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LIFECARE MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
LIFECARE MEDICAL CENTER (EIN 41-1804205)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-01
IRS object ID
202542139349301004
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-01T08:34:31-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14585 Coleman St Ste 200AddressLine1Txt
CityBismarckCityNm
State AbbreviationNDStateAbbreviationCd
ZIP58503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411804205EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LifeCare Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIFEBusinessNameControlTxt
Phone2184632500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 Delmore DrAddressLine1Txt
CityRoseauCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56751ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKeith OkesonPersonNm
Person TitleCEO/PresidentPersonTitleTxt
Phone2184632500PhoneNum
Signature2025-07-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa Chaffee CPAPreparerPersonNm
PTINP00193453PTIN
Phone7012551091PhoneNum
Preparation2025-07-24PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKeith OkesonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 Delmore DrAddressLine1Txt
CityRoseauCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56751ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$75,268,464GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lifecaremedicalcenter.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionPromotion of HealthActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee584TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,502,095PYContributionsGrantsAmt
CY Contributions Grants$8,764,879CYContributionsGrantsAmt
PY Program Service Revenue$54,518,399PYProgramServiceRevenueAmt
CY Program Service Revenue$64,280,028CYProgramServiceRevenueAmt
PY Investment Income$1,076,397PYInvestmentIncomeAmt
CY Investment Income$1,803,853CYInvestmentIncomeAmt
PY Other Revenue$156,730PYOtherRevenueAmt
CY Other Revenue$116,509CYOtherRevenueAmt
PY Total Revenue$58,253,621PYTotalRevenueAmt
CY Total Revenue$74,965,269CYTotalRevenueAmt
PY Grants And Similar Paid$226,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$47,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,290,761PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,009,475CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,109,864PYOtherExpensesAmt
CY Other Expenses$27,361,152CYOtherExpensesAmt
PY Total Expenses$55,626,625PYTotalExpensesAmt
CY Total Expenses$65,418,127CYTotalExpensesAmt
PY Revenues Less Expenses$2,626,996PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,547,142CYRevenuesLessExpensesAmt
Total Assets BOY$104,672,030TotalAssetsBOYAmt
Total Assets EOY$120,995,256TotalAssetsEOYAmt
Total Liabilities BOY$7,537,432TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,229,046TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$97,134,598NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$107,766,210NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide care for a healthy life.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$52,837,256ExpenseAmt
Grant$47,500GrantAmt
Revenue$64,280,028RevenueAmt
DescLifeCare Medical Center operates a 25-bed critical access hospital, a 40-bed nursing facility, a 42-unit assisted living facility, a primary care clinic, home health, hospice, and public health in Roseau, Minnesota. The organization also operates a 40-bed nursing facility, 12 apartments of assisted living, and a primary care clinic in Greenbush, Minnesota. The organization also operates a community wellness/rehabilitation center and a primary care clinic in Warroad, Minnesota. The purpose of the Medical Center is to own, maintain, and operate a hospital, clinics, and long term care facilities, and to furnish medical and surgical care to the sick, infirm, or injured.Continued on Schedule O...Acute Care Hospital (Inpatient and Outpatient)Inpatient days: 2,600 (1,291 IP and 1,309 SWB)Long Term CareLifeCare Roseau Manor Resident Days: 12,571LifeCare Greenbush Manor Resident Days: 10,847LifeCare Greenbush Assisted Living Resident Days: 1,951LifeCare Senior Living Resident Days: 11,801Clinic Visits: 11,061Home Health Visits: 2,232Hospice Clients Served: 32To fulfill its mission of community service, LifeCare Medical Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The amount of charges foregone, based on established rates, was $226,215 for the year ended September 30, 2024.LifeCare Medical Center was selected by The National Rural Health Association's Rural Health Policy Institute, iVantage Health Analytics and The Chartis Center for Rural Health as one of the top 100 Critical Access Hospitals in the country based on quality, customer surveys, and financial indicators. We are very proud of our staff in being selected in 2018, 2020, and 2021 for this honor.Desc
