2024-08-13T11:31:21-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2022-10-01 410785161 MILLE LACS HEALTH SYSTEM MILL 3205322581 200 NORTH ELM STREET PO BOX A ONAMIA MN 563590800 WILLIAM NELSON CEO 3205322581 2024-08-12 1 0 JUSTIN HARTERT P02236744 5074467100 2024-08-12 2022 2024-08-08 14:25:15Z WILLIAM NELSON 200 NORTH ELM STREET PO BOX A ONAMIA MN 563590800 57395041 0 1 X WWW.MLHEALTH.ORG X 1953 MN TO PROVIDE QUALITY HEALTH SERVICES TO RESIDENTS OF ONAMIA, MN AND THE SURROUNDING AREA. 6 5 512 40 0 0 2684162 2587778 44949281 53605633 105820 104661 415237 1027836 48154500 57325908 0 0 0 0 30874585 32735974 30600 0 0 20167211 25866276 51072396 58602250 -2917896 -1276342 57022078 58728748 36104811 40477870 20917267 18250878 X TO ASSIST THOSE RESIDING IN AND VISITING THE MILLE LACS AREA IN ACHIEVING AND MANTAINING OPTIMAL HEALTH. 0 0 51148947 0 53605633 MILLE 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. 51148947 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 130 0 1 512 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X ANDREW KNUTSON 3205322581 200 ELM ST N ONAMIA MN 56359 DR LYNNE STEINER DIRECTOR/PHYSICIAN (THRU 12/22) 40.00 0.00 X 210024 0 49321 DR ARDEN VIRNIG DIRECTOR/PHYSICIAN 40.00 0.00 X 265853 0 36558 BETSY LUNDQUIST SECRETARY 2.00 0.00 X X 930 0 0 WENDY KAFKA SECRETARY (THRU 12/22) 2.00 0.00 X X 750 0 0 ROB DUBBS TREASURER 2.00 0.00 X X 1110 0 0 DENNIS BURR BOARD VICE CHAIR 2.00 0.00 X X 870 0 0 DARLA ROACH DIRECTOR (THRU 12/22) 2.00 0.00 X 210 0 0 JOE NAYQUONABE DIRECTOR (THRU 12/22) 2.00 0.00 X 210 0 0 PHIL GRAVEL BOARD CHAIR 8.00 0.00 X X 3720 0 0 JEAN STAFFORD DIRECTOR 2.00 0.00 X 990 0 0 ROGER TRAMM DIRECTOR (THRU 5/23) 2.00 0.00 X 0 0 0 ANTHONY HASS DIRECTOR/CHIROPRACTOR 40.00 0.00 X 113484 0 29915 WILLIAM NELSON CEO 40.00 0.00 X 421278 0 71986 JACKIE ULSETH CNO 40.00 0.00 X 174491 0 39604 JOHN UNZEN CFO (THRU 4/22) 40.00 0.00 X 100612 0 26023 BECKY FOSSAND CAO 40.00 0.00 X 163930 0 44262 DR PATTI HOOK-VIRNIG CHIEF OF STAFF 40.00 0.00 X 268712 0 37876 ANDY KNUTSON CFO 40.00 0.00 X 98530 0 23086 DR TOM BRACKEN VP MEDICAL AFFAIRS 40.00 0.00 X 221076 0 59539 DAWN BACK PHYSICIAN ASSISTANT 40.00 0.00 X 238343 0 26913 JAMES YOUNG HOSPITALIST 40.00 0.00 X 327002 0 9129 EARLE MUNNS HOSPITALIST 40.00 0.00 X 306663 0 35032 CATHY DONOVAN FAMILY MEDICINE PHYSICIAN 40.00 0.00 X 265981 0 61507 AMY HUSEBY PHYSICIAN ASSISTANT 40.00 0.00 X 226495 0 26248 3411264 0 576999 41 0 1 0 DIAGNOSTIC IMAGING SPECIALISTS 23294 DUTCHMANS BLUFF NISSWA MN 56448 RADIOLOGY SERVICES 668213 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA ST SUITE 420 OMAHA NE 68154 CONTRACT NURSING 563037 CENTRAL MN ANESTHESIA SERVICES INC 9527 330TH ST ONAMIA MN 56359 ANESTHESIA SERVICES 521232 CENTRAL MN DIAGNOSTICS INC PO BOX 64756 ST PAUL MN 60693 RADIOLOGY SERVICES 364033 SOFT CHOICE CORPORATION 16609 COLLECTIONS CENTER DR CHICAGO IL 60693 COMPUTER SOFTWARE 308106 13 595147 1992631 2587778 PATIENT REVENUE 621110 47931430 47931430 CLINIC REVENUE 621110 4403129 4403129 ASSISTED LIVING 623000 910105 910105 JOINT VENTURE INCOME 621500 351386 351386 THERAPY REVENUE 621300 9583 9583 53605633 105793 105793 17625 0 17625 17625 17625 68001 69133 -1132 -1132 -1132 39330 0 39330 39330 JOINT VENTURE INCOME - OTHER 621500 583507 583507 MEALS REVENUE 812900 364376 364376 MISCELLANEOUS 812900 17231 17231 