2012-07-31T14:19:22-05:00 2011-09-30 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2010-10-01 411804205 LIFECARE MEDICAL CENTER LIFE 2184632500 715 DELMORE DRIVE ROSEAU MN 56751 KEITH OKESON 2184632500 2012-07-24 1 KIM HUNWARDSEN CPA 6122536500 2012-07-24 2010 2016-02-24 21:20:13Z KEITH OKESON 715 DELMORE DRIVE ROSEAU MN 56751 37788834 0 X WWW.LIFECAREMEDICALCENTER.ORG X 1995 MN PROMOTION OF HEALTH 13 13 526 300 1396 0 451009 508109 35090595 36634554 447121 255137 -1171 31388 35987554 37429188 3000 3500 0 0 19494452 19718328 0 0 0 13260272 14487064 32757724 34208892 3229830 3220296 50605471 51926048 11813970 9914251 38791501 42011797 X TO PROVIDE CARE FOR A HEALTHY LIFE. 1 0 27990452 3500 36633158 LIFECARE MEDICAL CENTER OPERATES A 25-BED ACUTE CARE HOSPITAL, INCLUDING A 60-BED NURSING FACILITY, HOME HEALTH, HOSPICE, AND PUBLIC HEALTH IN ROSEAU, MINNESOTA. THE ORGANIZATION ALSO OPERATES A 40-BED NURSING HOME AND 12 APARTMENTS OF ASSISTED LIVING IN GREENBUSH, MINNESOTA. THE PURPOSE OF THE ORGANIZATION IS TO OWN, MAINTAIN, AND OPERATE A HOSPITAL, NURSING HOMES, FURNISH MEDICAL AND SURGICAL CARE TO THE SICK, INFIRMED, OR INJURED.DURING THE FISCAL YEAR, WE MOVED INTO GREENBUSH MEDICAL PARK, A NEW NURSING HOME FACILITY. ALONG WITH ADDING ASSISTED LIVING AT THIS SITE IN OCTOBER, IT ALSO HAS A NEW CLINIC (OPERATED BY ALTRU), REHAB/WELLNESS CENTER, LAB, LIMITED IMAGING, BEHAVIORAL HEALTH SERVICES. ALTHOUGH THESE SERVICES WERE OFFERED IN OUR OLD BUILDING, THE NEW BUILDING HAS ENHANCED THESE SERVICES. THE PREVIOUS GREENBUSH BUILDING WAS NOT OWNED BY LIFECARE, ONLY LEASED. THIS BUILDING IS NOW OWNED BY LIFECARE.ACUTE CARE HOSPITAL (INPATIENT AND OUTPATIENT)INPATIENT DAYS: 2,162OUTPATIENT VISITS: 34,521LONG TERM CARELIFECARE ROSEAU MANOR RESIDENT DAYS: 21,923LIFECARE GREENBUSH MANOR RESIDENT DAYS: 13,781HOME HEALTH/PUBLIC HEALTH VISITS: 15,015HOSPICE CLIENTS SERVED: 21TO 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 $408,625 FOR THE YEAR ENDED SEPTEMBER 30, 2011. 27990452 1 1 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 75 0 1 526 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 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 CORY VATNSDAL 1.00 X X 2025 0 0 CAROLYN EEG 1.00 X X 600 0 0 CARMEN PRZEKWAS 1.00 X X 1875 0 0 THERESE MCBRIDE 1.00 X X 975 0 0 BRENDA SATHER 1.00 X 1050 0 0 RALPH HERSETH MD 1.00 X 1050 0 0 PAUL EVERSON 1.00 X 975 0 0 JON JOHNSON 1.00 X 900 0 0 MARK WILSON 1.00 X 1200 0 0 PETE GRANGER 1.00 X 900 0 0 STEVE HAUGEN 1.00 X 750 0 0 PETE HELGESON 1.00 X 600 0 0 CHUCK LINDNER 1.00 X 1050 0 0 CATHY HUSS 40.00 X 154317 0 48330 KEITH OKESON 40.00 X 209021 0 57968 GORDON STREIFF 40.00 X 125115 0 31767 SUE LISELL 40.00 X 145548 0 40739 SHANNON D CARLSON 40.00 X 107016 0 38619 JUDY K MATTSON 