2025-08-01T08:34:31-05:00 2024-09-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-10-01 411804205 LifeCare Medical Center LIFE 2184632500 715 Delmore Dr Roseau MN 56751 Keith Okeson CEO/President 2184632500 2025-07-30 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-07-24 2023 2025-03-06 01:10:19Z Keith Okeson 715 Delmore Dr Roseau MN 56751 75268464 0 X www.lifecaremedicalcenter.org X 1995 MN Promotion of Health 12 8 584 350 0 0 2502095 8764879 54518399 64280028 1076397 1803853 156730 116509 58253621 74965269 226000 47500 0 0 32290761 38009475 0 0 0 23109864 27361152 55626625 65418127 2626996 9547142 104672030 120995256 7537432 13229046 97134598 107766210 X To provide care for a healthy life. 1 0 52837256 47500 64280028 LifeCare 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. 52837256 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 107 0 1 584 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Cathy Huss 2184634763 715 Delmore Drive Roseau MN 56751 Corwin Vatnsdal Chair 1.00 X X 2200 0 0 Therese McBride Treasurer 1.00 X X 1400 0 0 Brenda Sather Vice Chair 1.00 X X 1100 0 0 Mark Wilson Secretary 1.00 X X 1700 0 0 Beth Johnson Trustee 1.00 X 900 0 0 Matthew Ulwelling Trustee 1.00 X 600 0 0 Ronald Brummer Trustee 1.00 X 900 0 0 Chuck Lindner Trustee 1.00 X 1300 0 0 Jessica Foss Trustee 1.00 X 700 0 0 Mark Karl Trustee 1.00 X 1100 0 0 Dan Urness Trustee 1.00 X 1100 0 0 Megan Comstock Trustee 1.00 X 900 0 0 Keith Okeson CEO/President 40.00 X 496229 0 42458 Cathy Huss CFO 40.00 X 334605 0 40356 Shannon D Carlson COO 40.00 X 236146 0 32140 Kelly Hulst CNO 40.00 X 181521 0 47134 Alan Grillo Emergency Medicine Physici 40.00 X 464846 0 42674 Andrew Humes CRNA 40.00 X 299869 0 27802 ReNae Johnson CRNA 40.00 X 274426 0 46282 Amber Wibbels Podiatrist 40.00 X 229326 0 39319 James Cain General Surgeon 40.00 X 505530 0 36269 3036398 0 354434 50 0 1 0 Wapiti Medical Group Limited 107 Flynn Dr Milbank SD 57252 Emergency Room Physicians 2309314 Comstock Construction Inc 1003 Progress Dr Fergus Falls MN 56538 Construction Contractors 1807660 Foss Architecture & Interiors 810 1st Ave N Fargo ND 58102 Architect Services 702971 Central Minnesota Diagnostic PO Box 158 Milaca MN 56353 Imaging Technician Services 566336 Mayo Collaborative Services PO Box 9146 Minneapolis MN 55480 Laboratory Testing 386781 15 8144921 619958 8764879 Net Patient Service Revenue 621110 63491556 63491556 Other Revenue 621500 788472 788472 64280028 1850792 1850792 372765 256256 116509 116509 116509 46939 -46939 -46939 -46939 74965269 64280028 0 1920362 X 40000 40000 7500 7500 1462546 1462546 29230898 25156114 4074784 1079411 937245 142166 4069224 3342706 726518 2167396 1738162 429234 86424 86424 1062915 1062915 52109 52109 6924828 6223693 701135 259011 259011 2038260 676125 1362135 1272466 1225622 46844 376784 324183 52601 83978 31201 52777 118597 118597 3814450 3348440 466010 354218 354218 Medical Supplies 7332925 7332925 Repairs & Maintenance 1485046 579061 905985 Surcharge Fees 632656 632656 Food and Dietary Cateri 502459 465384 37075 964026 605533 358493 65418127 52837256 12580871 0 12480638 13522429 8502736 11964441 1890498 2411972 283882 406176 81770999 45085656 28344217 36685343 52040851 45443357 541795 641828 381452 587413 9538258 104672030 120995256 5202298 8156708 405743 907956 284426 306896 1644965 3857486 7537432 13229046 X 97134598 107766210 97134598 107766210 104672030 120995256 9547142 1084470 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 392646 392646 46433341 30834992 15598349 22324598 13008129 9316469 12620414 1242535 11377879 36685343 Finance Lease Asset 1393337 ERC Receivable 8144921 9538258 Estimated Third Party Payor Settlements 728024 Finance Lease Liability 1444781 Deferred Compensation Obligation 1684681 3857486 X 76253886 1084470 1084470 75169416 52109 -256256 -204147 74965269 65622274 256256 256256 65366018 52109 52109 65418127 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. 