Civic Intelligence

Mille Lacs Health System

EIN 41-0785161 • 501(c)3 • Onamia, MN

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Profile

To assist those residing in and visiting the mille lacs area in achieving and mantaining optimal health.

200 North Elm Street PO Box AOnamia, MN 56359-0800

www.mlhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

82nd percentile

0.70x

Higher debt load relative to assets than 82% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

66th percentile

0.63x

Higher debt load relative to revenue than 66% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

27th percentile

-1.9%

Higher net margin than 27% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

21st percentile

-1.6%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

59th percentile

11%

Faster revenue growth than 59% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets82nd percentile

Assets

Down

$57,778,960

Down $949,788 (-1.6%) from 2023

Liabilities

Down

$40,177,810

Down $300,060 (-0.7%) from 2023

Net Assets

Down

$17,601,150

Down $649,728 (-3.6%) from 2023

Operations
Liabilities / Revenue66th percentileNet Margin27th percentile

Revenue

Up

$63,532,535

Up $6,206,627 (+11%) from 2023

Expenses

Up

$64,757,375

Up $6,155,125 (+11%) from 2023

Net Income

Up

-$1,224,840

Up $51,502 (+4.0%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth21st percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $28,768,186Liabilities 2010: $15,823,667Net Assets 2010: $12,944,5192010Assets 2011: $31,484,361Liabilities 2011: $16,537,096Net Assets 2011: $14,947,2652011Assets 2012: $29,933,157Liabilities 2012: $14,562,462Net Assets 2012: $15,370,6952012Assets 2013: $29,831,401Liabilities 2013: $14,152,216Net Assets 2013: $15,679,1852013Assets 2014: $27,577,899Liabilities 2014: $12,785,946Net Assets 2014: $14,791,9532014Assets 2015: $27,076,729Liabilities 2015: $12,363,514Net Assets 2015: $14,713,2152015Assets 2016: $26,323,780Liabilities 2016: $11,966,473Net Assets 2016: $14,357,3072016Assets 2017: $26,057,876Liabilities 2017: $11,290,333Net Assets 2017: $14,767,5432017Assets 2018: $28,390,762Liabilities 2018: $11,952,987Net Assets 2018: $16,437,7752018Assets 2019: $28,453,579Liabilities 2019: $10,614,428Net Assets 2019: $17,839,1512019Assets 2020: $41,428,821Liabilities 2020: $22,102,927Net Assets 2020: $19,325,8942020Assets 2021: $55,817,777Liabilities 2021: $31,582,679Net Assets 2021: $24,235,0982021Assets 2022: $57,022,078Liabilities 2022: $36,104,811Net Assets 2022: $20,917,2672022Assets 2023: $58,728,748Liabilities 2023: $40,477,870Net Assets 2023: $18,250,8782023Assets 2024: $57,778,960Liabilities 2024: $40,177,810Net Assets 2024: $17,601,1502024

Highlighted filing

2024

Assets$57,778,960
Liabilities$40,177,810
Net Assets$17,601,150
Open 2024 Filing

Operations Trend

Revenue Growth59th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $33,703,9392010Expenses 2011: $34,715,4412011Expenses 2012: $37,406,2492012Revenue 2013: $37,826,779Expenses 2013: $37,518,289Net Income 2013: $308,4902013Revenue 2014: $37,133,179Expenses 2014: $38,020,411Net Income 2014: -$887,2322014Revenue 2015: $38,730,531Expenses 2015: $38,809,269Net Income 2015: -$78,7382015Revenue 2016: $41,230,843Expenses 2016: $41,586,751Net Income 2016: -$355,9082016Revenue 2017: $41,812,242Expenses 2017: $41,402,006Net Income 2017: $410,2362017Revenue 2018: $44,264,598Expenses 2018: $42,594,366Net Income 2018: $1,670,2322018Revenue 2019: $46,108,730Expenses 2019: $44,793,049Net Income 2019: $1,315,6812019Revenue 2020: $46,649,382Expenses 2020: $45,601,416Net Income 2020: $1,047,9662020Revenue 2021: $49,720,336Expenses 2021: $46,122,120Net Income 2021: $3,598,2162021Revenue 2022: $48,154,500Expenses 2022: $51,072,396Net Income 2022: -$2,917,8962022Revenue 2023: $57,325,908Expenses 2023: $58,602,250Net Income 2023: -$1,276,3422023Revenue 2024: $63,532,535Expenses 2024: $64,757,375Net Income 2024: -$1,224,8402024