40.00 X 113786 0 46851 868753 0 264274 6 0 1 0 OLAF ANDERSON & SON CONSTRUCTION INC PO BOX 2766 FARGO ND 58108 CONSTRUCTION 1840482 WAPITI MEDICAL GROUP PO BOX 92 NEWELL SD 57760 LOCUM PHYSICIANS 1087821 CMDI 150 10TH ST NW MILACA MN 56353 RADIOLOGY SERVICES 598250 RC SHEFLAND ANESTHESIA LTD 27040 COUNTY 9 BEMIDJI MN 56601 ANESTHESIA SERVICES 422711 GRAND FORKS HEATING AC AND SHEET METAL 2800 GATEWAY DR GRAND FORKS ND 58203 CONSTRUCTION 413518 11 331172 176937 508109 NET PATIENT SERVICE RE 622110 35722248 35722248 OTHER REVENUE 621500 912306 910910 1396 36634554 327851 327851 318320 286932 31388 31388 31388 72714 -72714 -72714 -72714 37429188 36633158 1396 286525 3500 3500 451607 451607 15053761 13015711 2038050 541422 477683 63739 2569442 2205767 363675 1102096 929403 172693 7709 7709 51377 51377 3969062 3271027 698035 147098 147098 5066283 4336317 729966 785114 778735 6379 441110 395644 45466 47705 11208 36497 271266 271266 1748829 1748829 151766 151766 SURCHARGE FEES 578212 578212 BAD DEBT EXPENSE 482971 482971 MN CARE TAX 343531 343531 395031 62391 332640 34208892 27990452 6218440 0 6049003 5953008 4613215 4588209 422852 425657 121217 141412 41013066 18895845 21575383 22117221 16357120 17080733 605941 656852 224931 119639 635809 843317 50605471 51926048 4616864 3515361 7187725 6195000 9381 203890 11813970 9914251 X 38791501 42011797 38791501 42011797 50605471 51926048 3220296 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 31240 31240 28681167 11143106 17538061 10198772 7310038 2888734 2101887 442701 1659186 22117221 37429188 34208892 3220296 0 3220296 37716120 0 37716120 -286932 -286932 37429188 34495824 286932 286932 34208892 0 34208892 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. THESE FUNDS ARE INCLUDED WITH CASH AND CASH EQUIVALENTS AND ACCOUNTS PAYABLE - TRADE IN THESE FINANCIAL STATEMENTS. FUNDS FOR RESIDENTS AND OTHERS TOTALED $203,890 AT SEPTEMBER 30, 2011. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE MEDICAL CENTER BELIEVES THAT IS 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 XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE RECORDED IN EXPENSE FOR FINANCIAL STATEMENTS -286,932. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE RECORDED IN EXPENSE FOR FINANCIAL STATEMENTS 286,932. 1 1 X 1 X 0 1 1 1 0 1 1 263441 263441 0.00780 5122549 4566281 556268 0.01650 5385990 4566281 819709 0.02430 164525 19061 145464 0.00430 58449 58449 0.00170 10246844 6876211 3370633 0.09990 25318 25318 0.00080 10495136 6895272 3599864 0.10670 15881126 11461553 4419573 0.13100 2058 2058 0.00010 5359 5359 0.00020 222796 222796 0.00660 12872 12872 0.00040 38654 38654 0.00110 133376 133376 0.00400 415115 415115 0.01240 0 311371 3062 6521486 6456917 64569 X 1 0 1 1 LIFECARE MEDICAL CENTER

