Civic Intelligence

Cook Area Health Services Inc

EIN 41-1344385 • 501(c)3 • Cook, MN

View Organization Page

Cook, MN
Siviq Scores

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

Liabilities / Assets

79th percentile

0.57x

Higher debt load relative to assets than 79% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

47th percentile

0.20x

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

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

33rd percentile

-0.7%

Higher net margin than 33% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

85th percentile

$377,854

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

78th percentile

16%

Faster asset growth than 78% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

42nd percentile

3.6%

Faster revenue growth than 42% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets79th percentile

Using 2023 Form 990 data because the latest 2024 filing does not report standard financial totals.

Assets

Up

$6,599,123

Up $175,530 (+2.7%) from 2022

Liabilities

Down

$1,674,876

Down $319,549 (-16%) from 2022

Net Assets

Up

$4,924,247

Up $495,079 (+11%) from 2022

Operations
Liabilities / Revenue47th percentileNet Margin33rd percentile

Revenue

Up

$18,771,024

Up $1,350,094 (+7.7%) from 2022

Expenses

Up

$18,275,945

Up $1,037,532 (+6.0%) from 2022

Net Income

Up

$495,079

Up $312,562 (+171%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth78th percentile

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2011: $3,693,833Liabilities 2011: $2,658,750Net Assets 2011: $1,035,0832011Assets 2012: $3,864,180Liabilities 2012: $2,090,203Net Assets 2012: $1,773,9772012Assets 2013: $4,714,911Liabilities 2013: $2,802,896Net Assets 2013: $1,912,0152013Assets 2014: $5,217,594Liabilities 2014: $2,850,218Net Assets 2014: $2,367,3762014Assets 2015: $4,879,678Liabilities 2015: $2,631,144Net Assets 2015: $2,248,5342015Assets 2016: $5,275,868Liabilities 2016: $2,869,917Net Assets 2016: $2,405,9512016Assets 2017: $5,365,054Liabilities 2017: $2,987,831Net Assets 2017: $2,377,2232017Assets 2018: $6,545,666Liabilities 2018: $3,712,959Net Assets 2018: $2,832,7072018Assets 2019: $5,541,002Liabilities 2019: $2,100,798Net Assets 2019: $3,440,2042019Assets 2020: $7,755,073Liabilities 2020: $3,881,013Net Assets 2020: $3,874,0602020Assets 2021: $6,544,540Liabilities 2021: $2,297,889Net Assets 2021: $4,246,6512021Assets 2022: $6,423,593Liabilities 2022: $1,994,425Net Assets 2022: $4,429,1682022Assets 2023: $6,599,123Liabilities 2023: $1,674,876Net Assets 2023: $4,924,2472023

Latest loaded filing

2023

Assets$6,599,123
Liabilities$1,674,876
Net Assets$4,924,247
Open 2023 Filing

Operations Trend

Revenue Growth42nd percentile

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2011: $8,542,978Expenses 2011: $8,039,252Net Income 2011: $503,7262011Revenue 2012: $9,390,176Expenses 2012: $8,651,282Net Income 2012: $738,8942012Revenue 2013: $9,497,234Expenses 2013: $9,359,196Net Income 2013: $138,0382013Revenue 2014: $10,248,951Expenses 2014: $9,840,852Net Income 2014: $408,0992014Revenue 2015: $10,386,155Expenses 2015: $10,304,997Net Income 2015: $81,1582015Revenue 2016: $11,414,271Expenses 2016: $10,932,846Net Income 2016: $481,4252016Revenue 2017: $11,422,116Expenses 2017: $11,450,844Net Income 2017: -$28,7282017Revenue 2018: $13,574,316Expenses 2018: $13,118,832Net Income 2018: $455,4842018Revenue 2019: $14,206,333Expenses 2019: $13,598,836Net Income 2019: $607,4972019Revenue 2020: $15,076,991Expenses 2020: $14,643,135Net Income 2020: $433,8562020Revenue 2021: $16,944,371Expenses 2021: $16,571,780Net Income 2021: $372,5912021Revenue 2022: $17,420,930Expenses 2022: $17,238,413Net Income 2022: $182,5172022Revenue 2023: $18,771,024Expenses 2023: $18,275,945Net Income 2023: $495,0792023