5767 5767 970881 57325908 53605633 0 1132497 X 2065423 554769 1510654 24715005 23487461 1227544 696210 631809 64401 3384374 3071313 313061 1874962 1719895 155067 59427 59427 165767 165767 8930840 7039790 1891050 243412 107254 136158 1435404 823532 611872 222611 46632 175979 1014620 990990 23630 226381 203861 22520 638519 599771 38748 2981282 2788774 192508 417902 206602 211300 MEDICAL SUPPLIES 6423786 6423786 BAD DEBT EXPENSE 1386063 1386063 FOOD 518832 518832 TAXES 364962 91408 273554 836468 456405 380063 58602250 51148947 7453303 0 1794854 2200954 4579544 4861810 7022329 8633098 412000 796000 691334 756138 838471 440502 77446185 38751739 38282418 38694446 70082 183932 1069162 1128315 2261884 1033553 57022078 58728748 3656929 3130230 7159892 6181813 106467 157196 25181523 30420244 0 588387 36104811 40477870 X 19216734 18096419 1700533 154459 20917267 18250878 57022078 58728748 X -1276342 156027 -1546074 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 1 2647 2647 0 PART II-B, LINE 1: THE ORGANIZATION PAYS ANNUAL DUES TO AHA/MHA/MHCA, OF WHICH, A PORTION IS SPENT ON LOBBYING. 0 1 X 1192310 1192310 53767552 23506193 30261359 3797231 1223025 2574206 18551760 13909058 4642702 137332 113463 23869 38694446 DUE TO/FROM MEDICARE 400000 ROU LIABILITY 188387 588387 X 53181406 156027 156027 53025379 4300529 4300529 57325908 57216187 0 57216187 1386063 1386063 58602250 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: GAIN ON DISPOSAL OF EQUIPMENT -1,132. INVESTMENT INCOME 304,638. GRANT INCOME 595,147. CONTRIBUTIONS AND OTHER INCOME 50,549. PROVISION FOR BAD DEBT 1,386,063. DONOR RESTRICTED CONTRIBUTIONS 1,965,264. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 1,386,063. 1 1 X 1 X 1 X 1 1 1 0 1 1 0 0 18920456 8468251 10452205 0.18270 0 0 18920456 8468251 10452205 0.18270 476167 0 476167 0.00830 51376 48838 2538 0.00000 0 0 0 0 670 1773 0 0.00000 528213 50611 478705 0.00830 19448669 8518862 10930910 0.19100 1 1386063 0 6558968 9475462 -2916494 X 1 1 1 1 MILLE LACS HEALTH SYSTEM 200 NORTH ELM STREET ONAMIA MN 563590800 WWW.MLHEALTH.ORG 8557484 X X X X MILLE LACS HEALTH SYSTEM 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X 1 22 0 1 0 1 X 100.000000000000 200.000000000000 X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X 1 X 0 0 MILLE LACS HEALTH SYSTEM PART V, SECTION B, LINE 5: WE GATHERED QUALITATIVE INFORMATION AND PERSPECTIVES ON COMMUNITY HEALTH NEEDS THROUGH ONE-ON-ONE AND SMALL GROUP INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. THESE INTERVIEWS WERE CONDUCTED IN JULY 2022. THE PRIMARY GOAL OF THESE INTERVIEWS WAS TO ASCERTAIN A RANGE OF PERSPECTIVES ON THE COMMUNITY'S HEALTH NEEDS. WE GATHERED INFORMATION FROM THE FOLLOWING SPECIFIED GROUPS WITHIN OUR COMMUNITY: - PEOPLE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; - GOVERNMENT HEALTH DEPARTMENTS AND OTHER GOVERNMENT AGENCIES; - LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS; - LEADERS, REPRESENTATIVES OR MEMBERS OF LOW-INCOME POPULATIONS; AND - LEADERS, REPRESENTATIVES OR MEMBERS OF MINORITY POPULATIONS.THE FOLLOWING AGENCIES, ORGANIZATIONS AND BUSINESSES PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS AND OBSERVATIONS. - MILLE LACS COUNTY DEPARTMENT OF COMMUNITY & VETERANS SERVICES - MILLE LACS BAND OF OJIBWE - MILLE LACS COUNTY SHERIFF'S DEPARTMENT - CITY OF ONAMIA - ONAMIA POLICE