715 DELMORE DRIVE ROSEAU MN 56751

X X X X X URGENT CARE NOT REQUIRED 1 3 LIFECARE ROSEAU MANOR

715 DELMORE DRIVE ROSEAU MN 56751

SKILLED NURSING FACILITY LIFECARE GREENBUSH MANOR

19120 290TH STREET GREENBUSH MN 56726

SKILLED NURSING FACILITY AND ASSISTED LIVING FACILITY LIFECARE HOME CARE AND HOSPICE

715 DELMORE DRIVE ROSEAU MN 56751

HOME HEALTH AND HOSPICE PART I, LINE 3C: THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE.PART I, LINE 6B: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT LIFECAREMEDICALCENTER.ORG AND IS SHARED WITH SERVICE AREA RESIDENTS IN AN ANNUAL NEWSLETTER THAT FOCUSES ON COMMUNITY BENEFIT. PART I, LINE 7: CHARITY CARE WAS CONVERTED TO COST USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. MEDICAID WAS CONVERTED TO COST USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. COMMUNITY HEALTH IMPROVEMENTS AND CASH AND IN-KIND CONTRIBUTIONS ARE CALCULATED AT ACTUAL COSTS RECORDED IN THE GENERAL LEDGER. EDUCATION COSTS ARE BASED ON ESTIMATED TIME AND WAGES TO MANAGE STUDENTS AND INTERNS AT THE FACILITIES. SUBSIDIZED HEALTH SERVICES ARE REPORTED ACCORDING TO COSTS ALLOCATED TO THE RELEVANT COST CENTERS ON THE MEDICARE COST REPORT. PART I, LINE 7G: INCLUDED IN PART I, LINE 7G ARE $182,314 OF COSTS RELATED TO A CLINIC. PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGE WAS $482,971. PART II: COMMUNITY SUPPORT INCLUDES DONATIONS TO LOCAL COMMUNITY ORGANIZATIONS AND EMPLOYEE STAFF TIME DONATED TO LOCAL COMMUNITY COMMITTEES. ENVIRONMENTAL IMPROVEMENTS INCLUDE THE TIME EMPLOYEES SPEND IN THEIR INVOLVEMENT IN THE GREEN TEAM. EMPLOYEES OF THE GREEN TEAM MANAGED THE PROCESS FOR CREATING OTHER RECYCLING OPPORTUNITIES FOR ITS EMPLOYEES THAT WOULD NOT OTHERWISE BE AVAILABLE TO THE THEM. THE HOSPITAL ALSO HAD A COUPLE OF EMPLOYEES WHO MET WITH THE CITY OF GREENBUSH TO DISCUSS WATER TREATMENT AND IMPROVEMENTS OF THE CITY. BY BEING INVOLVED IN THE COMMUNITY THROUGH THE ABOVE ACTIVITIES, WE ARE ABLE TO INCREASE HEALTH AWARENESS.ROSEAU COUNTY IS CONSIDERED A HEALTH PROFESSIONAL SHORTAGE AREA AND THEREFORE IS INCLUDING THE COSTS OF RECRUITMENT IN WORKFORCE DEVELOPMENT. THIS PROMOTES BETTER CARE FOR OUR PATIENTS. PART III, LINE 4: BAD DEBT WAS CONVERTED TO COST USING THE COST-TO CHARGE RATIO DERIVED FROM WORKSHEET 2.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BY USING GROSS CHARITY CARE AT CHARGE AS A PERCENTAGE OF TOTAL GROSS HOSPITAL REVENUE. IT IS REASONABLE TO ASSUME THAT CHARITY CARE AS A PERCENTAGE OF GROSS REVENUE CAN ALSO BE APPLIED TO BAD DEBT.BAD DEBT EXPENSE IS REPORTED NET OF DISCOUNTS AND CONTRACTUAL ALLOWANCES. A PAYMENT ON AN ACCOUNT PREVIOUSLY WRITTEN OFF REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR. FINANCIAL STATEMENT NOTE:THE CARRYING AMOUNT OF PATIENT AND RESIDENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS, RESIDENTS, AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT AND RESIDENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND RESIDENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. PART III, LINE 8: 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 CMS. PART III, LINE 9B: THE WRITTEN DEBT COLLECTION POLICY DOES NOT ADDRESS THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE. THIS IS DUE TO THE HOSPITAL ONLY PROVIDING FREE CARE, VERSUS BOTH FREE AND DISCOUNTED CARE. THEREFORE, IF A PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE THEIR ACCOUNT IS WRITTEN OFF AND THERE ARE NO COLLECTION ACTIONS. IF INFORMATION BECOMES AVAILABLE LATER IN THE PROCESS THAT THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIONS CEASE. PART VI, LINE 2: LIFECARE PROVIDES THE PUBLIC HEALTH FUNCTIONS FOR THE ROSEAU COUNTY. THROUGH THIS ROLE, WE PARTICIPATE IN A COMMUNITY NEEDS ASSESSMENT THROUGH QUINN COUNTY TO ASSESS THE NEEDS OF OUR SERVICE AREA. 