FURP.ORG / PUBLIC DATA EXPLORER

COOK AREA HEALTH SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
COOK AREA HEALTH SERVICES INC (EIN 41-1344385)
Tax period
2024-06-01 to 2025-05-31
Filed
2026-03-27
IRS object ID
202620869349300627
Schema version
2024v5.2
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)
Return2026-03-27T08:57:35-07:00ReturnTs
Tax Period End2025-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN463893925PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Walker Giroux & Hahne LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 1st Street N Suite 2400AddressLine1Txt
CityVirginiaCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55792ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411344385EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COOK AREA HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOOKBusinessNameControlTxt
Phone2183613127PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 FIFTH STREET SEAddressLine1Txt
CityCOOKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55723ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKARRI SCHUTTEPersonNm
Person TitleCFOPersonTitleTxt
Signature2026-03-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonThomas KellyPreparerPersonNm
PTINP01240546PTIN
Phone2187494880PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 FIFTH STREET SEAddressLine1Txt
CityCOOKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55723ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,822,865GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee176TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,024,932PYContributionsGrantsAmt
CY Contributions Grants$4,233,645CYContributionsGrantsAmt
PY Program Service Revenue$12,158,862PYProgramServiceRevenueAmt
CY Program Service Revenue$12,522,117CYProgramServiceRevenueAmt
PY Investment Income$54,472PYInvestmentIncomeAmt
CY Investment Income$10,393CYInvestmentIncomeAmt
CY Other Revenue$56,710CYOtherRevenueAmt
PY Total Revenue$16,238,266PYTotalRevenueAmt
CY Total Revenue$16,822,865CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,853,300PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,602,802CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,813,722PYOtherExpensesAmt
CY Other Expenses$4,341,318CYOtherExpensesAmt
PY Total Expenses$18,667,022PYTotalExpensesAmt
CY Total Expenses$16,944,120CYTotalExpensesAmt
PY Revenues Less Expenses-$2,428,756PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$121,255CYRevenuesLessExpensesAmt
Total Assets BOY$4,932,877TotalAssetsBOYAmt
Total Assets EOY$5,739,924TotalAssetsEOYAmt
Total Liabilities BOY$2,437,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,282,136TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,495,491NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,457,788NetAssetsOrFundBalancesEOYAmt
MissionOUR 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 CAREMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,490,737ExpenseAmt
DescPROVIDE MEDICAL SERVICES, 31,476 ENCOUNTERSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,369,114ExpenseAmt
DescPROVIDE DENTAL SERVICES, 7,873 ENCOUNTERSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$171,227ExpenseAmt
DescPROVIDE OTHER HEALTH SERVICES, 2,517 ENCOUNTERSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,031,078TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee176EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKARRI SCHUTTEPersonNm
Phone2183613135PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line120 FIFTH STREET SEAddressLine1Txt
CityCOOKCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55723ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ERIC ELLEBY
PHYSICIAN40.000.00$361,637$0$16,217
NICHOLAS VIDOR
PHYSICIAN40.000.00$356,065$0$6,900
MATTHEW HOLMES
PHYSICIAN40.000.00$320,653$0$15,123
ERIC SCRIVNER
PHYSICIAN40.000.00$282,997$0$24,913
BARRET MYERS WOLFSON
PHYSICIAN40.000.00$290,361$0$5,745
KEITH HARVEY
CEO40.000.00$139,283$0$31,213Yes (X)
DAN HEINECKE
FORMER CFO40.000.00$102,914$0$0Yes (X)
ROBIN HARKONEN
Director1.000.00$0$0$0Yes (X)
WENDE NELSON
Vice President1.000.00$0$0$0Yes (X)Yes (X)
GAIL BLACKMER
SEC'Y/TREASURER1.000.00$0$0$0Yes (X)Yes (X)
LIZ STORM
Director1.000.00$0$0$0Yes (X)
KAREN LORENZEN
Director1.000.00$0$0$0Yes (X)
CHRISTINE STEWART
Director1.000.00$0$0$0Yes (X)
MARIAN SWANG
Director1.000.00$0$0$0Yes (X)
ROBERT WALKER
DIRECTOR1.000.00$0$0$0Yes (X)
WILLIAM H TIBBETTS
President1.000.00$0$0$0Yes (X)Yes (X)
HELEN TOME
Director1.000.00$0$0$0Yes (X)
MARCI MAPLE
Director1.000.00$0$0$0Yes (X)
JOEL KARELS
DIRECTOR1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,853,910TotalReportableCompFromOrgAmt
Total Other Compensation$100,111TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HAWK CONSTRUCTION INC
1833 US-2 EGRAND RAPIDSMN55744CONSTRUCTION$429,898
CONSOLIDATED COMMUNICATIONS
28244 NETWORK PLACEPO BOXMO63166PHONE/COMPUTER$225,690
NORTHEAST SERVICES COOPERATIVE
5525 EMERALD AVEMT IRONMN55768INSURANCE$989,441
BREAKWATER HEALTH NETWORK
1324 ARROWHEAD RD STE 332DULUTHMN55811CLINICAL/BUS/PAT SVC$366,920
MCKESSON MEDICAL
PO BOX 634404CINCINNATIOH45263MEDICAL SUPPLIES$269,505
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$4,056,887GovernmentGrantsAmt
All Other Contributions$176,758AllOtherContributionsAmt
Total Contributions$4,233,645TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL & DENTAL REVENUEDesc
Business621110BusinessCd
Total Revenue Column$12,522,117TotalRevenueColumnAmt
Related Or Exempt Func Income$12,522,117RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,522,117TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,393TotalRevenueColumnAmt
Exclusion$10,393ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCDesc
Total Revenue Column$56,710TotalRevenueColumnAmt
Exclusion$56,710ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$56,710OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,822,865TotalRevenueColumnAmt
Related Or Exempt Func Income$12,522,117RelatedOrExemptFuncIncomeAmt
Exclusion$67,103ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$273,640TotalAmt
Management And General$273,640ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,866,193TotalAmt
Program Services$6,258,210ProgramServicesAmt
Management And General$4,607,983ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$170,352TotalAmt
Program Services$95,973ProgramServicesAmt
Management And General$74,379ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,292,617TotalAmt
Program Services$745,949ProgramServicesAmt
Management And General$546,668ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$650,983TotalAmt
Program Services$343,881ProgramServicesAmt
Management And General$307,102ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,651,438TotalAmt
Program Services$1,321,244ProgramServicesAmt
Management And General$330,194ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$597,792TotalAmt
Program Services$35,511ProgramServicesAmt
Management And General$562,281ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$735,773TotalAmt
Program Services$718,302ProgramServicesAmt
Management And General$17,471ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$97,204TotalAmt
Program Services$85,500ProgramServicesAmt
Management And General$11,704ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,055TotalAmt
Program Services$31,365ProgramServicesAmt
Management And General$690ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,233TotalAmt
Management And General$29,233ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$61,182TotalAmt
Program Services$23,951ProgramServicesAmt
Management And General$37,231ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$125,798TotalAmt
Program Services$97,740ProgramServicesAmt
Management And General$28,058ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DENTAL LABORATORY$126,896$126,896
RECRUITMENT$96,851$11,682$85,169
OSAH COMPLIANCE AND SAFETY$71,859$70,620$1,239
CREDIT LOSSES$64,254$64,254

