Civic Intelligence

Mille Lacs Health System

990 • Fiscal year 2016 • EIN 41-0785161

Oct 01, 2015 to Sep 30, 2016 • Filed on Aug 10, 2017

Organization ProfileWWW.MLHEALTH.ORG

View Organization Page

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

(320) 532-7900

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

66th percentile

0.45x

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

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

47th percentile

0.29x

Higher debt load relative to revenue than 47% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

32nd percentile

-0.9%

Higher net margin than 32% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

70th percentile

$348,809

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

24th percentile

-2.8%

Faster asset growth than 24% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

62nd percentile

6.5%

Faster revenue growth than 62% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets66th percentile

Assets

Down

$26,323,780

Down $752,949 (-2.8%) from 2015

Net Assets

Down

$14,357,307

Down $355,908 (-2.4%) from 2015

Liabilities

Down

$11,966,473

Down $397,041 (-3.2%) from 2015

Revenue And Expenses
Liabilities / Revenue47th percentileNet Margin32nd percentile

Revenue

Up

$41,230,843

Up $2,500,312 (+6.5%) from 2015

Expenses

Up

$41,586,751

Up $2,777,482 (+7.2%) from 2015

Net Income

Down

-$355,908

Down $277,170 (-352%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth24th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2016

Assets$26,323,780
Liabilities$11,966,473
Net Assets$14,357,307
Open 2016 Filing

Operations Trend

Revenue Growth62nd percentile

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$41,230,843
Expenses$41,586,751
Net Income-$355,908
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 10, 2017
Return Version
2015v3.0
Gross Receipts
$41,239,352
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$12,309,846$11,327,902▼ $981,944
Accounts Receivable$6,352,347$6,929,136▲ $576,789
Savings and Temporary Cash Investments$4,781,411$4,803,692▲ $22,281
Cash and Non-Interest-Bearing Accounts$1,427,981$1,297,306▼ $130,675
Investments Program Related$985,924$1,020,926▲ $35,002
Inventories for Sale or Use$422,945$460,179▲ $37,234
Prepaid Expenses and Deferred Charges$488,517$247,525▼ $240,992
Other Notes and Loans Receivable, Net$200,000$160,000▼ $40,000
Investments Other Securities$72,262$52,305▼ $19,957
Intangible Assets$35,496$24,809▼ $10,687
Total Assets$27,076,729$26,323,780▼ $752,949
Liabilities
Tax Exempt Bond Liabilities$8,267,880$7,744,579▼ $523,301
Accounts Payable and Accrued Expenses$1,980,488$2,537,511▲ $557,023
Mortgage Notes Payable Secured by Investment Property$1,384,891$1,275,659▼ $109,232
Other Liabilities$721,483$401,499▼ $319,984
Escrow Account Liability$8,772$7,225▼ $1,547
Total Liabilities$12,363,514$11,966,473▼ $397,041
Net Assets / Fund Balance
Unrestricted Net Assets$14,713,215$14,357,307▼ $355,908
Total Net Assets Fund Balance$14,713,215$14,357,307▼ $355,908
Total Liabilities and Net Assets / Fund Balance$27,076,729$26,323,780▼ $752,949

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,432,262$17,001,511$24,433,773
Equipment$2,292,787$11,851,056$14,143,843
Land$1,187,310-$1,187,310
Leasehold Improvements$326,021$859,595$1,185,616
Other Land Buildings$89,522-$89,522
Compensation and Service Providers
Top Officer Pay70th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
William NelsonCEOFT$206,308$142,501$348,809
Dr Lynne SteinerBoard Member/physicianFT$182,072$70,537$252,609
Dr Tom BrackenVP Medical AffairsFT$182,454$57,466$239,920
Dr Cathy DonovanBoard Member/physician (thru Dec 15)FT$189,079$47,753$236,832
Roger BoettcherPhysicianFT$191,800$42,844$234,644
David StrobelPhysicianFT$197,635$30,528$228,163
Dr Arden VirnigBoard Member/physicianFT$197,295$24,763$222,058
Dr Mohan KarkiChief of StaffFT$164,048$51,825$215,873
Patti Hook-virnigPhysicianFT$154,087$48,531$202,618
Kim KuceraCOOFT$142,489$42,417$184,906
Mark MarshallPhysician AssistantFT$144,072$25,286$169,358
Catherine SteinerPhysician AssistantFT$120,738$47,819$168,557
John UnzenCFOFT$136,427$25,386$161,813
Mark TadychChairPT$4,800-$4,800
Wendy KafkaBoard Member-$900-$900
Betsy LundquistBoard Member-$780-$780
Dennis BurrBoard Member-$660-$660
Becky HouleTreasurer-$630-$630
Diane GibasSecretary-$630-$630
Fr Kermit HollVice-chair-$630-$630
Phil GravelBoard Member-$570-$570
Rob DubbsBoard Member-$480-$480