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 DOES HAVE A BRIEF DESCRIPTION OF OUR CHARITY CARE PROGRAM AND A PHONE NUMBER TO REACH A FINANCIAL COUNSELOR. OUR NEW WEBSITE HAS THE CHARITY CARE APPLICATION AND BROCHURE. PART VI, LINE 4: ROSEAU COUNTY IS A RURAL AREA WITH A POPULATION OF APPROXIMATELY 17,000 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 2009, APPROXIMATELY 12.7% OF THE POPULATION WAS AGE 65 OR OLDER. THE AVERAGE PER CAPITA INCOME IS 23,061 AND APPROXIMATELY 9.7% OF THE POPULATION IS BELOW THE FEDERAL POVERTY LEVEL. PART VI, LINE 6: 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, INCLUDING MED STUDENTS LIKE KRISTEN COMSTOCK OF ROSEAU AND MARIE WIPPLER OF PARKERS PRAIRIE, MINNESOTA. BOTH STUDENTS, HAVE COMPLETED THEIR FIRST YEAR OF MEDICAL SCHOOL AND ARE ENROLLED IN THE RURAL MEDICAL SCHOLAR PROGRAM THROUGH THE UNIVERSITY OF MINNESOTA DULUTH. THROUGH THIS PROGRAM, STUDENTS ARE ENCOURAGED TO BECOME FAMILY PHYSICIANS BY DOING COMMUNITY PROJECTS, LEARNING ABOUT OTHER RURAL HEALTHCARE PROFESSIONALS, AND IN MOST CASES LIVING RIGHT WITH A PHYSICIAN'S FAMILY. STUDENTS VISIT THEIR RURAL SITE MANY WEEKS WITHIN THE FIRST TWO YEARS OF THEIR MEDICAL PROGRAM.COMMUNITY CARELIFECARE RECOGNIZES THAT CIRCUMSTANCES ARISE WHERE A PATIENT IS SIMPLY UNABLE TO PAY A HOSPITAL BILL.IN THESE SITUATIONS, LIFECARE OFFERS A PROGRAM CALLED COMMUNITY 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 2011, LIFECARE GRANTED OVER $400,000 IN COMMUNITY CARE.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 PARISH NURSING, 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.A PARTNERSHIP WITH AREA LAW ENFORCEMENT HAS ALLOWED LIFECARE TO INITIATE THE POLST PROGRAM, WHICH ASSISTS LOCAL AND COUNTY LAW ENFORCEMENT OFFICERS AND OTHER FIRST RESPONDERS IN HELPING PATIENTS IN A MEDICAL EMERGENCY.FUNDING ESSENTIAL SERVICESLIFECARE'S COMMITMENT TO COMMUNITY NEEDS IS EXEMPLIFIED BY ITS CONTRIBUTION TO SUBSIDIZED SERVICES. IN FISCAL YEAR 2011, LIFECARE ABSORBED OVER $3 MILLION IN COSTS IN ORDER TO SUSTAIN SERVICES THAT RELY ON FUNDING FROM OTHER SOURCES, IN PARTICULAR THE MEDICAID PROGRAM. THESE DEPARTMENTS INCLUDE HOME HEALTH CARE, HOSPICE, PUBLIC HEALTH, AND LIFECARE'S TWO NURSING HOMES (ROSEAU MANOR AND GREENBUSH MANOR).LIFECARE MEDICAL CENTER DISTRIBUTED MORE THAN $4.5 MILLION IN COMMUNITY BENEFITS IN FISCAL YEAR 2011. REPORTS FILED WITH STATES PART VI, LINE 7 MN X X X 0 0 0 0 0 0 0 0 0 CATHY HUSS 143352 0 300 0 10665 0 26365 0 22980 0 203662 0 0 0 KEITH OKESON 183828 0 15500 0 9693 0 29793 0 32899 0 271713 0 0 0 GORDON STREIFF 123637 0 50 0 1428 0 8284 0 24497 0 157896 0 0 0 SUE LISELL 137701 0 300 0 7547 0 31063 0 10085 0 186696 0 0 0 JUDY K MATTSON 112745 0 0 0 1041 0 19616 0 28249 0 161651 0 0 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 DURING THE FISCAL YEAR, WE ADDED AN ASSISTED LIVING FACILITY AT GREENBUSH MEDICAL PARK, WHICH IS THE NEW LOCATION FOR THE NURSING HOME FACILITY. FORM 990, PART VI, SECTION A, LINE 1 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 AND APPROVE 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 11 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.