Total Program Service Expenses$52,837,256TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document107IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee584EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cathy HussBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2184634763PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 Delmore DriveAddressLine1Txt
CityRoseauCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56751ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Corwin Vatnsdal
Chair1.00Yes (X)Yes (X)$2,200$0$0
Therese McBride
Treasurer1.00Yes (X)Yes (X)$1,400$0$0
Brenda Sather
Vice Chair1.00Yes (X)Yes (X)$1,100$0$0
Mark Wilson
Secretary1.00Yes (X)Yes (X)$1,700$0$0
Beth Johnson
Trustee1.00Yes (X)$900$0$0
Matthew Ulwelling
Trustee1.00Yes (X)$600$0$0
Ronald Brummer
Trustee1.00Yes (X)$900$0$0
Chuck Lindner
Trustee1.00Yes (X)$1,300$0$0
Jessica Foss
Trustee1.00Yes (X)$700$0$0
Mark Karl
Trustee1.00Yes (X)$1,100$0$0
Dan Urness
Trustee1.00Yes (X)$1,100$0$0
Megan Comstock
Trustee1.00Yes (X)$900$0$0
Keith Okeson
CEO/President40.00Yes (X)$496,229$0$42,458
Cathy Huss
CFO40.00Yes (X)$334,605$0$40,356
Shannon D Carlson
COO40.00$236,146$0$32,140Yes (X)
Kelly Hulst
CNO40.00$181,521$0$47,134Yes (X)
Alan Grillo
Emergency Medicine Physici40.00$464,846$0$42,674Yes (X)
Andrew Humes
CRNA40.00$299,869$0$27,802Yes (X)
ReNae Johnson
CRNA40.00$274,426$0$46,282Yes (X)
Amber Wibbels
Podiatrist40.00$229,326$0$39,319Yes (X)
James Cain
General Surgeon40.00$505,530$0$36,269Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,036,398TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$354,434TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K50IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Wapiti Medical Group Limited
107 Flynn DrMilbankSD57252Emergency Room Physicians$2,309,314
Comstock Construction Inc
1003 Progress DrFergus FallsMN56538Construction Contractors$1,807,660
Foss Architecture & Interiors
810 1st Ave NFargoND58102Architect Services$702,971
Central Minnesota Diagnostic
PO Box 158MilacaMN56353Imaging Technician Services$566,336
Mayo Collaborative Services
PO Box 9146MinneapolisMN55480Laboratory Testing$386,781
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Government Grants$8,144,921GovernmentGrantsAmt
All Other Contributions$619,958AllOtherContributionsAmt
Total Contributions$8,764,879TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$63,491,556$63,491,556
Other Revenue621500$788,472$788,472
FieldValueIRS element (for citing)
Total Program Service Revenue$64,280,028TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,850,792TotalRevenueColumnAmt
Exclusion$1,850,792ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$372,765RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$256,256RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$116,509RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,509TotalRevenueColumnAmt
Exclusion$116,509ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$46,939OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$46,939OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$46,939TotalRevenueColumnAmt
Exclusion-$46,939ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,965,269TotalRevenueColumnAmt
Related Or Exempt Func Income$64,280,028RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,920,362ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Program Services$40,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,500TotalAmt
Program Services$7,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,462,546TotalAmt
Management And General$1,462,546ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,230,898TotalAmt
Program Services$25,156,114ProgramServicesAmt
Management And General$4,074,784ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,079,411TotalAmt
Program Services$937,245ProgramServicesAmt
Management And General$142,166ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,069,224TotalAmt
Program Services$3,342,706ProgramServicesAmt
Management And General$726,518ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,167,396TotalAmt
Program Services$1,738,162ProgramServicesAmt
Management And General$429,234ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$86,424TotalAmt
Management And General$86,424ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,062,915TotalAmt
Management And General$1,062,915ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$52,109TotalAmt
Program Services$52,109ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,924,828TotalAmt
Program Services$6,223,693ProgramServicesAmt
Management And General$701,135ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$259,011TotalAmt
Management And General$259,011ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,038,260TotalAmt
Program Services$676,125ProgramServicesAmt
Management And General$1,362,135ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,272,466TotalAmt
Program Services$1,225,622ProgramServicesAmt
Management And General$46,844ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$376,784TotalAmt
Program Services$324,183ProgramServicesAmt
Management And General$52,601ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$83,978TotalAmt
