LACS BAND OF OJIBWE. MORE THAN 80% OF THE ORGANIZATION'S INPATIENT AND OUTPATIENT UTILIZATION ORIGINATES FROM ITS PRIMARY SERVICE AREA. THE REGION EXPERIENCES SIGNIFICANT SEASONAL POPULATION INCREASES DUE TO TOURISM AND RECREATIONAL ACTIVITIES CENTERED AROUND LAKE MILLE LACS.THE SERVICE AREA IS PREDOMINANTLY RURAL, WITH SMALL COMMUNITIES SPREAD THROUGHOUT THE REGION. BASED ON 2023 DEMOGRAPHIC DATA, MILLE LACS COUNTY HAS A POPULATION OF APPROXIMATELY 27,400 RESIDENTS, WITH 18.7% OF RESIDENTS AGE 65 OR OLDER, A PERCENTAGE THAT EXCEEDS THE MINNESOTA AVERAGE. THE COUNTY ALSO HAS LOWER PER CAPITA INCOME AND A HIGHER UNINSURED RATE THAN THE STATE OVERALL. IN ADDITION, THE SERVICE AREA INCLUDES A MEANINGFUL NATIVE AMERICAN POPULATION ASSOCIATED WITH THE MILLE LACS BAND OF OJIBWE.THE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY INFLUENCE LOCAL HEALTH CARE NEEDS. THE AREA'S AGING POPULATION CONTRIBUTES TO INCREASED DEMAND FOR SERVICES RELATED TO CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, REHABILITATION, SENIOR CARE, AND ACCESS TO SPECIALTY PROVIDERS. THE RURAL NATURE OF THE SERVICE AREA ALSO CREATES CHALLENGES RELATED TO TRANSPORTATION, ACCESS TO CARE, PROVIDER RECRUITMENT, AND AVAILABILITY OF HEALTH CARE RESOURCES. THESE FACTORS WERE REFLECTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIED MENTAL HEALTH, ACCESS TO HEALTH CARE, SUBSTANCE ABUSE, OBESITY, AND ELDER CARE AS SIGNIFICANT COMMUNITY HEALTH NEEDS.
PART VI, LINE 5:MILLE LACS HEALTH SYSTEM PROVIDES EDUCATIONAL HEALTH FAIRS, COMMUNITY MEETINGS ON HEALTH PROBLEMS, DIAGNOSIS AND PREVENTION METHODS. PART OF OUR MISSION STATEMENT IS TO ASSIST THOSE RESIDING IN AND VISITING THE MILLE LACS AREA IN ACHIEVING AND MAINTAINING OPTIMAL HEALTH. THE HEALTH SYSTEM PROVIDES PASTORAL CARE TO PATIENTS UPON REQUEST FROM OUR AREA CHURCHES CLERGY. WE SEND OUT QUARTERLY COMMUNITY HEALTH INFORMATION NEWS LETTERS. WE PROVIDE FREE BLOOD PRESSURE TESTING PROGRAMS.
PART VI, LINE 7, REPORTS FILED WITH STATESMN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM NELSON
CEO/CONSULTANT$367,040$0$80,038$0$3,446$0$7,441$0$69,379$0$527,344$0$0$0
JAMES YOUNG
HOSPITALIST$478,431$0$0$0$625$0$6,050$0$6,990$0$492,096$0$0$0
EARLE MUNNS
HOSPITALIST$361,398$0$2,392$0$810$0$13,621$0$50,932$0$429,153$0$0$0
RYAN FOX
PHYSICIAN$287,314$0$2,392$0$432$0$5,345$0$36,053$0$331,536$0$0$0
REBECCA MUWANSE
PHYSICIAN$295,429$0$2,392$0$432$0$0$0$29,462$0$327,715$0$0$0
FAHAD KHEMANI
PHYSICIAN$295,939$0$2,392$0$486$0$10,800$0$17,047$0$326,664$0$0$0
DR ARDEN VIRNIG
DIRECTOR/PHYSICIAN$205,087$0$2,388$0$3,424$0$8,319$0$43,168$0$262,386$0$0$0
DR PATTI HOOK-VIRNIG
VP MEDICAL AFFAIRS$198,404$0$2,388$0$6,089$0$8,055$0$42,815$0$257,751$0$0$0
JACKIE ULSETH
CNO$192,291$0$0$0$716$0$1,851$0$36,682$0$231,540$0$0$0
BECKY FOSSAND
CAO$183,597$0$2,103$0$2,473$0$7,672$0$30,638$0$226,483$0$0$0
ANDY KNUTSON
CEO$197,280$0$2,209$0$356$0$10,640$0$9,846$0$220,331$0$0$0
AMY NINHAM
CFO$146,739$0$0$0$0$0$6,748$0$41,431$0$194,918$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF ONAMIA MNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005437BondIssuerEIN
Bond Issued2020-07-08BondIssuedDt
Issue Price$6,990,000IssuePriceAmt
PurposeREFUND SERIES 2001 AND 2003 DEBTS AND FACILITY CONSTRUCTIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$868,969RetiredAmt
Total Proceeds$6,990,000TotalProceedsAmt
Issuance Costs From Proceeds$72,435IssuanceCostsFromProceedsAmt
Capital Expenditures$586,691CapitalExpendituresAmt
Other Spent Proceeds$6,330,874OtherSpentProceedsAmt
Substantial Completion2006SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE IS COMPRISED OF THE ELECTED OFFICERS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND IS AT ALL TIMES SUBJECT TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2DR. PATTI HOOK-VIRNIG AND DR. ARDEN VIRNIG HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATWO MEMBERS OF THE BOARD OF DIRECTORS ARE PHYSICIANS OF MILLE LACS HEALTH SYSTEM. THESE DIRECTORS ARE ELECTED BY THE MEDICAL STAFF ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING THE 990 TAX FORM, IT WAS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR/OFFICER OF MLHS SHALL COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNARIE UPON APPOINTMENT AND THEREAFTER AT THE TIME OF EACH ANNUAL MEETING. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO AND COMPLIANCE OFFICER. EACH DIRECTOR/OFFICER OF MLHS SHALL FULLY DISCLOSE ANY CONFLICTS OF INTERESTS. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER/OFFICER MAY BE ASKED TO STEP DOWN.
FORM 990, PART VI, SECTION B, LINE 15THE CEO AND OTHER OFFICERS' COMPENSATION IS EVALUATED BY THE BOARD OF DIRECTORS. COMPARABILITY DATA FROM OTHER AREA FACILITIES IS USED ALONG WITH AN EXECUTIVE SALARY SURVEY TO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIALS. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025.
FORM 990, PART VI, SECTION C, LINE 19THE HEALTH SYSTEM'S GOVERNING DOCUMENTS, CONFLICT OF INTERET POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,725. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,725. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 5,087,195. MANAGEMENT AND GENERAL EXPENSES 2,328,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,415,591. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,980,147. MANAGEMENT AND GENERAL EXPENSES 379,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,359,684.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -12,287.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THOMPSON'S LAKE COUNTRY DRUG INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 NORTH ELM STREET PO BOX AAddressLine1Txt
CityONAMIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56359ZIPCd
FieldValueIRS element (for citing)
EIN463957632EIN
Primary ActivitiesPHARAMCEUTICAL SALESPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MILLE LACS HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeSEntityTypeTxt
Share Of Total Income-$485,485ShareOfTotalIncomeAmt
Share Of EOY Assets$1,246,344ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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