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,944,120TotalAmt
Program Services$10,031,078ProgramServicesAmt
Management And General$6,913,042ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$1,357EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,823,746BOYAmt
EOY$1,991,978EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$42,427BOYAmt
EOY$26,418EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,533,925LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,827,523LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,064,222BOYAmt
EOY$3,706,402EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,482BOYAmt
EOY$13,769EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,932,877BOYAmt
EOY$5,739,924EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,832,667BOYAmt
EOY$2,853,796EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,805BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$364,741BOYAmt
EOY$422,810EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$236,173BOYAmt
EOY$5,530EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,437,386BOYAmt
EOY$3,282,136EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,495,491BOYAmt
EOY$2,457,788EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,495,491BOYAmt
EOY$2,457,788EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,932,877BOYAmt
EOY$5,739,924EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$121,255ReconcilationRevenueExpnssAmt
Prior Period Adjustments$83,552PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,307,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,316,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,149,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,937,419CurrentTaxYearMinus1YearAmt
Current Tax Year$4,233,645CurrentTaxYearAmt
Total$23,945,257TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,307,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,316,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,149,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,937,419CurrentTaxYearMinus1YearAmt
Current Tax Year$4,233,645CurrentTaxYearAmt
Total$23,945,257TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$23,945,257PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,472CurrentTaxYearMinus1YearAmt
Current Tax Year$10,393CurrentTaxYearAmt
Total$64,873TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,606,732CurrentTaxYearMinus4YearsAmt
Current Tax Year$56,710CurrentTaxYearAmt
Total$1,663,442TotalAmt
FieldValueIRS element (for citing)
Total Support$25,673,572TotalSupportAmt
Gross Receipts Rltd Activities$60,436,371GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93270PublicSupportCY170Pct
Public Support PY1700.93700PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,500OtherCostOrOtherBasisAmt
Book Value$19,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,152,825OtherCostOrOtherBasisAmt
Depreciation$1,320,449DepreciationAmt
Book Value$1,832,376BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,615,189OtherCostOrOtherBasisAmt
Depreciation$1,156,431DepreciationAmt
Book Value$1,458,758BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,523,528OtherCostOrOtherBasisAmt
Depreciation$1,350,643DepreciationAmt
Book Value$172,885BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$222,883OtherCostOrOtherBasisAmt
Book Value$222,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,706,402TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITYDesc
Amt$5,530Amt
FieldValueIRS element (for citing)
Total Liability$5,530TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$16,822,865TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$16,822,865RevenueSubtotalAmt
Total Revenue Per Form990$16,822,865TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,944,120TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$16,944,120ExpensesSubtotalAmt
Total Expenses Per Form990$16,944,120TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
BARRET MYERS WOLFSON
PHYSICIAN$290,361$5,745$296,106
ERIC ELLEBY
PHYSICIAN$361,637$377,854$16,217
ERIC SCRIVNER
PHYSICIAN$282,997$307,910$24,913
KEITH HARVEY
CEO$139,283$170,496$31,213
MATTHEW HOLMES
PHYSICIAN$320,653$335,776$15,123
NICHOLAS VIDOR
PHYSICIAN$356,065$6,900$362,965

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonCARMEN HEINECKEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFORMER CFO'S WIFRelationshipDescriptionTxt
Transaction$105,481TransactionAmt
TransactionWAGES AND BENEFITSTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bTHE 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, Section B, Line 12cCAHS 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, Section B, Line 15aTHE 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, Section B, Line 15bTHE 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, Section C, Line 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.