Program Services$31,201ProgramServicesAmt
Management And General$52,777ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$118,597TotalAmt
Program Services$118,597ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,814,450TotalAmt
Program Services$3,348,440ProgramServicesAmt
Management And General$466,010ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$354,218TotalAmt
Management And General$354,218ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$7,332,925$7,332,925
Repairs & Maintenance$1,485,046$579,061$905,985
Surcharge Fees$632,656$632,656
Food and Dietary Cateri$502,459$465,384$37,075

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$964,026TotalAmt
Program Services$605,533ProgramServicesAmt
Management And General$358,493ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,418,127TotalAmt
Program Services$52,837,256ProgramServicesAmt
Management And General$12,580,871ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,480,638BOYAmt
EOY$13,522,429EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,502,736BOYAmt
EOY$11,964,441EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,890,498BOYAmt
EOY$2,411,972EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$283,882BOYAmt
EOY$406,176EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$81,770,999LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,085,656LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,344,217BOYAmt
EOY$36,685,343EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$52,040,851BOYAmt
EOY$45,443,357EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$541,795BOYAmt
EOY$641,828EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$381,452EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$587,413BOYAmt
EOY$9,538,258EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$104,672,030BOYAmt
EOY$120,995,256EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,202,298BOYAmt
EOY$8,156,708EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$405,743BOYAmt
EOY$907,956EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$284,426BOYAmt
EOY$306,896EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,644,965BOYAmt
EOY$3,857,486EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,537,432BOYAmt
EOY$13,229,046EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$97,134,598BOYAmt
EOY$107,766,210EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,134,598BOYAmt
EOY$107,766,210EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$104,672,030BOYAmt
EOY$120,995,256EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$9,547,142ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,084,470NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$392,646OtherCostOrOtherBasisAmt
Book Value$392,646BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,433,341OtherCostOrOtherBasisAmt
Depreciation$30,834,992DepreciationAmt
Book Value$15,598,349BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,324,598OtherCostOrOtherBasisAmt
Depreciation$13,008,129DepreciationAmt
Book Value$9,316,469BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,620,414OtherCostOrOtherBasisAmt
Depreciation$1,242,535DepreciationAmt
Book Value$11,377,879BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,685,343TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Finance Lease Asset$1,393,337
ERC Receivable$8,144,921
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,538,258TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Estimated Third Party Payor Settlements$728,024
Finance Lease Liability$1,444,781
Deferred Compensation Obligation$1,684,681
FieldValueIRS element (for citing)
Total Liability$3,857,486TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$76,253,886TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,084,470NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,084,470RevenueNotReportedAmt
Revenue Subtotal$75,169,416RevenueSubtotalAmt
Investment Expenses Not Incld$52,109InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$256,256OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$204,147RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$74,965,269TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$65,622,274TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$256,256OtherExpensesIncludedAmt
Expenses Not Reported$256,256ExpensesNotReportedAmt
Expenses Subtotal$65,366,018ExpensesSubtotalAmt
Investment Expenses Not Incld2$52,109InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$52,109ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$65,418,127TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The Medical Center acts as custodian for the funds of the residents, holds resident security deposits, and holds employee voluntary withholdings. Funds for residents and others totaled $284,426 and $306,896 at September 30, 2023 and 2024.
Part X, Line 2:The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
Part XI, Line 4b - Other Adjustments:Rental Expense Recorded in Expense for Financial Statements -256,256.