Latest loaded filing

2023

Revenue$18,771,024
Expenses$18,275,945
Net Income$495,079
Open 2023 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
-
Liabilities
-
Net assets
-
Revenue
-
Expenses
-
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.60$1.67$4.92$18.8$18.3$0.50
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.42$1.99$4.43$17.4$17.2$0.18
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.54$2.30$4.25$16.9$16.6$0.37
2020Summary only. Only limited summary data is available for this year.$7.76$3.88$3.87$15.1$14.6$0.43
2019Summary only. Only limited summary data is available for this year.$5.54$2.10$3.44$14.2$13.6$0.61
2018Summary only. Only limited summary data is available for this year.$6.55$3.71$2.83$13.6$13.1$0.46
2017Summary only. Only limited summary data is available for this year.$5.37$2.99$2.38$11.4$11.5$0.03
2016Summary only. Only limited summary data is available for this year.$5.28$2.87$2.41$11.4$10.9$0.48
2015Summary only. Only limited summary data is available for this year.$4.88$2.63$2.25$10.4$10.3$0.08
2014Summary only. Only limited summary data is available for this year.$5.22$2.85$2.37$10.2$9.84$0.41
2013Summary only. Only limited summary data is available for this year.$4.71$2.80$1.91$9.50$9.36$0.14
2012Summary only. Only limited summary data is available for this year.$3.86$2.09$1.77$9.39$8.65$0.74
2011Summary only. Only limited summary data is available for this year.$3.69$2.66$1.04$8.54$8.04$0.50
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 1, 2023 to May 31, 2024
Signed
Mar 15, 2025
Return Version
2023v6.0
Gross Receipts
$16,238,266
Mission and Program Overview

Mission

Our mission is to provide medical, dental & supportive services in a remote, rural area of northern minnesota. As a federally qualified health center in a remote, rural area, it is our goal to be customer focused without regard to economic status or any other artificial barrier. We intend to provide quality primary care that meets the needs of people in our designated service area through collaborative efforts with critical access hospitals, care centers, specialists, associations, foundations and other appropriate or available opportunities. Our core value is the care of families, friends and visitors who reside in or travel through our region by assisting to improve their health. This care is provided at our medical clinics in bigfork, big falls, cook, floodwood,northome, and tower mn and at our dental clinics in cook, floodwood, and tower, mn. Care is also provided through contracts with bigfork valley and cook hospitals and their associated nursing homes as well as at northome care

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,099,983$3,064,222▼ $35,761
Cash and Non-Interest-Bearing Accounts$1,996,747$0▼ $1,996,747
Accounts Receivable$1,243,749$1,823,746▲ $579,997
Prepaid Expenses and Deferred Charges$132,632$42,427▼ $90,205
Pledges and Grants Receivable$21,988$0▼ $21,988
Savings and Temporary Cash Investments$2,115$0▼ $2,115
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$6,599,123$4,932,877▼ $1,666,246
Other Assets Total$101,909$2,482▼ $99,427
Liabilities
Accounts Payable and Accrued Expenses$1,182,265$1,832,667▲ $650,402
Mortgage Notes Payable Secured by Investment Property$390,702$364,741▼ $25,961
Other Liabilities$101,909$236,173▲ $134,264
Deferred Revenue-$3,805-
Total Liabilities$1,674,876$2,437,386▲ $762,510
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,924,247$2,495,491▼ $2,428,756
Total Net Assets Fund Balance$4,924,247$2,495,491▼ $2,428,756
Total Liabilities and Net Assets / Fund Balance$6,599,123$4,932,877▼ $1,666,246

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,946,929$1,205,896$3,152,825
Leasehold Improvements$786,169$991,961$1,778,130
Equipment$226,327$1,297,201$1,523,528
Other Land Buildings$85,297-$85,297
Land$19,500-$19,500
Compensation and Service Providers
Top Officer Pay85th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eric EllebyPhysicianFT$361,637$29,144$382,177
Nicholas VidorPhysicianFT$356,065$12,200$368,265
Matthew HolmesPhysicianFT$320,653$12,200$340,601
Eric ScrivnerPhysicianFT$282,997$36,049$310,772
Barret Myers WolfsonPhysicianFT$290,361$19,420$301,441
Keith HarveyCEOFT$139,283$12,305$169,058
Dan HeineckeCFOFT$102,914-$102,914

Board Members and Trustees

NameTitle
Liz StormPresident
Wende NelsonVice President
Joel KarelsDirector
Karen LorenzenDirector
Marci MapleDirector
Marian SwangDirector
Robert WalkerDirector
Robin HarkonenDirector
William H TibbettsDirector
Gail BlackmerSEC'Y/TREASURER

Highest Paid Contractors

ContractorServicesLocationCompensation
Northeast Services CooperativeInsurance5525 EMERALD AVE, Mt Iron, MN 55768$1,180,913
Breakwater Health NetworkClinical/bus/pat Svc1324 ARROWHEAD RD STE 332, Duluth, MN 55811$398,952
Mckesson MedicalMedical SuppliesPO BOX 634404, Cincinnati, OH 45263$364,562
National Medical ResourcesLocum Phsyician Coverage2792 E BROADWAY AVE, Bismarck, ND 58501$342,791
Consolidated CommunicationsPhone/computerPO BOX 66523, St Louis, MO 63166$284,168
Revenue and Support

Revenue Composition

Contributions and Grants
$4,024,932
Program Service Revenue
$12,158,862
Investment Income
$54,472
Other Revenue
$0
All Other Contributions
$119,010
Change in Net Assets
$-2,428,756