Highlighted filing

2024

Revenue$63,532,535
Expenses$64,757,375
Net Income-$1,224,840
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$57,778,960
Liabilities
$40,177,810
Net assets
$17,601,150
Revenue
$63,532,535
Expenses
$64,757,375
Net income
-$1,224,840
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$57.8$40.2$17.6$63.5$64.8$1.22
2023Detailed filing. Detailed filing data is available for this year.$58.7$40.5$18.3$57.3$58.6$1.28
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$57.0$36.1$20.9$48.2$51.1$2.92
2021Detailed filing. Detailed filing data is available for this year.$55.8$31.6$24.2$49.7$46.1$3.60
2020Detailed filing. Detailed filing data is available for this year.$41.4$22.1$19.3$46.6$45.6$1.05
2019Detailed filing. Detailed filing data is available for this year.$28.5$10.6$17.8$46.1$44.8$1.32
2018Detailed filing. Detailed filing data is available for this year.$28.4$12.0$16.4$44.3$42.6$1.67
2017Detailed filing. Detailed filing data is available for this year.$26.1$11.3$14.8$41.8$41.4$0.41
2016Detailed filing. Detailed filing data is available for this year.$26.3$12.0$14.4$41.2$41.6$0.36
2015Detailed filing. Detailed filing data is available for this year.$27.1$12.4$14.7$38.7$38.8$0.08
2014Detailed filing. Detailed filing data is available for this year.$27.6$12.8$14.8$37.1$38.0$0.89
2013Summary only. Only limited summary data is available for this year.$29.8$14.2$15.7$37.8$37.5$0.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.9$14.6$15.4$37.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.5$16.5$14.9$34.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.8$15.8$12.9$33.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 13, 2025
Return Version
2023v6.0
Gross Receipts
$63,547,194
Mission and Program Overview

Mission

To assist those residing in and visiting the mille lacs area in achieving and mantaining optimal health.

To provide quality health services to residents of onamia, mn and the surrounding area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$38,694,446$36,211,402▼ $2,483,044
Accounts Receivable$8,633,098$11,154,084▲ $2,520,986
Savings and Temporary Cash Investments$4,861,810$4,773,677▼ $88,133
Investments Program Related$1,128,315$1,235,277▲ $106,962
Inventories for Sale or Use$756,138$1,071,668▲ $315,530
Cash and Non-Interest-Bearing Accounts$2,200,954$973,663▼ $1,227,291
Prepaid Expenses and Deferred Charges$440,502$948,431▲ $507,929
Other Notes and Loans Receivable, Net$796,000$646,000▼ $150,000
Intangible Assets$449,080$336,810▼ $112,270
Investments Other Securities$183,932$129,682▼ $54,250
Total Assets$58,728,748$57,778,960▼ $949,788
Other Assets Total$584,473$298,266▼ $286,207
Liabilities
Mortgage Notes Payable Secured by Investment Property$30,420,244$29,411,285▼ $1,008,959
Tax Exempt Bond Liabilities$6,181,813$6,353,550▲ $171,737
Accounts Payable and Accrued Expenses$3,130,230$4,086,142▲ $955,912
Escrow Account Liability$157,196$167,195▲ $9,999
Other Liabilities$588,387$159,638▼ $428,749
Total Liabilities$40,477,870$40,177,810▼ $300,060
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,096,419$17,429,971▼ $666,448
Net Assets With Donor Restrictions$154,459$171,179▲ $16,720
Total Net Assets Fund Balance$18,250,878$17,601,150▼ $649,728
Total Liabilities and Net Assets / Fund Balance$58,728,748$57,778,960▼ $949,788

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$28,515,909$25,458,100$53,974,009
Equipment$4,064,364$14,905,592$18,969,956
Leasehold Improvements$2,450,339$1,346,892$3,797,231
Land$1,180,310-$1,180,310
Other Land Buildings$480-$480
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
William NelsonCEOFT$337,319$157,449$494,768
James YoungHospitalistFT$420,372$16,710$437,082
Earle MunnsHospitalistFT$374,776$51,372$426,148
Fahad KhemaniPhysicianFT$322,953$29,040$351,993
Cathy DonovanFamily Medicine PhysicianFT$269,130$65,365$334,495
Dr Patti Hook-virnigVP of Medical AffairsFT$265,852$58,459$324,311
Ryan FoxPhysicianFT$283,667$38,160$321,827
Dr Arden VirnigDirector/physicianFT$263,857$50,382$314,239
Andy KnutsonCFOFT$168,337$55,707$224,044
Jackie UlsethCNOFT$179,409$42,944$222,353
Becky FossandCAOFT$175,407$44,056$219,463
Anthony HassDirector/chiropractorFT$129,151$32,970$162,121
Phil GravelBoard ChairPT$4,800-$4,800
Rob DubbsVice Chair-$810-$810
Betsy LundquistSecretary-$780-$780
Roger TrammDirector-$780-$780
Dennis BurrDirector-$660-$660
Jean StaffordSecretary-$510-$510
Tracy SamDirector-$60-$60