Part XII, Line 2d - Other Adjustments:Rental Expense Recorded in Revenue on Form 990 256,256.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$126,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$126,000NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,849,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,165,625DirectOffsettingRevenueAmt
Net Community Benefit Expns$683,531NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,975,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,165,625DirectOffsettingRevenueAmt
Net Community Benefit Expns$809,531NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$438,463TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,550DirectOffsettingRevenueAmt
Net Community Benefit Expns$431,913NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$210,890TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,452DirectOffsettingRevenueAmt
Net Community Benefit Expns$168,438NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,441,374TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,912,151DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,529,223NetCommunityBenefitExpnsAmt
Total Expense0.06920TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,024NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,125,751TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,961,153DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,164,598NetCommunityBenefitExpnsAmt
Total Expense0.07890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,100,907TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,126,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,974,129NetCommunityBenefitExpnsAmt
Total Expense0.09120TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$703TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$703NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,349TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,349NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,345TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$55,345NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,361TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,361NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,774TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$87,774NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,067,249TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,067,249NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,099TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,313DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,786NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,253,880TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,313DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,244,567NetCommunityBenefitExpnsAmt
Total Expense0.01890TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,483,389BadDebtExpenseAmt
Bad Debt Expense Attributable$108,287BadDebtExpenseAttributableAmt
Reimbursed By Medicare$10,390,675ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,547,032CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$156,357MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LifeCare Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 Delmore DriveAddressLine1Txt
CityRoseauCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56751ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.lifecaremedicalcenter.orgWebsiteAddressTxt
State License00579StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
OtherUrgent CareOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LifeCare Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.lifecaremedicalcenter.org/about-usOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.lifecaremedicalcenter.org/about-usStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://lifecaremedicalcenter.org/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://lifecaremedicalcenter.org/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://lifecaremedicalcenter.org/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LifeCare Medical CenterPart V, Section B, Line 5: LifeCare Community Relations and LifeCare Public Health collected community input on the health needs of Roseau County through a series of meetings with targeted individuals and groups, which represented all age and geographic levels of our service area. There were 13 meetings in total, which occurred between March 2022 through May 2022. These meetings included the 3 largest employers in our service area: Marvin Windows & Doors, Central Boiler, and Polaris. Meetings also included the Warroad, Badger, Greenbush and Roseau schools, Roseau County, Roseau Police Department, Roseau Ministerial Association, and Roseau City Council. In addition, those who serve low-income and minority populations were represented by Roseau County Social Services, LifeCare Public Health, and NW Community Action. Everyone participating in the interviews was given a list of specific health indicators/needs based on past responses from previous needs assessments and asked the following open-ended questions on community health needs: 1. What do you believe are the 2-3 most important issues that should be addressed to improve the quality of life for people in our community? 2. After reviewing the Health Indicators List, what items do you think are the most pressing health concerns for our citizens and why? Are there any not on the list that you believe are a concern? 3. What (if anything) is holding our community back from doing what needs to be done to improve health and quality of life for residents? 4. If you could create the healthiest community what would that look like to you? 5. Please share a few things our community could do better to enhance the health of our residents: The responses from these individual meetings were then forwarded on to Garth Kruger, EvaluationGroup, LLC and he compiled them into a comprehensive list of community health needs and suggestions.