DEPARTMENT - CITY OF MILACA - MILACA POLICE DEPARTMENT - CITY OF ISLE - ISLE POLICE DEPARTMENT - CROSIER FATHERS & BROTHERSWE BELIEVE EACH OF THESE ORGANIZATIONS IS A QUALIFIED REPRESENTATIVE OF THE IDENTIFIED GROUPS BECAUSE THE NATURE OF THEIR WORK BRINGS THEM INTO CONTACT WITH THOSE GROUPS ON A REGULAR BASIS. FOR MANY OF THE ORGANIZATIONS LISTED, THE NATURE OF THEIR MISSION AND PURPOSE REQUIRES THEM TO CONSIDER THE SPECIAL NEEDS OF THE GROUPS IDENTIFIED. MILLE LACS HEALTH SYSTEM PART V, SECTION B, LINE 11: THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2022, MILLE LACS HEALTH SYSTEM IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS AND PRIORITIZED THEM IN THE GIVEN ORDER:1A MENTAL HEALTH1B ELDER HEALTH2A SUBSTANCE ABUSE2B OBESITY2C ACCESS TO HEALTHCARECONSISTENT WITH THE REQUIREMENTS OF SECTION 501(R)(3), THIS 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:- CONTINUE TO OFFER TELE-PSYCHIATRY AND ONSITE PSYCHOLOGIST- FAMILY MEDICINE PROVIDERS CONTINUE TO OFFER MENTAL HEALTH SERVICES- CONTINUE GERI-PSYCH INPATIENT UNIT- CONTINUE TO PROVIDE LOCKED MEMORY CARE UNIT IN LONG TERM CARE - CONTINUE SOCIAL WORKER SUPPORT SERVICES TO ACUTE CARE, EMERGENCY DEPARTMENT, LONG TERM CARE, GERI-PSYCH AND HOME CARE/HOSPICE- EMERGENCY DEPARTMENT CARE ONSITE- BEHAVIORAL HEALTH ROOMS IN EMERGENCY DEPARTMENT AND INPATIENT UNITELDER HEALTH:- CONTINUE GERI-PSYCH INPATIENT UNIT- CONTINUE TO PROVIDE SENIOR SERVICES IN LONG TERM CARE - 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 OUTPATIENT CLINICS AND PHARMACY SERVICES.- PROVIDE MANAGEMENT SERVICES FOR LOCAL ASSISTED LIVING ORGANIZATIONSUBSTANCE 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 OPPORTUNITIES OBESITY:- 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 OBESITY DIAGNOSES THROUGH A VARIETY OF METHODS- OPERATE COMMUNITY PHARMACY SERVICES WITH PHARMACIST AVAILABLE TO COUNSEL PATIENTS ACCESS TO HEALTH CARE:- OUTPATIENT SERVICES PROVIDED IN ONAMIA, ISLE, HILLMAN, GARRISON AND MILACA- AMBULANCE SERVICES PROVIDED IN ONAMIA AND ISLE- OUTPATIENT INFUSION THERAPY SERVICES- SURGERY ON-SITE- HOME CARE/HOSPICE- LONG TERM CARE WITH MEMORY CARE UNIT- CRITICAL ACCESS HOSPITAL SERVICES- REHABILITATION SERVICES AT THREE SITES- FINANCIAL ASSISTANCE FOR ELIGIBLE PATIENTS/RESIDENTS- COMMUNITY HEALTH EDUCATIONBECAUSE OF LIMITED RESOURCES, WE CANNOT RESPOND EFFECTIVELY TO EVERY IDENTIFIED HEALTH NEED. WE HAVE CHOSEN OUR RESPONSES BASED ON ANALYSES OF OUR RESOURCES, OUR MISSION, OUR EXISTING SPECIALTIES, COMMUNITY PRIORITIES, AND EXISTING COMMUNITY RESOURCES. PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.MLHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.MLHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.MLHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.MLHEALTH.ORG/PATIENTS-VISITORS/PATIENT-RESOURCES 5 1 - MLHS FAMILY CLINIC - ONAMIA 200 N ELM STREET ONAMIA MN 56359 MEDICAL CLINIC 2 - MLHS FAMILY CLINIC - ISLE 375 W ISLE STREET ISLE MN 56342 MEDICAL CLINIC 3 - MLHS FAMILY CLINIC - MILACA 1010 5TH STREET SE MILACA MN 56353 MEDICAL CLINIC 4 - MLHS FAMILY CLINIC - GARRISON 27378 STATE HIGHWAY 18 GARRISION MN 56450 MEDICAL CLINIC 5 - MLHS FAMILY CLINIC - HILLMAN 26362 370TH AVENUE HILLMAN MN 56338 MEDICAL CLINIC 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 DEDUCTABLE 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 $ 1,386,063. PART III, LINE 2: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPHS ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR INFORMATION ABOUT OUR BAD DEBT EXPENSE CALCULATION. 