Highest Paid Contractors

ContractorServicesLocationCompensation
Focusone Solutions LLCContract Nursing13609 CALIFORNIA ST SUITE 420, Omaha, NE 68154$3,340,611
Central Mn Diagnostics INCRadiology ServicesPO BOX 64756, St Paul, MN 60693$1,049,789
Diagnostic Imaging SpecialistsRadiology Services23294 DUTCHMANS BLUFF, Nisswa, MN 56448$665,939
Central Mn Anesthesia Services INCAnesthesia Services9527 330TH ST, Onamia, MN 56359$477,796
Cardinal HealthHealthcare SuppliesPO BOX 70539, Chicago, IL 60673$415,736
Revenue and Support

Revenue Composition

Contributions and Grants
$817,334
Program Service Revenue
$61,751,201
Investment Income
$308,968
Other Revenue
$655,032
All Other Contributions
$368,600
Change in Net Assets
$-1,224,840

Audited Revenue Reconciliation

Revenue per Audited Statements
$62,195,347
Revenue Not Reported on Financial Statements
$1,337,188
Revenue Not Reported on Form 990
$651,392
Other Revenue Adjustments
$1,337,188
Total Revenue per Audited Statements
$62,846,739
Total Revenue per Form 990
$63,532,535
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$33,884,366
Other Expenses$30,873,009
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,753,481$1,928,024-$25,681,505
Fees for Services Other$8,810,829$2,098,595-$10,909,424
Other Employee Benefits$4,125,814--$4,125,814
Depreciation Depletion$3,145,384$239,674-$3,385,058
Payroll Taxes$1,684,084$176,987-$1,861,071
Current Officers, Directors, Trustees, and Key Employees$737,561$744,431-$1,481,992
All Other Expenses$428,495$755,392-$1,183,887
Office Expenses$749,927$399,634-$1,149,561
Interest$926,307$31,644-$957,951
Occupancy$846,190$69,980-$916,170
Pension Plan Contributions$733,984--$733,984
Insurance$215,271$271,044-$486,315
Other Expenses$146,420$238,173-$384,593
Advertising$54,973$168,072-$223,045
Travel$183,983$12,541-$196,524
Fees for Services Accounting-$148,207-$148,207
Fees for Services Legal-$36,092-$36,092
Conferences and Meetings$9,493--$9,493
Total Functional Expenses$57,438,885$7,318,490$0$64,757,375

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$64,757,375
Expenses per Audited Statements$63,420,187
Total Expenses per Audited Statements$63,420,187
Expenses Not Reported on Financial Statements$1,337,188
Other Expense Adjustments$1,337,188
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due To/from Medicare$159,638

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Onamia Mn2020-07-08$6,990,000Refund series 2001 and 2003 debts and facility construction

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$6,990,000$6,330,874$736,021$72,435

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

“The 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 2

“Dr. Patti hook-virnig and dr. Arden virnig are spouses.”

Form 990, Part VI, Section A, Line 7A

“Two 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 11B

“Prior 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 12C

“Each 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 15

“The 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 2024.”

Form 990, Part VI, Section C, Line 19

“The health system's governing documents, conflict of interet policy, and financial statements are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Mille Lacs Health System
EIN
41-0785161
Phone
3205322581
Address
200 NORTH ELM STREET PO BOX A, ONAMIA, MN 56359-0800

Signing Officer

Name
Andrew Knutson
Title
CEO
Phone
3205322581
Signed
2025-08-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Andrew Knutson
Formed
1953
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
7
Employees
516
Volunteers
40

Preparer

Firm
Cliftonlarsonallen Llp
Address
121 WEST BRIDGE STREET, OWATONNA, MN 55060
Preparer
Justin Hartert
Phone
5074467100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Consultants: program service expenses 0. Management and general expenses 95,567. Fundraising expenses 0. Total expenses 95,567. Contract services: program service expenses 5,697,935. Management and general expenses 1,598,875. Fundraising expenses 0. Total expenses 7,296,810. Purchased services: program service expenses 3,112,894. Management and general expenses 404,153. Fundraising expenses 0. Total expenses 3,517,047.”

FORM 990, PART XI, LINE 9:

“Change in interest in net assets of foundation -76,280.”

Financial Statement Notes

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 1,337,188.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Provision for bad debt 1,337,188.”

Raw XML AppendixShowing 400 of 1,098 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0MILLE 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.
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