LifeCare Medical CenterPart V, Section B, Line 11: Lifecare Medical Center continues to work on the needs identified in the most current CHNA that was completed in 2022. The needs identified in the current CHNA are Mental Health, Chronic Disease Management and Tobacco/Alcohol/Drugs. 1. MENTAL HEALTH -Our Integrative Behavioral Health Committee continues to meet at least monthly to review and plan mental health related activities for staff and community. -LifeCare Behavioral Health has contracted with an additional PMHNP to provide 3 extra days of medication management coverage in addition to the .8 FTE on staff. The Registered Nurse position was increased to a 1.0 FTE to accommodate for the increased PMHNP time. This role helps with patient care & education, triage, and support. -Paula Hedlund, Director of Community Health, attends monthly meetings as a Board member of the MAX Foundation which is a local suicide prevention group. The mission of this group is to support programs, projects and activities that facilitate mental wellness amongst youth. -The MAX Foundation continues to work on the implementation of Project 11, a mental health & wellness curriculum for grades K-12. Our service area has 3 of 4 schools participating. The Foundation has hired a staff member to be the P11 Coordinator to enhance the work of the program and expand to other area schools. -LifeCare continues to have staff members attend the monthly H.O.P.E. coalition meetings. This coalition is committed to ending death by suicide in NW MN through Help, Outreach, Prevention and Education. -LifeCare continues to share mental health messaging and education with our community partners via social media and other ways such as health fairs. -Sponsored Emma Benoit, Suicide Survivor Speaker Event, at 3 area schools and a Community Event at the Roseau School Theater. -Mental Health Expo was held prior to the Emma Benoit presentation at the Roseau School Theater. -Sponsored Emma Benoit's film documentary, My Ascension, at the Roso Theater and provided Mental Health resources to those in attendance. -Partnered with Roseau County to promote positive mental health messaging and Mental Health resources at the Roseau County Fair. Gun locks were given away at the fair booth. -Sponsored Church Night at The Fair which had a Suicide Prevention Theme in 2024. Speaker and Musician, Jason Gray, performed and spoke about his lived experiences. LifeCare had a resource table at the event. -Presented "Embracing Hope", a community-focused event that featured inspirational speakers addressing life challenges, terminal illness, grief, and finding healing through faith and support. -LifeCare applied for Child Therapeutic Support Services (CTSS) certification with DHS which would allow us to provide mental health services in our area schools. Warroad School has expressed interest in having us pilot this project in their school. Sept. 2024-LifeCare provided a skills worker to the Warroad School 3 days/week. Once official certificate received, we will offer both Skills and Therapy services in the area schools. 2. CHRONIC DISEASE PREVENTION -The 24-hour onsite wellness/fitness centers were available for use in Roseau, Warroad and Greenbush. -LifeCare continued to provide an online portal, The Pulse, for employees to use as a resource for exercise programming and health education for themselves and their families. -The annual May Walk/Run was held for the community. -LifeCare continues to have a Registered Dietician available through Rehab services for nutrition consolation. -Social Media continues to be used for communicating education on healthy living. -Participated in Marvin, Polaris & Central Boiler Health Fairs. -The Warroad Wellness Center which houses Behavioral Health and Rehab services, along with a new fitness center and community room for exercise classes and social programming continues in full operation. Many community exercise classes are offered weekly and two personal trainers are on staff. -Provided health education at the Roseau Elementary 2nd grade Health Fair and also during 5th grade tours at the LifeCare campus. All area schools are invited to participate. -Power Sports camps and youth fitness training was held through our Rehab department. -Transitional coach visits are offered and provided to all patients with chronic disease diagnosis at hospital discharge. -Flu and covid vaccination clinics are offered to the public. 3. TOBACCO/ALCOHOL/DRUGS -We continue to work with Team EPIC and Roseau County youth to decrease the use of Alcohol, Tobacco and Drugs. Meetings are held monthly. -Drug Take Back events were held in Greenbush, Roseau and Warroad. -We continue to offer Cessation resources on our website and social media accounts. -We continue to provide education on these topics via social media and discharge planning packets. Education provided to schools upon request.