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" PARAGRAPHS ON PAGE 8 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 9/30/2023 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 BUSINESS OFFICE 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 BUSINESS OFFICE 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 $5.00, 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 LOCATED 80 MILES NORTH OF THE MINNEAPOLIS MN AREA IN CENTRAL MINNESOTA. THE HEALTH SYSTEM SERVES THE PREDOMINATELY RURAL AREA OF MILLE LACS COUNTRY AND PORTIONS OF MORRISON, AITKIN, CROW WING, AND KANABEC COUNTIES, PLUS THE MILLE LACS OJIBW INDIAN RESERVATION. THE MILLE LACS PRIMARY SERVICE AREA INCLUDES 15,000 TO 18,000 YEAR ROUND RESIDENTS WITH THE POPULATION DOUBLING DURING THE PEAK TOURIST SEASON. PERSONS LIVING BELOW THE POVERTY LEVEL IN MILLE LACS COUNTY IS 10.9% FROM THE US CENSUS. THE DEMOGRAPHIC AND SOCIOECONOMIC PROFILE COMMON TO OUR RURAL COMMUNITY ALSO INFLUENCES THE DEMANDS ON OUR HEALTHCARE SYSTEM. RURAL AREAS IN GENERAL HAVE GREATER CONCENTRATIONS OF ELDERLY PEOPLE THAN DO URBAN AREAS. AN OLDER POPULATION IS MORE LIKELY TO HAVE CHRONIC HEALTHCARE NEEDS, WHICH CAN PLACE A HEAVY BURDEN ON COMMUNITIES THAT ALREADY FACE SHORTAGES. 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 STATES MN X X X X X X 0 0 0 0 0 0 0 0 0 WILLIAM NELSON CEO 339688 0 81590 0 0 0 11008 0 60978 0 493264 0 0 0 EARLE MUNNS HOSPITALIST 304670 0 1993 0 0 0 3096 0 31936 0 341695 0 0 0 JAMES YOUNG HOSPITALIST 324809 0 2193 0 0 0 3168 0 5961 0 336131 0 0 0 CATHY DONOVAN FAMILY MEDICINE PHYSICIAN 263589 0 2392 0 0 0 10009 0 51498 0 327488 0 0 0 DR PATTI HOOK-VIRNIG CHIEF OF STAFF 266320 0 2392 0 0 0 10740 0 27136 0 306588 0 0 0 DR ARDEN VIRNIG DIRECTOR/PHYSICIAN 263461 0 2392 0 0 0 10612 0 25946 0 302411 0 0 0 DR TOM BRACKEN VP MEDICAL AFFAIRS 218587 0 2489 0 0 0 8389 0 51150 0 280615 0 0 0 DAWN BACK PHYSICIAN ASSISTANT 235973 0 2370 0 0 0 5706 0 21207 0 265256 0 0 0 DR LYNNE STEINER DIRECTOR/PHYSICIAN (THRU 12/22) 210024 0 0 0 0 0 7686 0 41635 0 259345 0 0 0 AMY HUSEBY PHYSICIAN ASSISTANT 225895 0 600 0 0 0 8564 0 17684 0 252743 0 0 0 JACKIE ULSETH CNO 172564 0 1927 0 0 0 6874 0 32730 0 214095 0 0 0 BECKY FOSSAND CAO 162020 0 1910 0 0 0 6888 0 37374 0 208192 0 0 0 A CITY OF ONAMIA MN 416005437 2020-07-08 6990000 REFUND SERIES 2001 AND 2003 DEBTS AND FACILITY CONSTRUCTION 0 0 0 A 600706 6990000 72435 586691 6330874 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 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 2023. 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. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 249,982. MANAGEMENT AND GENERAL EXPENSES 69,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 319,721. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,654,713. MANAGEMENT AND GENERAL EXPENSES 1,445,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,100,347. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,135,095. MANAGEMENT AND GENERAL EXPENSES 375,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,510,772. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -1,546,074.