1 1 X 1 X 1 X 1 1 1 0 0 126000 126000 0.00190 5849156 5165625 683531 0.01040 5975156 5165625 809531 0.01230 438463 6550 431913 0.00660 210890 42452 168438 0.00260 22441374 17912151 4529223 0.06920 35024 35024 0.00050 23125751 17961153 5164598 0.07890 29100907 23126778 5974129 0.09120 703 703 0.00000 11349 11349 0.00020 55345 55345 0.00080 8361 8361 0.00010 87774 87774 0.00130 1067249 1067249 0.01630 23099 9313 13786 0.00020 1253880 9313 1244567 0.01890 0 1483389 108287 10390675 10547032 -156357 X 1 1 1 1 LifeCare Medical Center 715 Delmore Drive Roseau MN 56751 www.lifecaremedicalcenter.org 00579 X X X X X Urgent Care LifeCare Medical Center 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X www.lifecaremedicalcenter.org/about-us X 1 21 1 www.lifecaremedicalcenter.org/about-us 0 1 X 200.000000000000 250.000000000000 X X 1 1 X X X X 1 X https://lifecaremedicalcenter.org/financial-assistance/ X https://lifecaremedicalcenter.org/financial-assistance/ X https://lifecaremedicalcenter.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 LifeCare Medical Center Part 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 Center Part 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 Center Part 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. 8 1 - LifeCare Roseau Manor 715 Delmore Drive Roseau MN 56751 Skilled Nursing Facility 2 - LifeCare Greenbush Manor 19120 200th Street Greenbush MN 56726 Skilled Nursing Facility and Assisted Living Facility 3 - LifeCare Clinic Roseau 715 Delmore Drive Roseau MN 56751 Rural Health Clinic 4 - LifeCare Clinic Warroad 412 Main Ave NE Warroad MN 56763 Rural Health Clinic 5 - LifeCare Warroad Wellness 210 N Main Ave Warroad MN 56763 Rehabilitation and Wellness Center 6 - LifeCare Senior Living 201 10th St SE Roseau MN 56751 Assisted Living Facility 7 - LifeCare Clinic Greenbush 19120 200th St Greenbush MN 56726 Rural Health Clinic 8 - LifeCare Home Care and Hospice 715 Delmore Drive Roseau MN 56751 Home Health and Hospice Services 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. 1 Altru Health Foundation 2501 Demers Avenue Grand Forks ND 58206 450368330 501(c)(3) 30000 0 Contribution to new facility construction Roseau Youth Hockey 102 2nd St SE B Roseau MN 56751 300504598 501(c)(3) 10000 0 Annual Sponsorship 2 0 Scholarships 7 7500 Part I, Line 2: The 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. X X 0 0 0 0 0 0 0 0 0 James Cain General Surgeon 443717 0 51703 0 10110 0 7754 0 28988 0 542272 0 0 0 Keith Okeson CEO/President 443806 0 31711 0 20712 0 10527 0 32404 0 539160 0 0 0 Alan Grillo Emergency Medicine Physici 394991 0 50508 0 19347 0 13200 0 29947 0 507993 0 0 0 Cathy Huss CFO 288091 0 30792 0 15722 0 8673 0 32156 0 375434 0 0 0 Andrew Humes CRNA 287170 0 465 0 12234 0 11568 0 16706 0 328143 0 0 0 ReNae Johnson CRNA 261850 0 434 0 12142 0 10830 0 35925 0 321181 0 0 0 Amber Wibbels Podiatrist 208387 0 10470 0 10469 0 8804 0 30988 0 269118 0 0 0 Shannon D Carlson COO 223813 0 737 0 11596 0 9160 0 23453 0 268759 0 0 0 Kelly Hulst CNO 173611 0 250 0 7660 0 7425 0 40182 0 229128 0 0 0 Form 990, Part III, line 2 LifeCare 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 1a The 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 11b The 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 12c All 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 15 The 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 19 The organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part IX, line 11g Physician 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.