LifeCare Medical CenterPart V, Section B, Line 16j: In addition to providing the full policy upon request, the Hospital also summarizes the policy on its website, billing invoices, as well as brochures summarizing the policy in the emergency rooms and admissions office.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - LifeCare Roseau Manor
715 Delmore DriveRoseauMN56751Skilled Nursing Facility
2 - LifeCare Greenbush Manor
19120 200th StreetGreenbushMN56726Skilled Nursing Facility and Assisted Living Facility
3 - LifeCare Clinic Roseau
715 Delmore DriveRoseauMN56751Rural Health Clinic
4 - LifeCare Clinic Warroad
412 Main Ave NEWarroadMN56763Rural Health Clinic
5 - LifeCare Warroad Wellness
210 N Main AveWarroadMN56763Rehabilitation and Wellness Center
6 - LifeCare Senior Living
201 10th St SERoseauMN56751Assisted Living Facility
7 - LifeCare Clinic Greenbush
19120 200th StGreenbushMN56726Rural Health Clinic
8 - LifeCare Home Care and Hospice
715 Delmore DriveRoseauMN56751Home Health and Hospice Services

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:We do an asset test of $15,000 in addition to the income test. The asset test excludes primary residence and one vehicle per adult. Medical indigency is also considered.
Part I, Line 7:Charity care was converted to cost by multiplying the ratio of cost to gross charges by the gross uncompensated charges associated with providing charity care to its patients. Community health improvements and cash and in-kind contributions are calculated at actual costs recorded in the general ledger. Health professionals education costs are based on estimated time and wages to manage students and interns at the facilities. Subsidized health services and Medicaid are converted to cost according to costs allocated to the relevant cost centers on the Medicare Cost Report.
Part II, Community Building Activities:Community support includes donations to local community organizations and employee staff time donated to local community committees, as well as employee staff time spent on disaster preparedness beyond legal requirements.Coalition building includes EMT and CPR training for area First Responders and Fire Departments, as well as time donated to the Roseau Area Diabetes Center.Community health improvement advocacy includes staff time on healthcare related boards that advocate for healthcare, as well as time spent on discussions on proper prescription drug disposals, med alerts, chronic disease management, time spent in local correctional facilities on prescription drug abuse and on the Roseau County Committee on Aging. By being involved in the community through the above activities, we are able to increase health awareness.Workforce development includes the costs of recruitment to Roseau County, as Roseau County is considered a Health Professional Shortage Area. This promotes better care for our patients. The costs include physician recruitment, career fairs and workforce development committees.
Part III, Line 2:The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients.
Part III, Line 3:The estimated amount of implicit price concessions is attributable to patients eligible under the organization's charity care policy is calculated by using the estimated percentage of community population that is under the Federal Poverty Guidelines. The organization has estimated 7.3% of the implicit price concessions would be charity care.
Part III, Line 4:The financial statement footnote regarding implicit price concessions may be found on page 12 and 13 of the audited financial statements.
Part III, Line 8:Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, if there is a shortfall, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
Part III, Line 9b:Before engaging in ECAs to obtain payment for care, LifeCare Medical Center must make certain reasonable efforts to determine whether an individual is eligible for financial assistance under our financial assistance policy: a) ECAs may begin only when 120 days have passed since the first postdischarge statement was provided (an exception is the account with no delivery information and those can go directly to collections). b) However, at least 30 days before initiating ECAs to obtain payment, LifeCare Medical Center shall do the following: i. Provide the individual with a written notice that indicates the availability of financial assistance, lists potential ECAs that may be taken to obtain payment for care, and gives a deadline after which ECAs may be initiated (no sooner than 120 days after the first post-discharge billing statement and 30 days after the written notice) ii. Provide a plain-language summary of the FAP along with the notice described above iii. Attempt to notify the individual orally about the FAP and how he or she may get assistance with the application process 2. After making reasonable efforts to determine financial assistance eligibility as outlined above, LifeCare Medical Center (or its authorized business partners) may take any of the following ECAs to obtain payment for care: a) Take action to foreclose property b) Place a lien on property 3. We will not deny medically necessary health treatment or services to you or any member of your family or household because of current or previous outstanding medical debt owed by you or any member of your family or household to us, regardless of whether the health treatment or service may be available from another health care provider. As a condition of providing medically necessary health treatment or services when you or any member of your family or household has current or previous outstanding medical debt to us, we may require you to enroll in a payment plan for the outstanding medical debt owed to us. We may seek other legally permitted remedies in the event of your failure to abide by the payment plan terms.