Board Members and Trustees

NameTitle
Becky FossandVP Human Resources

Highest Paid Contractors

ContractorServicesLocationCompensation
Central Mn Anesthesia Services INCAnesthesia Svc9527 330TH ST, Onamia, MN 56359$498,606
Medical SolutionsHospital Staffing1010 N 102ND STREET SUITE 300, Omaha, NE 68114$203,214
Fairview University DiagnosticsLab DiagnosticsPO BOX 9459, Minneapolis, MN 55440$108,678
William Orr ConsultingSenior Care Consultant3537 GREAT OAKS PLACE, Eagan, MN 55123$105,350
General Security Services CorporationHospital Security Services/trsfsPO BOX 823424, Philadelphia, PA 19182$101,353
Revenue and Support

Revenue Composition

Contributions and Grants
$262,212
Program Service Revenue
$39,617,850
Investment Income
$10,355
Other Revenue
$1,340,426
All Other Contributions
$68,227
Change in Net Assets
$-355,908

Audited Revenue Reconciliation

Revenue per Audited Statements
$40,929,429
Revenue Not Reported on Financial Statements
$301,414
Revenue Not Reported on Form 990
$-1,440,830
Other Revenue Adjustments
$301,414
Total Revenue per Audited Statements
$39,488,599
Total Revenue per Form 990
$41,230,843
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$25,444,208
Other Expenses$16,142,543
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,951,095$1,481,533-$17,432,628
Fees for Services Other$4,651,876$1,078,539-$5,730,415
Other Employee Benefits$3,723,194$345,809-$4,069,003
Current Officers, Directors, Trustees, and Key Employees$1,082,277$952,672-$2,034,949
Depreciation Depletion$1,131,404$519,687-$1,651,091
Office Expenses$888,796$593,562-$1,482,358
Payroll Taxes$1,194,336$157,694-$1,352,030
Occupancy$601,000$22,205-$623,205
All Other Expenses$286,002$310,044-$596,046
Pension Plan Contributions$508,380$47,218-$555,598
Interest$353,442$65,743-$419,185
Other Expenses$107,527$232,665-$340,192
Insurance$182,462$111,246-$293,708
Travel$194,863$64,112-$258,975
Information Technology$43,110$150,318-$193,428
Advertising$133,361$43,097-$176,458
Fees for Services Accounting-$162,515-$162,515
Fees for Services Legal-$14,043-$14,043
Fees for Services Lobbying-$2,265-$2,265
Total Functional Expenses$35,231,784$6,354,967$0$41,586,751

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$41,586,751
Expenses per Audited Statements$40,145,921
Total Expenses per Audited Statements$40,145,921
Expenses Not Reported on Financial Statements$1,440,830
Other Expense Adjustments$1,440,830
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 Third Party Payers$401,499

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Onamia2003-06-24$4,500,000NURSING HOME FACILITY

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$4,500,000-$1,854,147$40,431

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
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
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 1

“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 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 11

“The form 990 was presented to the board members for review and approval before filing.”

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 in 2016.”

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
3205327900
Address
200 NORTH ELM STREET PO BOX A, ONAMIA, MN 56359-0800

Signing Officer

Name
William Nelson
Title
CEO
Phone
3205327900
Signed
2017-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William Nelson
Formed
1953
Legal Domicile
Mn
Voting Board Members
11
Independent Board Members
9
Employees
547
Volunteers
30

Preparer

Firm
Cliftonlarsonallen Llp
Address
220 SOUTH SIXTH STREET SUITE 300, MINNEAPOLIS, MN 55402
Preparer
Kacie Mcewen
Phone
6123764500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other fees: program service expenses 4,651,876. Management and general expenses 1,078,539. Fundraising expenses 0. Total expenses 5,730,415.”

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 not-for-profit 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 2D - OTHER ADJUSTMENTS:

“Provision for uncollectible accounts -1,440,830.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Unrestricted contributions 25,516. Interest income 12,940. Grant income 33,803. Rental income 28,664. Capital grants and contributions 209,000. Loss on disposal of equipment -8,509.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Provision for uncollectible accounts 1,440,830.”

Raw XML AppendixShowing 400 of 1,099 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 LOCATED IN ONAMIA, MN, 80 MILES NORTH OF THE TWIN CITIES NEAR LAKE MILLE LACS. OUR SYSTEM INCLUDES A 25-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 CARE 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 OF BETWEEN 12,000 AND 15,000, 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 WEEKENDS 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 SERVICE AREA. THE SECONDARY SERVICE AREA INCLUDES MORA, BOCK, MILACA, AND OGILVIE.
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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$26,323,780
Liabilities
$11,966,473
Net assets
$14,357,307
Revenue
$41,230,843
Expenses
$41,586,751
Net income
-$355,908
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