Audited Revenue Reconciliation

Revenue per Audited Statements
$16,238,266
Total Revenue per Audited Statements
$16,238,266
Total Revenue per Form 990
$16,238,266
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,853,300
Other Expenses$5,813,722
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,946,523$2,728,008-$10,674,531
Office Expenses$1,254,453$561,657-$1,816,110
Fees for Services Other$684,128$516,289-$1,200,417
Other Employee Benefits$887,337$300,445-$1,187,782
Information Technology-$934,327-$934,327
Occupancy$780,063$33,476-$813,539
Payroll Taxes$522,845$195,167-$718,012
Current Officers, Directors, Trustees, and Key Employees-$272,975-$272,975
Conferences and Meetings$170,025$27,325-$197,350
Insurance$99,917$34,526-$134,443
Travel$94,954$37,465-$132,419
Other Expenses$111,876$1,121-$112,997
Depreciation Depletion$24,049$39,676-$63,725
Total Functional Expenses$12,849,031$5,817,991$0$18,667,022

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$18,667,022
Total Expenses per Audited Statements$18,667,022
Total Expenses per Form 990$18,667,022
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Carmen HeineckeCFO'S WIFEWages and BenefitsNo$92,338

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Bank Overdraft$233,691
Lease Liability$2,482
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
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 B, Line 11B

“The 990 is provided to the board of directors upon receipt from the preparer. The copy was included with the standard materials (meeting minutes, financial reports, etc.) provided to the board prior to their monthly meeting.”

Form 990, Part VI, Section B, Line 12C

“Cahs requires annual reporting from all directors and key employees regarding any conflicts of interest with related organizations and vendors with whom the organization transacts business. Cahs monitors disclosures provided to any affirmative reponses.”

Form 990, Part VI, Section B, Line 15A

“The board's finance committee conducts an annual compensation review of cahs key employees using salary surveys from the national association of community health centers, the mn dept. Of employment and economic development, and other available salary surveys. The committee documents each employee's compensation relative to survey data and substantiates reasons for substantial variances from available data.”

Form 990, Part VI, Section B, Line 15B

“The board's finance committee conducts an annual compensation review of cahs key employees using salary surveys from the national association of community health centers, the mn dept. Of employment and economic development, and other available salary surveys. The committee documents each employee's compensation relative to survey data and substantiates reasons for substantial variances from available data.”

Form 990, Part VI, Section C, Line 19

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Cook Area Health Services Inc
EIN
41-1344385
Phone
2183613127
Address
20 FIFTH STREET SE, COOK, MN 55723

Signing Officer

Name
Keith Harvey
Title
CEO
Signed
2025-03-15
Discuss with paid preparer
Yes

Organization Details

Formed
1979
Legal Domicile
Mn
Voting Board Members
10
Independent Board Members
10
Employees
169

Preparer

Firm
Walker Giroux & Hahne LLC
Address
225 1st Street N Suite 2400, Virginia, MN 55792
Preparer
Thomas Kelly
Phone
2187494880
Raw XML AppendixShowing 400 of 620 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/MissionDesc0OUR MISSION IS TO PROVIDE MEDICAL, DENTAL & SUPPORTIVE SERVICES IN A REMOTE, RURAL AREA OF NORTHERN MINNESOTA. AS A FEDERALLY QUALIFIED HEALTH CENTER IN A REMOTE, RURAL AREA, IT IS OUR GOAL TO BE CUSTOMER FOCUSED WITHOUT REGARD TO ECONOMIC STATUS OR ANY OTHER ARTIFICIAL BARRIER. WE INTEND TO PROVIDE QUALITY PRIMARY CARE THAT MEETS THE NEEDS OF PEOPLE IN OUR DESIGNATED SERVICE AREA THROUGH COLLABORATIVE EFFORTS WITH CRITICAL ACCESS HOSPITALS, CARE CENTERS, SPECIALISTS, ASSOCIATIONS, FOUNDATIONS AND OTHER APPROPRIATE OR AVAILABLE OPPORTUNITIES. OUR CORE VALUE IS THE CARE OF FAMILIES, FRIENDS AND VISITORS WHO RESIDE IN OR TRAVEL THROUGH OUR REGION BY ASSISTING TO IMPROVE THEIR HEALTH. THIS CARE IS PROVIDED AT OUR MEDICAL CLINICS IN BIGFORK, BIG FALLS, COOK, FLOODWOOD,NORTHOME, AND TOWER MN AND AT OUR DENTAL CLINICS IN COOK, FLOODWOOD, AND TOWER, MN. CARE IS ALSO PROVIDED THROUGH CONTRACTS WITH BIGFORK VALLEY AND COOK HOSPITALS AND THEIR ASSOCIATED NURSING HOMES AS WELL AS AT NORTHOME CARE
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