Part VI, Line 2:LifeCare Medical Center provides the Public Health functions for Roseau County.
Part VI, Line 3:We have financial counselors who have phone conversations with patients during our collections process. We guide patients to other financial programs as well as our own charity care program. Brochures are available in the admitting area which is in the same location as the Emergency Room. Information is also sent to our patients via patient bills. Our website has the charity care application and brochure, as well as the contact information for our financial counselors, available to patients.
Part VI, Line 4:Roseau County is a rural area with a population of approximately 15,331 people. We are the sole hospital located in Roseau County and the nearest tertiary hospital is two hours away. We are a federally-designated medically underserved area. In 2022, approximately 18.1% of the population was age 65 or older. The average median household income is $62,304 and approximately 7.3% of the population is below the federal poverty level.
Part VI, Line 5:The organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay.As a not-for-profit organization LifeCare Medical Center has made a promise to give back to its community. As a regional healthcare leader, LifeCare strives to respond to healthcare needs by partnering with local leaders, educators, government officials and others.The community benefit report summarizes how this leadership role has made a difference to the people of the area. Included are highlights describing how LifeCare has played an integral role in enhancing the health and overall well-being of the community.Trusted PartnershipsLifeCare's commitment to quality care extends beyond its walls and into the community where strong partnerships have been built to maintain and improve the health and overall well-being of its neighbors. LifeCare EMS personnel are proud of their trusted relationships with regional emergency response groups. Area fire fighters, police, and others participate in disaster training sessions where a disaster is staged and responded to as if it were a real life situation. This type of training helps prepare all groups involved.Education for a Healthy FuturePart of LifeCare's mission is to help educate the next generation of health care professionals. LifeCare Directors work closely with many regional high school and post-secondary educational facilities to bring students into our organization through job shadowing, internships, rural scholar and other programs. Through these programs, students get a firsthand look at specific health care careers as they learn from our staff for a day, week, month or several months based on their program. Students often times focus on rural healthcare employment opportunities that may be available to them once they have completed their education.Charity CareLifeCare recognizes that circumstances arise where a patient is simply unable to pay a hospital bill. In these situations, LifeCare offers a program called Charity Care, in which LifeCare forgives the bills of deserving families and individuals who meet set income guidelines. Great appreciation has been voiced by many who received a helping hand from this program. In fiscal year 2024, LifeCare granted $226,215 in Charity Care based on charges foregone.A Healthy Awareness and Community OutreachLifeCare employees know the importance of educating the public about a healthy lifestyle. And sometimes the best way to provide awareness is to venture outside the facility. That's why LifeCare is involved with many initiatives throughout our communities. By reaching out to the public through nutrition and exercise programs, civic projects, health and safety awareness, health fairs, and other methods, they are able to educate and strengthen the community.Fifth grade tours have become a favorite for students throughout Roseau County. A hospital tour is coupled with a mini health fair where students learn their blood type. The goal of this program is to influence young students into making healthy lifestyle decisions, in addition to introducing them to careers in healthcare.Funding Essential ServicesLifeCare's commitment to community needs is exemplified by its contribution to subsidized services. In fiscal year 2024, LifeCare absorbed over $4,529,223 in costs in order to sustain services that rely on funding from other sources, in particular the Medicaid program. These departments include behavioral health, ambulance, two nursing homes, home health care, clinic space, three clinics, and senior living.LifeCare Medical Center distributed approximately $7.5 million based on cost in Community Benefits in fiscal year 2024 as reported on Schedule H Part I, II and III.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Altru Health Foundation
