COOK AREA HEALTH SERVICES INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1979

Legal Domicile

Phone

2183613127

Tax Period

2024-06-01 to 2025-05-31

COOK AREA HEALTH SERVICES INC, founded in 1979, is a mid-sized nonprofit in the Health Care sector that reported $16.8M in total revenue in fiscal year 2024.

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

Program Service Accomplishments

Program 1

Expenses: $7,490,737

PROVIDE MEDICAL SERVICES, 31,476 ENCOUNTERS

Program 2

Expenses: $2,369,114

PROVIDE DENTAL SERVICES, 7,873 ENCOUNTERS

Program 3

Expenses: $171,227

PROVIDE OTHER HEALTH SERVICES, 2,517 ENCOUNTERS

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $4,233,645

Program Service Revenue $12,522,117

Investment Income $10,393

Other Revenue $56,710

TOTAL REVENUE $16,822,865

Expense Breakdown

Grants Paid $0

Salaries & Benefits $12,602,802

Fundraising Expenses $0

Program Expenses $10,031,078

Other Expenses $4,341,318

TOTAL EXPENSES $16,944,120

Year-over-Year Comparison

	2024	2023	Change
Revenue	$16,822,865	$16,238,266	+0.0%
Expenses	$16,944,120	$18,667,022	-0.1%
Net Income	$-121,255	$-2,428,756	-1.0%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

176

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$273,410

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
ERIC ELLEBY	PHYSICIAN	40.00		$361,637	$16,217	$377,854
NICHOLAS VIDOR	PHYSICIAN	40.00		$356,065	$6,900	$362,965
MATTHEW HOLMES	PHYSICIAN	40.00		$320,653	$15,123	$335,776
ERIC SCRIVNER	PHYSICIAN	40.00		$282,997	$24,913	$307,910
BARRET MYERS WOLFSON	PHYSICIAN	40.00		$290,361	$5,745	$296,106
KEITH HARVEY	CEO	40.00	Officer	$139,283	$31,213	$170,496
DAN HEINECKE	FORMER CFO	40.00	Officer	$102,914	$0	$102,914
ROBIN HARKONEN	Director	1.00	Director	$0	$0	$0
WENDE NELSON	Vice President	1.00	Officer Director	$0	$0	$0
GAIL BLACKMER	SEC'Y/TREASURER	1.00	Officer Director	$0	$0	$0
LIZ STORM	Director	1.00	Director	$0	$0	$0
KAREN LORENZEN	Director	1.00	Director	$0	$0	$0
CHRISTINE STEWART	Director	1.00	Director	$0	$0	$0
MARIAN SWANG	Director	1.00	Director	$0	$0	$0
ROBERT WALKER	DIRECTOR	1.00	Director	$0	$0	$0
WILLIAM H TIBBETTS	President	1.00	Officer Director	$0	$0	$0
HELEN TOME	Director	1.00	Director	$0	$0	$0
MARCI MAPLE	Director	1.00	Director	$0	$0	$0
JOEL KARELS	DIRECTOR	1.00	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$16,822,865	$16,944,120	$5,739,924	$-121,255
2024	$16,238,266	$18,667,022	$4,932,877	$-2,428,756
2023	$18,771,024	$18,275,945	$6,599,123	$495,079
2022	$17,420,930	$17,238,413	$6,423,593	$182,517
2021	$16,944,371	$16,571,780	$6,544,540	$372,591