2501 Demers AvenueGrand ForksND58206450368330501(c)(3)$30,000$0Contribution to new facility construction
Roseau Youth Hockey
102 2nd St SE BRoseauMN56751300504598501(c)(3)$10,000$0Annual Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient7RecipientCnt
Cash Grant$7,500CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Medical Center does not specifically monitor the use of funds once the funds are provided to the individual or entity. The Organization provides scholarships to both high school students and students currently enrolled in a higher education program. The student must be pursuing a health care related field. If the recipient is a high school student the Organization pays the scholarships directly to the college or university they are attending. If the recipient is currently attending college they will pay the funds to the recipient or the college.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Cain
General Surgeon$443,717$0$51,703$0$10,110$0$7,754$0$28,988$0$542,272$0$0$0
Keith Okeson
CEO/President$443,806$0$31,711$0$20,712$0$10,527$0$32,404$0$539,160$0$0$0
Alan Grillo
Emergency Medicine Physici$394,991$0$50,508$0$19,347$0$13,200$0$29,947$0$507,993$0$0$0
Cathy Huss
CFO$288,091$0$30,792$0$15,722$0$8,673$0$32,156$0$375,434$0$0$0
Andrew Humes
CRNA$287,170$0$465$0$12,234$0$11,568$0$16,706$0$328,143$0$0$0
ReNae Johnson
CRNA$261,850$0$434$0$12,142$0$10,830$0$35,925$0$321,181$0$0$0
Amber Wibbels
Podiatrist$208,387$0$10,470$0$10,469$0$8,804$0$30,988$0$269,118$0$0$0
Shannon D Carlson
COO$223,813$0$737$0$11,596$0$9,160$0$23,453$0$268,759$0$0$0
Kelly Hulst
CNO$173,611$0$250$0$7,660$0$7,425$0$40,182$0$229,128$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2LifeCare Medical Center acquired three rural health clinics during the fiscal year. This is in furtherance of their exempt purpose.
Form 990, Part VI, Section A, line 1aThe Executive Committee consists of the Chair, Vice-Chair, Treasurer, Secretary, and at least one other director (who shall be selected annually.) The President/CEO will be a non-voting member of the committee. The President/CEO will be excused for matters relating to compensation and evaluation. The Executive Committee shall meet as often as necessary at the call of the Chair, Vice-Chair, or at the request of any two of its members. A majority of the Executive Committee shall constitute a quorum. The Executive Committee's specific responsibilities are to: * Exercise the authority of the board in the management of the business of the corporation between regularly scheduled meetings. * Report to the board any official actions it has taken at the next board meeting. * Review the compensation program for the senior leaders of the organization that is designed to allow the organization to recruit and retain superior talent. * Responsible for conducting on an annual basis the process of establishing goals, evaluating the performance and establishing the compensation of the President/CEO.
Form 990, Part VI, Section B, line 11bThe return is reviewed initially by the CFO. The return is made available to the Board of Trustees before it is filed.
Form 990, Part VI, Section B, line 12cAll officers, trustees, and key employees are required to complete a conflict of interest form annually. The form is reviewed by the Board of Trustees to determine if any conflicts exist. If there are any conflicts, the Board of Trustees will discuss the restrictions that should be placed on the person with the conflict. Restrictions are typically related to voting and discussion of matters related to the conflict.
Form 990, Part VI, Section B, line 15The compensation for the CEO and CFO is approved by the Executive Committee based on comparability data. The CEO and CFO both have employment contracts. The deliberation and discussion of compensation is documented in the board meeting minutes. This process takes place on an annual basis.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part IX, line 11gPhysician Fees: Program service expenses 3,582,871. Management and general expenses 101,001. Fundraising expenses 0. Total expenses 3,683,872. Service Related Fees: Program service expenses 1,942,195. Management and general expenses 9,269. Fundraising expenses 0. Total expenses 1,951,464. Miscellaneous Fees: Program service expenses 698,627. Management and general expenses 590,865. Fundraising expenses 0. Total expenses 1,289,492.